RMO ORIENTATION

1. RMO ORIENTATION Y A MAMOOJEE 05/08/2012

2. What we expect of you • Appropriate use of symptomatic treatments including analgesics and antiemetics • Complete medical records punctually and accurately · Seek feedback from registrar and consultant staff, act on constructive criticism Joondalup Health Campus EMERGENCY MEDICINE Getting the most out of your Emergency Medicine term at JHC Dr Simon Wood Dr Chung Wee Dr YureshNaidoo Dr Michael Lovegrove Dr Michael Richardson Dr Nicole Liesis Dr Colin Parker Dr Paul Bailey Dr Conway Tang Dr Harry Patterson Dr Cameron Burrows 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 other hospital 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

3. Seeing 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 shift As 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 concurrently Talking to your ED Consultant or registrar . Once you have spoken to one consultant or registrar, keep consulting that person about that particular patient • Do not seek another opinion if you don‘t like the first one! Achieving patient throughput • Make disposition decisions early in the course of the consultation ?admit / ?team / ?hospital no need to wait for low yield test results • Get the admission paperwork in early · Early communication with Senior Staff is of the utmost importance - HAVE A PLAN 30 min - DISCUSSED WITH SENIOR 60 min - HAVE A PLAN

4. Dealing 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 patient Dealing with inpatient registrars and consultants Do not become the General Medicine (etc) intern / RMO - you are the ED intern / RMO Do not perform procedures / investigations that you know to be contraindicated / not required just because an inpatient registrar has asked you to We need to know if you get conflicting advice or grief!!!! -> JHC Referral Protocol Handover • 0800,1600 and 2330 • HAVE A PLAN, MAKE A DECISION • Do NOT regurgitate the entire workup - it is a summary of the case, the important red flags, and the PLAN. • Try to hand over patients that are fully 'sorted out'. Calling in sick • Early notification best • Talk to ED consultant if available • Pragmatism vs. integrity

5. EDUCATION 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 at 1600 · Tues and Thur 1230-1330 Hospital Teaching Lunch provided 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 chat End-of- Term Assessment You are NOT to supervise students! JEDO Joondalup Emergency Department Intranet • Access on all computer desktops • News • Protocols • Education • Rosters • www.ed.org.au password "jeri"

6. Administrative Stuff .... • Contact emaiIs • boxk@ramsayhealth.com.au • Mailbox • Scripts • Ophthalmoscope heads • Antibiotics for UTI on EDIS • Scrubs / shirts • Questions ?