Clinical Tips

Not sometimes. Most days. And burnout doubles the risk of medical errors. Your exhaustion becomes your patient's safet

S — Stop what you're doing. Just pause. T — Take a breath. One conscious breath. O — Observe thoughts, emotions, body s

Reality: Mindfulness is noticing what's happening — without judgment Your mind WILL wander. That's not failure. That'

| Situation | Technique | Time | |-----------|-----------|------| | Acute stress | STOP | 10 sec | | Mid-shift reset |

F: Sertraline SSRI + quetiapine antipsychotic + oxybutynin + Tylenol PM = 4/5 Big Five flagged R: Sertraline increased

F — Fatal: Falls cause 800,000+ hospitalizations/year in older adults; medications are a leading modifiable cause A — A

| Rank | Drug Class | OR | Risk | |------|------------|-----|------| | 1 | Antidepressants | 1.68 | +68% | | 2 | Antips

| Letter | Action | Details | |--------|--------|---------| | F | Flag the Big Five | Antidepressants, antipsychotics,

Reality: SSRIs have the HIGHEST fall risk of any antidepressant class Why SSRIs cause falls: • Hyponatremia → confusi

The first 2 weeks after STARTING or INCREASING a FRID = highest fall risk. Why: • Body hasn't adapted to drug effects

Reality: DOSE matters more than half-life | Factor | Impact on Fall Risk | |--------|---------------------| | High do

A PRN benzo taken at 2 AM still affects morning ambulation. Diphenhydramine taken "for sleep" 2-3 nights/week = regular