HANDBOOK - bhhdoa.org.au

1 BOX HILL HOSPITALDEPARTMENT OF ANAESTHESIA AND PERIOPERATIVE MEDICINEHANDBOOKFORREGISTRARS, RESIDENTS AND INTERNST A B L E O F C O N T E N T `S SET OF DO I FIND WHERE I AM / PLACES OF SPECIAL AND POLICY IN CHARGE RESPONSIBILITIES(i)Pre-operatively(ii)In tra-operatively(iii)Post-operatively(iv) Acute Pain Service(v)Off floor anaesthetist(vi)Out of hour responsibilities(vii)Labour Ward Calls(viii)Line Service(a)Peripheral Lines(b)Central Lines, Arterial Lines and Intubation(c)PICC Lines(ix)Hypotension(x)Other(xi)Special Interest ON MEDICINE Dept HANDBOOK DEPARTMENTIs situated on the 3rd floor of Box Hill Hospital, on the corridor to ward 3 of AnaesthesiaBox Hill HospitalNelson RoadBox Hill 3128 Postal address PO Box 94 Box HillVictoria 3128 Phone9895 3164 Fax9895 3152 Switchboard9895 3333 PagingAny hospital phone 8, wait for tone, then enter pager number, enter #, then enter phone number, then #.

2 Box Hill is a 320-bed hospital, which does approximately 9800, cases a year including Obstetrics & Gynaecology, Vascular, General Surgery, Urology, Thoracics, Paediatrics and boards for information: In the reception area in the anaesthesia offices and on 4th `S WHO IN THE DEPARTMENTThe Department consists of:NamePhoneDirectorDr David Beilby 3456 Deputy DirectorDr Clive Rachbuch 3449 Supervision of TrainingDr Clive RachbuchStaff AnaesthetistsDr Tony Chow3632Dr Peter Girdlestone3632 Dr Con Kolivas3435Dr Gerard Bunsee3632 Senior AnaesthetistDr Greg Stewart Pre Admission ClinicDr Michael Tronson4980 Senior RegistrarMatthew Matusik 6/12 & Carmen Dang 6/12 Acute Pain Nurse ConsultantFiona Normand Pager 3635 Secretaries (job share)Debra Milroy & Pat Sterling Ext.

3 3164 Program Director, Surgical Services David PlunkettNurse Unit Manager, Operating Suite Scrub Scout Robin Riley3167 Nurse Unit Manager Anaesthetic/Recovery (acting)Kerri Pikard3168 ANUM-PACUM oira ParkANUM AnaestheticsTBAF ront Desk StaffJustine, Rosemary and Gail3165, 3160OR Administrative AssistantMax Sutton4912In Charge Nurse CoordinatorVarious3171/home/con/Document s/work/2007/Anaes Dept HANDBOOK SET UPThere are 6 theatres in Box Hill on 2 levels.(i)Theatres 1-4 are located on the 4th floor as are the change rooms.(ii)Theatres 5 & 6 are located on the 2nd floor of the same building, however the change rooms are in the 3rd floor through the Occupational Therapy department.

4 Access is gained via the stairs in the tearoom.(iii)Endoscopy & ECT are performed on the 2nd into theatre attire is not required for these procedures. Admission is gained via the 2nd floor OF WORK:Your official hours are 0800 - 1800 for day shifts (though they usually run from around 0730 to 1730)1700 - 0800 for night shifts0800 - 2000 weekend day shift2000 - 0800 weekend night shiftAn 0800 1800 shift exists for Christmas. The Evening shift then becomes 1800 to 0800 the next : Approval must be gained from your supervising consultant prior to claiming for any extra hours (overtime).

5 This is a Medical Administration requirement. In the main you will be able to claim time where your help is essential (eg AAA, transports). For other cases which go over time you might want to stay for interest s sake but there will be no LEAVE NOTIFICATION If you are unable to work due to illness, please notify the Department of Anaesthesia on 9895 3164 and Theatre Reception on 9895 3165 as early as possible. Medical Administration requires that you inform the hospital at least two hours prior to your shift DO I FIND WHERE I AM WORKING:(i)The master roster will let you anticipate what nights you are working.

6 (ii)The weekly roster will inform you as to what specific lists you are doing (subject to change if there is sick leave).(iii)The patient lists for the following day are published at the front desk around 2-3pm. However, if you ask really, really nicely then the girls will be able to give you some idea earlier in the morning ( around 0830). If you are phoning from outside, the number to the front desk is 9895 3160 or Dept HANDBOOK PLACES OF SPECIAL INTEREST:i)OVERNIGHT ROOM:-is located on the 6th floor of the Clive Ward room is in the residents quarters, down the hall on the right, and marked.

7 (the code to enter the building is the same as that which lets you enter the residents quarters) 3581 room is sometimes claimed by the consultant on call. Unfortunately despite our attempts Medical Admin cannot allocate an extra )BIRRALEE: The obstetric unit-is aboriginal for Mother and Baby -is located on the 1 st floor in the west wards are designated Green & Ruby but the beds are all numbered in ascending order, so just remember the bed number and you cannot go wrong!iii)PAEDIATRIC WARD-is located in ward 2 Westiv)SURGICAL ADMISSION CENTRE 1 North-On level one outside Cafeteria.

8 Patients being admitted on day of surgery will be admitted to this the most important ward, where you will find all the patients admitted on the day of surgery ( >80% of your patients).-It needs more interview rooms as you will find for morning lists arrive ~0700, for afternoon lists at )ICU/ HDU:-is located in the west building, just outside the 2 west ward-take both ICU and HDU patientsvi)2 SOUTH:-there is a small area (beds 29 32) which function like a major surgical / step down they will have patients with epidurals, they are unable to monitor CVP or arterial )PRE-ADMISSION CLINIC: -is located on 4th floor West Wing LIBRARY.

9 Books are not for loan outside of the Department books need to be returned to the library as soon as AND POLICY MANUAL:Nursing policy and protocol manual can be found on the Intranet. The Department Policy and Procedure manual is in the IN CHARGE ANAESTHETISTS: Each session there will be a designated in-charge senior anaesthetist. Is responsible for the anaesthetic man power management as well as the booking of cases between 0800-1800hrs. If you are sick or have any queries these should all be done via the senior anaesthetist. Should your list finish early you must obtain permission from the senior in charge should you wish to leave the hospital Dept HANDBOOK 531-01-0710 REGISTRARS (all), RESPONSIBILITIES when in doubt ask :At any one time there are a number of registrars with varying experience and abilities.

10 Junior registrars, ED registrars, residents and interns will always be working with a supervisor. Supervision requirements are set out in the Department Policy on supervision of registrars. However, even with one to one supervision, registrars and residents will be left for periods of time without direct supervision by a consultant in the theatre. Always ask if worried or unsure. Some may be tempted to push the boundaries of their ability to manage independently without consultation or supervision, in order to impress the consultant. Resist the temptation. Appropriate calling for help ( demonstrating good judgement) and ensuring that the consultant is aware of the situation and above all ensuring safety of the patient is a most important skill to learn.