In: Nursing
what you think about this medical bag ?
Depending on the clinical site, there may be a lack of access to certain items. Having my own medical bag ensures there is equipment, medications, and supplies that are available when I need them. Buying my own equipment lets me choose the quality, brands, and specifications that I want. I currently work in an outpatient surgery center that has anesthesiologists rotate in from an anesthesia company. One day I noticed an anesthesiologist with her own medical bag. She carried her own preferred medications in case they were not stocked at the facility. Sometimes facilities may not items due to costs, shortages, and facility protocols. Bringing her favorite medications ensured she would have them if she needed them, making her job easier. This showed me the value of having your own bag, as this concept can be applied to many medical items. The cost can be an issue when putting together my own bag of supplies. Some items can be very expensive and if damaged or broken, I would be the one paying for them to be repaired or replaced.
Ans) Some GPs may prefer to wear a jacket or coat with capacious pockets rather than carry a bag. Most GPs will use a bag of some variety and the following should be considered:
The bag must be lockable and not left unattended.
Most medicines should be stored between 4° and 25°C. A
silver-coloured bag or cool bag is more likely to keep drugs cooler
than a traditional black bag.
Consider keeping a maximum-minimum thermometer in the bag to record
extremes of temperature.
Bright lights may inactivate some drugs (eg, injectable
prochlorperazine) so keep the bag closed when not in use.
Lock the bag out of sight in the vehicle boot when not in
use.
Basic and administrative equipment
Photocard ID should be carried. Many patients may recognise their
regular GP but locums or new GPs may need to confirm their identity
before admission and all GPs may be required to identify themselves
to other emergency services.
Mobile phone - smartphones may also serve a number of other
functions but this may be dependent on adequate reception.
Stationery and a limited number of FP10 prescriptions, Med3 (fit
notes), letter-headed paper and envelopes.
British National Formulary or equivalent - but electronic versions
of these which can be used via a smartphone or tablet are available
and can replace the need for printed reference material.
Investigation forms.
Local map or electronic equivalent - satnav/GPS or
smartphone.
Personal alarm - several versions are readily available. The police
suggest that when used, an alarm be thrown about 10-20 feet to
cause distraction.
Diagnostic equipment
Stethoscope and pocket diagnostic set.
Sphygmomanometer and infrared thermometer - sphygmomanometers
should have calibration date stickers.
Pulse oximeter.
Glucometer including appropriate strips and lancets.
Alcohol wipes, gloves, lubricating jelly.
Alcohol gel for hands.
Additional sphygmomanometer cuffs.
Reflex hammer.
Multistix for urinalysis.
Tongue depressors, preferably wrapped.
Small torch.
Peak flow meter, preferably low-reading.
Specimen bottles (urine/faeces) and swabs
Other equipment
Some GPs will also carry the following equipment:
A selection of syringes (1 ml, 2 ml and 5 ml), needles and
tourniquet will need to be included if any parenteral medication is
carried.
A small sharps box.
Face mask.
A selection of airways can form part of the car's first aid kit and
can be extended to one's own preference and skills up to full
'BASICS' level.
Reversible fluorescent jacket (with Velcro® 'Doctor' signs) carried
in the vehicle boot can be helpful in emergencies.
Handheld spotlight plugged into the cigarette lighter can highlight
house numbers (where they exist).
Out of hours services are likely to provide equipment such as an
automated external defibrillator (AED), oxygen and nebulisers.
Individual GPs will need to assess whether these items are
appropriate to their practice.