Sunday 8 December 2013

Helpful strategies to cope with shift work

isolated night shifts
bright light (>10,000 lux ) for 2 hours after rising
regular exercise
anchor sleep and naps

shifts must be rotated in a CLOCKWISE MANNER each change to a later not earlier 

ideally with a month or more per rotation

sporadic shifts are less disruptive for than longer stretches of nights of circadian rhythms, Anchor sleep involves sleeping for the same 4-h period 

regardless of the shift worked

--
No one ever wins, no one finally loses, except the dead, under the sun, they rot together, with absolute biological equality.

Disaster Plan


Mechanism of activation
Assessment of the hospital's capacity
establishment of disaster command
communication
supplies
administrative and treatment areas
training and drills
immediate discharge of predisaster patients?-not contemplated
assessment of likely hazards
coorperation between the hospital and the community
--
No one ever wins, no one finally loses, except the dead, under the sun, they rot together, with absolute biological equality.

Friday 6 December 2013

Anaerobes

Clindamycin -respiratory or above diaphragm

Metronidazole - GI anaerobes

Carbapenams

Cephalsporins cefoxitin and cefotetan

Sent from my iPhone

Gram neg rods

Fluroquinolones
Aminoglycosides
Carbapenams
Astreoram
Ceftriaxam 3:4 gen cephalosporins
Pipercillin


Sent from my iPhone