05082012 Joondalup Health Campus EMERGENCY MEDICINE Getting the most out of your Emergency Medicine term at JHC Dr Simon Wood Dr Chung Wee Dr Yuresh Naidoo Dr Michael Lovegrove Dr Michael Richardson ID: 814730
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Slide1
RMO ORIENTATION
Y A MAMOOJEE
05/08/2012
Slide2Joondalup
Health Campus
EMERGENCY MEDICINEGetting the most out of yourEmergency Medicine term at JHCDr Simon WoodDr Chung WeeDr Yuresh NaidooDr Michael LovegroveDr Michael RichardsonDr Nicole LiesisDr Colin ParkerDr Paul BaileyDr Conway TangDr Harry PattersonDr Cameron Burrows
What we expect of you• Appropriate use of symptomatic treatmentsincluding analgesics and antiemetics• Complete medical records punctually andaccurately· Seek feedback from registrar and consultantstaff, act on constructive criticism
What we expect of you• Arrive on time and prepared for work· Willingly see patients throughout the entire shift· See an appropriate number of patients• Treat patients / family / colleagues and otherhospital staff members in a professional manner
What you can expect of us
• Fully supportive clinical environment
• Excellent access to consultant Emergency
Physicians
• Become procedurally 'experienced'
• High quality teaching program
Slide3Seeing patients
• Expectation to average ONE patient per hour.
Usually able to see more patients in the first few hours of your shift I and relatively fewer in the final few hours of your shiftAs it may take you up to 2.5 hours to complete a patient encounter I the only way to achieve this is to see multiple patients concurrentlyAchieving patient throughput• Make disposition decisions early in thecourse of the consultation?admit / ?team / ?hospitalno need to wait for low yield test results• Get the admission paperwork in early· Early communication with Senior Staff isof the utmost importance - HAVE A PLAN
30 min - DISCUSSED WITH SENIOR60 min - HAVE A PLANTalking to your EDConsultant or registrar. Once you have spoken to one consultant or registrar, keep consulting that personabout that particular patient• Do not seek another opinion if you don‘t like the first one!
Slide4Dealing with inpatient registrars and consultants
• Paging / telephone referrals
Do not apologise for calling• Be polite• GIVE THE DIAGNOSIS / PROBLEM UP FRONT• Be clear about what you want from them- some advice- to review the patientHandover• 0800,1600 and 2330• HAVE A PLAN, MAKE A DECISION• Do NOT regurgitate the entire workup - it is asummary of the case, the important red flags, andthe PLAN.• Try to hand over patients that are fully 'sortedout'.
Dealing with inpatientregistrars and consultantsDo not become the General Medicine (etc) intern / RMO- you are the ED intern / RMODo not perform procedures / investigations that you know tobe contraindicated / not required just because an inpatientregistrar has asked you toWe need to know if you get conflicting advice or grief!!!!
-> JHC Referral ProtocolCalling in sick• Early notification best• Talk to ED consultant if available• Pragmatism vs. integrity
Slide5EDUCATION SESSIONS
• Mon and Fri 1630-1700 in the consultants' office
· Wide variety of interesting topics• Be organised and prepared to attend at 1630.This means getting prepared for handover at1600· Tues and Thur 1230-1330 Hospital TeachingLunch providedJEDOJoondalup Emergency DepartmentIntranet• Access on all computer desktops• News• Protocols• Education• Rosters• www.ed.org.au password "
jeri"Working in the ED – some advice on teamwork• Many of the non-medical staff working in the ED have been here far longer than you and know the JHC 'system' much better than you will• Take the time to learn names• Be polite and easy to get along with• We work as a team!
Final Comments• SCGHWednesday Teaching Program• Mid-Term informal chatEnd-of- Term Assessment
You are NOT to supervise students!
Slide6Administrative Stuff ....
Contact
emaiIsboxk@ramsayhealth.com.auMailboxScriptsOphthalmoscope heads
Antibiotics for UTI on EDISScrubs / shirtsQuestions ?