RMO ORIENTATION
Y A MAMOOJEE
05/08/2012
Joondalup Health Campus
EMERGENCY MEDICINE
Getting the most out of your
Emergency Medicine term at
JHC
Dr Simon Wood
Dr Chung Wee
Dr Yuresh Naidoo
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
• 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
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
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
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
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!
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
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
JEDO
Joondalup Emergency Department
Intranet
• Access on all computer desktops
• News
• Protocols
• Education
• Rosters
• www.ed.org.au password "jeri"
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!
Administrative Stuff ....
Contact emaiIs
-boxk@ramsayhealth.com.au
Mailbox
Scripts
Ophthalmoscope heads
Antibiotics for UTI on EDIS
Scrubs / shirts
Questions ?