1 / 16

Consultant resident on-call system: Salisbury

Consultant resident on-call system: Salisbury. Salisbury DH. Rural Relatively isolated – nearest unit 25 miles Full obstetric and A&E service Regional burns and plastics Child pop. C 40 000 2500 deliveries p.a. 18 bedded children’s ward Level 2b NICU. Paediatric dept.

turner
Télécharger la présentation

Consultant resident on-call system: Salisbury

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Consultant resident on-call system: Salisbury

  2. Salisbury DH • Rural • Relatively isolated – nearest unit 25 miles • Full obstetric and A&E service • Regional burns and plastics • Child pop. C 40 000 • 2500 deliveries p.a. • 18 bedded children’s ward • Level 2b NICU

  3. Paediatric dept. • 10 consultants (8 on 11 PAs, 2 on 8 PAs) • 4 middle grades • 5 junior grades • 4 GP trainees, 1 FY2 • Night on-call shared with 5 O&G SHOs

  4. Resident consultant system • All 10 do resident on call: part-timers pro rata • Out-of-hours time divided between 4 MGs and 10 cons • Cons also do on call from home covering either MG or cons colleague • 13 hour shifts same as juniors

  5. Resident on call workload • Resident shifts about 1 night per 2 weeks and 1 weekend (3 shifts, days or nights) every 10 weeks • Always on with SHO • Day off afterwards • Contract: • Daytime work: 6.5 PAs (including 2.5 SPAs) • Resident shifts 3.5 Pas • Other emergency work 1 PA

  6. Typical night shift • 2100 – 2130: handover • 2130- 2230: reviewing ward attenders and in-patients • 2230- 0000: admin with interruptions • 0000-0030: review patients • 0030-0200: admin with interruptions • 0200-0700: rest, with interruptions: • Calls to ward, NICU, ED, Burns, labour ward • 0700-0930: reviews and handover

  7. Accommodation • Consultant flat, superior to juniors accommodation • About 100m from labour ward • Bedroom, bathroom, kitchen, lounge with TV and network computer

  8. Accommodation

  9. Bedroom

  10. Kitchen

  11. Lounge

  12. Back up consultant • Resident cons always has back-up colleague on call from home for: • 2 skilled people needed at once • Transfers • Advice

  13. Advantages for service • Better out-of-hours care • Fewer unnecessary admissions • Better continuity • Better supervision of juniors & nurses

  14. Advantages for individual • Financial • More day time off during week • More ‘hands-on’ work

  15. Disadvantages for service • Fewer consultants around during the day • Less time for supporting activities • Cost

  16. Disadvantages for individual • Tiredness • Less continuity for own patients • Less time for career development

More Related