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MedicalCareer版 - First night in night float
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1 (共1页)
O******0
发帖数: 116
1
First night in night float
Finally, I have experienced the so-called “NF”. There are many types of
call schedules in residents, short call/ long call… I have not figured out
all of them yet.
NF is a system for residents to get enough sleep. Even the on-call residents
can go home after certain hour (6pm here, 9pm for some other hospitals).
Without NF system, residents usually have to stay in the hospital for a
total of 30 hours, at the end of which they are pretty much dead.
As an NF intern, all
O******0
发帖数: 116
2
can you survive the NF?
I went to call room and lay down at about 12:15am, then got a few calls in
middle, then got up at 3 am. in the morning I did not feel tired at all.
Probably because it was my first day and i was too excited.
7:15 out of hospital, simple breakfast, then sleep until 11am... could not
sleep no more :(
some people argue on "tired residents" vs "ignorant docs". I think NF is
better than 30-hour call. at least for my oneday experience .
s*******8
发帖数: 118
3
Good job! The threshold for prophylactic platelet transfusion in pts without
other risk of bleeding should be 10,000.

out
residents

【在 O******0 的大作中提到】
: First night in night float
: Finally, I have experienced the so-called “NF”. There are many types of
: call schedules in residents, short call/ long call… I have not figured out
: all of them yet.
: NF is a system for residents to get enough sleep. Even the on-call residents
: can go home after certain hour (6pm here, 9pm for some other hospitals).
: Without NF system, residents usually have to stay in the hospital for a
: total of 30 hours, at the end of which they are pretty much dead.
: As an NF intern, all

O******0
发帖数: 116
4
Thank you, I don't know why they gave the cutoff value of 20. It was the
experience of someone else.
so what is the threshold for transfusion if there is bleeding?
d*******e
发帖数: 89
5
The threshold for prophylactic platelet transfusion in pts without
other risk of bleeding should be 10,000.
If with leukemia, sometimes the threshold is 20,000.
Correct me if I'm wrong.
And I have a question
Is the platelet to be newly collected? I had platelet transfusion in China
before, and it;s terrible experience ---- the pooled platelet need to be
collected the same day of my operation , so I waited till late night to get
the operation done.
Thanks
s*******8
发帖数: 118
6
There is no general guideline of transfusion trigger for bleeding patient.
In surgical patient, 50,000 is adequate for most procedure and 100,000 for
neurosurgical procedure.
We usually use aphresis platelets instead of pooled platelets. Platelets are
stored at room temperature for a maxi of 5 days.

【在 O******0 的大作中提到】
: Thank you, I don't know why they gave the cutoff value of 20. It was the
: experience of someone else.
: so what is the threshold for transfusion if there is bleeding?

1 (共1页)
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话题: nf话题: night话题: residents话题: first话题: call