Run Description

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Run Description

  1. 1. STARSHIP CHILDREN’S HOSPITAL Paediatric Haematology & Oncology House Officer Run Description JOB TITLE: Paediatric Haematology & Oncology House Officer RUN PERIOD: 3 Months RECOGNITION: This run is recognised by the Medical Council of New Zealand. MEDICAL COUNCIL C CATEGORY RESPONSIBLE TO: Clinical Director, Haematology & Oncology Clinical Responsibility and Work Schedules On-call Responsibilities • The Medical House Officer on–call is available to the medical wards to review patients and to deal with medical problems as they arise. • Admissions from the emergency department will be assessed. This involves taking a history, performing a physical examination, ordering appropriate investigations, referrals and procedures, and formulating a management plan in consultation with the Registrar and/or Consultant. Clinical Responsibilities C:Rundecriptions/current run descriptions/2002 1
  2. 2. • Responsibilities are for all the paediatric Haematology & Oncology in- patients. • Daily ward rounds reviewing patients with the Registrar. • Implement management and treatment for patients under supervision of the Registrar. • Arrange appropriate investigations and ensure follow up of results. • Legible notes are to be written in patients charts on a daily basis and when management changes are made. Entries must be dated, signed and have a legible printed name accompanying the signature. • Formulate and maintain up to date problem lists in the front of inpatient notes. • In conjunction with the Registrar, ensure Weekend plans are formulated and in place. • Perform required procedures as necessary. • Liase with other staff members, departments and health professionals in the management of patients. • Communicate with patients and their families about their concerns and facilitate their understanding of the medical issues involved. • On discharge ensure appropriate follow up is in place, including written information where appropriate. A written discharge will be completed within a reasonable period of time and forwarded to the appropriate health professionals including the family doctor. All the above duties will be in conjunction with registrar and the consultant responsible for that patient. Daily Schedule Monday Tuesday Wednesday Thursday Friday 0800 Breakfast Update Ward round 0830 Ward round Ward round Ward round C:Rundecriptions/current run descriptions/2002 2
  3. 3. 0900 Ward round Oncology radiology conference 1200 Handover 1230 Journal Club Grand Round 1500 Emergency Dept Teaching 1400-1700 Protected HO teaching (PGY1 &2) 1600 1630 Registrar Teaching 1700 Clinic Handover Clinic Handover • Out patient clinic attendance is not required of SHO’s. Education • Journal Club, Room 5.164, Tuesday 1230 – 1330 hours • PGY1 and 2 teaching, Tue 1400-1700, Clinical Education Centre • Registrar Case-based Teaching, Board Room Level 7, Thursday 1630 – 1730 • Emergency Department House Officer Teaching, Anaesthetic Seminar room Monday 1500-1600 C:Rundecriptions/current run descriptions/2002 3
  4. 4. Cover • There is 1.5 Paediatric Haematology/Oncology Registrars. There are 5 Paediatric oncologists and 2 Paediatric haematologist/oncologist • There is one medical House Officer on call outside ordinary hours; 1600 – 2230 weekdays, 0800 – 2230 weekends. 30 minutes are included for handover (2200-2230) • Between 2200 and 0800 cover is provided by the Night House Officer. • Weekend Ward round 0800 – 1300. Sick Relief • The house officers will cover sickness during the day in a weekly rotating capacity, similar to night cover. • The cover will be from 0800 to 2230, Monday to Thursday and in extreme circumstances and only with agreement from the House Officer involved include cover for sickness from 2300 to 0800. • The House Officer if not employed that day on sick cover may be free for clinical research, paperwork or library based reading. It is expected that they be at handover at 0800 and be contactable by locator during the day until 1600. Expected Average Hours of Work • The ordinary hours of work are 0800 – 1630 Monday to Friday. • Monday and Wednesday ordinary hours are until 1800 • In addition a 1:6 roster operates outside ordinary hours from 1630 to 2300. Saturday and Sunday 0800 – 2300. • There are 7 days of nights 22.00 – 8.00 which are rostered 1 in 12. • There is one week of sick relief which happens before the week of nights. Expected hours are 0800 – 1600 Monday to Thursday. Any extra hours will be paid as additional duties. C:Rundecriptions/current run descriptions/2002 4
  5. 5. Ordinary Hours 42.5 + 3 + 1 (Thursday teaching) On-call Hours over above 4.0 (4 ‘L’ shifts at 6 hours/6) 4.8 (2 ‘L’ weekend shifts at 14.5 hours/6) Weekend ward round 1.6 (2 ‘R’ weekend ward round at 5hrs/6) Nights 2.0 (23.5 hrs over ordinary/12) Unrostered Hours 2.5 Total 61.4 hours Salary Category B (60 – 64.9) Includes three hours rostered time within the roster for education. Cover for leave • Provided for by two annual leave relievers. These provide annual cover for 16 house officers. Occasionally locums are required to help provide cover. Study Leave provisions  The annual relievers provide cover with the use of locums as needed. 1/08/02 1/08/02 C:Rundecriptions/current run descriptions/2002 5
  6. 6. Ordinary Hours 42.5 + 3 + 1 (Thursday teaching) On-call Hours over above 4.0 (4 ‘L’ shifts at 6 hours/6) 4.8 (2 ‘L’ weekend shifts at 14.5 hours/6) Weekend ward round 1.6 (2 ‘R’ weekend ward round at 5hrs/6) Nights 2.0 (23.5 hrs over ordinary/12) Unrostered Hours 2.5 Total 61.4 hours Salary Category B (60 – 64.9) Includes three hours rostered time within the roster for education. Cover for leave • Provided for by two annual leave relievers. These provide annual cover for 16 house officers. Occasionally locums are required to help provide cover. Study Leave provisions  The annual relievers provide cover with the use of locums as needed. 1/08/02 1/08/02 C:Rundecriptions/current run descriptions/2002 5

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