MORECAMBE BAY HOSPITALS NHS TRUST

MORECAMBE BAY HOSPITALS NHS TRUST

JOB DESCRIPTION

SENIOR HOUSE OFFICER

ROYAL LANCASTER INFIRMARY

1. MEMBERS OF FIRM

LANCASTER ROYAL INFIRMARY

Dr.S.Schneidman - Consultant

Dr.D.Wood - Consultant

Dr. R. McGlone - Consultant – Clinical Director

Dr.A.Webster - Consultant

Mr. Sivakumar - Associate Specialist

Dr T Fleet - Associate Specialist

2 SpRs - Manchester Deanary

1 SpR - Cape Town, South Africa

6 Senior House Officers & 1 FY2 post

Dr. A. Gallagher - 1 session Hospital Practitioner

Dr. L Braddock - 1 session Hospital Practitioner

Dr.M.Denver - 1 session Hospital Practitioner

The Royal Lancaster Hospital (R.L.I.) is the major acute hospital for North Lancashire and South East Cumbria. All serious trauma is transported direct to the R.L.I. from the Kendal area. The Intensive Care Unit and Coronary Care Unit is on the same hospital site as A&E.

There is a Digital X ray link with Westmorland General Hospital. A spiral CT scanner is sited at the R.L.I. providing a 24 hr service. There is a MR scanner sited alongside. The Neurosurgery and Burns specialties are based at The Royal Preston Hospital.

The A&E department sees 42,000 new patients per year. The department was upgraded in 1996 following the opening of a purpose built department. It contains separate facilities for resuscitation (with X-ray gantry), stretcher cases, walking cases and children. There is no short-stay ward attached to the department. A Helipad was opened summer 2004.

A Flying Squad vehicle is based outside the department and is "called out" for multiple trauma, primarily road traffic accidents. A Consultant is the team leader for the Flying Squad. Equipment in the department includes 6 oximetry/E.C.G./B.P. monitors, 2 defibrillators with external pacing facility and a Transpac portable ventilator.

2. DUTIES OF THE POST IN LANCASTER

a) Reception of all Accident and Emergency patients; assessment and treatment as necessary and referral to other specialties.

b) Participation in duty rota. See copy rota attached.

c) On-call for flying squad with senior doctor and reception of multiple trauma.

3. TEACHING

At the start of the post there is an induction day followed by 12 all day Wednesday teaching tutorials. All SHOs are encouraged to attend the Bolton Regional A&E Teaching course on the first weekend of the post (duties to be covered by locums).

There is a one day attachment with a paramedic. Protected audit sessions have been funded. There are in addition regular orthopaedic meetings on Mondays.

Student Nurses are regularly attached to the department in addition to Medical Students on secondments and elective periods. From 2004 there will be a regular attachment of final year medical students from The Liverpool Medical School. There is a rotational post from the SpR A&E training program in Cape Town, South Africa. The department also trains local ambulance staff for paramedic skills.

Local ALS, PALS and ATLS Courses held at Kendal. Please contact Tracey.Lawrenson@rli.mbht.nhs.uk (ATLS) or Janette.Thorpe@rli.mbht.nhs.uk (ALS / PLS) for availability of places.

There is a departmental book, video library and P.C. with teaching package in the Doctor's room. The New Post-Graduate Centre/Library is also on-site adjacent to A&E. The post is recognised for training for the MFAEM, M.R.C.S., M.R.C.P. and for G.P training.

4. LOCATION OF DUTIES

At The Royal Lancaster Infirmary. Visit our Web Site Morecambe Bay Hospitals NHS Trust on http://www.baem.org.uk/aedepartment.htm

5. ACCOMMODATION

Single and married accommodation is available at Lancaster.

6. CONDITIONS OF SERVICE

Holidays are allocated prior to starting the post (a 2 week and 1 week slot), there is no additional cover for holidays. Bank Holiday lieu leave is allocated in holidays and shortened hours in “F” week.

7. GENERAL NOTES

Lancaster is a University city, close to the Lake District, the Yorkshire Dales and Morecambe Bay. This is an area of great natural beauty and offers exceptional outdoor facilities. The M6 provides easy road access to The Lakes and Manchester / Liverpool.

Prospective applicants are advised to contact Dr. McGlone tel:01524 583004 or alternatively contact A&E Senior House Officers already in post tel:01524 583002.

ROTA AND DUTIES ROTA 'A'

Doctor	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
A 29 hrs	OFF	OFF	OFF	OFF	1300-2100	0730 to 1800	0730 to 1800
B 36 hrs	0730 to 1630	0730 to 1500	0730 to 1600	1400 to 0100	OFF	OFF	OFF
C 65 hrs	1400-0100	1400 to 0100	OFF	0730 to 1630	1600 to 0300	1500 to 0300	1400 to 0100
D 21 hrs	OFF	1000-2000	1400 to 0100	OFF	OFF	OFF	OFF
E 81 hrs	2100 to 0800	2100 to 0800	2100 to 0800	2100 to 0800	2100 to 0800	1900 to 0800	1900 to 0800
F 15 hrs only 1 per post	OFF	OFF	0900 - 1600 for teaching	Holiday	0900 to 1700 for paramedic attachment	Holiday	Holiday
FY2 Post	1400-2300	OFF	1000-1800	1000-1900	0730-1600	1000-2000	1000-2000
Associate Specialist	1800-0200 +on call	OFF	0900-1700	1300-2100	0800-1600	1800-0200 1 in 8	1800-0200 1 in 8
Associate Specialist	CPD / AUDIT But OFF after late weekend sessions	0900-1700	0900-1700	1800-0200 + on call	OFF	0900-1700 1 in 8	0900-1700 1 in 8
Registrar	0900 to 1600$	1500-0200	1400-0200	study	0900 to 1600@	1400-0100	1300-midnight
Registrar	0900 to 1600$	1400-2200	1500-0200	study	0900-1600@	1400-0100	1300-midnight
Hospital Practitioner	1800-2130			0900 to 1300 x 2

The Staff Grade doctor and registrar work in the department 1 in 4 weekends*. The registrar @ works 1 in 4 Fridays on-call after 1700-0300. $ 1100-1800 after weekend duties

Reduced hours on "F" week allows for Bank Holidays not included in holidays.

DUTY WEEK SHIFT (hrs)

A 29

B 36

C 65

D 21

E 81

TOTAL 232 = 46.4 hrs a week

Maximum time on duty = 13 hrs