Induction info
Consultants rotation
The current arrangements (Aug 2023) are as follows :
2 consultants sharing Moelwyn ward
1 consultant covering all outliers
1 consultant covering in-patient referrals
Ward Timetable
| Mon | Tues | Wed | Thurs | Friday | |
| AM | Consultant WR (All) | SpR WR when available | SpR WR / Consultant troubleshoot | Consultant WR (DMK & CK) | Consultant WR(AT & NS) |
| Lunch break | – | Lung cancer MDT | Journal Club (Lunch provided) / Respiratory radiology meeting – alt weeks | Grand round | |
| PM | Bronchoscopy/EBUS
Thoracoscopy |
Board round / consultant troubleshoot | Bronchoscopy/EBUS /Thoracoscopy | Weekend handover |
Clinics Timetable
| Mon | Tues | Wed | Thurs | Friday | |
| AM | None | Urgent Suspected Cancer clinic (AT) | General Respiratory Clinic (CK ) | Urgent Suspected Cancer clinic (AT & NS) | None |
| AM | General Respiratory Clinic (CK) | Pleural clinic / general clinic(alt weeks) ( AT) Virtual sleep clinic (DMK) |
Sleep Clinic (DMK) / General clinic | ||
| PM | Pleural clinic / general clinic(alt weeks)
(NS) Sleep clinic at LGH (DMK)) |
None |
Ward Layout
–Patients are equally allocated to consultants
–No restriction to specific bays
–If a patient is very well known to a specific consultant, you may assign them accordingly – use common sense or ask us.
– Whenever possible, lung cancer & patients with pleural effusions to be kept under AT/NS
Ward Rounds
Patient lists
Ensure up to date patient list is available
Ensure outliers are included
Results of investigations
Know your patients!
Ensure a staff nurses joins all consultant ward rounds whenever possible
Requests investigations / referrals during or immediately after WR as much as possible
Board Rounds
Ensure participation with the ward board round on a daily basis first thing in the morning.
This gives the team an opportunity to communicate discharge issues / establish PDD / obtain feedback from physio/OT etc.
Discharges
Discharge summaries ideally to be done on discharge
Follow up appointments to be specified on summary – clarify with consultant / SpR + inform ward clerk
Urgent follow ups – inform secretaries
Pleural clinic follow up – inform Suzanne (AT secretary on 850852)
Follow up CXRs to be requested at discharge (send forms to radiology)
Leave arrangements
All leave will need to be discussed with Dr Skehan
At least 2 juniors needed on each side, including at least 1 SpR
Annual leave
–9 days per 4 months rotation (27 days per year) –Foundation Year doctors
–X days per 6 months rotation ( xx days per year) – CMT
Study and private study leave = 30 days per year (approval of a certain amount of leave is at the discretion of the person granting it for each rotation)
Only in exceptional circumstances, can annual leave be carried on from previous 4 / 6 months rotation.
6 weeks notice must be given