There are plenty of choice of places at FVRH for coffee, cake, hot and cold food and places for some downtime. The ground floor by the main entrance has most of the amenities on offer, with the Restaurant directly above the entrance.
The Bungalow (Junior Doctor’s Accommodation) is a five minute drive from FVRH. It is equipped with decent kitchen/lounge/two bathrooms. Linen/towels are provided and there is ample free parking. Nearest big shop is Tesco – ten minute drive away. Email Mary Malarkey to book. A room is available at short notice – i.e. if you are too tired to travel after night shift. Attend Security to get access.
The Doctor’s Mess is newly established within the last year and has several sofas, a TV, coffee machine and microwaves round the corner.
For up to date referral information – search for ‘Referral’ on the Staff Intranet or click here. Dial ‘0’ for switchboard – they can put you through to any location and give you the page numbers for most staff. Enter ‘9’ as a prefix for calling an outside line.
Out of hours can be defined as after 5pm on a weekday/9-5 on a weekend. Things work slightly differently at night hence there are a few things to be mindful of when requesting things.
Radiology – Any requests for plain films are made on OrderComms and then arranged by the radiographers automatically. In CAU/AAU please call them directly on 67087 to arrange this (the department has priority access).
Overnight requests all need to be telephoned to the radiographer on 67087 or 67678, this includes CT scans and portable CXR. The radiographer may put you through to the ‘Everlight’ radiology consultant to discuss complex requests
Escalating sick patients
Escalate any problems through your own team first – e.g. the back door medical team on the weekend. Take a note of everyone’s page numbers (whether this be a photo of the whiteboard at the Medical Backdoor Handover or other department arrangements). If you are struggling to get hold of someone to help, page the registrar for the speciality (Medicine #1245, Surgery – ask switchboard, Paediatrics #1637, O&G – on call bleep 1188).
Remember – emergencies/need more pairs of hands quickly – dial 2222. The ICU team are happy to help in assessment and management of deteriorating patients who may need level 2 or 3 support; they can be contacted on 67687.
The Royal College of Physicians state that 4am is the most dangerous time of a night-shift for everyone. You are legally entitled to at least one break per shift.
FVRH uses a number of different IT systems in order to manage clinical work, some of these maybe familiar from previous posts, however there are subtle differences particular with Trak. Online modules will allow you to access these on arrival, if completed in advance – see VIP link.
At this time a ticket must be logged with the IT Helpdesk upon module completion for ordercomms to allow for release of password and username.
- Ordercomms – System used for requesting imaging, haematology, microbiology, histopathology and biochemistry. There are also tabs to allow for requesting of cardiology investigations (echo/ECG).
- Trak – Mapping of patient location/movement as well as completion of clinic letters and IDLs.
- Clinical Portal – Online patient record with results, clinic letters, imaging reports and access to ECS/KIS. Unfortunately this does not import results or correspondence from outwith the FV area (e.g. clinics at tertiary centres such as BOC or QEUH renal)
- Hepma/JAC – E-prescribing system for inpatient med-rec, prescribing and administration. This system is also used for medication discharges/TTOs.
- SCI Store – Links with clinical portal, stores all results including labs and radiology. Possible to request access to results from out of area which will allow access to clinical data from patients records in GGC, including BOC, and GJNH. This includes relevant letters and cardiology tests such as echocardiogram results and ECGs.
- SCI Gateway – National system for vetting and sending referrals, not all junior staff will have access to this system.
- E-Forms – Online quick access ‘memos’ which can be directly and immediately sent to the patient’s online record as well as the GP. Often used for ambulatory care or medication changes made at clinic (quicker than clinic letter, safer than handwritten note). Only >FY2 doctors will have access.
- PACS – Radiology viewing platform, very similar to nationwide system and imaging performed outwith FV can also be viewed via the ‘Global worklist’ menu.
- G2 – Used for dictating and checking clinic letters.
- EDMS – Used for reviewing, amending and approving typed letters.