Run Description

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Run Description

  1. 1. STARSHIP CHILDREN’S HOSPITAL Paediatric Neurology & Neurosurgery House Officer Run Description JOB TITLE: Paediatric Medical House Officer for Neurology & Neurosurgery RUN PERIOD: 3 Months RECOGNITION: This run is recognised by the Medical Council of New Zealand. MEDICAL COUNCIL B CATEGORY RESPONSIBLE TO: Clinical Directors of Neurology and Neurosurgery. Clinical Responsibility and Work Schedules On-call Responsibilities • The House Officer on–call is available to the surgical wards to review patients and to deal with medical/surgical problems as they arise. • Admissions from the emergency department and elsewhere 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. C:Rundecriptions/current run descriptions/2002 1
  2. 2. Clinical Responsibilities • Daily ward rounds reviewing patients with the assigned speciality Registrar. • Elective admissions will be assessed including 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. • Implement management and treatment for patients under supervision of the assigned speciality 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. • In conjunction with the Registrar, ensure initial plan sheets, summary of investigation and results, and 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 C:Rundecriptions/current run descriptions/2002 2
  3. 3. 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 – Neurology Monday Tuesday Wednesday Thursday Friday 0800 0900 N/surg Reg WR Consultant Neurology ward round N/surg Reg WR 0745 N/surg WR 0815 Update meeting Neurosurg Reg WR 0730 N/surg WR 0900 Consultant Neurology ward round 0900 Neuro ward round 1000 Consultant Neurology ward round 0915 Consultant Neurology ward round 1000 N/surg consultant (CF) WR 1130 Neuro Xray 1230 Journal club Grand round 1500 Emergency Dept Teaching Protected time HO teaching 1600 N/surg consultant (AL) WR Neurosurg Reg WR Neurosurg Reg WR 1630 Reg/SHO teaching • Out patient clinic and theatre attendance is not required of House Officers. C:Rundecriptions/current run descriptions/2002 3
  4. 4. Education • Journal Club, Room 5.164, Tuesday 1230 – 1330 hours • Registrar Case-based Teaching, Board Room Level 7, Thursday 1630 – 1730 • Emergency Department House Officer Teaching, Anaesthetic Seminar room Monday 1500-1600 Cover • After hours, the neurology/neurosurgery house officer is part of the surgical house officer roster • There is one surgical House Officer on call outside of ordinary hours who provides cover for all the surgical services; 1600 – 2230 week days, 0800 – 2230 week ends. 30 minutes is included for handover (2200-2230). • Between 2200 and 0800 cover is provided by the Night House Officer. • Weekend Ward round 0800 – 1200. The on call House Officer doing the weekend Orthopaedic ward rounds will, upon completion of this, join the Neurosurgical Consultant/Registrar for the Neurosurgical WR on ward 26A. This will commence between 0900-1000. 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 2200 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. C:Rundecriptions/current run descriptions/2002 4
  5. 5. Expected Average Hours of Work • The ordinary hours of work are 0730 – 1630 Monday to Friday. • In addition a 1:6 roster operates outside ordinary hours from 1600 to 2230. Saturday and Sunday 0800 – 2230. • There are rostered weekend ward rounds ‘R’ Saturday and Sunday, on a 1:6 roster. • 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. Ordinary Hours 42.5 + 2.5 +1 (Thursday teaching) Rostered Hours over above 4.0 (4 ‘L’ shifts at 6.0 hours/6) 5.0 (2 ‘L’ weekend shifts at 15 hours/6) Call back (weekend ward round) 1.5 (2 ‘R’ weekend wd round at 4.5hrs/6) Nights 2.0 (24.5 hrs above ordinary/12) Unrostered Hours 2.5 Total 61 Salary Category B (60-64.9 hours) 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. C:Rundecriptions/current run descriptions/2002 5
  6. 6. • • Cover for night shifts and sick leave is provided by 2 rotating night/ sick cover SHOs 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 6
  7. 7. • • Cover for night shifts and sick leave is provided by 2 rotating night/ sick cover SHOs 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 6

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