Ward 8/Maternity Triage shift – 08.30h to 16.30h
- Attend handover in Ward 7 (LW) at 08.30h.
- Complete prescriptions for those going home – there is a list on the white board in antenatal and postnatal areas.
- Complete any jobs generated by the ward round. Inductions of labour and postnates are often seen by the Labour ward team. Non labouring antenatal patients are seen by the gynaecology team.
- Patients attending for induction of labour require their medication to be prescribed (HePMA). We normally prescribe 10mg Propess and 1mg Prostin x 3 doses. There is a Hepma Treatment protocol which can be prescribed.
- The white boards in Ward 8 detail any ‘tasks’ for the day- often patient reviews.
- The hard copy of patients’ results needs to be looked at every day – the tray with these is in the antenatal and postnatal areas on Ward 8. When reviewing any results on the Clinical Portal/SCI stores, it is important to mark ‘action’ on these results.
- Review of maternity patients attending triage- common presentations are UTI’s, PV bleeding, Headaches, Hypertension, Shortness of breath.
Labour Ward 08.30h to 21.00h
- Attend handover at 08.30 in Ward 7 then join the ward round.
- Assist with any caesarean sections.
- Medical reviews, cannulas, bloods and prescriptions.
- After 16.30h you are responsible for Ward 8, gynaecology and maternity triage. At the weekends you cover these departments as well.
Nightshift 20.30h – 09.00h
- Handover takes place in Ward 7 at 20.30h.
- There will be a ward round by the registrar on call.
- Maternity triage moves into Ward 7 overnight.
- You will be covering maternity triage and gynae triage.
- Medical review of patients on wards 6,7 and 8 including boarders.
- Please ensure the postnatal discharge scripts are completed overnight for those going home the following morning.
Clinics – all start at 09.00h and 13.30h
- In gynaecology clinics you will have the opportunity to take histories and present these to the senior doctor. Gynaecological examination can performed by you with direct senior supervision, followed by management discussion. There are a variety of subspecialist clinics you will be able to attend.
- You should also have the opportunity to attend consultant antenatal clinics, which are staffed by two midwives, a registrar and consultant.
Theatre/LUSCS
- Assisting in gynae theatre and with LUSCS. Surgical briefs usually happen between 0830 and 0900.
Gynaecology 08.30h to 16.30h
- Attend handover in Ward 7 at 08.30h.
- This is followed by the gynaecology ward round, during and after which you should complete any jobs generated.
- Gynaecology triage is from 13.30h. This is mainly consultant- and registrar-led. You will be expected to see the emergency gynaecology referrals to the service from GP, the Emergency Department (ED), early pregnancy and any self-referrals. The gynaecology registrar takes the referral calls. If there are no beds in Ward 6 then all patients are seen in ED.
Termination of pregnancy (TOP) clinic
This takes place on a Tuesday afternoon. It is run by Dr Aileen Cope, consultant. In her absence a registrar will cover this service. If you have a conscientious objection to participating in this service please let Dr Cope or Dr Sewnauth know. Remember that you are bound by the GMC to care for women in an emergency situation even if you object to being involved in their care electively.