My FIRST SOLO Oncall Shift As A Floating Medical Officer
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My first solo oncall shift was on the 17th of August 2025 a few days after I have completed my tagging period.
I had a passive oncall on standby just in case things got out of hand, which is a good thing. However, I was adamant to try to survive on my own as if I only had myself and the specialist. Thankfully as well, it was on a weekday which meant I was able to reach out and ask for help if needed and the others would be able to assist if needed or advice me.
As usual, morning rounds, followed by peri rounds. The role as an oncall medical officer of the day is to update the progress of the patients in the specialist’s WhatsApp group as well as to upload any latest wound pictures, if any.
The day was rather busy with rounds and in between I would receive calls from Klinik Kesihatan (Community Clinics), usually requesting a clinic date. Thankfully, no referrals yet.
After rounds, I headed back to the ward to complete any pending joblists before heading into the operating theatre (OT) for a patient that was awaiting her call to OT.
During that operation, there was a referral from the Emergency and Trauma (ETD) Department, referring a case of laceration wound over the forehead for a 3 year old boy.
The medical officer at the ETD was kind enough to assist in taking the bloods as well as admitting the patient. My colleague on the other hand came to check in on me after her day in the clinic and attended to this kid.
After the first operation, the following case was called which was the 3-year-old kid. I have always enjoyed being in the operating theatre, or any hands on procedures.
Despite knowing that I should be conserving energy, instead, I proceeded to carry on and after the second op, I entered an ongoing flap operation next door to assist.
Another referral came for a laceration wound over the forehead for an Orthopaedic patient who was post-operative and transferred to ICU. Apparently, it was missed when the patient arrived at the Emergency Department as he suffered multiple opened fracture and was posted for operation immediately. Thankfully, he was intubated and sedated and I was able to perform a bedside toilet and suturing for him.
By the time I was done, it was midnight. I went back to the oncall room to shower and change for the night. I would usually change into scrubs again if I were to be oncall, just to be on standby in case I was needed immediately.
I did not sleep that night, it just felt wrong as the flap operation was still ongoing since 8am.
I went in again to check in on them, however, I was not needed at that time. Thus, I kept a fellow colleague company.
At 2am, I returned back to ward to complete the planned discharge of a patient and started my morning review. Thankfully, I did. In between, I was referred a new case of another kid who suffered another laceration wound at his right eyebrow. Thus, counselled the parents, obtained consent and admitted the patient.
After that, I was requested to collect bloods or bags packed cell for the patient who was still ongoing operation. When the commotion was done, I returned to continue my early morning reviews.
By 4am, I went back inside the operating theatre to check in on the ongoing operation. Technically, still far from done. Scrubbed in to assist with harvesting the skin for split thickness skin graft and refashioning of the affected limb.
At 8am, we were finally done. The operation officially lasted for 24 hours. All of us scrubbed out and I changed out of my attire to return to ward and follow rounds.
During peri rounds, a patient was called to OT and I entered organ as I dislike peri rounds. After the OT, all of us were just beyond tired and I went home for the day.
No doubt, it was my first “solo oncall”, it did not feel lonely at all as since there was an ongoing operation, physically, I felt comforted knowing that there were people nearby and felt more like a slumber party instead.
And the most important part… I survived it!
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I SURVIVED My First Month Of Tagging As A Floating Medical Officer
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- Surviving 10 Days Of Tagging | Emergency & Trauma Department
- Preparing For My Exit From The Medical Posting As A House Officer | Housemanship Diaries
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Thank God. Seriously.
I started my journey on the 21st of August 2025 and officially off-tag on the 14th of September 2025 after my last tagging oncall shift.
Technically, it was not a month but 3 weeks. Nevertheless, a very tiring 3 weeks with every other day oncalls and one sick leave in between.
The tagging oncalls were every other day (EOD), this meant an oncall shift followed by postcall and the following day is an office hour shift only to be followed by oncall again.
Overall, it was a mixture of fun and tiredness. My sleeping schedule was definitely off as I am usually disturbed in the middle of the night as the time I am usually able to sleep peacefully is during my postcall shifts.
Thankfully, I always had a senior with me to guide me. Thus, every referral I received, I would discuss on the management plan with them. It was mentally challenging as well as the learning curve is extremely steep for a junior medical officer such as myself.
Having completed my tagging period, I am still at lost in terms of management especially for extremely complicated cases. Thus, I find myself running to any of my seniors or the specialists.
Am I confident now though?
Not really. Less terrified and yes somewhat a tad bit confident than when I initially begun. However, just a tad.
The fear is still there as I just do not know what to expect on the types of referrals I will receive during my call.
Some things just don’t change. The fear that I felt during my House Officer days are still there and at times, I wish that I could just simply disappear run away from the issue but doing so, does not help.
Thus, the only solution for me is to dive head on into the issue and call for help whenever needed.
If any of you are experiencing this, just know that you are not alone and sometimes the feelings felt internally just can’t be expressed properly either via words or verbally.
If you are showing up everyday despite feeling this way, you are doing a good job. Take comfort in that as it is not an easy thing to just do. Sometimes, showing up daily in itself is a hard task.
Related Posts:
- My First Tagging On-Call Shift As A Floating Medical Officer
- My First Day As A Medical Officer In KKM
- My First Day Of Locum And As A Medical Officer
- 2026 – The Beginning
- My First Night Shift In Emergency & Trauma | Housemanship Diaries
- Life After Offtag In Emergency & Trauma | Housemanship Diaries
- Day 1 Of My Final Posting – Day 647 Of Housemanship
- Surviving 10 Days Of Tagging | Emergency & Trauma Department
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The Theoretical Doctor | Dr Jewel Nambiar
Hello & Welcome to My Channel! I am a Junior Doctor, practicing in the Sarawak General Hospital, Malaysia. - 🎴 Free NOTES / FLASHCARDS on the topic in the DESCRIPTION of the videos! Website: www.theoreticaldoctor.YouTube
