The Safe Practice Podcast

The Safe Practice Podcast

By Dr Maria LiMedicineHealth & Fitness
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The Safe Practice Podcast episodes

  • S1E11 - Vaccine Errors: Case Studies in Reflective Practice
    General Practitioner Dr Samantha Saling joins me to discuss some case studies in reflective practive, illustrated through the lens of of real-life vaccination errors.
    Resources mentioned in the podcast:
    NSW Immunisation Specialist Service
    TED Talk: "Doctors Make Mmistakes. Can We Talk About That?"
    ** All content and opinions expressed in this podcast are those of the host and guests, and do no represent the views of any organisations with which they are affiliated.
    25 min
  • S1E10 - Reflective Practice 101

    I demystify, define, and break down reflective practice:

    • what it is
    • when to do it
    • how to do it

      • ...step by step.

      *All content, opinions and perspectives expressed in this podcast are those of the host and guests, and do not represent the views of any organisations with which they are affiliated.

      15 min
    • S1E9 - Common Traps in Managing Iron Deficiency
      Nutritionist Monique Cormack joins me to discuss some common traps to avoid when managing iron deficiency.
      We discuss:
      Can iron deficiency without anaemia be symptomatic?
      Is it possible to correct iron deficiency with an iron-rich diet? (The answer may shock you!)
      Which oral iron formulation to choose?
      How to find out the elemental iron dose contained in an iron supplement?
      What is the MOST important thing to do after finding iron deficiency?
      ...and more!
      **All content, opinions, and perspectives contained within this podcast are those of the host and guest, and do not represent the views of any organisations with which they are affiliated.***
      29 min
    • S1E8 - A Beta HCG Trap to Avoid
      Ever wondered when beta HCG stops being useful as a tool for monitoring pregnancy viability? Obstetrician Dr Alex Owen joins me to discuss this important topic.
      Other nuggets of gold you will find in this episode:
      How a pregnancy loss is diagnosed.
      ASUM ultrasound criteria for pregnancy loss. https://www.ultrasoundtraining.com.au/wp-content/uploads/2020/10/2017-ASUM-OG-SoP.pdf
      The 4 valid indications for ordering a bHCG in the context of pregnancy (yes, there are only 4!)
      **All content, opinions and perspectives expressed in this podcast are entirely those of the podcast host and guest. They do not reflect the views of any organisations with which the host and guest are affiliated.**
      18 min
    • S1E7 - Breastfeeding, Surgery, and the Peri-Operative Period.
      Under what circumstances should breastfeeding mums who are undergoing surgery temporarily cease breastfeeding for the safety of their babies? Turns out, almost never! Listen to this episode where I interview anasthetist Dr Jacqui McPhee on this often-misunderstood topic.
      A must-listen episode for anyone who looks after pregnant women in the perioperative period.
      Resources mentioned in the podcast:
      ·      Mothersafe - https://www.seslhd.health.nsw.gov.au/royal-hospital-for-women/services-clinics/directory/mothersafe
      ·      ANZCA factsheets:
      o  Effect of Anaesthesia on Breastfeeding: https://www.anzca.edu.au/getattachment/66d9238d-df7f-4658-a9d9-f681b9fee4bc/PG07(A)-Appendix-2
      o  https://www.anzca.edu.au/patient-information/anaesthesia-information-for-patients-and-carers/pain-relief-and-having-a-baby
      ·      Lactmed app
      ·      InfantRisk app
      ·      Breastfeeding-Anaesthesia website: https://www.e-lactancia.org/ https://www.breastfeeding-anaesthesia.info/for-clinicians
      ·      https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.15179
      **All content and opinions expressed within this podcast are solely those of the host and guest(s), and do not represent the views of any organisations with which they are affiliated.**
      23 min
    • S1E6 - Ferritin: the Trend is Your Friend
      Don't fall into the trap of waiting for someone's down-trending ferritin to fall off a cliff before investigating.
      All iron deficiency starts in iron replete territory - the quicker we can identify a trend of dropping ferritin, the quicker we can find and treat the underlying cause.
      Find me on Instagram @thesafepracticepodcast.
      All content and opinions expressed in this podcast is my own, and are not the views of any organisation with which I am affiliated.
      5 min
    • S1E5 - Documentation 101

      I provide a simple mnemonic (with a dramatic visual prompt) for remembering how to structure clinical documentation.

      Find me on Instagram @thesafepracticepodcast.
      All content and opinions within this podcast are my own, and are not those of any organisation with which I am affiliated.

      9 min
    • S1E4 - Decision-making capacity.

      Using a hypothetical case study, we discuss multiple important concepts regarding decision-making capacity:

       
      1.     Can the Mental Health Act be used to enforce treatment for physical ailments?
      Link to the NSW Mental Health Act:
      https://legislation.nsw.gov.au/view/html/inforce/current/act-2007-008
       
      2.     What is decision-making capacity?
      ·       When do we need to formally assess decision-making capacity?
      ·       What about patients with mental illness?
      Useful links:
      o   NSW Health Consent to Medical and Healthcare Treatment Manual:
      https://www.health.nsw.gov.au/policies/manuals/Publications/consent-manual.pdf
      o   NSW Government Capacity Toolkit:
      https://www.tag.nsw.gov.au/sites/default/files/2020-10/CapacityToolkit2020_1.pdf
       
      3.     Are health professionals obliged to prevent patients from making unwise health decisions?
      ·       What if those unwise decisions are likely to result in the patient's harm or death?
            
      Useful links:
      o   NSW Health Consent to Medical and Healthcare Treatment Manual:
      https://www.health.nsw.gov.au/policies/manuals/Publications/consent-manual.pdf
      o   NSW Government Capacity Toolkit:
      https://www.tag.nsw.gov.au/sites/default/files/2020-10/CapacityToolkit2020_1.pdf
      Find me on Instagram @thesafepracticepodcast.
      All content and opinions within this podcast are my own, and are not those of any organisation with which I am affiliated.

      12 min
    • S1E3 - Permission to Cease

      In this episode I discuss the concept of giving your patient the "permission to cease" an examination or procedure, the reasons why you would do this, and the benefits for the therapeutic relationship.

      Along the way we touch on the freeze response (a lesser-known cousin of the flight or flight response) and some key concepts of health ethics.
      I round it off by giving you my personal experience having deployed this technique for many years.
      Find me on Instagram @thesafepracticepodcast.
      All content and opinions within this podcast are my own, and are not those of any organisation with which I am affiliated.


      7 min
    • S1E2 - Explaining Risks and Side Effects of Treatment

      Ever wondered which of the 200 obscure risks and side effects of a treatment you should warn your patient about?

      This episode gives you a conceptual framework - in the form of the "Common SMS" mnemonic - with which to consider this aspect of the informed consent.
      Find me on Instagram @thesafepracticepodcast.
      All content and opinions of this podcast are my own and not those of any organisations with which I am affiliated.

      6 min

    About The Safe Practice Podcast

    From the publisher's feed

    A podcast all about safe practice, hosted by a doctor who analyses medical mishaps for a living.