MORECAMBE BAY
HOSPITALS ACUTE NHS TRUST
JOB DESCRIPTION
Associate Specialist IN ACCIDENT AND EMERGENCY
FULL-TIME plus 1 session. Total 12
sessions
BASE The Royal
The University provides both cultural
and sporting facilities. The local educational facilities are excellent. The M6
makes travelling by road very easy.
THE
HOSPITAL
This 495-bedded hospital has all major
specialties on site, including Coronary Care, Intensive Care and a 24 hour CT
scan service. The
Regional
Services
The specialties of Neurosurgery and
Plastic surgery are based at the
THE ACCIDENT AND
EMERGENCY DEPARTMENT
This unit sees 41,000 new
patients a year with a seasonal variation.
The
The department is equipped to receive
patients who are critically injured from the
There are 3 stretcher bays in the
resuscitation room and 10 cubicles in the main A&E area. There is one
A&E theatre used for suturing and sedative procedures. There is a designated decontamination room.
There is a separate waiting area for
children and a designated children's treatment room.
There are two Review
Clinics per week held in the adjacent orthopaedic out patient department. The
department staffs daily Dressing Clinics in A&E.
Equipment in the department includes:
4 Propaq Monitors (incl. Pulse
Oximetry, E.C.G. & non-invasive B.P. / 1 invasive B.P.)
2 Propaq monitors with end tidal CO2,
1 Transpac Ventilator
2 defibrillators including external
pacing facility
Carbon Monoxide breathalyser
Wall mounted ophthalmoscopes and
auroscopes in cubicles
There is a Modem/Computer link via the
NHS net to the Edinburgh Poisons Unit.
A Web Page for the
department has been developed, visit the site at
http://www.baem.org.uk/aedepartment.htm
The department was a pilot site for the
Regional ACT Medisys Unix Computer Software which has
been operational since July 1992. The development of this system has improved
the capability to audit both nursing and medical activity. Initial Assessment
by a nurse is performed within 15 minutes in 96% of new patients and a doctor
sees over 50% of new patients within 30 minutes.
As well as co-operating in Regional
Audit studies the department is also involved in the UK TARN trauma study.
Minor
Injury Unit - Westmorland General Hospital Kendal
This unit sees 19,000 new patients a
year. Four full time staff grades and Nurse Practitioners staff it. Between
midnight and 0800 am the unit is staffed by a nurse practitioner with a G.P.
on-call.
There is an X
ray link between all 3 Trust A&E sites.
This 242-bedded hospital takes acute
medical admissions and there is a CCU. Surgery is limited to elective work.
There is no resident anaesthetist and no in patient paediatrics.
In view of the above the Cumbria Ambulance
service is supplied with a protocol to limit the range of ambulance cases
presenting to the unit. Major Trauma is diverted to the main unit at
TEACHING
AT
There are 12 formal all Wednesday
teaching days for SHOs at the start of the posts. Thus this is equal to one
session a week over the whole 6-month post. Later sessions are designated for
Audit.
S.H.O.s are
encouraged to attend the Regional A&E induction weekend course at Bolton
and the Soft Tissue Injury Course at
Nursing Staff are taught to suture,
cannulate and plaster in the department and there are daily afternoon teaching
sessions.
There is a departmental book and video
library. CD-ROMs are accessed via the departmental computer.
From 2005 the department will have a
regular attachment of 6 to 8 final year
There is a very
active Education Centre adjacent to the Royal Lancaster Infirmary where regular
meetings are held. The Post-Graduate Medical Centre also houses an excellent
library. The present tutor is Dr D.Burch.
RESEARCH AND CONTINUING PROFESSIONAL DEVELOPMENT
The department has a
proven track record of published clinical research (see Web Site). Research activities are led by the A&E
Consultants. The previous
post-holders have been actively involved in research in the
department with published papers.
The successful
applicant will be encouraged to attain instructor status in an Advanced Life
Support Course (ATLS, APLS) and be expected to have up to date Provider Status
in these two courses. Local courses are
held in
A post-graduate
qualification is essential.
The directorate will
support the continuing professional development of the successful applicant
with approved study leave and there is also one session allocated per week for
CPD and audit.
MANAGEMENT
A Directorate structure was introduced
into the hospital in 1992. The Directorate of A&E Medicine consists of the
A&E departments at Barrow and Lancaster and the Minor Injury Unit at
Kendal.
The A&E departments have control of
separate A&E budgets.
Clinical Director - Dr. Ray McGlone
Directorate Manager - Ms. Cathy Tite
Assistant
Directorate Manager - Ms. Lisa Reynolds
There is a weekly Thursday morning
departmental meeting at
STAFFING
Consultant Dr.
R. McGlone
Consultant South
African Rotation
Consultant Dr.S.Schneidman
Consultant Dr
A Webster
Staff
Grade Dr.Sivakumar
Staff Grade Dr.T.Fleet
Registrar SpR
Manchester rotation
Registrar SpR
Manchester rotation
Registrar
Clinical
Assistant 2 sessions to
cover teaching / audit on Thursdays and 1 session Monday evening
Senior
House Officers 6
Foundation
Year 2 1
Two S.H.O.s are on a G.P. vocational scheme and
two on the Basic Surgical Training Scheme.
Nurses
1 H Grade – Sr.Sally Young,
2 G Grade Nurses, 8 F Grade, 8.1 E
Grade Nurses and 11.49
(WTE) D Grade Nurses.
This Nursing compliment includes
plaster nurses / technicians.
Total 32 W.T.E.
1 Full time Secretary, 1
Part-time Ward Clerk and 9 (WTE) Receptionists (including 1 "Scale 4"
Senior Receptionist). The
Reception Staff also have responsibility for the orthopaedic outpatients.
PARAMEDICS
AND FLYING SQUAD
A new "Flying Squad" vehicle
is stationed outside the department available to attend serious trauma,
primarily for patients trapped in vehicles. Either the A&E Consultant or a
Consultant Anaesthetist (I.T.U.) is the team leader of the Flying Squad.
Ambulance Paramedics from
All splints in
the department are standardised with equipment on the Ambulances such as
cervical collars, traction and vacuum splints. The A&E Consultants are on
the Paramedic Advisory Committees for Lancashire and
THE POST
Responsibilities include assessing and treating patients arriving
with minor injuries, major injuries and medical problems. These patients
include those referred from GPs and those who refer themselves. Treatment will include initial assessment,
resuscitation and diagnosis and referral to other specialties when appropriate.
The Associate Specialist is expected to
see new patients alongside the S.H.O.s when scheduled to work in the department
on clinical sessions.
In case of major trauma the Associate Specialist may take
the roll of Trauma Team Leader.
The successful candidate would be
expected to perform administrative tasks e.g. checking positive X-rays results
on patients with no follow up arranged, checking all blood, biochemistry and
MSU results on discharged patients and assist in liaison with groups such as
General Practitioners and the Ambulance Service.
He/she would be expected to assist with
the teaching of the nurses, medical students and the junior medical staff. He/she may also be required to help run the
Review Clinic.
The Senior House Officers receive teaching from 09.30 –
16.00 hours on Wednesday and it is expected that the Associate Specialist will
provide cover for the department during this teaching session as well as
leading some tutorials. When no Wednesday teaching takes place Week 2: 0900-1700 may be transferred to
Monday pm / evening.
The appointment will be for 12 sessions
(1 session for audit/teaching/CPD and 2 sessions for on-call / anti-social
hours). On call is one night a week and 1 in 4 weekends (Sat/Sun). Clinical
duties will rotate between weeks 1 and 2 on the rota. (see
below)
One audit or research study must be
completed in every 6-month cycle. This may include acting as a facilitator for
SHO audit projects.
The successful candidate will have a
named Consultant mentor and there will be a yearly appraisal process.
Patient
Activity – a minimum
number of 2200 points p.a. (new patients discharged = 1 point and admissions =
3 points)
The clinical duties include working 4
flexibly worked clinical sessions at weekends on a 1 in 4 basis. The two
Associate Specialist doctors will work day shifts then late shifts alternate
weekends when on duty.
When covering the absence of a
colleague (associate specialist) the Monday and Thursday sessions will be
1800-0200 with no on-call. Then the next day the shift will be Tuesday
1100-1700 and Friday
1100-1800.
The successful candidate accepts that
he/she will occasionally be asked to perform duties at short notice if a crisis
occurs.
|
|
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
Sat |
Sun |
|
Week 1 |
1800-0200 +on call |
OFF |
0900-1700 |
1300-2100 |
0830-1700 |
1800-0200 1 in 8 |
1800-0200 1 in 8 |
|
Week 2 |
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 |
Main Conditions of Service
1.
The post is
offered on a whole time basis and covered by the Terms and Conditions of
Service for Hospital Medical and Dental Staff (
2.
Written
evidence of current registration with the General Medical Council.
3.
Health
Clearance
The successful candidate will be required to complete a health questionnaire and undergo a pre-employment medical examination before commencing employment with the Trust.
4. Rehabilitation of Offenders Act 1974
The post that you have applied for
is exempt from the Rehabilitation of Offenders Act 1974. This is because the
job is concerned with the provision of health services, which involves access
to patients. You must therefore declare
any previous convictions, ‘spent’ or otherwise.
Should you be employed and a failure to disclose a conviction / police
caution be discovered, you could be liable to summary dismissal or other
disciplinary action. In addition,
successful candidates whose posts involve access to children are required to
undergo a police check as a condition of employment. “If in doubt declare it”.
5. Authorised to live and work in the
Start
Date: Summer 2005
VISITS Arrangements
to visit the hospital may be made with:
The
Secretary
Accident
& Emergency Department
Royal
LA1
4RP
Tel: 01524-583004/2
To discuss the Job Description further please contact the
Clinical Director, Dr.Ray McGlone on 01524 583516 or BT Bleep 07693 941009
Visit
our Web Site on: http://www.baem.org.uk/aedepartment.htm