You will be rostered in a 3 tier rota. The following is a description of your roles. Please remember that this is just a short summary, when in doubt simply ask!

 

 

WEEK-DAY SHIFTS:

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Intensive Care Unit doctors

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• 1 ITU coordinator (ITUc, blp 0241) (8:00-21:00): not assigned a specific room but expected to co-ordinate workload across the unit, trouble-shoot any issues, supervise/perform procedures as necessary. You will carry the crash bleep 0241. This is an amazing opportunity for senior trainees to develop their management skills:

  • support the DA SHO on labour ward and the 3 case loading doctors in ITU

  • liaise with low dependency coordinator

  • take part in 10 am huddle

  • take part in morning ward round in room 1&2

  • Attend bedside handover from day consultants to On-call consultant at 17:00

  • be the point of call for ITU referrals internally and externally. Please discuss all referrals with consultants and nurse in charge, record details of any refused referrals in the folder placed near the computers.
     

• 2x ITUA case loading doctor (Rooms 1&2) (8:00-21:00): usually 2 SHOs/ANNPs occasionally SpR will be allocated to rooms 1 and 2. You are responsible for the running of those ITU rooms (with the support of the ITUc Reg and the ITUA Consultant).
   

• 1x ITUB casing doctor (Rooms 3 + 4) (8:00-21:00): SpR/ANNP/senior SHO responsible for running those ITU rooms with the support of the ITUB consultant.

 

 

Low Dependency Doctors 

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• 1 Low dependency co-ordinator (LDc, blp 0682) (08.30- 17.30) carries 0682 bleep, supports SCBU, HDU and PNW doctors, takes community referrals and facilitates discharges from low dependency areas (SCBU+HDU). Handover pending jobs to HDU/ITU before leaving.

• 1 HDU Doctor (ANNP/SHO) (08:30- 21:00) supported by LDc and HDU consultant. Review babies. Take part in consultant led wardround twice a week (Monday and Thursday)

• 1 SCBU Doctor on short day (08:30- 17:30) supported by LDc and SCBU consultant. Review babies. Takes part in a consultant led wardround twice a week (Monday and Thursday). Handover pending jobs to HDU/ITU before leaving.

• 1 Postnatal ward Doctor (PN, blp 0681) (08:30-18:30). Completes baby checks, review babies in PNW, in liaison with the midwifery team. The aim is to leave postnatal ward by 17:30. The last hour should be bleep-free.This time can be used to finish off paperwork and update the list so that you can leave on time. Handover pending jobs to HDU/ITU before leaving.

 

Extra Day Shift

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• DA (08:30-17:30). Carries delivery bleep 0678. Starts shift in PNW, attend deliveries, completes records on admission, and then helps out elsewhere on the unit (liaise with ITUc and LDc)

• Float shifts (08:30-17:30) these are clinical shifts where you help out wherever is busy- discuss with ITUc who should inform team at huddle to get an idea of where to go. Shift often used to cover sickness/gaps. Therefore please be prepared for these shifts to become long days in case of illness- do not make evening plans. The majority of you work under your paid hours in this rota – any extra hours worked in these shifts should not affect this but please ensure that Siobhan is informed so that she can check in the rota spreadsheet. If your float shift becomes a long day and this causes you to exceed 72h in 7 day rolling period, subsequent shifts will be adjusted to compensate.

• Reg Clinic (CLN 0830-1730) on Tuesdays for registrars: shift designed to develop multiple clinical and non-clinical skills (including your fashion taste: this is the only shift when you don’t have to wear scrubs!)

  • 10-11 am Teaching: deliver 1 hour lesson for medical students during their term time (from 10 to 11 am, see education notice board in seminar room for dates).

  • 11-12.30 Time management: liaise with Clinic consultant for pre-clinic discussion around babies on the Outpatient list. Check results from prolonged jaundice/telephone clinic (see separate information from Gosia Radomska).

  • 1-2 pm MDT discussion: update Fetal Medicine List, and presents details of babies born in the past week at the FMU meeting (seminar room).

  • 2-4.30 pm Outpatient Clinic: in Ocean, (Ground Floor Evelina).

 

 

WEEKEND DAY SHIFTS:

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• 4 ITU doctors on long day as before (08.00 – 21.00)

• 1 HDU doctor on short shift (08:30 – 17:30)

• 1 LDc doctor on short shift (08:30 – 17:30)

• 1 PNW doctor (08:30-18:30)

All supported by Weekend consultant (covering Saturday and Sunday)

 

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WEEKDAY AND WEEKEND NIGHT SHIFTS:

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• 4 ITU Doctors with similar role as day team (20:00-09:00). The case loading doctors will take turn in carrying the DA bleep. They will all trouble shoot HDU and SCBU (ITUc reg to co-ordinate workload)

Overnight, it is expected for the case-loading doctor to write a brief update of recent events on BadgerNet. If little change, then focus on updating the discharge summary. Routine and TPN bloods are done at night; please think carefully/discuss with consultants prior to performing Neonatal full versus basic profile bloods (‘neonatal’ order sets exist to make lives easier- use these!)