Job Description for ST1-ST3 Paeds and Neonates
Heatherwood and Wexham Park Hospital NHSFoundation Trust
Title of Post
Specialty
Base Hospital
Rotational Link
Remuneration
Study Leave Arrangements
Annual Leave Arrangements
College/Specialty Tutor
Standard Hours
Work Pattern i.e. rota/shift etc.
Specialty Trainee in Paediatrics and
NeonatesST1-3
Paediatrics and Neonates
Full Time or less than full time
Wexham Park Hospital
Other hospitals within the Oxford
Deanery School of Paediatrics
Whitley – SHO
Up to 30 days p.a. by arrangements
5 weeks p.a. plus 2 statutory days p.a.
Dr R Sanghavi
EWTD
Full Shift
CLINICAL SUPERVISORS:
Consultants
Dr J Connell (Deputy Medical Director)
Dr R Jones (Divisional Director)
Dr Z Huma (Specialty Director Paediatrics)
Dr P Sebire (Director of Medical Education for trust)
Dr J Philpot (Undergraduate Teaching Lead for trust/Regional Advisor)
Dr R Sanghavi (Paediatric Tutor and Specialty Director Neonates)
Dr A Quadri
Dr M Kumar (Departmental Audit lead)
Dr J Aspel
Other Senior Doctors
Dr S Mata
Dr J Shareef
Ward Layout Information
Ward 24 is the Paediatric ward.
Ward 22 is Postnatal ward.
Paediatric Assessment Unit (PAU) is opposite Ward 24.
Duties of the Post for those on the Paediatric Rota
Ward 24 ‘SHO’ Duties
 Attend daily ward round at 9am
 Update medical notes with working diagnosis, and action plan
 Ensure Problem list is up to date
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Ensure investigation flowcharts are kept up to date
Write clear and concise discharge summaries
ICM discharge summaries need to be handed to parents before the
patient has been discharged. In exceptional circumstances, the patient
can be discharged, but the ICM needs completion ASAP.
EVERY doctor working on Paeds should look in the jobs book on a
daily basis, e.g. in between patients on PAU, or before it gets busy, or
whenever you can on nights / long days. Floater / clinic SHO should
also really try to help.
Put any results to chase / phonecalls to make / outstanding jobs to do
in the Jobs book with clear contact details and info of what needs doing
and why with your name.
Some children attend the ward directly because admission is
inevitable. These children will need clerking and admitting.
You also need to keep up to date with signing the path results as they
are received.
If however you are having a quieter day please GO AND HELP one of your
colleagues.
You are a team, and will be expected to work as one.
Duties of PAU ‘SHO’
Paediatric Assessment unit is open from approx. 9 am – 9 p.m. and patients are
referred here from A+E, or GP’s. They should be clerked promptly and
discussed with the senior cover (Reg. or Consultant).
 Ensure the child is stable enough to come to PAU, if the child is critically
ill, then the child need to go to A & E resus in an Ambulance
 Until competent you should NOT discharge patients without discussion.
Outside assessment unit hours patients attend directly to ward 24M.
 If GP or A &E doctor asks for any specific advice, that you are not sure
about, then collect the enquiring doctors contact details. Check with your
immediate senior and ask their advice.
 If you suspect there is a possibility of Child Protection/ NAI referral,
directly refer the phone to Registrar or Consultant
Duties ofNight Duty ‘SHO’ –
this is a FULL SHIFT post and as such you are expected to be easily
available throughout the night.
 Your priority must be the continuing care of patients on the ward &
clerking of / review of the admissions. You should also spend your
time doing ICMs, going through the jobs book and signing pathology
results.
 Update the handover sheet before the morning hand over with concise
information. You may put patient results on there but they MUST also
be on Flow Charts. Try not to print too many times/copies.
Duties of Postnatal ‘SHO’
You are based on Ward 22 which is upstairs on the first floor. There are
normally 2 Drs on, one from paeds and one from neonates. You
carry a bleep and are responsible for carrying out the baby
checks and dealing with any problems with the babies on Ward
22. There is a baby book on the ward that the midwives use to
communicate with you and we use to communicate with each
other.
Rota and shifts
09:30 to 22:00
You are based on the ward all shift and cover the ward
and on weekends you also cover assessments. See
Ward 24 duties below.
21:30 to 10:00
On nights you cover the ward and assessments and you
carry the on call bleep - 4495. Duties as above.
09:00 to 17:00
This is a shift on the Paediatric Assessment Unit. You
hold the bleep for referrals from GPs and A&E (4495) and
there is a book where you write down names of patients
you have accepted on the assessment unit. Make sure
you tell PAU nursing staff when you accept a patient for
assessment. Try to keep waiting times to a minimum and
seek help appropriately.
14:00 to 22:00
This is the late shift on the Paediatric Assessment Unit.
You hold the assessments bleep and normally take the
bleep at 1400 to relieve the 9 to 17 Dr. The 9 to 1700
should relieve you of the bleep at some point before 1700
so you can have a break. Duties as above.
Post Nates
08:00-16:00
Post Nates
Long days
Clinic
YOU MUST GO TO HANDOVER ON SCBU AT 8AM TO
GET HANDOVER FROM NEONATAL NIGHT SHO.
These are on Fridays and Sundays.
On the Friday you work 09:30 to 14:00 on Ward 22 and then you
move to assessments at 14:00 to do 14:00 – 22:00. You should
have a neonatal SHO on Ward 22 with you to enable you to
leave at 14:00.
On Sundays, you work on Ward 22 from 09:00 to 17:00 and
then you help out on assessments from 17:00 to 21:30 on ward
24 - there is a ward SHO 09:30-22:00.
This is a 09:00 to 17:00 shift and you sit in clinic. You come to
the Ward 24 handover at 9am before you go to clinic as you will
need to cover shortages if staff are sick or it is very busy.
Before you go to clinic you should check the unsigned discharge
summaries in the doctors office on ward 24 and sign them.
You should also go through the Jobs Book daily, to chase
results and to deal with any outstanding issues in a timely
fashion. The Ward / PAU SHO will often have insufficient time to
do this and so needs help with these 2 tasks.
Rota
LD
PN
PAU
PAU evening
PNLD
0930 to 2200 on Ward 24
0800 to 1600 on Ward 22
0900 to 1700 on PAU
1400 to 2200 on assessments mon / wed / tue / thu
On a Sunday is Ward 22 0900 to 1700 and then you help
out on assessments from 1700 to 2130
Handovers
Ward 24 handover in Doctors’ office
There is a Consultant handover every morning at 9am where the night team
hands over to the day team. This is followed by the ward round. The night
team normally stays to see the patients they have admitted overnight.
At 1700 there is an SpR handover as often an SpR is on call 1700 to 2200
who has not been on the ward during the day. The Consultant on Call often
attends
At 2100 there is a handover between the day and night team. The consultant
on call also attends Mon-Fri.
Postnatal Ward Handover
before and after shift from and to neonatal SHO in the hotroom
Duties of the Post for those on the Neonatal Rota
Here are a few useful points to help you find your feet:
NICU Hot room
SCBU
Transitional Care
Postnatal ward
Labour ward
Birth centre
Astor Suite
Shifts and duties
: Room 8
: Room 6&7
: Ward 21
: Ward 22
: situated opposite to NICU
: situated next to ward 22.
: Private ward between Ward 22 and Birth Centre
0900 to 2130 NICU You do 4 long days (mon-thur) and 3 weekend long days
(fri-sun).During this time, you start the ward round at 9am. You hold the bleep
4598 and cover the labour ward after the ward round is over. TPN, iv fluids
should be written daily before 12pm. Special TPN if required should be
prescribed by 11am. At 5 pm, you get the handover from the SCBU &
Postnatal SHO and you cover the hot room, SCBU, labour ward and postnatal
ward after 5 pm. You need to write a brief summary of the days events in the
notes prior to handing over. You need to update the handover sheet for the
night SHO & Reg. The Nursing staff write the blood gases on their Obs Chart.
You must copy them onto the Bld Gas Flow Chart.
2100 to 0930 You cover the NICU, labour ward, SCBU and the Post-natal
ward. You carry the on call bleep-4598. You need to do the night summary
and bloods for babies in the hot room. On Sunday night, you do the weekly
summary (yellow sheet), plot the HC and wt for the monday ward round. The
results should be ready before the morning rounds. In the morning, you need
to present all the babies in the hot room. Also remember to update the gases
and all c/s or special results.
0900 to 1700 This is a shift on the SCBU. First you get the handover from the
night SHO .You have one week of SCBU starting from Monday to Friday after
your weekend long days. On Monday you have to fill the yellow weekly
summary sheet, plot the ht and wt in the growth chart. Complete the SCBU
newborn check if it is not yet done .You hold the labour ward bleep in the
morning until the hot room SHO finishes the ward round. You see babies in
SCBU and Transitional care (TC). Routine bloods are done weekly. Check if
babies need ROP screens that week (Thurs) and if so write up mydriatics and
inform the nurses. Also see if babies need immunizations and if required
administer them. You can get referrals from midwife or community nurses to
see babies on TC. There is a message book for the community nurses at the
nurses’ desk in case you want them to review or do bloods in the community.
Check with the nurse re potential discharges and complete all paperwork the
previous day. Discharge summaries must go out with the patient. A
Reg/Consultant will need to countersign before sending.
0800-1600 Post Nates You are based on Ward 22, which is upstairs on the
first floor. There are normally 2 Drs on, one from paeds and one from
neonates. You carry a bleep (4761) and are responsible for carrying out the
baby checks and dealing with any problems with the babies on Ward 22.
There is a baby book on the ward that the midwives use to communicate with
you and we use to communicate with each other.
You do a Post-natal day on Friday and Saturday every 8 weeks, when u cover
from 9-2 pm in postnates and then go to PAU.
PAU 9-5
This is a new-shift, introduced to give you some experience of
our Paediatric assessment ward. This is a shift on the paediatric assessment
unit-you will be paired with an SHO from the general side. They hold the bleep
(4495) for assessments from GPs and A&E (which you may have at times
too) and there is a book where you write down names of patients you have
accepted on the assessment unit. Make sure you tell PAU nursing staff when
you accept a patient for assessment. You may need to handover results to
chase when you leave the shift – tell the longday SHO and put it in the jobs
book.
PN LD These are on Saturdays and Fridays
You work on Ward 22 from 9 to 14 and then you help out on assessments
from 1400 to 2130 on the paediatric ward. (There is a ward SHO 9-2200).
PRIOR TO GOING TO THE POSTNATAL WARD YOU MUST GO TO SCBU
AT 8AM TO GET HANDOVER FROM NEONATAL NIGHT SHO.
Clinic This is a 9 to 17 shift and you attend an outpatient clinic. You come to
the NICU handover at 9am before you go to clinic. You may be asked to cover
if there is a shortage of SHOs, or to help with paperwork etc.
IF YOU ARE ON CLINIC WEEKS AND YOU HAVE NOT BEEN GRANTED
ANNUAL LEAVE OR STUDY LEAVE, YOU MUST COME TO THE HOT
ROOM AT 9AM. YOU ARE ON A 9 TO 17 SHIFT AND MAY BE ABLE TO
GO TO CLINIC OR HELP OUT SOMEWHERE IF THERE ARE
SHORTAGES.
General points:
SHO admitting the baby should complete the admission details on SEND. Plot
the ht and wt in the growth chart. You need to regularly update SEND. There
is a separate folder for results, gases and scans. All blood gases must be
written in the flow chart. Perform a full newborn baby check as soon as the
baby is stable enough to handle.
While discharging babies, complete the SEND discharge page. This will then
need to be counter signed by registrar or above.
A COPY OF THE PRINTED DISCHARGE SUMMARY MUST GO HOME
WITH THE PATIENT!
Keep notes updated; document every procedure, discussion, new
development as it occurs.
Always fill in the green parent communication sheets whenever you speak to
the parents or when Consultants/ Registrars update parents on the ward
round.
Rota
Rolling 8 week rota with fixed leave with internal cover for sickness.
Weeks 7&8 are for study leave/ annual leave (fixed). If not on booked study or
annual leave you are working 9am-5pm either attending clinics or helping
where required.
Handovers
NICU
There is a Consultant handover every morning at 9am where the night team
hand over to the day team. This is followed by the ward round. The night SHO
stays back to present all the babies in the hot room.
At 1700 there is a SpR handover as often a SpR is on call 1700 to 2200
.Often the Consultant on call is present as well.
At 2100 there is a handover between the day and night team. Often the
consultant on call also attends.
PN Handover
If you are on Ward 22, as mentioned above, you must go to handover at 8am
on SCBU. At 1600 you hand over to the neonatal SHO who is on a long day.
The post natal bleep should be picked up from the hot room in NNU.
Educational Support - SHO Assessment and Appraisal
You will be required to attend appraisal meetings with your supervisor on
three occasions during this job
You should organize an appointment with your supervisor within 4 weeks of
starting this job.
The Educational programme for the department is as follows.
Departmental SHO Teaching
Formal teaching opportunities are listed below and we would expect
attendance for these sessions if you were at work. Handover your bleep to
the Reg. You must however accept that patient care commitments are the
priority and you may need to be called out if necessary. Organize your work
well to facilitate your attendance at the teaching session.
All teaching sessions are open to all
All teaching sessions are in Seminar room unless otherwise stated.
Induction week
Monday 8:30 am
Journal Club
Tue 12.15 – 12.45 pm
Weekly X Ray meeting
2nd Monday 12.30 pm
Craft Room, First
Perinatal Mortality meetings – Parent
Floor, opposite Ward 22
Wed lunchtime (all but 2nd Weds)
discussion
Duty team - case presentation &
Wed lunchtime (all but 2nd Weds)
Foundation training
Wed lunchtime 2nd Weds
Hospital Grand Round
Wed 2 pm
‘SHO’ Teaching (occasionally on
another day – check weekly plan)
Thursday 8 am
Dr Philpot teaching for Paediatric
trainees
Thursday pm (sometimes am)
Dr Philpot teaching clinic –
Heatherwood (for Paediatric
Trainees – Need to book slot on
sign-up sheet on Lynnette’s notice
board)
Thursday pm (usually 2 pm)
Neonatal ‘SHO’ teaching
1st Thursday12:30 pm
Meeting
Monthly Child Protection Review
Academic ½ days
Monthly with rotating day (see notice
boards / shared drive) –
Postgraduate Centre
Clinic Attendance
GPVTS and F2 Teaching
.
As advertised
RESEARCH
The department may be engaged in a wide range of clinical and laboratory
research and the trainees are encouraged to participate in these activities.
ANNUAL AND STUDY LEAVE ARRANGEMENTS
Duties include cover for colleagues’ absence on annual or study leave. In
general leave allocation is prearranged. Internal cover is provided within each
team of Ward or Neonatal Trainees. Leave options are fixed although some
negotiations may be possible. Study leave will be granted to attend relevant
courses, subject to numbers of Trainees being away, and approval from the
departmental tutor. This will however be in keeping with trust and deanery
guidance.
Unforeseen sick leave must be notified as soon as possible to Rota
Coordinator and medical staffing.