ACCU trainee induction Welcome A packed afternoon Tour just done that Introductory bits and pieces Major Incidents Pharmacy presentation Infection control amp ANTT An introduction to our ventilators ID: 620681
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Slide1
August 2016
ACCU trainee induction
Welcome!Slide2
A packed afternoon…
Tour (just done that)
Introductory bits and pieces
Major Incidents
Pharmacy presentation
Infection control & ANTT
An introduction to our ventilators
Optional tour
Subclavian workshop TBA
iPoint
registration (for locum shifts) – see secretariesSlide3
Please make sure youSign the sheet coming roundRead the Trainee GuideSlide4
ITTrust email accountI:\surgery_&_anaes\ACCU\
Trainees (rota in here)Medical EducationCritical Care Summaries (includes Deaths)M&MThe intranet fileshare
:
ProtocolsSlide5
ITCRS – other departments use it a lot more than we doLook for the Millennium iconUse it for:
DiagnosesProceduresTransfer summariesSlide6
How are you going to learn?Sheer experience!Ward roundsTeaching
programme(Look in Medical Education folder)Slide7
Time
Meeting
Venue
Monday
16:00
Morbidity and Mortality meeting (M&M)
ACCU Seminar Room (3&4)
Monday
(monthly-
ish
)
17:00
Academic Meeting
ACCU Seminar Room (3 & 4)
Tuesday
08:00 to 08:30
(compulsory if on shift)
ACCU Teaching / Journal Club
4E Doctors Office
Tuesday
12:30 to 13:30
Medical Grand Round
ACCU Seminar Room (3&4)
Wednesday
08:15 to 09:00
Trauma Radiology Meeting
Clinical Radiology Meeting Room
(1
st
Floor)
Wednesday
12:45
Spinal MDT Meeting
(relevant if we have a spinal patient on unit)
Clinical Radiology Meeting Room
(1
st
Floor)
Thursday
08:00 to 08:30
(compulsory if on shift)
ACCU Teaching / Journal Club
4E Doctors Office
Thursday
12:30 to 13:30
Academic Trauma Meeting / M&M
ED Seminar Room
(corridor leading from
Resus
)Slide8
How are you going to learn?Sheer experience!Ward roundsTeaching
programmeM&MWeekly quick review of recent deathsCases warranting further investigation selectedYou may be asked to present thisSlide9
How are you going to learn?Sheer experience!Ward roundsTeaching
programmeM&MReading the trainee guide…Slide10
How are you going to learn?Sheer experience!Ward roundsTeaching
programmeM&MReading the trainee guide…From each otherSlide11
Deaths – by the end of the shift…Confirm death in the notes
Complete an inpatient discharge summary (AdHoc icon in CRS toolbar)Ask ward clerks to print it and send tothe GP (unless Tower Hamlets practice)Either certify (book in CD cupboard)
or
refer to the coroner
Complete a cremation form if necessarySlide12
Roles1 C-day person per sideTeam A C-day person coordinates other trainees
S-day people to attend off unit callsLate people help with jobs etc.Structure of the day:8 am handover10 am consultant ward round
2 pm microbiology ward round
5 pm consultant handover; evening business round
Out of hours
Doctors’ handover sheetsSlide13Slide14
DocumentationAdmission proformaPlease enter diagnoses on CRS
Daily sheetsWeekly bookletsTransfer summariesSlide15
Airway auditPlease completefor all intubations,on and off the unitSlide16
NG TubesYou need to be trained to interpret CXRs of NGTs.Use Google Chrome browser and go tohttp://bold.bartshealth.nhs.ukYou will need your Assignment (Payroll) number to register.Slide17
Please look after this bear…monitor, vent…Slide18
Probe covers are available…Slide19
Code BlacksA new neurosurgical initiativeStreamlining pathway to theatre for emergency decompressive craniectomy
Please let us know
Odds and sods available in the storeroom
Leadercath
packs
Single fenestrated drapes
Single
guidewires
Tracheostomy instrument packsSlide20
Lots of opportunities – grab them!
Read the trainee guide, pleaseCheck your Trust emailWork as a team – ICU and HDU are actually one
unit
If in doubt,
call us
Take home messages…Slide21
…and finallyBare below mid-forearmNo watchesSimple wedding band only (fling the bling!)No nail varnishAlcohol gelSlide22