‘JIG’ Job Information Guide
General:
Post Title
NEONATOLOGY (ST2-3) Chelsea and Westminster Healthcare NHS Fdn Trust
Hospital Details
Name: Chelsea and Westminster Healthcare NHS Foundation Trust
Website: http://www.chelwest.nhs.uk/
College Tutor: Aminu.Kingi@chelwest.nhs.uk
Educational lead: Saji.Alexander@chelwest.nhs.uk
Travel Info
Train/Tube: All stations are a 15–20 minute walk.
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Fulham Broadway—District Line
Earls Court—Piccadilly and District Lines
South Kensington—Piccadilly, District and Circle Lines
Gloucester Road—Piccadilly, District and Circle Line
Bus:
Fulham Road
 14—from South Kensington or Fulham Broadway
 414—from South Kensington or Fulham Broadway
 211—from Hammersmith, Fulham Broadway or King’s Road
King’s Road
 11—from Fulham Broadway
 22—from Putney Common
Redcliffe Gardens (southbound)/Finborough Road (northbound)
 328—from Earls Court
 C3—from Earls Court or Clapham Junction
Bicycle:
Free parking in designated areas and in the hospital car park
Car/Parking:
Limited staff permit parking / £10 per day without permit
Living/Accommodation
Hospital Accommodation Email:
Phone number:
Local Area:
Departmental:
Team
No of Consultants: 7 Non resident/ 5 Resident
Registrars: 8
Rota &
Responsibilities
SHOs: 8-10
Week plan:
8 WEEKLY ROTA:
Week 1: HDU weekend nights
Night shift from 20:45 to 09:00 covering labour ward, post natal ward, HDU and SCBU.
These can be busy nights but the ITU SHO / SpR should help. HDU infants require nightly
summaries, HDU and SCBU weekly summaries required on Sunday night.. Zero days
Monday-Thursday
Week 2: ITU weekend nights
Night shift from 20:30 to 09:00 covering ITU and supporting HDU SHO where possible.
HDU SHO will attend deliveries but ITU SHO will admit to unit and do practical procedures
that are required. SHOs can discuss labour ward intubations if anyone is missing
experience. SpR will be mostly present in ITU. Shift begins with a night consultant ward
round. Overnight routine jobs include daily TPN bloods and night summaries. Zero days
Monday-Thursday,
Week 3: ITU weekend long days
08:30-21:00. Day begins with a consultant lead ward round. SHO to present at surgical
grand round meeting at 12pm on Fridays. ITU ward jobs include procedures and
managing new admissions. ITU patients are predominantly ventilated. An ITU SpR is
present with you throughout the day. At 16:30 the HDU and post natal SHOs should give
you the labour ward / post natal and HDU bleeps and handover any outstanding jobs. At
weekends the post natal / labour ward SHO should leave at 1pm. They will then give their
bleep to the HDU SHO. Take handover for the night teams and for the post natal ward over
the weekend. From this point you will attend all deliveries requiring paediatric support.
Handover to night consultant/ SpR/ ITU and HDU SHO.
Week 4: HDU week nights (Monday- Thursday night)
20:45- 09:00 Night shift covering HDU, labour ward and post natal ward. HDU babies
require brief nightly summaries. The nurses will try to help with routine bloods. ITU SHO
should support you when the work load gets busy. Attend teaching Tuesday and Thursday
mornings at 08:00 prior to handover, scheduled to finish 09.30 after teaching. Off Friday/
Saturday/ Sunday.
Week 5: Annual/ study leave
Set leave but you can make swaps to make other commitments. All swaps to be agreed
with Consultant SHO lead (currently Dr Hartnoll) in advance. Additional study leave possible
if agreed by educational supervisor. Lieu days given if inadequate annual leave allocated in
rota.
Week 6: ITU long days Monday- Thursday. Labour/ post natal ward Saturday/
Sunday
Tuesday and Thursday teaching / journal club at 08:00. Mondays and Wednesdays start at
08:30. Shift finishes at 9pm after handover. ITU cover with attending consultant and SpR.
Postnatal / labour ward and HDU SHOs will handover to you at 17:00. ITU SHO and SpR
cover all wards until night handover at 9pm.
Post natal/ labour ward 9:00-13:00 Saturday and Sunday. Midwives will do all the baby
checks leaving you the ward reviews and deliveries to attend. This is a busy shift and you
won’t be able to get it all done but the ITU/ HDU SHOs should try to help you handover and
get away on time.
Week 7: ITU nights (Monday- Thursday)
20:30- 09:00. As per weekend nights above. Try to help the HDU SHO as much as
possible. Off Friday/Saturday/Sunday. Teaching Tue and Thurs at 8.00am.
Week 8: HDU days (Monday- Sunday)
08:45- 17:00 Daily consultant lead ward round during the week days. At weekends SpR
lead ward round of HDU and SCBU. Post natal SHO to handover to you at 13:00. From
this point you will cover labour ward and try to complete outstanding post natal jobs.
Handover to ITU SHO at 17:00
Departmental
strengths
- Busy surgical unit with tertiary referrals to manage complex antenatal diagnoses including;
Tracheal oesophageal fistula and oesophageal atresia, gastroshisis, congenital
diaphragmatic hernia and cardiac conditions
- Emphasis on ITU placement (SHO have been mainly based away from the post natal
ward and SCBU to allow maximal intensive care experience)
- Regular interaction/ support from consultants for ward round, meetings and teaching
- Surgical setting: offering the chance to manage infants pre and post operatively.
- Working with experienced SpRs (ST7-ST8) who are committed to clinical and procedural
teaching and encourage the SHOs to take the opportunity first
- Working among side an extremely supportive and experience team of nurses who are well
aware of how terrifying NICU can be!
- Emphasis on teaching and practising evidence based and up to date neonatal medicine.
Weekly journal club/ literature round up sessions.
-Opportunities to run jaundice clinic and attend for development follow up clinics.
Training
opportunities
- Regular practical opportunities (SHOs usually take first priority) including intubation,
umbilical and percutaneous line insertion and cranial ultrasounds (CrUSS).
- Twice monthly specialist neurology imaging teaching (cranial ultrasound and neonatal
MRI). SHOs are expected to be able to perform and interpret CrUSS independently at the
end of the rotation. Weekly radiology meeting.
- Managing ventilated infants: daily ward wound / bedside teaching. Independence is
encouraged in interpreting gases and adjusting requirements but should be discussed with
an SpR before making alterations.
-Regular opportunities to manage complex post- surgical challenges including ventilation
and feeding
-Introduction to TPN dependent cases/ challenges
Teaching
Thursday 8am: Journal club. SHO to prepare a presentation to critique a recent paper. 2-3
consultants are usually present and will ask you questions about the paper. Your
educational supervisor is usually a good contact to help you find a paper
Wednesday 11.00am: Medical grand round. All neonatal consultants are present. SHOs
present the interesting cases on the unit for further discussion
Tuesday 8am: Teaching sessions on many neonatal topics including Dr Frances Cowan
(CrUSS/ MRI teaching) who gives interesting sessions to help you to interpret the CrUSS
that you are practising. Night team should take a coffee because it’s a dark room and you
will be very tired!
Friday 12Pm: Surgical grand round. Attended by the neonatal and surgical consultants,
SpRs, radiologists, dieticians and pretty much everyone else-! The SHOs will present the
surgical cases. Daunting to begin with but don’t worry about understanding too much for the
anatomy- it’s an update to their ventilation/ sepsis/ feeding status and you are not expected
to be a surgeon!
Monthly M&M meetings. SHOs and SpRs will be asked to prepare case presentations in
advance. Dr Uthaya will lead the sessions. Obstetric consultants and most of the midwifery
team will also be present
Combined surgical and anaesthetic M&M meetings – every 6weeks. Similar format to the
obstetric M&Ms but different participants.
Top tips
It is a hard rota and a busy unit but is only 6 months and the more that you put in the more
you will take away. The consultants respond well to positivity and enthusiasm. They lead
busy and stressful lives too and like to see a smile sometimes. It can be hard but your life
will be easier if you can take a deep breath and crack on without complaning.
Always ask if you are unsure. It’s a job where you are encouraged to think independently
but I would run decisions (especially regarding ventilation) via the SpR or your consultant.
There is a strong senior presence because they expect you to need to ask questions and
seek advice.
Look after each other. I made some of my best friends in medicine during this job because
we looked out for one another. Once you have tried the post natal weekend once you will
know the relief of seeing a friendly face coming to get the bleep and telling you to go home.
The HDU night SHO will always need a hand- don’t forget them.
Try to hand over and leave on time. There will always be one more job that you could fit in
but running late for a more chaotic handover never works well. Chances are you will have to
be in early again the next day… get some rest!
Make friends with the nurses- they are a wonderful bunch and will make your life a million
times easier if you are friendly and respectful of how hard they work.
Trust Rep contact details: Rini Das (Debasree.Das@chelwest.nhs.uk)