 Am I tired from being on crawl all week and working all day today? Yes. And also going to the gym on no sleep this morning? Yes. However, that is not going to stop me from making another video today. So what are we doing on today's video? Well, we are doing part two of the unwritten rules of the hospital video. I did the original video way back in like July of last year. If you haven't seen that, go watch it right now. I'll wait. All right. Now that you're back, let's go ahead and get into part two of unwritten rules of the hospital. Let's go. Before I go any further, I just wanted to say that so many people left comments on the last video telling me all these unwritten rules that they abide by. And some of those are in this video as well. And if you have any unwritten rules that you'd like to add to these videos, let me know in the comments below and maybe I'll do a part three. Who knows? So with that being said, let's get into unwritten rule number one. And that is never speak poorly about a colleague from another department or specialty in front of a patient. I don't care how much you don't get along with this person from another specialty. I don't care if you all hate each other outside of the hospital or that other doctor stole your girlfriend. You never talk bad about another provider in front of a patient. You just don't. Providers, nurses, texts, et cetera, we all work together with one common goal. Regardless of if you liked each other or not, and that one goal is to care for the patient. You cannot let your disdain for somebody else get in the way of how you take care of a patient or in this instance, how a patient may perceive you take care of them. And while we're on that topic, if a patient perceives that you are not giving them the best care, it can open a whole host of other problems for you or your department, which could ultimately come back and affect you and your department as well. Plus, no matter how bad you may hate somebody from another department or how many times you have fought with another provider, you never know when you may need that person for something. It's best to just be nice, exchange pleasantries in the hospital and in front of patients. And if you have a problem with a certain person, go home and complain to your significant other about it. Don't bring it to work and don't let it affect your work. I know I'm kind of going in a circle here, but it's just bad form to talk about another provider in front of a patient. It's just a no-no. I can't really describe it any better than that. Just no. You're done. You're done. The next unwritten rule I have for you is never treat a patient as just a number. And you should always remember that a patient will remember how you made them feel the rest of their life. I think we are all guilty of this one way or another. As healthcare providers, we're used to treating patients one after another every single day in and out of work. It's easy to become desensitized by a seemingly endless revolving door of patients within the hospital. It's even easier to refer to them as their room number. For instance, hey, room 2407 needs labs, which we've all done before. And that's okay to use their number or their room number as a reference for them because it's easy. And you may not remember everybody's name, but don't let that number become their entire identity because behind that room number or the medical record number, there is actually a human being and you never want to lose sight of this. It's easy for us to just go into work and treat these patients, but it's really important that we treat them with respect and we treat them as the humans that they are and not just their room number. Hopefully that makes sense. Now this is obviously easier said than done when you are an intern or a hospitalist with like 70 people on your census, but just do what you can. The third unwritten rule of the hospital I have for you is never let somebody borrow your pen unless you can see them the whole time they're using it. Now, I don't know what it is about the hospital, but for some reason, pens are like the hardest thing to find ever. I personally don't ever really have a pen on me. So I always rely on someone else to let me borrow it, but I can't tell you how many situations I've been in on the floor where I go around looking at every nurse's station, the charge nurse, the offices, the work rooms, like there is no pen in sight, like zero. I don't know how much gets written down without there being any pens nearby. It's really fascinating, but you should never let them borrow it because chances are you'll never see it again unless you watch them use it and you ask for it back, which is what you should do. Don't ever let somebody steal your pen. The next unwritten rule of the hospital, well, this is kind of written, but like not many people talked about it. Well, some people do. The next unwritten rule is if you didn't chart it, it didn't happen. And this is something you have to live by if you worked in a hospital setting. If you did not chart it, it did not happen. The medical record is a legal document. Think of it as a contract that tracks everything you do in the hospital. It is the ledger that accounts for every single thing that happens during a patient's stay. And if you did not chart something and something happens, you have no lead to stand on. I think we can all think of examples, especially during medical errors, where if you don't document it, you can't really say you did or didn't do anything. Documentation is literally everything. You must document everything. If you didn't document it, it didn't happen. The next unwritten rule of the hospital is never be afraid to ask questions. Now I think this is so important because on my last video, I talked about loading the boat. When you feel uncomfortable, you just get a whole bunch of people on board who have your back, who are more senior than you, and can guide you in case things get hairy. And the whole goal of that is you want to be proactive instead of reactive. So if something happens, you want to nip it in the bud before it happens rather than reacting to it after it happens. So there are a lot of things in the hospital that they don't teach you in school, med school, nursing school, et cetera. A lot of on the job training, a lot of nuances about each hospital system. And you don't really learn these things until you worked in the hospital setting for a very long time. And it's very important to ask questions if you don't know the answers to them because you could do something incorrectly and harm a patient, just because you were afraid to ask a dumb question. And that's the problem too is you're expected to know so many things in medicine that if you ask a question, you may be perceived as dumb, but it may actually help you or help a patient in the long run. And the hardest thing to do is ask questions because you never want to be labeled as someone who doesn't know, but sometimes you just had to put your ego aside, ask a question, get the answer so you don't do anything stupid and harm a patient because that's bad, pretty bad. The next unwritten rule of the hospital is that you should always teach your colleagues. We all come from different medical backgrounds. The physician has a ton of training in a certain specialty and we are experts in our fields, nurses, PAs, techs, et cetera, may not know what we know and we may not know what they know. And it's very important that we collaborate together and teach each other when we don't know something. For instance, this may seem crazy to you all, but I was doing a pure form of injection the other day with Botox and the nurse who usually mixes up the Botox wasn't there. I didn't know how to mix the Botox. So I had to ask and then that nurse taught me how to do it. Simple things like that. Or one of the techs I work with may not know the advanced techniques I use during certain interventional radiology procedures. And if I just take a few minutes out of my day, I can train them, teach them and they'll know next time. This is how you build an excellent team and promote excellent patient care. So always teach your colleagues. All right, the last and final unwritten rule of the hospital, which this should be like number one, although I don't really believe in it, but it is never say the keyword. And I know everybody in the comments is going to be like, never say the keyword. And the keyword is quiet for those of you who don't know, there's an unwritten rule in the hospital where you never say quiet. Like you're never working a night shift and you're like, man, it sure is quiet out here because there's a superstition amongst hospital staff that the second you say things are quiet. That's when things just hit the fan and stuff starts getting crazy. You start having like an influx of patients. You have to work like crazy. Something always happens when someone says it's really quiet. It's like setting you up for disaster. I personally don't believe in this superstition, but I still just like, don't say the keyword just because I don't want to be that person who puts that bad juju out there in the atmosphere. I just don't want it. So never say the keyword. Got it. If you don't take away anything from this video, don't say the keyword. I'm just kidding. All right. So that officially concludes part two for the unwritten rules of the hospital. Hopefully you all learned something. If you are new medical students or of course this was off. If you are new medical students or nursing students, hopefully this may have helped you going forward into your clinical training. If you have any other unwritten rules, so make sure you leave them in the comments below as usual. Can't wait to see what you all have in store for me this time. And as always, make sure you gently press the subscribe button, join my channel if you want to, follow me on Instagram and TikTok. And I'll see you all on the next video. Bye.