Duty Hours
ICU JUNIOR DOCTOR ROSTER
ICU has 6 full time-registrars, and 4 residents.
Registrars provide cover 24 hours per day in 12.5 hour shifts.
Residents work 7 days on, 7 days off, with 12.5 hour day shifts (0800 – 2000) and 9.5 hour night shifts (2000 – 0530).
Roster changes
Roster changes for personal reasons will be accommodated as far as possible. However rostered overtime generated by internal shift “swaps” will not be authorised.
Rostered overtime generated by leave cover or changes initiated by the Hospital will be paid as long as the doctor exceeds the total fortnightly hours (76 for residents, 86 for registrars).
Unrostered overtime will be approved by the ICU Director provided it is for direct patient care
Resident hours
On occasion residents will be asked to remain in the unit until the night registrar arrives (20:30), eg if a registrar is ill.
Residents are backfilled if on annual or extended sick leave.
For late notice short term sick leave, the resident will not be backfilled.
We have 5th year students regularly attached to the unit, please use them as appropriately supervised junior interns as far as possible.
Minimum requirement:
To the best of your ability, ICU must at all times have at least 1 doctor in the Unit. If workload escalates where this is not possible, please call the consultant.
ICU has 6 full time-registrars, and 4 residents.
Registrars provide cover 24 hours per day in 12.5 hour shifts.
Residents work 7 days on, 7 days off, with 12.5 hour day shifts (0800 – 2000) and 9.5 hour night shifts (2000 – 0530).
Roster changes
Roster changes for personal reasons will be accommodated as far as possible. However rostered overtime generated by internal shift “swaps” will not be authorised.
Rostered overtime generated by leave cover or changes initiated by the Hospital will be paid as long as the doctor exceeds the total fortnightly hours (76 for residents, 86 for registrars).
Unrostered overtime will be approved by the ICU Director provided it is for direct patient care
Resident hours
On occasion residents will be asked to remain in the unit until the night registrar arrives (20:30), eg if a registrar is ill.
Residents are backfilled if on annual or extended sick leave.
For late notice short term sick leave, the resident will not be backfilled.
We have 5th year students regularly attached to the unit, please use them as appropriately supervised junior interns as far as possible.
Minimum requirement:
To the best of your ability, ICU must at all times have at least 1 doctor in the Unit. If workload escalates where this is not possible, please call the consultant.
Roster and roles
- Rostering is performed by the HMO support unit.
- The roster will be provided at least 4 weeks in advance of the roster period.
- Changes to the roster will be published at least 4 weeks in advance unless cover is required for sick leave, late swaps or changes generated by the doctors.
- There are usually two registrars rostered during the day –
- The ICU registrar (0800 – 2030) CISCO #46391
- The Outreach registrar (0800 - 2000). See below “Outreach Registrar” CISCO #47538
- The Outreach registrar will be re-rostered to provide cover for the duties of any ICU registrar who is on annual or study leave. This may include weekend and night duties. There is no additional registrar backfill provided by the hospital.
- On average the registrars will be working 42.8 hours per week or 85.6 hours per fortnight (including a minimum of 5 hours education per week. Some weeks will be more than 43 hours per week and some less: work hours are averaged and overtime will not be paid whilst working these hours. Registrars are paid for 86 hours per fortnight, which includes 76 hours clinical commitment and 10 hours education/training per fortnight. This is in accordance with the Award.
Outreach Registrar (47568)
When no registrar is on-leave and there are 5 registrars on the roster, the Outreach registrar will be rostered to do the following -
Your supervisor in this role is the Outreach Consultant for usual working days (except for referrals which are discussed directly with the Duty Consultant) and the Duty Consultant during weekends and Public Holidays.
When no registrar is on-leave and there are 5 registrars on the roster, the Outreach registrar will be rostered to do the following -
- Attending MET and Code Blue calls
- PICC line insertion
- See referrals
- Attend ICU pre-admission clinic (Tuesdays 1345)
- MET & Code Blue review meetings
- Perform MET case reviews
- Attend Trauma & Paediatric Simulation sessions (coordinated by ED)
- Research & study
- Provide a “second pair of hands” in exceptional circumstances
Your supervisor in this role is the Outreach Consultant for usual working days (except for referrals which are discussed directly with the Duty Consultant) and the Duty Consultant during weekends and Public Holidays.
Annual leave and Study/Conference Leave
- Registrars are entitled to 5 weeks annual leave and 2 weeks study leave per annum.
- Leave taken is calculated at an average of 43 hours per week, regardless of rostered hours for that time period.
- All leave applications (annual and study) must be submitted 6 weeks in advance.
- Only one registrar can be on leave at any one time (allocated on a “first come first served” basis). The only exception is for CME leave, particularly for sitting of exams.
Sick Leave
- Notify the HMO Support Unit (Out of hours contact HMO Coordinator via Switchboard) and consultant on duty if you are unable to work. Please do this as soon as you realise you will be unable to work, so that contingency plans can be made.
- You can provide a Statutory Declaration form for 1 day of “sick leave” on no more than 3 occasions per annum.
- If you are unable to work for more than 1 day you will need to provide a Doctors Certificate and a “PAY 12” form both of which should be forwarded to the HMO Support Unit.
Clinical Consultant Duty Hours
Clinical Consultant duty hours:
Weekdays:
Weeknights:
After the ANUM handover, at 2130 the night registrar will participate in the ANUM handover at the bedside, then call the Duty Consultant to discuss any issues identified (NB. At times the Duty Consultant will choose to come in to do a round (particularly if the unit is busy).
Weekends:
Weekdays:
- ICU: 0800 - 1800
- Outreach: 0900 - 1600
Weeknights:
After the ANUM handover, at 2130 the night registrar will participate in the ANUM handover at the bedside, then call the Duty Consultant to discuss any issues identified (NB. At times the Duty Consultant will choose to come in to do a round (particularly if the unit is busy).
Weekends:
- Minimum of 2 ward rounds
- Morning round starts between 8:00 and 09:00 am
- Other rounds by arrangement