#DME Lab

[kishansingh2524education]

Your Complete Guide to INDEX MEDICAL COLLEGE – A Top Choice for Future Doctors

If you’re a student dreaming of becoming a doctor, one of the most important decisions you will make is choosing the right medical college. Among the many options in India, INDEX MEDICAL COLLEGE stands out as a reliable and modern institution for medical education. Located in Indore, Madhya Pradesh, it offers the right mix of academics, practical training, and facilities – everything you need to build a successful medical career.

In this blog, we’ll give you a detailed, easy-to-understand overview of INDEX MEDICAL COLLEGE. Whether you’re a student or a parent looking for trusted information, this guide is just for you.

What is INDEX MEDICAL COLLEGE?

INDEX MEDICAL COLLEGE, officially known as Index Medical College Hospital and Research Centre, is a private medical institution in Indore. It was established in 2007 and is managed by Mayank Welfare Society. The college is recognized by the National Medical Commission (NMC), which means your degree will be valid all across India and even abroad for higher studies or practice.

It is also affiliated with Malwanchal University, which is known for offering quality higher education in central India.

Courses Offered at INDEX MEDICAL COLLEGE

The main course students look for is the MBBS (Bachelor of Medicine and Bachelor of Surgery) program. This is a 5.5-year course, which includes one year of mandatory internship. The college also offers postgraduate (MD/MS) courses in various specializations like General Medicine, Surgery, Pediatrics, and more.

Key Courses:

MBBS – 250 seats

MD/MS in various departments

This wide range of programs ensures students can pursue both undergraduate and postgraduate medical education under one roof.

Admission Process for MBBS at INDEX MEDICAL COLLEGE

Admission to the MBBS program is done through NEET-UG (National Eligibility cum Entrance Test). To get admission in INDEX MEDICAL COLLEGE, you must:

Appear for NEET-UG and score the required cutoff.

Participate in the counseling conducted by DME, Madhya Pradesh.

Choose INDEX MEDICAL COLLEGE as your preferred choice during counseling.

If you are from Madhya Pradesh or even from another state, you can apply under various quota categories such as general, management, and NRI.

Campus Life and Facilities at INDEX MEDICAL COLLEGE

One of the best things about INDEX MEDICAL COLLEGE is its modern infrastructure. The campus is spread over a large area with all the top-class facilities a medical student needs.

Some key highlights:

Well-equipped labs and modern classrooms

A huge central library with thousands of medical books and journals

On-campus hospital with 1100+ beds for practical exposure

Separate hostels for boys and girls with full security

Sports and recreation facilities for all-round development

This environment helps students stay focused and perform better both academically and practically.

Why Students Prefer INDEX MEDICAL COLLEGE

Here are a few reasons why INDEX MEDICAL COLLEGE is becoming a popular choice among NEET aspirants:

Experienced faculty who provide in-depth academic knowledge

Early clinical exposure from the first year itself

Regular seminars, workshops, and research opportunities

Strong focus on skill-based learning and patient interaction

Affordable fee structure compared to other private colleges

24x7 hospital support for learning through real-time medical cases

Placement and Internship Support

During your final year at INDEX MEDICAL COLLEGE, you’ll undergo a one-year mandatory internship. This internship is conducted within the college’s hospital, where students get practical experience in every department including surgery, medicine, pediatrics, gynecology, and more.

The internship helps you build confidence and makes you job-ready for your future as a medical professional.

Fees Structure at INDEX MEDICAL COLLEGE

The MBBS fee at INDEX MEDICAL COLLEGE is competitive and usually ranges between ₹9 to ₹10 lakhs per year under the management quota. For the most accurate and updated fee details, students should refer to the DME MP official counseling portal.

Scholarships or loan facilities are also available for eligible students through various banks and government schemes.

Final Thoughts

Choosing the right medical college is a life-changing decision. INDEX MEDICAL COLLEGE offers everything you need – great education, expert faculty, a full-fledged hospital, and a supportive campus environment. If you're serious about becoming a successful doctor, this could be the place where your dreams begin.

[argroup6]

Your Complete Guide to Chirayu Medical College and Hospital, Bhopal

Are you planning to study MBBS in India and looking for a reputed private medical college? If yes, then Chirayu Medical College and Hospital, Bhopal can be a great choice for your future. This medical institute is one of the rising names in central India, especially for students who aim to pursue quality medical education at affordable fees. In this blog, you will get a complete guide about the courses, fees, eligibility, admission process, facilities, and why Chirayu Medical College and Hospital, Bhopal stands out among other medical colleges in Madhya Pradesh.

Overview of Chirayu Medical College and Hospital, Bhopal

Established in 2011, Chirayu Medical College and Hospital Bhopal is a private medical institution affiliated with Barkatullah University and recognized by the National Medical Commission (NMC). It offers undergraduate (MBBS) and postgraduate medical education with a strong focus on practical knowledge, clinical exposure, and patient care.

The college is located in the heart of Madhya Pradesh—Bhopal—which is well-connected by road, rail, and air. The peaceful atmosphere, greenery, and modern infrastructure make the campus ideal for learning.

Why Choose Chirayu Medical College and Hospital, Bhopal?

Here are some student-friendly reasons why Chirayu Medical College and Hospital, Bhopal can be the right option for you:

Modern Infrastructure

The campus includes smart classrooms, well-equipped labs, and one of the finest anatomy museums in the region. The hospital attached to the college has over 1000 beds and all major departments including ICU, NICU, emergency, and diagnostic labs.

Clinical Exposure

As a student of Chirayu Medical College and Hospital Bhopal, you get direct exposure to a large number of patients daily. This helps you build confidence, improve communication skills, and gain real-life experience before becoming a doctor.

Experienced Faculty

The college boasts a team of experienced professors and doctors who have years of teaching and clinical experience. They guide students not just academically but also help in preparing for competitive exams like NEET PG and FMGE.

Affordable Fee Structure

Compared to other private colleges, Chirayu Medical College and Hospital, Bhopal offers a comparatively affordable MBBS course fee structure. Also, there are scholarship options available for deserving students.

Hostel & Mess Facilities

Separate hostel facilities for boys and girls are available with 24/7 security, Wi-Fi, reading rooms, and hygienic mess services. The environment is supportive for academic and personal growth.

MBBS Course at Chirayu Medical College and Hospital, Bhopal

Duration

The MBBS course at Chirayu Medical College and Hospital, Bhopal is of 5.5 years, which includes 4.5 years of academic study and 1 year of compulsory internship.

Intake Capacity

The college admits 150 MBBS students every year, as per NMC regulations.

Eligibility Criteria

To get admission in Chirayu Medical College and Hospital, Bhopal, you must fulfill the following conditions:

You must have passed 10+2 with Physics, Chemistry, Biology, and English.

You should have a minimum of 50% marks in PCB (40% for reserved categories).

You must qualify the NEET-UG entrance exam.

Admission Process

The admission to Chirayu Medical College and Hospital, Bhopal is done through the MP NEET counselling process conducted by the Directorate of Medical Education, Madhya Pradesh.

Step-by-Step Admission Process:

Register on the official DME MP website.

Fill your preferences and lock Chirayu Medical College and Hospital, Bhopal.

Upload documents and pay counselling fee.

Check merit list and seat allotment result.

Visit the college for document verification and fee payment.

Fee Structure (MBBS)

Here is the tentative fee structure for the MBBS course at Chirayu Medical College and Hospital, Bhopal:

Tuition Fee: ₹8,00,000 per year

Hostel Fee: ₹1,50,000 per year

Mess Charges: ₹60,000 per year

Security Deposit: ₹1,00,000 (refundable)

Postgraduate Courses

Apart from MBBS, Chirayu Medical College and Hospital, Bhopal also offers postgraduate (MD/MS) seats in the following disciplines:

MD in General Medicine, Pediatrics, Anesthesia, etc.

MS in General Surgery, Obstetrics & Gynecology, Orthopedics, etc.

PG admissions are through NEET-PG, and seat availability may vary each year.

Facilities at Chirayu Medical College and Hospital, Bhopal

Central Library with thousands of books and digital resources

Research labs and skill labs

Sports complex and gym

Cafeteria, bank, and medical store inside campus

Ambulance and emergency care round-the-clock

Community outreach programs and rural health camps

Life in Bhopal for Medical Students

Studying at Chirayu Medical College and Hospital, Bhopal also means you get to live in a clean, safe, and culturally rich city. Bhopal is known as the “City of Lakes,” and it offers a good balance of academics and peaceful student life. You can also prepare for national-level competitive exams from here, as the city has good coaching institutes and libraries.

Alumni Support and Career Opportunities

Graduates from Chirayu Medical College and Hospital, Bhopal are currently working in reputed hospitals across India and abroad. The college also supports students in preparing for higher studies, government exams, and placements in both private and public sectors.

Final Words

If you are aiming for MBBS from a private medical college in Madhya Pradesh, then Chirayu Medical College and Hospital, Bhopal is truly a wise choice. From modern campus facilities to expert faculty and real-time clinical exposure, the college ensures that you grow into a confident and skilled doctor. Its affordable fee structure and career support make it one of the most preferred medical colleges in the region.

Need Help?

We at AR Group of Education offer admission support, counseling, and documentation help for MBBS aspirants across India and abroad.

Feel free to contact us at:

523, 5th Floor, Wave Silver Tower, Sec-18 Noida, UP-201301

+91–7076909090

info@argroupofeducation.com

[komalargroup]

Index Medical College Indore – A Complete Guide for MBBS Aspirants

If you're planning to pursue MBBS in a reputed medical college in Madhya Pradesh, Index Medical College Indore stands out as a top private institution. Established in 2007, the college is part of the Index Group of Institutions, offering excellent academic infrastructure, experienced faculty, and well-equipped hospital facilities.

Approved by the National Medical Commission (NMC) and affiliated with Malwanchal University, Index Medical College Indore offers 250 MBBS seats annually along with postgraduate medical courses in various disciplines. The college maintains a strong reputation for quality education, clinical exposure, and a student-friendly campus environment.

Campus and Infrastructure

Spread across a large green campus on the outskirts of Indore, the college offers modern lecture theatres, a central library, digital labs, hostels for boys and girls, and a 1150+ bedded hospital with multispecialty services. The hospital serves as a major clinical training ground, giving students practical experience in real-life healthcare settings.

The college also includes:

Skill labs and demo rooms

Cafeteria and canteen

Wi-Fi enabled classrooms

Sports complex and recreation areas

Hostel facilities with mess and security

Students enjoy a well-rounded campus life with academic resources, support services, and extracurricular activities for their overall development.

Courses Offered

The flagship program is the MBBS (Bachelor of Medicine and Bachelor of Surgery), with an annual intake of 250 students. The duration of the MBBS course is 5.5 years including 1 year of mandatory internship.

Postgraduate Courses (MD/MS) are available in specializations such as:

General Medicine

General Surgery

Pediatrics

Orthopedics

Anesthesia

Radiology

Dermatology

Psychiatry, and more

The college is constantly upgrading its facilities and curriculum in line with NMC regulations to offer world-class medical education.

MBBS Admission Process at Index Medical College

Admission to the MBBS course is strictly based on NEET-UG merit. Students must qualify NEET and participate in the MP State Counselling conducted by the Directorate of Medical Education (DME), Madhya Pradesh.

Eligibility Criteria:

Candidate must have passed 10+2 with Physics, Chemistry, Biology, and English

Must have obtained a minimum of 50% marks (40% for SC/ST/OBC)

Must be NEET qualified

Documents Required:

NEET Admit Card & Scorecard

10th & 12th Mark Sheets

Transfer Certificate

Migration Certificate

Caste Certificate (if applicable)

Domicile Certificate

Passport-size Photographs

Index Medical College MBBS Fees Structure (2025)

For the MBBS course, the approximate annual tuition fees for general category students range from ₹10 to ₹12 lakhs. Hostel fees, mess charges, and other expenses are extra.

The total cost for the full MBBS program may reach ₹55–₹65 lakhs, depending on accommodation and optional services. Scholarships and installment options are available for eligible students.

Why Choose Index Medical College Indore?

Here are a few compelling reasons:

Recognized by NMC and WHO Attached 1150+ bedded hospital with ICU, OT, and trauma care Top-notch infrastructure with modern labs and simulation centers Faculty with years of clinical and teaching experience Good patient flow for better clinical training Safe and well-maintained hostels with round-the-clock security Strategic location in Indore, Madhya Pradesh

Placement & Internship

All MBBS students undergo a 1-year mandatory internship in the attached hospital. Interns gain exposure in multiple departments like surgery, medicine, pediatrics, gynecology, and emergency. Post-internship, many students choose PG courses or government service exams.

Conclusion

Index Medical College Indore is an ideal option for students who want to pursue MBBS from a well-established private medical college in Central India. With modern infrastructure, dedicated faculty, and practical exposure through a running hospital, the college ensures students are career-ready by the end of their course.

If you’re looking to secure your seat here, stay updated with NEET counselling dates and don’t miss the chance to be part of one of Indore’s best medical institutions.

[outsource-medical-billing]

Medicare Guidelines for Advanced Wound Care: LCDs and Compliance

Wound care is a critical aspect of healthcare, particularly for individuals with complex or chronic wounds that require advanced treatment modalities. As the population ages and the prevalence of chronic conditions increases, the demand for advanced wound care services covered by guidelines for Medicare is on the rise.

According to recent statistics from the Centers for Disease Control and Prevention (CDC), chronic wounds affect approximately 6.5 million people in the United States, with an annual cost of over $25 billion in healthcare expenditures. Moreover, it's estimated that Medicare beneficiaries account for a significant portion of these individuals requiring specialized wound care services.

In response to this growing need, Medicare has established guidelines, including Local Coverage Determinations (LCDs), to govern the coverage of advanced wound care services and supplies. These guidelines outline the criteria for coverage, documentation requirements, and compliance standards that healthcare providers must adhere to when delivering advanced wound care to Medicare beneficiaries.

In this blog post, we will delve into the Medicare guidelines for advanced wound care, navigating LCDs, and ensuring compliance with the documentation and medical necessity criteria. By understanding and following these guidelines, healthcare providers can effectively manage and treat complex wounds while maximizing reimbursement under Medicare.

Wound Care Coverage at a Glance

Medicare covers wound care supplies or surgical dressings when medically necessary, typically for surgical or surgically treated wounds. In fact, the wound care coverage varies depending on the Medicare plan, such as:

Part A (Inpatient): It covers hospital inpatient wound care after meeting the Part A deductible.

Part B (Outpatient): After meeting the Part B deductible, it covers 80% of wound care costs for medically necessary supplies.

Part C (Medicare Advantage): It not only mirrors Part A and Part B coverage but may provide additional benefits.

Part D (Prescription Drugs): It is not applicable for advanced wound care.

Supplemental Insurance: It may cover out-of-pocket costs associated with Medicare. Coverage varies by plan.

Let’s discuss the varied wound care coverage

Inpatient Wound Care Coverage

Inpatient wound care is covered under Medicare Part A when received in settings such as hospitals, skilled nursing facilities, or rehab facilities.

What is Covered Under Medicare Part A?

Part A coverage includes various components, such as:

Hospital meals,

Room accommodation,

Specialized care,

Drugs and supplies,

Lab tests,

X-rays,

Certain blood transfusions,

Hospice care,

Operating/recovery rooms,

Rehab services, and

Part-time skilled nursing care.

Outpatient Wound Care Coverage

The outpatient wound care coverage falls under Medicare Part B when received in outpatient settings such as doctor's offices. Part B coverage includes Durable Medical Equipment (DME), if necessary, along with medically necessary wound care supplies. In fact, patients may have a deductible under Part B, which supplemental plans can cover.

Wound Care Supplies Covered by Medicare

Medicare covers primary and secondary wound dressings, including items like hydrogel dressings, hydrocolloid dressings, alginate dressings, gauze, and foam dressings. In fact, this coverage extends to supplies directly applied to the wound (primary dressings) and those supporting primary dressings (secondary dressings). However, wound care supplies are not covered for less severe conditions like burns, stage 1 pressure ulcers, or wounds caused by trauma not needing surgical closure.

Medicare Documentation

Undoubtedly, healthcare providers are responsible for documenting wound progress at each visit, including size, evidence, drainage needs, and the injury's impact. In fact, Medicare covers wound treatment based on the presence of necessary documentation. To comply with LCD requirements, healthcare providers must thoroughly document the patient's signs, symptoms, and medical history related to the wound. This documentation should justify the medical necessity of advanced wound care services and supplies and demonstrate how these services will positively impact the wound's healing process.

Medicare Advantage Coverage

Patients may opt for Medicare Advantage Plans, which could offer additional benefits and coverage beyond Original Medicare. However, out-of-pocket expenses and coverage specifics under Medicare Advantage Plans vary, requiring direct contact with insurers for detailed information.

Outsource to 24/7 Medical Billing Services!

To ensure adherence to Medicare guidelines regarding advanced wound care, engaging with knowledgeable professionals specializing in Medicare regulations and compliance is essential. Outsourcing wound care billing Services can provide you with comprehensive insights into Medicare guidelines, facilitate proper documentation, optimize coverage utilization, and deal with the complexities of Medicare Advantage Plans. This proactive approach ensures compliance with Medicare standards while maximizing reimbursement and patient care quality.

For More Information:

Call us at 888-502-0537 or info@247medicalbillingservices.com

Visit at https://www.247medicalbillingservices...

Our Office Locations:

Ohio: 28405 Osborn Road, Cleveland, OH, 44140

Texas: 2028 E Ben White Blvd, #240-1030 Austin TX, 78741

Subscribe @247medicalbillingservices

Follow us on social media channels-

Facebook:  https://www.facebook.com/247MBS

Twitter: https://x.com/247MBServices

Instagram: https://www.instagram.com/247mbs/

LinkedIn: https://www.linkedin.com/company/24-7-medical-billing-services/

[greymed12]

Grayline Medical: A Comprehensive Provider of Medical Supplies and Equipment

Grayline Medical is a prominent supplier of medical and hospital supplies, offering a vast inventory of over 500,000 products across 7,000 brands. Established in 1997 as a small family-operated business in Los Angeles, California, Grayline Medical has expanded its reach to serve healthcare facilities, laboratories, and individual consumers throughout the United States.

Product Range

Grayline Medical's extensive catalog encompasses a wide array of medical supplies and equipment, including:

Facility and Personnel Supplies: Apparel, beds and mattresses, equipment and furnishings, gloves, patient ID wristbands, infection prevention products, office supplies, textiles, labeling products, medical records, and equipment protection.

Medical Supplies: Advanced wound care, anesthesia, operating room and surgery supplies, respiratory products, vascular access tools, and general wound care items.

Lab and Diagnostic Supplies: Diagnostic tools, laboratory supplies, mammography products, and medical imaging supplies.

Durable Medical Equipment (DME): Bath safety equipment, transfer devices, wheelchairs, rollators, beds, and mattresses.

Patient Care Products: Incontinence supplies, nursing essentials, nutritional products, skin care items, and urology and ostomy products.

This extensive selection ensures that clients can find the specific products they need, all in one place.

Conclusion

Grayline Medical stands out as a comprehensive provider of medical supplies and equipment, dedicated to meeting the diverse needs of healthcare professionals and consumers. With a vast product range, commitment to customer service, and efficient delivery, Grayline Medical continues to be a reliable source for quality medical products.

[blogofmastermind]

Medicare Part B Deductible: What You Need to Know for 2024

Understanding the Medicare Part B deductible is crucial for managing your healthcare costs. Here’s what you need to know for 2024 and how it impacts your coverage.

What is the Medicare Part B Deductible?

The Part B deductible is the amount you pay for covered healthcare services before Medicare starts paying. In 2024, the Part B deductible is expected to be around $240. After you’ve met the deductible, Medicare covers 80% of approved outpatient care costs, and you’re responsible for the remaining 20%.

How Does the Part B Deductible Work?

Covered Services: The deductible applies to services such as doctor visits, lab tests, outpatient surgeries, and durable medical equipment (DME).

Annual Reset: The deductible resets every calendar year, meaning you’ll need to meet the deductible again each year.

After the Deductible: Once you’ve paid the deductible, Medicare will pay 80% of the cost of covered services. You’ll be responsible for the remaining 20%, also known as coinsurance.

How to Plan for the Part B Deductible

Know Your Costs: Review your Medicare plan and any additional coverage, such as Medigap, to understand how the deductible will affect your expenses.

Use Preventive Services: Medicare Part B covers many preventive services, like vaccinations and screenings, at no cost, which can help you avoid reaching the deductible unnecessarily.

Consider Supplement Plans: If you have a Medigap or Medicare Advantage plan, these may cover the Part B deductible and other out-of-pocket costs.

Conclusion

The Medicare Part B deductible is an important factor in

[yeswecare]

Disability Services at Windsor Gardens Nursing Home

Disability services Windsor Gardens is a leading nursing home in the East Romie Lane area that specializes in short-term rehabilitation and long-term care. They focus on patient-centered care and ensure that each resident maintains their independence with personalized therapy programs.

The land that Windsor Gardens is located on has a long history dating back to the late 19th century. It was once the location of a dairy farm called the Windsor Farm.

1. Physical Therapy

In some cases, physical therapy can help improve a child’s ability to participate in and benefit from special education programs at school. In general, this type of treatment is covered by insurance.

Often, physical therapy sessions can be scheduled at the time that works best for you. This flexibility can help you to integrate your sessions into your routine, ensuring that you are getting the most out of your treatments.

Most insurance networks including Medicare cover physical therapy services. However, you will likely have to pay a copay or meet a deductible for each visit. A therapist can help you understand what your specific coverage includes and assist you in making the necessary arrangements. In addition, your therapist can recommend equipment that may be helpful for you in your home.

2. Occupational Therapy

Students with disabilities at the elementary or high school level may be eligible for occupational therapy (OT). OT services focus on removing barriers that prevent students from learning and mastering skills needed to succeed in their education.

OTs also provide instruction in the use of tools and aids that help people with disabilities complete their everyday tasks and activities. This might include teaching someone how to use a wheelchair or how to manage pain with medication.

Located in the heart of Norwood, The Commons at Windsor Gardens is within a short distance from a variety of dining, shopping, and entertainment attractions. Schedule a tour today to see stylish apartment living for yourself! Commuter rail stops on the premises. Bus routes are also nearby. Ample parking is available.

3. Speech Therapy

During speech therapy, you’ll work with your therapist on issues like stuttering and impaired flow of verbal expression. You’ll also learn how to use a communication aid.

Your therapist will evaluate your speech, language, and swallowing disorders and prescribe the appropriate treatment. They’ll also work with you to manage pain or discomfort caused by these disorders.

Some examples of a speech-language pathology service model include articulation therapy, fluency therapy, oral motor therapy, voice therapy, and aural rehabilitation. They’ll also address swallowing disorders caused by an illness or injury.

The Commons at Windsor Gardens is located on Walpole Street / Route 1A in Norwood, MA. The town’s many dining, shopping, and recreational attractions add to its small-town charm. Commuter rail and bus stations are nearby, making it easy to get around.

4. Respiratory Therapy

Respiratory therapy is a medical profession that involves the treatment and care of patients suffering from pulmonary diseases. These practitioners work under the prescription of a physician and assist patients with breathing exercises and treatments to help improve their overall health and quality of life. They also provide education and guidance in the use of breathing apparatus and in the management of chronic respiratory problems such as sleep disorders, asthma, and COPD. They are trained to perform emergency methods of cardiopulmonary resuscitation, intubate patients, and work in pulmonary function laboratories. They also work in home care, specifically DME and home oxygen, as well as in sleep labs (polysomnography) and at ambulatory clinics.

Interested parties should carefully review the Program Performance Standards below to ensure they are capable of meeting the professional requirements of the job.

5. Respite Care

Respite care is planned temporary assistance for family caregivers and non-family caregivers of adults with developmental disabilities. It provides family caregivers with a short break from their caregiving duties and allows them to attend to other responsibilities such as work, running errands, or going on vacation. Respite care services are often available through local community agencies and state lifespan respite voucher programs.

Residential respite care is a residential facility designed to provide temporary, overnight care for individuals who require round-the-clock staff supervision. To access respite care, start by researching the available programs and resources in your area. You can also visit your local agency or call a specific program to inquire about eligibility and the application process. Then, follow the guidelines provided by the provider to ensure a smooth transition for your loved one and yourself.

[e-learningsoftware]

IETMs and Technical Documentation standards EED-S-048 | DME 452 | NCD 1470 | JSS 251 | JSG 0852

Code and Pixels has delivered several IETMs and Technical Documentation, and Training Aids for many defense labs i.e. DRDO, DRDL, RCI, ASL, and many more…

EED-S-048, DME 452, and NCD 1470, are purely standards defined by the Navy guiding OEMs to follow these guidelines while making documentation. These are purely technical stuff, and only Defence scientists or technical teams of OEMs who were involved in the development of equipment/devices can prepare. They need domain expertise.

[sudheervanguri]

Alembic Pharmaceuticals Walk-In Drive in Ahmedabad for Production and Quality Roles Alembic Pharmaceuticals is inviting candidates to join their team through a walk-in drive in Ahmedabad. This event will take place on June 9, 2024, at Hotel Fern Residency. The company is hiring for various positions in Production (OSD, API) and Quality Assurance. If you have the relevant qualifications and experience, don’t miss this opportunity to be part of a Great Place to Work-certified organization. About Alembic Pharmaceuticals: Alembic Pharmaceuticals, a trusted name in the pharmaceutical industry, is known for touching lives with its innovative solutions and quality products. The company has a legacy of over 100 years and operates globally, committed to excellence and integrity in all its endeavors. Walk-In Drive Details: Date: June 9, 2024 (Sunday) Time: 09:00 AM to 03:30 PM Venue: Hotel Fern Residency, Nr. Subhash Bridge, RTO Circle, Keshav Nagar, Ahmedabad Positions and Criteria: Technical Officer/Junior Executive/Executive - Production (OSD) Qualification: M. Pharm, B. Pharm, DME, ITI Experience: 2 to 7 years Job Role: Manage granulation, compression, coating, pelletization, and capsule filling areas. Technical Officer/Junior Executive/Executive - Packing Qualification: M. Pharm, B. Pharm, DME, ITI Experience: 2 to 7 years Job Role: Manage blister packing, track and trace, serialization, and documentation. Handle machines like CVC, Servo, Countec, CAM, BQS, HONGA & UHLMANN. Executive/Senior Executive - Production (API) Qualification: B.E-B.Tech (Chemical Engg.), M.Sc. Experience: 2 to 9 years Job Role: Ensure products are manufactured as per cGMP standards. Handle critical equipment and maintain documentation as per regulatory requirements. Address technical problems and uphold safety practices. Executive - Quality (API/OSD/Injectable) Quality Control Qualification: M. Pharm, B. Pharm, M.Sc. Experience: 2 to 5 years Job Role: Handle QC instruments like HPLC, LCMS, GC, UV-spectrophotometer, dissolution apparatus, KF, IPC-OES, IR spectrophotometer. Manage QMS activities and maintain lab records. Quality Assurance Qualification: M. Pharm, B. Pharm, M.Sc. Experience: 2 to 5 years Job Role: Perform area and equipment line clearance, process validation, and cleaning validation. Review BMR & BPR, manage shop floor QMS documents, ensure compliance, and handle investigations. [caption id="attachment_68256" align="aligncenter" width="930"] Alembic Pharma Recruitment Notification[/caption] Application Process: For those unable to attend the walk-in interview, please send your updated resume with details of total experience, current CTC, expected CTC, and notice period to the respective email IDs provided for each department: Production (OSD): prodform@alembic.co.in Production (API): apiproduction@alembic.co.in Quality: quality@alembic.co.in Important Note: Alembic Pharmaceuticals does not hire through consultants or agents who demand monetary consideration or registration fees for interviews/jobs. Beware of such fraudulent calls.

[surideepak23]

The Versatile Applications of Methanol: From Apparel to Energy 

Methanol is among the most often used and significant laboratory solvents in analytical labs. This adaptable substance is essential to numerous daily products and important chemical reactions, and its applications are not limited to the laboratory. Methanol, produced by top methanol manufacturers in India, is an alcohol molecule with a methyl group placed in it chemically. 

What is the purpose of Methanol? 

Methanol is utilized in many commonplace objects, cutting-edge technology, and chemical processes such as: 

1. Formaldehyde: Formaldehyde, a widely used commercial product, is easily formed from Methanol. It's used in interior car moldings, furniture, and kitchen counters. Medication and personal hygiene items benefit from its preservation properties. 

2. Biofuel: Methanol is an eco-friendly substitute for fuels derived from petroleum. It is less combustible, less expensive, and simpler to obtain than gasoline. Despite having a lower energy density, racing cars worldwide still run on it as fuel. When mixed with potassium hydroxide, it can potentially be used as a diesel fuel alternative. 

3. Windshield Washer Fluid: Because alcohol has a significantly lower freezing point than water, they're ideal for deicing windows. The freezing point is lowered when the alcohol and ice mix, causing the ice to melt. 

4. Wastewater Denitrification: This procedure is crucial because it stops hazardous algal blooms from growing and contaminating our waterways. Bacteria grow when there is nitrate present, which causes algal blooms. Methanol from the top methanol manufacturers in India increases the activity of anaerobic microorganisms in wastewater systems. Water microorganisms break down nitrate, releasing nitrogen into the atmosphere. Wastewater treatment plants nationwide are utilizing this method. 

5. Fuel Cells: Since Methanol can store a lot of energy in a small amount of space, it serves as the fuel in fuel cells. These cells are frequently seen in little gadgets like phones and laptops. 

6. DME: Dimethyl ether, a typical propellant for aerosols, can be made from Methanol. It also possesses qualities that would make it an excellent fuel substitute for diesel engines. 

7. Acetyl Resin: That makes your thermoplastic the strongest, toughest, and most resilient. It has less friction, is resistant to fading, and is simple to color. For high-intensity mechanical activities in sectors like automotive, technology, and healthcare, this makes it ideal. 

8. Camping Fuel: Outdoor lovers fuel their camping stoves with methanol. Due to its simplicity and low fuel use, the stove is popular for camping. 

9. Acetic Acid: Methanol-containing acetic acid is used as an antibacterial in pickling, cleaning, and medicinal. 

10. Laboratory Solvent: The most popular uses for Methanol are as a solvent in UV/VIS spectroscopy and HPLC analysis. In addition, it works well as a solvent and drying agent in creating laboratory standards for instrument analysis. It can even serve as a destaining agent in gel electrophoresis.    

Conclusion 

Methanol derivatives are present everywhere. They are found in hospitals, your house, your car, and many of the goods that are on the shelves of the closest retailer. As it goes through additional testing and development, this adaptable molecule has a bright future as an alternative fuel. 

[argroup6]

MBBS in Madhya Pradesh – A Student-Friendly Guide for Medical Aspirants

If you are dreaming of becoming a doctor, MBBS in Madhya Pradesh is one of the best options in India. Known for its quality education, affordable fees, and top-ranked government and private medical colleges, Madhya Pradesh has become a hub for NEET-qualified students seeking trusted and budget-friendly MBBS programs.

Why Choose MBBS in Madhya Pradesh?

Madhya Pradesh offers an ideal blend of academic excellence, experienced faculty, state-of-the-art medical infrastructure, and a peaceful learning environment. Here's why students prefer pursuing MBBS in Madhya Pradesh:

Affordable tuition fees

Government and private colleges with MCI/NMC recognition

Modern hospitals for clinical exposure

Availability of MBBS seats through state and all India quota

Good hostel and transport facilities

Scholarships for reserved and economically weaker sections

Popular Private Medical Colleges for MBBS in Madhya Pradesh

Private institutions also offer great opportunities to pursue MBBS in Madhya Pradesh. Here are some top private medical colleges:

LN Medical College, Bhopal

R.D. Gardi Medical College, Ujjain

Index Medical College, Indore

Amaltas Institute of Medical Sciences, Dewas

People’s College of Medical Sciences, Bhopal

These colleges are recognized by the National Medical Commission (NMC) and have modern labs, OPD services, and hospital tie-ups for practical training.

Eligibility Criteria for MBBS in Madhya Pradesh

To study MBBS in Madhya Pradesh, you need to meet the following eligibility conditions:

Must be NEET UG qualified

Should have passed 10+2 with Physics, Chemistry, and Biology

Must have secured at least 50% marks in 12th (40% for reserved categories)

Must be 17 years or older on or before 31st December of the admission year

For state quota seats, the student must also be a domicile of Madhya Pradesh.

Admission Process for MBBS in Madhya Pradesh

Admission for MBBS in Madhya Pradesh is done through NEET counseling conducted by the Directorate of Medical Education (DME), Madhya Pradesh. The process is simple:

Register online at the DME MP official portal.

Upload documents and pay the counseling fee.

Participate in choice filling and seat locking.

Wait for seat allotment result.

Report to the allotted college for admission and verification.

There are two main quotas:

State Quota (85%) – For MP-domicile students

All India Quota (15%) – For candidates from all over India

Documents Required for Admission

When applying for MBBS in Madhya Pradesh, keep these documents ready:

NEET Admit Card and Scorecard

10th and 12th Mark Sheets

Transfer and Migration Certificate

Domicile Certificate (for MP students)

Caste and Income Certificate (if applicable)

Passport-size photographs

Aadhaar Card

Scholarships and Financial Aid

Students pursuing MBBS in Madhya Pradesh can apply for various scholarships:

Post-Matric Scholarship (for SC/ST/OBC)

Mukhya Mantri Medhavi Vidyarthi Yojana

National Scholarships from NSP portal

These scholarships help reduce the financial burden, especially for students from economically weaker backgrounds.

Hostel Facilities in Madhya Pradesh Medical Colleges

All major colleges offering MBBS in Madhya Pradesh provide hostel facilities with the following amenities:

Separate hostels for boys and girls

Furnished rooms with beds, study tables, fans

24x7 security and Wi-Fi

Hygienic mess/canteen facilities

Indoor and outdoor sports area

Private hostels and PGs are also available near most campuses.

Career Opportunities After MBBS

After completing MBBS in Madhya Pradesh, students can:

Appear for NEET PG to pursue MD/MS

Work in government or private hospitals

Apply for UPSC CMS or state health services

Open private clinics or practice as a General Physician

Join clinical research, medical writing, or healthcare management

The state also has many top hospitals for internships and job placements, such as AIIMS Bhopal, Hamidia Hospital Bhopal, and Bombay Hospital Indore.

Final Thoughts

MBBS in Madhya Pradesh is a smart choice for students who want high-quality medical education at affordable costs. With excellent colleges, efficient admission processes, and supportive infrastructure, it has become a top destination for aspiring doctors in India.

If you are NEET-qualified and ready to take the next step in your medical career, MBBS in Madhya Pradesh can provide the strong foundation you need for a bright future in healthcare.

Need Help?

We at AR Group of Education offer admission support, counseling, and documentation help for MBBS aspirants across India and abroad.

Feel free to contact us at:

523, 5th Floor, Wave Silver Tower, Sec-18 Noida, UP-201301

+91–7076909090

info@argroupofeducation.com

[komalargroup]

Amaltas Institute of Medical Science College: Your Gateway to Quality Medical Education in Madhya Pradesh

If you're planning to pursue MBBS from a private medical college in Madhya Pradesh, Amaltas Institute of Medical Science College is a reliable and affordable option for your future in medicine. Established with a mission to create skilled and compassionate doctors, this institution offers a modern campus, experienced faculty, and an education that meets national medical standards.

About Amaltas Institute of Medical Science (AIMS), Dewas

Located in the Dewas district of Madhya Pradesh, Amaltas Institute of Medical Science College is recognized by the National Medical Commission (NMC) and affiliated with Madhya Pradesh Medical Science University, Jabalpur. The institute was founded with the aim of providing high-quality medical education and healthcare services in central India.

The college runs under the Amaltas Educational Welfare Society, which has a history of managing several other successful educational institutions. With a sprawling campus, well-equipped labs, modern classrooms, and a 500+ bedded teaching hospital, AIMS ensures students gain both academic knowledge and clinical experience.

MBBS Course at Amaltas Medical College

The college offers the Bachelor of Medicine and Bachelor of Surgery (MBBS) program with an annual intake of 150 students. The course duration is 5.5 years, which includes a 1-year compulsory rotatory internship.

Key Features:

Approved by NMC

Affiliated to MPMSU, Jabalpur

Annual Intake: 150 MBBS Seats

Highly qualified and experienced faculty

Integrated teaching methodology with regular assessments

The curriculum is structured as per NMC guidelines, ensuring students are ready to clear NEET PG and serve efficiently in clinical practice or pursue higher studies.

Infrastructure and Facilities

Amaltas Institute of Medical Science boasts a modern infrastructure that supports both academic and practical learning.

Facilities include:

Lecture halls with smart boards and AV systems

Central Library with digital access

Anatomy, Physiology, Biochemistry, and Pathology labs

Demonstration rooms and museum

Dissection Hall

24x7 working teaching hospital with OPD/IPD services

Hostel facilities for both boys and girls

Cafeteria, sports complex, and transport services

The campus is Wi-Fi enabled and maintains high hygiene and safety standards for all students.

Hospital Training and Clinical Exposure

The Amaltas Super Speciality Hospital attached to the college plays a vital role in student training. It is equipped with:

500+ functional beds

Advanced operation theatres

ICU, NICU, and emergency wards

Radiology and diagnostic services

Students get real-time experience with patients, ward duties, and emergency handling. The hospital sees a high footfall, giving students varied exposure to clinical cases.

Hostel and Student Life

Separate hostel facilities are available for boys and girls, with options for AC and non-AC rooms. Rooms are spacious and furnished, and the mess offers hygienic meals. The college also provides:

24x7 security and CCTV surveillance

Medical care on campus

Indoor and outdoor sports facilities

Cultural and extracurricular events

The environment at AIMS is friendly, disciplined, and supportive—ideal for aspiring doctors.

MBBS Admission at Amaltas Institute of Medical Science

Admission to the MBBS course at Amaltas is done through NEET-UG counselling, conducted by DME, Madhya Pradesh.

Eligibility Criteria:

Must have qualified NEET-UG

Minimum 50% marks in PCB in Class 12 (40% for SC/ST/OBC)

Age: Minimum 17 years

Students must apply through the MP state counselling portal, and once allotted, submit required documents and pay the fee to secure admission.

MBBS Fee Structure (Approximate):

Tuition Fees: ₹8.00 – ₹9.00 lakh per year (subject to change as per DME regulations)

Hostel and Mess Charges: ₹1.50 lakh approx per year

Security Deposit (Refundable): As per college norms

(Note: Always check the latest fee structure from official sources or counseling brochures.)

Why Choose Amaltas Medical College?

Affordable MBBS education in a private college NMC recognition ensures degree validity across India Strong clinical exposure in the attached hospital Safe campus and disciplined academic environment Hostel facilities and student support services available

Conclusion

Amaltas Institute of Medical Science College is a promising option for students who want to study MBBS in a private medical college in Madhya Pradesh. With excellent facilities, dedicated faculty, and hands-on clinical training, AIMS helps students become competent and compassionate doctors. If you're preparing for NEET and looking for a reliable medical college, AIMS Dewas can be a great choice for your career in healthcare.

[argroupofedu5]

Amaltas Institute of Medical Science: A Premier Destination for Medical Education

Amaltas Institute of Medical Science is a renowned medical college in India that offers world-class education and training in the field of medicine. Located in Dewas, Madhya Pradesh, this institution is dedicated to nurturing future medical professionals by providing them with quality education, modern facilities, and extensive clinical exposure. It is an excellent choice for students seeking an MBBS degree in a well-structured and student-friendly environment.

About Amaltas Institute of Medical Science

Established with the vision of imparting high-quality medical education, Amaltas Institute of Medical Science is affiliated with the Madhya Pradesh Medical Science University, Jabalpur, and is recognized by the National Medical Commission (NMC). The institute offers an MBBS program that equips students with the necessary skills and knowledge to become competent medical professionals.

With a focus on practical learning and research, the institute provides students with state-of-the-art infrastructure, well-equipped laboratories, and experienced faculty members who ensure a strong foundation in medical education.

MBBS Program at Amaltas Institute of Medical Science

The MBBS course at Amaltas Institute of Medical Science is designed to meet international medical standards. The program duration is 5.5 years, which includes 4.5 years of academic study followed by a 1-year mandatory internship in various hospitals and healthcare centers.

Eligibility Criteria for MBBS Admission

To secure admission into the MBBS program at Amaltas Institute of Medical Science, students must meet the following criteria:

Must have completed 10+2 with Physics, Chemistry, and Biology as main subjects.

Should have secured at least 50% marks (40% for reserved categories) in the qualifying examination.

Must qualify for the NEET (National Eligibility cum Entrance Test).

Minimum age requirement is 17 years as of December 31 of the admission year.

Admission Process

The admission process at Amaltas Institute of Medical Science follows these steps:

Qualify NEET Exam – Students must appear and qualify for the NEET-UG examination.

Counseling Registration – Eligible candidates must register for the Madhya Pradesh state counseling process conducted by the Directorate of Medical Education (DME), MP.

Seat Allotment – Based on the NEET rank and category, students will be allotted seats in the college.

Document Verification – Selected candidates need to submit their documents for verification.

Fee Payment and Admission Confirmation – Once the documents are verified, students must pay the required fees to confirm their admission.

Facilities at Amaltas Institute of Medical Science

Amaltas Institute of Medical Science is well-equipped with modern infrastructure and facilities to enhance the learning experience of students. Some of the key facilities include:

1. Advanced Laboratories

The institute has state-of-the-art laboratories for subjects like Anatomy, Physiology, Biochemistry, Pathology, and Microbiology. These labs provide hands-on training to students, helping them understand medical concepts in a better way.

2. Well-Stocked Library

The library at Amaltas Institute of Medical Science houses a vast collection of medical books, journals, and research papers. It also provides access to online medical databases, helping students stay updated with the latest advancements in the medical field.

3. Teaching Hospital

The teaching hospital associated with the institute provides clinical training to students. It has modern operation theaters, ICUs, and diagnostic centers, ensuring students gain real-world experience while treating patients under expert supervision.

4. Hostel and Accommodation

The institute offers separate hostel facilities for boys and girls with all essential amenities such as:

Well-furnished rooms

24/7 security and CCTV surveillance

Mess facility with hygienic food

Wi-Fi and study areas

5. Sports and Recreational Facilities

To promote the overall development of students, the institute provides various sports and recreational facilities, including a gymnasium, indoor and outdoor sports grounds, and cultural activities.

Why Choose Amaltas Institute of Medical Science?

1. Quality Education and Experienced Faculty

The institute boasts a team of highly qualified and experienced faculty members who are dedicated to providing excellent medical education. The curriculum is designed to ensure students gain both theoretical knowledge and practical experience.

2. Excellent Clinical Exposure

With a fully functional teaching hospital, students get hands-on experience in treating real patients under the guidance of senior doctors, preparing them for their medical careers.

3. Affordable Fee Structure

Compared to many private medical colleges, Amaltas Institute of Medical Science offers a cost-effective MBBS program, making it an attractive option for students looking for quality education at an affordable price.

4. Student-Friendly Campus

The campus provides a safe and secure environment for students, ensuring they have a comfortable and conducive atmosphere for learning and personal growth.

Conclusion

Amaltas Institute of Medical Science is a top choice for students who aspire to become successful doctors. With its well-structured MBBS program, modern facilities, experienced faculty, and excellent clinical exposure, the institute ensures a bright future for its students. If you are looking for a reputed medical college in Madhya Pradesh, Amaltas Institute of Medical Science is definitely worth considering.

[s1000dcodeandpixels]

Documentation standards Vs IETM Standard EED-S-048 |DME 452 |NCD 1470 |JSS 251 |JSG 0852

Technical documentation is a very broad word used in tender documents/Scope Documents. They put the heading as Technical Documentation and in brackets write IETM Level -4 or IETM class-4 mentioning EED-S-048 OR DME 452 OR NCD 1470 JSS 0251 and JSG 0852 standards and ask OEM to deliver in DVDs and some sets of Hard copies.

Some SOTRs may even have Training Aids under Technical documentation.

Steps for Creating Technical Documentation:

(step 1&2 is done by OEM and Step 3 is executed by the IETM Software Vendor)

STEP 1 (Content writing)Writing content/ preparing the manual based on the standards (EED-S-048, DME 452 OR NCD 1470.)

STEP -2 Standardising / formatting the content Converting the raw content into a proper technical document using JSS standard.

STEP -3 Converting the final PDF manuals to IETM Converting the approved/vetted Manul to the IETM database using the IETM authoring tool / IETM software.

Your Scope or SOTR shared by the Indian Navy to make IETM will have the Standard names i.e. EED-S-048 OR DME 452 OR NCD 1470.

EED-S-048These are Naval standards. Specification of Documentation for new Construction Ships,

DME 452 The Directorate of Marine Engineering (DME) is a part of the Materiel Branch and works under the overall command and control of the Chief of Materiel, as PSO, and Assistant Chief of Materiel (Dockyard & Refits) as APSO. Documentation Specifications

NCD 1470 Director of Standardisation – Department of Defence Production Requirements For Preparation of Documentation For Hull Equipment, Structure, Material and System

JSS 0251-01:2015 (Rev no. 2) JOINT SERVICES SPECIFICATION (JSS)Procedure for preparation and production of technical publications for electronic and electrical equipment

JSG 0852: 2001 Reaffirmed 2019

Joint Services Guide (JSG)Indian defence standard to make IETM

EED-S-048, DME 452, and NCD 1470:

are purely standards defined by the Navy guiding OEMs to follow these guidelines while making documentation. These are purely technical stuff, and only Defence scientists or technical teams of OEMs who were involved in the development of equipment/devices can prepare. They need domain expertise.

These are absolutely in no way relevant to IETM development.

By adhering to EED-S-048 OR DME 452 OR NCD 1470 these standards your technical team will make manuals i.e. User handbooks, Technical Manuals, Maintenance manuals, MRSL etc.

The content may be written poorly formatted by the domain experts as, aesthetically arranging and making a table of contents, header, footers etc. is not the work of technical people.

Once this content is written by the experts the documentation team will come to the picture.

Following is the Sequence of Contents to Be Followed While Making Document:

Front/cover page which is printed on thicker paper or laminated

The title page is the same as the Front-page

Record of changes

List of other associated handbooks

Safety warnings in red colour

First-aid instructions

Cautions & Notes

Demolition instructions

Change Notice

List of contents

List of illustrations

Text/ content

The separate card titled Illustrations

Illustrations

Sepaarte card titles Appendix “A” , B,C

Appendix or appendices

Back Cover Page

Once the document is made available this will be shared with DGQA and other competent authorities i.e. defence labs etc.

Once these documents are fully vetted they enter into to next phase which is IETM.

In short, the work of the IETM service provider starts, once your final manuals are frozen or vetted by the end client.

The IETM service provider is not an expert in the domain, and the IETM team consists of all the software development team like, Angular Java programmers, database engineers, content integrators, and Quality assurance team etc., and they are not experts in the domain hence what whatever manual is made available to the team they simply convert every line into database and creates Database of the manuals.

[madefornurses]

Respiratory Therapist Exam Questions Practice Test

Respiratory therapists work in hospitals in the intensive care units (Adult, Pediatric, and Neonatal), on hospital floors, in Emergency Departments, in Pulmonay Functioning laboratories (PFTs), are able to intubate patients, work in sleep labs (polysomnograpy) (PSG) labs, and in home care specifically DME (Durable Medical Equipment) and home oxygen. Respiratory therapists are specialists and…

[hangrypa]

s/p first year as a PA

I was hired as a hospitalist primarily for the transplant service. However, in the setting of the pandemic and staffing shortages, I am all over the place now and work in almost everything non-pediatric and non-surgical. 

In my first few months as a PA, I was incredibly overwhelmed. I went from being a learner who switches specialties every month to a fully-fledged provider making life-or-death decisions on an hourly basis. Oftentimes I’d find myself in the room of a patient actively crumping, surrounded by the patient’s family and multiple nurses awaiting instructions on what to do to save the patient. I thought that I faced a lot of pressure in school, but it was nothing compared to this. 

And just when I started to get a hang of it all, the pandemic hit. What a nightmare. As mentioned above, I was hired to work with with transplant patients. Prior to the pandemic, my transplant colleagues and I were masking and gowning for almost every patient: 1 surgical mask and 1 gown per patient and per patient encounter. But once COVID hit, we were rationing PPE. 1 N95, 1 pair of goggles, and 1 face shield for the pandemic. 1 surgical mask per week, and 1 gown only if a patient had Cdiff or a history of MDRO bacteremia.

What did the pandemic mean for our transplant patients? 

Our patients are on immunosuppressant medications to prevent transplant rejection. Unfortunately, this makes it difficult for them to fight infections. 

Our department did what it could to prevent COVID. We'd test patients on admission for COVID, regardless of symptoms or exposure history. If they were positive, they went to the COVID team and quarantined on their unit for a period of time and had to test negative before returning to our unit and being transplanted. We took many other measures to reduce COVID risk to the best of our ability. 

People still died. To see someone get transplanted successfully and then die of a virus is horrifying. Unfortunately, despite our admission tests, sometimes patients contracted COVID within the hospital. Patients would be happily FaceTiming their family one moment, telling them all of their plans for once they were discharged- then the next day they'd be intubated. We tried Remdesivir, Dexamethasone, prone positioning, etc. But the virus moved through them quickly, and these efforts often were too late. No amount of hoping and praying brought them back. 

As a first year PA, I learned to go to an empty conference room, close the door, and remove my mask before calling to the family of the deceased. This way, as they gathered around the phone in their homes, the family could hear me unmuffled as I delivered the news. Also, this way my tears didn't ruin my mask for the rest of the week. 

I learned a lot this year. It's been a mixture of crying and laughing. There are times that I question why I ever became a PA, and then there are times when this career feels like home. In addition to transplant, I’ve also been working in the  ED, IMC, ICU, inpatient hospice, clinic, and infusion center these past 6 months. I’ve learned quite a lot along the way.

Lessons learned as a first year PA:

1. Check your pager hourly: This is in addition to checking it whenever you get paged. Sometimes I’ll get paged while I’m rounding, read it, and then forget about it. Now I go through my pager at every hour to ensure that I already responded to all my pages and then answer ones that I missed/forgot.  On a semi-related note, a while back I wrote about good paging etiquette.

2. Let people know when you're out: I work a rotating schedule. As a result, it’s hard to predict when I’m in or out of the hospital. Sometimes I’ll come back on service and find urgent emails or texts that are a few days old. Now I leave an away message with my return date and my supervisor’s contact information on both email and hospital text. If someone really needs to get a hold of me, my supervisor has my personal cell phone number.

3. Be conscientious of what time you consult: I generally try to get all of my nonurgent consults done before 3pm. Many services have only 1 resident covering after 3pm, so I try not to page/call unless I have an emergency. 

4. Call the nurse if something needs to be done urgently: Being a nurse means being the ultimate multitasker. Room 5 is due for his IV Amphotericin, Room 2's Foley is supposed to come out prior to void trial with Urology, Room 1's infusion completed and is beeping, and Room 4 is a bit altered and yanked out her PICC. Now I’m placing an order for Room 3 to get IV Lasix due to concern for pulmonary edema. However, the nurse may be preoccupied with Room 4 and not see the order in the computer for some time. If I really need to the patient to get the Lasix right way, I’ll place the order through EMR and then call the nurse and see what their situation is. If they’re crazy busy with Room 4 and likely to be unable to get to the Lasix within the next 15min, I ask whether they’re okay with me asking another nurse to give the Lasix now. Usually the answer is yes.

5. Value your nurses: Nurses know the patient best. They’re the ones answering call bells, giving meds, doing dressing changes, etc. Unfortunately they oftentimes bear the brunt of everyone’s frustrations, from patients to patients’ families to attendings to managers. Not to mention, they’re the ones doing the dirty work. Bedside nurses are the heartbeat of healthcare, but they also are high risk for burnout. Always support your nurses, whether that’s volunteering to answer a patient’s family member’s 17th phone call of the day or responding to a patient’s call bell yourself. 

6. Know how to get a hold of someone quickly: It’s less than ideal to page someone repeatedly. At my hospital, if I need to talk to an attending urgently, I call the operator and ask them to connect me directly to the attending’s cell phone. If a patient is crashing and we’re not in the ICU, I dial the emergency number and call a rapid response, which sends people running into my patient’s room. 

7. Plan your discharge meds from Day 1: The goal of every admission is to treat the patient and then discharge them safely. Send medications early for prior auth and call the pharmacy to make sure that they have medications in stock. (One time a patient’s insurance didn’t cover Levofloxacin, of all things.) 

8. Keep social work and care coordination aware of all needs from the start: Does your patient looks unsteady? Place a PT/OT consult and let social work and care coordination know that the patient might require home therapy services and/or DME so that they can start looking at services and companies that may be covered by insurance. Does your patient have a central line? They’ll likely need a home health service to teach them how to care for it daily at home. Do they seem to require frequent transfusions? They’ll probably need labs on discharge. Is the patient’s living situation safe (no heat/AC, possible abuse at home, financial difficulties, etc)? They may need alternative housing.

9. The attending is not always right: Generally speaking, the attending has the last say on how the team manages a patient. However, I’ve come across situations in which an attending’s decision put a patient in more danger. Sometimes asking them about their decision can help steer the care plan toward better patient care. Other times you just have to stand your ground and be okay with being on the receiving end of an attending’s misdirected rant. Report these instances to your manager and to other higher-ups.

10. Always have gloves in your pocket: You never know when you’ll find a mess. Or which part of the body someone asks you to examine. Or how hygienic a person is (or is not).

11. Verify weird vitals: I was very new when I walked into work, opened a patient’s chart, and promptly bolted down the hallway when I saw a patient’s O2 sats recorded as 15-20s. I found the patient sitting up in bed, eating breakfast, and bewildered by me bursting into the room. Turns out that overnight someone mistakenly recorded his respirations as the O2 sats.

12. Remove whatever tubes you can: Anything entering the body is an infection risk. Does your patient still need that Foley placed by the surgery team? No? Yank it (don’t actually yank because ouch). Is your patient A&O and able to eat without aspirating? Remove the NG tube. Does your patient have good veins and require infrequent transfusions/labwork? Pull their central line.

13. Take a buddy with you to emergencies: Two heads are better than one. Even if you’re a seasoned provider and well-equipped to manage an emergency, you might need another body to help with performing CPR, making urgent calls, grabbing supplies, etc. 

14. Ask your patients about premeds for procedures: We all have different levels of pain tolerance. A procedure goes far more smoothly if your patient is comfortable. Note: if you’re going to premed with Ativan or an opiate in the outpatient setting, make sure they have a driver.

15. Be good to your charge nurse and unit secretary: I don’t know how they do it. If I had to manage the unit’s signout, patient complaints, calls from other floor, being yelled at by providers, verifying paper orders, and finding beds for incoming patients- all at the same time - I’d lose my mind. 

16. If your patient is mad, just shut up and listen: There are many things that you can’t control: the time it takes for a patient to get a room, the temperature of hospital food, the dismissive attitude of your attending, etc. And oftentimes the patient knows this. My reflex is to want to apologize for things and overexplain why different things are happening. But sometimes the patient just needs to rant. Take a step back and just listen. That can make all the difference.

17. Fact check your notes: The framework for your progress note often is the note from the day prior. It sounds obvious, but make sure that you go through the note and make updates and changes accordingly. If today is 01/15, there’s a good chance that the Fungitell from 12/31 is not still pending. 

18. Try to learn some nursing skills: This is one of the areas in which I most envy my NP colleagues. If a patient’s IV pump is beeping or their central line need to be flushed, I oftentimes awkwardly step out of the room and look vacantly into the distance for a nurse. I’ve finally figured out how to spike a bag (albeit I do so very slowly, and it certainly makes the RNs giggle some). I talked to our unit’s nurse manager, and she’s willing for me to learn some nursing skills from the staff during a slow day- we’ll see when thing slow down!

19. Be kind: Generally speaking, being in a hospital is stressful. Patients are feeling out of sorts, and staff are working with constant dinging in the background. I rant plenty on this website, but I’m kind to everyone at work (with few exceptions) because it makes things more comfortable for everyone. Additionally, if you are always kind to your patients and colleagues, your reputation will speak for itself. One time I was walking down a hall with poor reception while on my ASCOM with a notoriously standoffish nurse from another unit. My phone cut out. She called my unit’s nurse manager to complain, and the nurse manager told her that I would never hang up on purpose. My interactions with the nurse going forward were always more pleasant in nature.

20. Support your team: The best colleagues are not the smartest colleagues; the best coworkers are the ones who have your back. Whether it’s a medical emergency or just a strange situation, it’s important to be supported and to give support.

I know that I’ve learned a lot more than this, so I’ll likely be adding to this throughout the year. Happy Snow Day, all!