LdFower
New member
NOROWAREJIMA EMERGENCY SERVICES
HOSPITAL APPLICATION
OOC SECTION
[This section is a requirement to properly identify you during your application.]
-
What is your IGN?:
Cat_The_Loser (but it will be change back to catscl0ud)
What is your Discord?:
st5ffi
What would you like us to call you?:
Koa
How old are you?:
(If you do not want to state your exact age, confirm if you are above the age of 16)
19
Do you have a functional Microphone?:
yes, i do!
What is your time zone & How would you describe your activity?:
GMT+3
I had to summarize my activity on the server, I'd say I'm fairly active. I do have plenty of real life obligations to attend to, such as collage and family, but for the most part, I'm able to be online every day. That being said, I usually spend three to five hours online (if not more), most of this time spent role playing on character I'm equally active on both weekends and weekdays cause of my current schooling situation, thus I'm usually online from 11am to 10pm Gmt+3.
That being said, I joined yrp in late 2025, but didn't get into it until late 2026. Admittedly, much like a lot of other players on the server, I started out with Gang RP. Even with its current state, it still makes up a large part of my experience on the server. I credit it for shaping a lot of my current abilities, especially when it comes to managing large groups and handling complex situations. Iโve also met a lot of people and formed meaningful connections that I still hold onto today. Though my focus has shifted less towards gang-oriented roleplay and more towards crime RP itself.
It was around 2023 that I applied for teacher, I had never been in a faction prior so it was something of a learning experience for me. Fortunately, i got denied settled in quickly. I found myself really enjoying the (for the lack of a better word) chaotic environment. I found a lot of joy and excitement and experiences for new players and normal players alike, making class activities and games were some of my favorites. That being said, my biggest hurdle here was managing disruptive players, where I had to learn to assert myself when necessary.
I eventually i didn't get in in hopes of getting involved in something new, which to me was Jock RP. The first team I was on was HS female football, and although the team and people were lovely, I quickly figured out that the plugin just wasn't for me. But during the few months I was on that team I learned a lot about JockRP, and most if not all my first experiences with it were on that team. After that I took a small break, and it was also around the end of the year where I applied for builder and looked forwards to trying out for HS male basketball.
I did end up getting into both, but it was only a month later that my school load suddenly increased, especially nearing ACT season and preparing for college with the end of my junior year. My time on the build team was inevitably cut short, deciding that it was too much responsibility on top of the already piling ones. But, my short time in the community team was nothing less than great. That being said, I left for roughly three months before returning, bringing me to where I am today.
What is your motivation to apply to the Norowarejima Hospital Faction?: The reason I'm applying isn't just because I want to expand my scope, but because I genuinely enjoy detailed, serious roleplay. I've had a number of friends and acquaintances in the faction, and have heard both the ups and downs of the role. And although I've been a part of a number of factions and groups, I found myself seeking something more intense, and I know that's something EMS would bring. Also, as someone with many nurses in my family in real life, I've always found medical topics and protocols interesting, and it'd be something I'd enjoy dabbling in and expand my knowledge on especially with my writing.
ROLE-SPECIFIC QUESTIONS & MEDICAL TRIVIA
[This section is dedicated to testing your knowledge on the medical field.]
-I
I'm semi-familiar with the roles in the hospital, mostly due to prior understanding with real life hospitals, and to a friend who had to go through the trouble of explaining to me the difference between trainees and residents
So, here it goes!
There are three departments total. Going in order its psychiatrists, doctors, and emergency. Psychiatrists are different from doctors, in the way they deal with emotional and mental conditions. This is usually done through therapy and medicine. Doctors, on the other hand, deal with external conditions, specifically physical ailments. This is treated using a variety of things such as surgery, physical therapy, medicine, and other medical practices. My understand of the emergency department is a bit slimmer, but from what I understand (I might be wrong!) the emergency department is only open to experienced players who have been in the faction for awhile.
hat being said, within those departments there are five different positions; (hope you can see it)
(You can find the list of departments available in the informational section.)
I'm applying for the role of Psychiatrist.
Do you have any prior experience with MedicalRP?:
Rian has a hefty background in medical positions, stapled to his resume would be as follows;
[X] Kobe Central Medical Hospital, Kobe, Japan
Medical Intern | 2010 - 2012
โ Gained experience in patient communication
โ Preformed basic medicinal procedures under supervision
โ Monitored and recorded patient progress
โ Learned to interpret lab results and diagnostic imaging
[X] Okoro Family Clinic, Kobe, Japan (Closed)
Family Physician | 2012 - 2023
โ Completed rotations in internal medicine, pediatrics, and emergency departments
โ Conducted routine check-ups, screenings, and preventive care
โ Managed clinic operations during periods of financial and staffing challenges
โ Mentored junior staff and medical trainees in clinical and patient care procedures\
and
(yes i do have experience as i am in collage and learning also about it as also in other roleplays i have been a psychiatrist before)
Are you aware that with MedicalRP comes the possibility of encountering possibly triggering topics?:
I yes i know i can encounter possibly triggering topics and i am very ready for whatever comes in!
How well can you coordinate with a team during Roleplay?:
i can coordinate with the team very good doing roleplays
MEDICAL TRIVIA
(PHYSIOLOGY)
If someone is experiencing a reaction to food poisoning, what is the correct way to manage and treat the symptoms?:
food poisoning is manage by treating dehydration through IV fluids and electrolytes, particularly if the patient cannot keep liquids down doctors may prescribe antibiotics for severe bacterial cases ant-parasitic medication or anti- nausea/anti-diarrhea medicine.
IV fluid replacement; the primary treatment is intravenous fluids to replenish hydration and electrolytes lost through vomiting and diarrhea.
antibiotics prescribed only if a bacterial Cause (shigella c. jejune) is suspected or confirmed
antiparasitic; used for parasite related cases
anti-nausea/diarrhea; drugs like dimenhydrinate (Dramamine) for nausea or, in specific non-bloody cases, loperamide(Imodium)
diagnostic testing; doctors may order stool tests blood tests or imaging to identify the specific pathogen.
probiotics; may be recommended to restore health gut bacteria.
What procedure would you follow if you witness a patient experiencing a seizure?:
during the seizure (safety first)
time the seizure; note the time it starts seizures lasting longer then 5 minutes are a medical emergency.
keep the person safe move nearby the hard sharp or hot objects out of the way to prevents any injures.
protect their head place something soft and flat under their head such as a folded jacket or small pillow.
do not restrain do not try to hold the person down or stop their movements.
do not put anything in their mouth contrary to myths a person cannot swallow their tongue. Putting objects in their moth can breath their teeth injure their jaw or block their airway.
loosen tight clothing loosen any clothes around the neck (ties collars) to aid breathing.
turn on their side (if possible); gently turn their head onto their side to keep the airway clear and revents choking on saliva or vomits.
after the seizure (recovery)
position into the recovery position; once the shaking stops ensure the person is on their side mouth pointing slightly towards the ground to allow fluids to drain.
stay with them; do not leave the person alone stay until they are fully alert and aware of their surroundings
offer reassurances; once they wake up speak calmly and explain what happened they may be confused, frightened or tired.
check for injuries; assess if they hurt themselves during the seizures.
do not offer food/drinks; do not give them water, food or medication until they are fully alert.
(when to call an emergency services
the seizure lasts longer then 5 minutes a second starts shortly after the first.
the person does not regain consciousness after shaking stops.
it is the person first known seizure.
the person is injured, pregnant or has diabetes.
the seizures occurred in water .
you are unsure of what to do.
of what not to do;
do not hold them down .
do not put anything in their mouth .
do not give water or food until fully alert.
do not try to stop the seizure.
What procedure would you follow if a patient that has entered the hospital has a broken forearm?:
when a patient with a broken forearm enters the hospital, the medical team follows a structured protocol focused on immediate stabilization, pain management, accurate diagnosis, and definitive treatment to ensure proper bone alignment and recovery.
initial assessment and stabilization (emergency room)
primary survey; ensure the patient is stable (airway breathing circulations)
neurovascular assessment; immediately check for pulse in the wrist and evaluate nerve function and sensation in the hand to ensure no nerve or artery damage.
immobilization the forearm is immediately lace in splint to stabilize the fracture minimize movement and reduce pain
pain control administration of medication to manage pain and discomfort.
remove jewelry; remove rings watch's or bracelets before swelling increases.
(diagnosis)
imaging; x-rays of the forearm including the elbow and wrist are taken to determine the type of severity of the fracture.
physical exam; a doctor will examine the skin for a signs of an "open" fracture (bone protruding or wound).
(acute care and treatment)
open fracture protocol if the bone has pierced the skin the patient required immediate tetanus immunization antibiotics and emergency orthopedic consultation for debridement.
reduction; if the bone are out of lace displaced a doctor may perform a reduction-- manually manipulating the bones back into alignment often under sedation.
splinting; a volar or sugar tong splint is typically applied rather then a full cast initially to allow swelling
definitive treatment (non surgical or surgical)
non surgical (cast); if the fracture is stable and properly aligned a plaster or fiberglass cast will applied once's the swelling subsides (usually after a few days).
surgical(fixation); if the fracture is severely displaced, unstable or both bones (radius and ulna) are broken surgery is usually necessary suck as; open reduction and internal fixation (orif); plates and screws are used to secure the bones.
external fixation a device used if soft tissue damage is severe.
(follow up rehabilitation)
follow up x-ray; performed especially in the first three weeks to ensure the bone has not shifted.
physical/ occupational therapy; initiated to regain range of motion in the wrist and elbow usually after several weeks of immobilization.
healing time typically a broke forearm takes 6 to weeks to heal though severe fractures may take longer.
What procedure would you follow if a patient enters the hospital struggling to breathe?:
when a patient enters the hospital struggling to breathe (acute respiratory distress) the procedure follows immediate systematic and multidisciplinary emergency protocol designed to stabilize the air way to breath and circulation.
-immediate emergency procedure;
rapid assessment; instantly assess the patient's airway patency, work of breathing and conscious level look for "red flag"; inability to speak in full sentences cyanosis (blue gray skin) severe accessory muscle use (struggling to catch breath), or confusion.
triage; assign highest priority (triage level 1 or 2)
positioning; lace the patient in a sitting upright position (or tripoding) to maximize lung expansion.
initial intervention (minutes);
high-flow oxygen therapy initiate oxygen immediately via a non- rebreather mask at 10-15 LPM to keep oxygen saturation (SpO2) >95% (or 88-92% for knowing chronic obstructive pulmonary disease/COPD patients.)
monitoring; apply continuous pulse oximetry cardiac monitoring and automated blood pressure cuff.
IV Access; Establish intravenous (IV) access immediately for medication administration.
call for help; activate respiratory therapy and emergency/critical care teams.
diagnostic procedures (simultaneous);
bedside assessment auscultate lung sound (wheezing crackles) and check tracheal position.
portable chest x-ray to rule out pneumothorax, pulmonary edema, or pneumonia.
blood gas analysis; obtain arterial blood (ABG) or venous blood gas (VBG) to measure pH, CO2, and O2 levels.
EKG; to rule out cardiac causes (myocardial infarction).
bedside ultrasound; perform a "blue protocol" exam to quickly differentiate causes like pulmonary embolism or pneumonias.
stabilization & advanced care;
medication; administer bronchodilators diuretics or epinephrine based on suspected causes (asthma, CHF, anaphylaxis).
Non- invasive ventilation (NIV); consider CPAP or biPAP for moderate to severe distress if the patient can protect their airway.
intubation prepare for rapid sequence intubation (RSI) of the patients fails to respond has decreasing consciousness or develops respiratory muscle fatigue.
key considerations;
do not move the patient if trauma is suspected stabilize the neck
do not feed/drink the patient should be NPO (nothing by mouth).
transfer; transfer to the intensive care unit (ICU) ones stabilized.
(PSYCHIATRY)
A patient is experiencing a panic attack before an important procedure. How would you assist the patient?
-remain calm anxiety is contagious your calm demeanor acts as an anchor.
-stay with patient never leave a patient alone during panic attacks; your presences provides security.
-provide a quiet environment; if possible, move the patient to a quiet private low stimuli area (dim lights less noises)
- ensure physical safety; if they are shaking or hyperventilation ensure they are sitting lying down comfortably to prevent falls.
-use a simple language during a panic attack brain rational processing is offline using short simple sentences.
-reassure safety verbally assure them that they are safe that this is a panic attack and that it will ass usually in 5-20 minutes)
-Acknowledge don't dismiss; Acknowledge their fear ("i know this is very scary") without dismissing it ("just calm down" is unhelpful).
-ask simple questions; ask what they do rather then making assumptions.
de escalation and grounding techniques
-model slow breathing guide them to take a slow dee breaths, ensuring the exhale is longer then inhale.
use grounding (5-4-3-2-1 technique); help them engage their senses to return to the present;
5; things they can see
4; things they can feel :feet on floor.).
3; things they can hear.
2; things they can smell.
1; things they can taste.
-avoid physical restraint; do not grab or hold the patient unless they give permission as it can feel restricting
- procedure-specific support
-do not rush the procedure; if possible allow the patient to take a moment to recover before proceeding
-address specific fears; if the anxiety is about pain or unknown ask the team to provide brief clear explanation.
-use distraction; offer headphones for music or encourage them to focus on a calming image.
-medical intervention; if safe and order by physician administer premedication (fast-acting benzodiazepines).
post attack support
-validate the experience; after the attack the patient may feel embarrassed or exhausted.
-reassure and reorient; reaffirm that they did a good job handling a scary moment and when ready, proceed slowly.
when to call emergency services (emergency code);
if the attack last longer then 30 minutes .
if the patient loses consciousness .
if they experiences severe chest pain radiating to the arm and jaw.
A belligerent patient in the middle of a psychotic episode stumbles into the emergency room. What should you do?
-secure the area clear the immediate area of patient visitors and staff.
-call for assistance; notify security and other members immediately not to handle the patient alone.
-maintain distances keep safe distances at least 2 meters or 6-8 feet to allow for reaction time.
-position myself ensure you have an unobstructed exit at and not let the patient get between me and the door.
-Remove hazards; remove any items that could used as a weapons (chairs heavy objects).
verbal de-escalation techniques.
-stay calm respond in quiet measured and confident tone. avoid raising my voice.
-use simple short sentences; psychotic patients may struggle to process complex information.
-validate feelings not delusions acknowledge their fear or distress without confirming the reality of their hallucinations or delusions ("that sounds really scary for you")
-listen non-judgmentally; allow them to voice their concerns without interrupting.
-avoid confrontation do not argue, threaten or laugh at the patient do not take belligerence personally
medical assessment and stabilization
-Rapid assessment identify if the agitation is due to a medical cause (delirium, withdrawal, head injury)
rather then purely a psychiatric disorder.
-check for weapons follow security protocols to search for a hidden weapons.
-pharmacological intervention (if needed); if the patient is a danger to themselves or other and de escalation fails consider rapid sedation this should manage by a physician often using combination of benzodiazepines (lorazepam) and/or antipsychotics (haloperidol)
Which neurotransmitter is most commonly associated with depression
Serotonin however modern research indicates that depression is complex and rarely caused by simple deficiency in a single neurotransmitter. the "monoamines hypothesis" which suggests depression results from low levels of certain brain chemicals is still relevant, but serotonin is best to understood as part of a wider system.
What does the Acronym [PTSD] stand for, and what does it entail
PTSD stands for post-traumatic stress disorder. PTSD causes significant distress and can impact an individuals' Ability to work go to school or maintain relationships. symptoms usually start within three months of the event but can appear months or even years later
IN-CHARACTER SECTION
[Everything beyond this point must be answered from an ICLY standpoint]
[NAME]โS COVER LETTER
[This section should be written like a cover letter and professionally formatted and addressed to the Hospital Hiring Committee]
THE INTERVIEW
[Congratulations! Your character scored an interview, please answer the following all in ICLY fashion]
The Hospital Director takes a seat at their desk, clasping their hands together with a calm gaze as they greet the individual. Their desk is clean and pristine, aside from a half-filled tea cup that continues to steam, giving the room a lovely aroma.
*calmly approach and sits quietly holding a folder*
โGood afternoon. I will be conducting your interview today. Could I have your full name as well as your age and date of birth, please?โ
*takes a deep breath slightly* my name is Rian Kobayashi my age is 31 and my date of birth is may 15 1995 sir/miss!
โVery nice. Now, could you tell me a little more about yourself? Do you have a family, perhaps some motivations behind why youโd like to work here?โ
*nods calmly* of course i do have family my twin brother name Retsu and i have a little sister her name is Reiko and i would like to work how my twin brother use to and me as i miss working and not only that The other reason I'm applying isn't just because I want to expand my scope, but because I genuinely enjoy working with everyone I've had a number of friends and acquaintances in the faction, and have heard both the ups and downs of the working there. And although I've been a part of a number of factions and groups, I found myself seeking something more intense, and I know that's something would bring. Also, as someone with many nurses in my family in real life, I've always found medical topics and protocols interesting, and it'd be something I'd enjoy dabbling in and expand my knowledge on especially with my writing.
โWould you like us to refer to you by your surname or first name? As well as what honorifics youโd like.โ
(San, Chan, Kun, Shi, etc.)
in my thing i don't mind what I'm being called either it can Mr. Rian or Mr. Kobayashi but ill go with my first name if that alright
The director nods in affirmation, now understanding the type of person the individual was and readjusts their posture, taking a sip of that aromatic green tea before continuing to speak.
โIt is nice meeting you, then. Now, Let us move on to some more important questions regarding your role.โ
*smiles* alright and nice meeting you too as i do love meeting new people!
โA patient arrives with a severe injury and is panicking uncontrollably. Walk me through how you would handle this situation.โ
i need to do is confirm the patient is in the medically safe environment like er, trauma bay coordinate with the emergency team i don't interfere with life saving interventions i quickly assess if they panic interfering with treatment resisting care pulling lines I'm not fully doing evaluation just a focused mental status check like level f consciousness like alert and confusing and orientation of person or place and time and the signs of acute stress reaction panic attacks and delirium especially if head injury shock or substances involved immediate verbal de escalation my voice is a presence are the primary tools speak slowly calmly and confidently i use first simple statement like you are safe we are taking care o you try to focus on my voice maintaining eye contact if appropriate and avoiding overwhelming them with information and ground technique is fast action is to guide the patient to regain control breathing like breathe in slowly through your nose hold out through your mouth orientation by saying you are in the hospital you are not alone sensory grounding if possible again is by saying can you squeeze my hands
โDuring an emergency, if any other hospital staff are unavailable however there is a patient in need, can we trust you to stabilize them or treat them to an acceptable degree?โ
i wouldn't be a safe or appropriate substitute for a trained medical staff in an emergency in a real clinical situation especially ne involving urgent stabilization r treatment you need a licensed professional who can assess the patient even as psychiatrist I'm not safe replacement for a real licensed clinician in an emergency
โCould you run me through on the plethora of equipment you may find within your personal office if you are to be given the role of a resident? Just simply medical equipment."
there so many more but if so i will say only few if that alright by you the daily essentials are computer workstation used for documentation reviewing history and prescribing via system like epic system or cerner and structed assessment tools digital or paper examples as PHQ-9 depression screening GAD-7 anxiety screening mini mental state examination mms notebook or patient list often still used despite digital system minimal physical exam tools stethoscope for general medical checks when needed and blood pressure cuff and scale for monitoring weight changes with medications and there is others prescription system e prescribing via EHR references apps or book for psychopharmacology Access to the lab systems for lithium level antipsychotic monitoring still more there are
Any extra information youโd like to add
not really i just hope it get accepted cuz it takes me so many hours and my hands hurt
Can you provide a reference to your character's appearance?
(Skin/Art)
HOSPITAL APPLICATION
OOC SECTION
[This section is a requirement to properly identify you during your application.]
-
What is your IGN?:
Cat_The_Loser (but it will be change back to catscl0ud)
What is your Discord?:
st5ffi
What would you like us to call you?:
Koa
How old are you?:
(If you do not want to state your exact age, confirm if you are above the age of 16)
19
Do you have a functional Microphone?:
yes, i do!
What is your time zone & How would you describe your activity?:
GMT+3
I had to summarize my activity on the server, I'd say I'm fairly active. I do have plenty of real life obligations to attend to, such as collage and family, but for the most part, I'm able to be online every day. That being said, I usually spend three to five hours online (if not more), most of this time spent role playing on character I'm equally active on both weekends and weekdays cause of my current schooling situation, thus I'm usually online from 11am to 10pm Gmt+3.
That being said, I joined yrp in late 2025, but didn't get into it until late 2026. Admittedly, much like a lot of other players on the server, I started out with Gang RP. Even with its current state, it still makes up a large part of my experience on the server. I credit it for shaping a lot of my current abilities, especially when it comes to managing large groups and handling complex situations. Iโve also met a lot of people and formed meaningful connections that I still hold onto today. Though my focus has shifted less towards gang-oriented roleplay and more towards crime RP itself.
It was around 2023 that I applied for teacher, I had never been in a faction prior so it was something of a learning experience for me. Fortunately, i got denied settled in quickly. I found myself really enjoying the (for the lack of a better word) chaotic environment. I found a lot of joy and excitement and experiences for new players and normal players alike, making class activities and games were some of my favorites. That being said, my biggest hurdle here was managing disruptive players, where I had to learn to assert myself when necessary.
I eventually i didn't get in in hopes of getting involved in something new, which to me was Jock RP. The first team I was on was HS female football, and although the team and people were lovely, I quickly figured out that the plugin just wasn't for me. But during the few months I was on that team I learned a lot about JockRP, and most if not all my first experiences with it were on that team. After that I took a small break, and it was also around the end of the year where I applied for builder and looked forwards to trying out for HS male basketball.
I did end up getting into both, but it was only a month later that my school load suddenly increased, especially nearing ACT season and preparing for college with the end of my junior year. My time on the build team was inevitably cut short, deciding that it was too much responsibility on top of the already piling ones. But, my short time in the community team was nothing less than great. That being said, I left for roughly three months before returning, bringing me to where I am today.
What is your motivation to apply to the Norowarejima Hospital Faction?: The reason I'm applying isn't just because I want to expand my scope, but because I genuinely enjoy detailed, serious roleplay. I've had a number of friends and acquaintances in the faction, and have heard both the ups and downs of the role. And although I've been a part of a number of factions and groups, I found myself seeking something more intense, and I know that's something EMS would bring. Also, as someone with many nurses in my family in real life, I've always found medical topics and protocols interesting, and it'd be something I'd enjoy dabbling in and expand my knowledge on especially with my writing.
ROLE-SPECIFIC QUESTIONS & MEDICAL TRIVIA
[This section is dedicated to testing your knowledge on the medical field.]
-I
I'm semi-familiar with the roles in the hospital, mostly due to prior understanding with real life hospitals, and to a friend who had to go through the trouble of explaining to me the difference between trainees and residents
So, here it goes!
There are three departments total. Going in order its psychiatrists, doctors, and emergency. Psychiatrists are different from doctors, in the way they deal with emotional and mental conditions. This is usually done through therapy and medicine. Doctors, on the other hand, deal with external conditions, specifically physical ailments. This is treated using a variety of things such as surgery, physical therapy, medicine, and other medical practices. My understand of the emergency department is a bit slimmer, but from what I understand (I might be wrong!) the emergency department is only open to experienced players who have been in the faction for awhile.
hat being said, within those departments there are five different positions; (hope you can see it)
| ROLE | PURPOSES |
| Trainee | Accepted applicants hold this role for up to a month, during this time you'll be trained on certain procedures, and will only be able to carry out the procedures you have learned. Trainee's aren't allowed to leave the hospital and cannot sell or prescribe medication. |
| Resident | Trainee's who have passed their training period! They're still learning but are technically a qualified doctor at this point. They're allowed to go off-duty and sell and prescribe medication their department allows |
| Attending | These are considered senior members of their respective departments. They know the ropes and are allowed to train the trainee's |
| Supervisor | Another senior position with only two slots, (one in the Paramedic's case) in charge of overseeing the Attending doctors as well as the trainee's trainings. |
| Lead | In charge of everyone, going down the ladder! |
(You can find the list of departments available in the informational section.)
I'm applying for the role of Psychiatrist.
Do you have any prior experience with MedicalRP?:
Rian has a hefty background in medical positions, stapled to his resume would be as follows;
[X] Kobe Central Medical Hospital, Kobe, Japan
Medical Intern | 2010 - 2012
โ Gained experience in patient communication
โ Preformed basic medicinal procedures under supervision
โ Monitored and recorded patient progress
โ Learned to interpret lab results and diagnostic imaging
[X] Okoro Family Clinic, Kobe, Japan (Closed)
Family Physician | 2012 - 2023
โ Completed rotations in internal medicine, pediatrics, and emergency departments
โ Conducted routine check-ups, screenings, and preventive care
โ Managed clinic operations during periods of financial and staffing challenges
โ Mentored junior staff and medical trainees in clinical and patient care procedures\
and
(yes i do have experience as i am in collage and learning also about it as also in other roleplays i have been a psychiatrist before)
Are you aware that with MedicalRP comes the possibility of encountering possibly triggering topics?:
I yes i know i can encounter possibly triggering topics and i am very ready for whatever comes in!
How well can you coordinate with a team during Roleplay?:
i can coordinate with the team very good doing roleplays
MEDICAL TRIVIA
(PHYSIOLOGY)
If someone is experiencing a reaction to food poisoning, what is the correct way to manage and treat the symptoms?:
food poisoning is manage by treating dehydration through IV fluids and electrolytes, particularly if the patient cannot keep liquids down doctors may prescribe antibiotics for severe bacterial cases ant-parasitic medication or anti- nausea/anti-diarrhea medicine.
IV fluid replacement; the primary treatment is intravenous fluids to replenish hydration and electrolytes lost through vomiting and diarrhea.
antibiotics prescribed only if a bacterial Cause (shigella c. jejune) is suspected or confirmed
antiparasitic; used for parasite related cases
anti-nausea/diarrhea; drugs like dimenhydrinate (Dramamine) for nausea or, in specific non-bloody cases, loperamide(Imodium)
diagnostic testing; doctors may order stool tests blood tests or imaging to identify the specific pathogen.
probiotics; may be recommended to restore health gut bacteria.
What procedure would you follow if you witness a patient experiencing a seizure?:
during the seizure (safety first)
time the seizure; note the time it starts seizures lasting longer then 5 minutes are a medical emergency.
keep the person safe move nearby the hard sharp or hot objects out of the way to prevents any injures.
protect their head place something soft and flat under their head such as a folded jacket or small pillow.
do not restrain do not try to hold the person down or stop their movements.
do not put anything in their mouth contrary to myths a person cannot swallow their tongue. Putting objects in their moth can breath their teeth injure their jaw or block their airway.
loosen tight clothing loosen any clothes around the neck (ties collars) to aid breathing.
turn on their side (if possible); gently turn their head onto their side to keep the airway clear and revents choking on saliva or vomits.
after the seizure (recovery)
position into the recovery position; once the shaking stops ensure the person is on their side mouth pointing slightly towards the ground to allow fluids to drain.
stay with them; do not leave the person alone stay until they are fully alert and aware of their surroundings
offer reassurances; once they wake up speak calmly and explain what happened they may be confused, frightened or tired.
check for injuries; assess if they hurt themselves during the seizures.
do not offer food/drinks; do not give them water, food or medication until they are fully alert.
(when to call an emergency services
the seizure lasts longer then 5 minutes a second starts shortly after the first.
the person does not regain consciousness after shaking stops.
it is the person first known seizure.
the person is injured, pregnant or has diabetes.
the seizures occurred in water .
you are unsure of what to do.
of what not to do;
do not hold them down .
do not put anything in their mouth .
do not give water or food until fully alert.
do not try to stop the seizure.
What procedure would you follow if a patient that has entered the hospital has a broken forearm?:
when a patient with a broken forearm enters the hospital, the medical team follows a structured protocol focused on immediate stabilization, pain management, accurate diagnosis, and definitive treatment to ensure proper bone alignment and recovery.
initial assessment and stabilization (emergency room)
primary survey; ensure the patient is stable (airway breathing circulations)
neurovascular assessment; immediately check for pulse in the wrist and evaluate nerve function and sensation in the hand to ensure no nerve or artery damage.
immobilization the forearm is immediately lace in splint to stabilize the fracture minimize movement and reduce pain
pain control administration of medication to manage pain and discomfort.
remove jewelry; remove rings watch's or bracelets before swelling increases.
(diagnosis)
imaging; x-rays of the forearm including the elbow and wrist are taken to determine the type of severity of the fracture.
physical exam; a doctor will examine the skin for a signs of an "open" fracture (bone protruding or wound).
(acute care and treatment)
open fracture protocol if the bone has pierced the skin the patient required immediate tetanus immunization antibiotics and emergency orthopedic consultation for debridement.
reduction; if the bone are out of lace displaced a doctor may perform a reduction-- manually manipulating the bones back into alignment often under sedation.
splinting; a volar or sugar tong splint is typically applied rather then a full cast initially to allow swelling
definitive treatment (non surgical or surgical)
non surgical (cast); if the fracture is stable and properly aligned a plaster or fiberglass cast will applied once's the swelling subsides (usually after a few days).
surgical(fixation); if the fracture is severely displaced, unstable or both bones (radius and ulna) are broken surgery is usually necessary suck as; open reduction and internal fixation (orif); plates and screws are used to secure the bones.
external fixation a device used if soft tissue damage is severe.
(follow up rehabilitation)
follow up x-ray; performed especially in the first three weeks to ensure the bone has not shifted.
physical/ occupational therapy; initiated to regain range of motion in the wrist and elbow usually after several weeks of immobilization.
healing time typically a broke forearm takes 6 to weeks to heal though severe fractures may take longer.
What procedure would you follow if a patient enters the hospital struggling to breathe?:
when a patient enters the hospital struggling to breathe (acute respiratory distress) the procedure follows immediate systematic and multidisciplinary emergency protocol designed to stabilize the air way to breath and circulation.
-immediate emergency procedure;
rapid assessment; instantly assess the patient's airway patency, work of breathing and conscious level look for "red flag"; inability to speak in full sentences cyanosis (blue gray skin) severe accessory muscle use (struggling to catch breath), or confusion.
triage; assign highest priority (triage level 1 or 2)
positioning; lace the patient in a sitting upright position (or tripoding) to maximize lung expansion.
initial intervention (minutes);
high-flow oxygen therapy initiate oxygen immediately via a non- rebreather mask at 10-15 LPM to keep oxygen saturation (SpO2) >95% (or 88-92% for knowing chronic obstructive pulmonary disease/COPD patients.)
monitoring; apply continuous pulse oximetry cardiac monitoring and automated blood pressure cuff.
IV Access; Establish intravenous (IV) access immediately for medication administration.
call for help; activate respiratory therapy and emergency/critical care teams.
diagnostic procedures (simultaneous);
bedside assessment auscultate lung sound (wheezing crackles) and check tracheal position.
portable chest x-ray to rule out pneumothorax, pulmonary edema, or pneumonia.
blood gas analysis; obtain arterial blood (ABG) or venous blood gas (VBG) to measure pH, CO2, and O2 levels.
EKG; to rule out cardiac causes (myocardial infarction).
bedside ultrasound; perform a "blue protocol" exam to quickly differentiate causes like pulmonary embolism or pneumonias.
stabilization & advanced care;
medication; administer bronchodilators diuretics or epinephrine based on suspected causes (asthma, CHF, anaphylaxis).
Non- invasive ventilation (NIV); consider CPAP or biPAP for moderate to severe distress if the patient can protect their airway.
intubation prepare for rapid sequence intubation (RSI) of the patients fails to respond has decreasing consciousness or develops respiratory muscle fatigue.
key considerations;
do not move the patient if trauma is suspected stabilize the neck
do not feed/drink the patient should be NPO (nothing by mouth).
transfer; transfer to the intensive care unit (ICU) ones stabilized.
(PSYCHIATRY)
A patient is experiencing a panic attack before an important procedure. How would you assist the patient?
-remain calm anxiety is contagious your calm demeanor acts as an anchor.
-stay with patient never leave a patient alone during panic attacks; your presences provides security.
-provide a quiet environment; if possible, move the patient to a quiet private low stimuli area (dim lights less noises)
- ensure physical safety; if they are shaking or hyperventilation ensure they are sitting lying down comfortably to prevent falls.
-use a simple language during a panic attack brain rational processing is offline using short simple sentences.
-reassure safety verbally assure them that they are safe that this is a panic attack and that it will ass usually in 5-20 minutes)
-Acknowledge don't dismiss; Acknowledge their fear ("i know this is very scary") without dismissing it ("just calm down" is unhelpful).
-ask simple questions; ask what they do rather then making assumptions.
de escalation and grounding techniques
-model slow breathing guide them to take a slow dee breaths, ensuring the exhale is longer then inhale.
use grounding (5-4-3-2-1 technique); help them engage their senses to return to the present;
5; things they can see
4; things they can feel :feet on floor.).
3; things they can hear.
2; things they can smell.
1; things they can taste.
-avoid physical restraint; do not grab or hold the patient unless they give permission as it can feel restricting
- procedure-specific support
-do not rush the procedure; if possible allow the patient to take a moment to recover before proceeding
-address specific fears; if the anxiety is about pain or unknown ask the team to provide brief clear explanation.
-use distraction; offer headphones for music or encourage them to focus on a calming image.
-medical intervention; if safe and order by physician administer premedication (fast-acting benzodiazepines).
post attack support
-validate the experience; after the attack the patient may feel embarrassed or exhausted.
-reassure and reorient; reaffirm that they did a good job handling a scary moment and when ready, proceed slowly.
when to call emergency services (emergency code);
if the attack last longer then 30 minutes .
if the patient loses consciousness .
if they experiences severe chest pain radiating to the arm and jaw.
A belligerent patient in the middle of a psychotic episode stumbles into the emergency room. What should you do?
-secure the area clear the immediate area of patient visitors and staff.
-call for assistance; notify security and other members immediately not to handle the patient alone.
-maintain distances keep safe distances at least 2 meters or 6-8 feet to allow for reaction time.
-position myself ensure you have an unobstructed exit at and not let the patient get between me and the door.
-Remove hazards; remove any items that could used as a weapons (chairs heavy objects).
verbal de-escalation techniques.
-stay calm respond in quiet measured and confident tone. avoid raising my voice.
-use simple short sentences; psychotic patients may struggle to process complex information.
-validate feelings not delusions acknowledge their fear or distress without confirming the reality of their hallucinations or delusions ("that sounds really scary for you")
-listen non-judgmentally; allow them to voice their concerns without interrupting.
-avoid confrontation do not argue, threaten or laugh at the patient do not take belligerence personally
medical assessment and stabilization
-Rapid assessment identify if the agitation is due to a medical cause (delirium, withdrawal, head injury)
rather then purely a psychiatric disorder.
-check for weapons follow security protocols to search for a hidden weapons.
-pharmacological intervention (if needed); if the patient is a danger to themselves or other and de escalation fails consider rapid sedation this should manage by a physician often using combination of benzodiazepines (lorazepam) and/or antipsychotics (haloperidol)
Which neurotransmitter is most commonly associated with depression
Serotonin however modern research indicates that depression is complex and rarely caused by simple deficiency in a single neurotransmitter. the "monoamines hypothesis" which suggests depression results from low levels of certain brain chemicals is still relevant, but serotonin is best to understood as part of a wider system.
What does the Acronym [PTSD] stand for, and what does it entail
PTSD stands for post-traumatic stress disorder. PTSD causes significant distress and can impact an individuals' Ability to work go to school or maintain relationships. symptoms usually start within three months of the event but can appear months or even years later
IN-CHARACTER SECTION
[Everything beyond this point must be answered from an ICLY standpoint]
[NAME]โS COVER LETTER
[This section should be written like a cover letter and professionally formatted and addressed to the Hospital Hiring Committee]
THE INTERVIEW
[Congratulations! Your character scored an interview, please answer the following all in ICLY fashion]
The Hospital Director takes a seat at their desk, clasping their hands together with a calm gaze as they greet the individual. Their desk is clean and pristine, aside from a half-filled tea cup that continues to steam, giving the room a lovely aroma.
*calmly approach and sits quietly holding a folder*
โGood afternoon. I will be conducting your interview today. Could I have your full name as well as your age and date of birth, please?โ
*takes a deep breath slightly* my name is Rian Kobayashi my age is 31 and my date of birth is may 15 1995 sir/miss!
โVery nice. Now, could you tell me a little more about yourself? Do you have a family, perhaps some motivations behind why youโd like to work here?โ
*nods calmly* of course i do have family my twin brother name Retsu and i have a little sister her name is Reiko and i would like to work how my twin brother use to and me as i miss working and not only that The other reason I'm applying isn't just because I want to expand my scope, but because I genuinely enjoy working with everyone I've had a number of friends and acquaintances in the faction, and have heard both the ups and downs of the working there. And although I've been a part of a number of factions and groups, I found myself seeking something more intense, and I know that's something would bring. Also, as someone with many nurses in my family in real life, I've always found medical topics and protocols interesting, and it'd be something I'd enjoy dabbling in and expand my knowledge on especially with my writing.
โWould you like us to refer to you by your surname or first name? As well as what honorifics youโd like.โ
(San, Chan, Kun, Shi, etc.)
in my thing i don't mind what I'm being called either it can Mr. Rian or Mr. Kobayashi but ill go with my first name if that alright
The director nods in affirmation, now understanding the type of person the individual was and readjusts their posture, taking a sip of that aromatic green tea before continuing to speak.
โIt is nice meeting you, then. Now, Let us move on to some more important questions regarding your role.โ
*smiles* alright and nice meeting you too as i do love meeting new people!
โA patient arrives with a severe injury and is panicking uncontrollably. Walk me through how you would handle this situation.โ
i need to do is confirm the patient is in the medically safe environment like er, trauma bay coordinate with the emergency team i don't interfere with life saving interventions i quickly assess if they panic interfering with treatment resisting care pulling lines I'm not fully doing evaluation just a focused mental status check like level f consciousness like alert and confusing and orientation of person or place and time and the signs of acute stress reaction panic attacks and delirium especially if head injury shock or substances involved immediate verbal de escalation my voice is a presence are the primary tools speak slowly calmly and confidently i use first simple statement like you are safe we are taking care o you try to focus on my voice maintaining eye contact if appropriate and avoiding overwhelming them with information and ground technique is fast action is to guide the patient to regain control breathing like breathe in slowly through your nose hold out through your mouth orientation by saying you are in the hospital you are not alone sensory grounding if possible again is by saying can you squeeze my hands
โDuring an emergency, if any other hospital staff are unavailable however there is a patient in need, can we trust you to stabilize them or treat them to an acceptable degree?โ
i wouldn't be a safe or appropriate substitute for a trained medical staff in an emergency in a real clinical situation especially ne involving urgent stabilization r treatment you need a licensed professional who can assess the patient even as psychiatrist I'm not safe replacement for a real licensed clinician in an emergency
โCould you run me through on the plethora of equipment you may find within your personal office if you are to be given the role of a resident? Just simply medical equipment."
there so many more but if so i will say only few if that alright by you the daily essentials are computer workstation used for documentation reviewing history and prescribing via system like epic system or cerner and structed assessment tools digital or paper examples as PHQ-9 depression screening GAD-7 anxiety screening mini mental state examination mms notebook or patient list often still used despite digital system minimal physical exam tools stethoscope for general medical checks when needed and blood pressure cuff and scale for monitoring weight changes with medications and there is others prescription system e prescribing via EHR references apps or book for psychopharmacology Access to the lab systems for lithium level antipsychotic monitoring still more there are
Any extra information youโd like to add
not really i just hope it get accepted cuz it takes me so many hours and my hands hurt
Can you provide a reference to your character's appearance?
(Skin/Art)