Neonatology at Hillingdon - London School of Paediatrics

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‘JIG’ Job Information Guide
General:
Post Title
NEONATES (ST1-3) - HILLINGDON HOSPITAL
Coding No
Hospital Details
Name: The Hillingdon Hospital
Website: http://www.thh.nhs.uk/
College Tutors: Dr Stephen Goldring (stephen.goldring@thh.nhs.uk) and
Dr Hannah Baynes (hannah.baynes@thh.nhs.uk)
Human Resources: Sandra.riley@thh.nhs.uk (contact regarding any
general enquiries)
Travel Info
Train/Tube: Nearest tube station Uxbridge (Metropolitan and Piccadilly
lines). Nearest train station Hayes & Harlington (20 minutes from
Paddington)
Bus: From Uxbridge U1, U3, U4, U5, U7. From Hayes and Harlington
station U4 and U5
Car/Parking: Car parking available but need to apply before hand.
Contact: parking@thh.nhs.uk
Living/Accommodation/Eating Hospital Accommodation: Basic accommodation available across the
road from hospital. Email: ian_milne@tvha.co.uk
Local Area: Local town of Uxbridge has many eateries, a shopping centre
and cinema
On-site: Canteen open until 20:00 and Costa Coffee open until 19:00.
Friends Shop open until 19:00
Departmental:
Team
No of Consultants: 11
Registrars: 10
SHOs: 7 WTE FY1s: 2
Rota &
Week plan:
Responsibilities
Long day: 08:00-21:30. Handover with general paediatrics followed by the neonatal ward
round. Carry the labour ward bleep from 14:00. Spend afternoon covering labour ward and
finishing off jobs from the ward round.
Labour ward/post natal ward 08:00-17:00. Attend morning handover. Hold bleep until
14:00 covering labour ward. If you admit a baby to the unit it is good if you can do the
admission SEND, initial bloods and growth/drug charts. You also do the reviews of babies
on the postnatal ward who are on antibiotics or have medical problems. There is a list on
the bottom of the handover and one in the baby check book for the extra ones the midwives
are worried about. When booking scans, e.g. hip scans, staple the USS request to the front
of brown notes for the baby (not just the yellow post natal ones) and tell Lynn the ward clerk
on Alexandra ward and she will arrange them for you. If you need to put in cannulas it is
easier to take the baby to the neonatal unit and use the resuscitaire in the cold room.
Wendy Ward 08:00-17:00 Morning handover with general paediatrics in the seminar room
above Peter Pan. Then go to Wendy Ward and look at the admissions/day attender’s book.
There are things like reviews of children who have been on the ward and need a one off
follow up, jaundice clinic, cannulas for scans, allergy patients having food challenges etc.
The nurses are amazing and will tell you what to do! Check the results book. There will be
an SpR covering Wendy for advice as well.
Nights: 20:30-09:30. One SHO covers neonates at night with registrar support. You carry
the labour ward bleep, are responsible for new admissions and do the night summaries of
all the babies on the unit. Routine weekly bloods are done on a Sunday night in the hot
room. You print out the blood forms for the cold room babies on Wednesday night (Jan the
phlebotomist collects the bloods on Thursday morning). Plot the weight and head
circumference of all the babies in the cold room on Wednesday night, and the hot room on
Sunday night. One registrar cross covers neonates and paediatrics and you may not see a
lot of them on neonates unless you have an unwell baby – use the nurses if you are unsure
– they are very good! They will know if you need to call the SpR and have often done it
before calling you!
Departmental
strengths
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Training
opportunities
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Teaching
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Top tips
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Level 2 unit with some ventilated babies
Well organised with four dedicated neonatal consultants covering 8-5pm,
and then all consultants (general and neonates covering out of hours)
Facilities for HFOV and nitric oxide
Joint specialist clinics, including respiratory/CF, cardiology, surgical,
feeding clinic, genetics
Excellent informal teaching
Particularly receptive and supportive college tutor and deputy. Thorough
understanding of RCPCH assessment process
Extremely friendly and supportive nursing staff in all areas
Great working atmosphere with all team members being approachable
Excellent induction
Weekly joint neonatal/obstetric meeting (Tuesday am)
Weekly x-ray meeting (Wednesday pm)
Fortnightly simulation training in ward/A&E/neonatal unit with opportunities
for trainees to facilitate sessions (Thursday am)
Local trust based training sessions (eg safeguarding)
Regular trainees meetings
Monthly Perinatal mortality and morbidity meeting
Regular morning teaching (Wednesday, Thursday, Friday am)
Informal bedside teaching. The Consultants and Registrars are very
motivated and willing to teach
Opportunity to learn how to do cranial ultrasound scans
Monthly evening ‘Case Exchange’
http://www.londonpaediatrics.co.uk/wp/wpcontent/uploads/2014/01/Paediatric-NWT-Regional-Teaching.pdf
Get a copy of clinic schedule early on so that you can mark out particular
clinics you would like to attend- there are lots of different specialist clinics
Spend an afternoon with Jan (phlebotomist) on the Wendy Ward day unit
to sharpen your venepuncture skills
Ensure you apply for study leave early - trust requires 6 weeks notice if
claiming from study leave budget
Get on well with the nurses and your life will be made very easy!
Attend an NLS course before starting the post if possible
Bring lunch!
Trust Rep contact details: afsoon.sepahzad@gmail.com
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