Duty Hours
ICU DOCTOR IN TRAINING ROSTER
EBA compliant roster management is the goal, as outlined in Appendix A
ICU has 6 full time-registrars and 4 HMOs at any one roster period.
Each day has an allocated registrar to the ICU for Day and Night shifts.
ICU ward registrars provide cover 24 hours per day in 12.5 hour shifts.
An Outreach registrar is rostered predominantly on weekdays.
Residents work 7 days on, 7 days off, with 12.5 hour day shifts (0800 – 2000) and 12 hour night shifts (2000 – 0800).
Roster changes
Roster changes for personal reasons will be accommodated as far as possible. However, any 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 Consultant provided it is for direct patient care
Resident hours
Residents are backfilled if on annual or extended sick leave.
For late notice short term sick leave, the resident will not be backfilled.
Medical student inclusion
We have Foundation Clinical Year (FCY) and final year students from Monash University and University of Melbourne and other universities regularly attached to the unit. Please include 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 one doctor in the Unit. If workload escalates where this is not possible, please call the consultant.
EBA compliant roster management is the goal, as outlined in Appendix A
ICU has 6 full time-registrars and 4 HMOs at any one roster period.
Each day has an allocated registrar to the ICU for Day and Night shifts.
ICU ward registrars provide cover 24 hours per day in 12.5 hour shifts.
An Outreach registrar is rostered predominantly on weekdays.
Residents work 7 days on, 7 days off, with 12.5 hour day shifts (0800 – 2000) and 12 hour night shifts (2000 – 0800).
Roster changes
Roster changes for personal reasons will be accommodated as far as possible. However, any 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 Consultant provided it is for direct patient care
Resident hours
Residents are backfilled if on annual or extended sick leave.
For late notice short term sick leave, the resident will not be backfilled.
Medical student inclusion
We have Foundation Clinical Year (FCY) and final year students from Monash University and University of Melbourne and other universities regularly attached to the unit. Please include 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 one doctor in the Unit. If workload escalates where this is not possible, please call the consultant.
Roles
- There are usually two registrars rostered during the day (unless there is an ICU registrar on leave):
- 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.
- Registrars work on average 42.8 hours per week or 85.6 hours per fortnight (including a minimum of 6.5 hours education per week), noting that some weeks will be more than 43 hours (without breaching the EBA allowance) and others less
- Overtime is paid only when in excess of 86 hours per fortnight (76 hours clinical commitment and 10 hours education/training per fortnight)
- This complies with the rules of the EBA
Outreach Registrar (47568)
When all six registrars are available for duty, i.e. none are on-leave, the Outreach registrar will be rostered to do the following -
When all six registrars are available for duty, i.e. none are on-leave, the Outreach registrar will be rostered to do the following -
- Attend MET and Code Blue calls
- PICC line insertion
- See referrals, protect the ward round until 11:00
- Attend ICU pre-admission clinic (Tuesdays 1345)
- MET & Code Blue review meetings
- Research & study
- Provide a “second pair of hands” in exceptional circumstances
Annual leave and Study/Conference Leave
- Registrars are entitled to five weeks annual leave and two 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 at least 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, in particular, to sit 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 one day of “sick leave” on no more than three occasions per annum.
- If you are unable to work for more than one 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:
ICU: 0800 - 1800
Outreach: 0900 – 1600 (1700 on Wednesdays)
Weeknights: Call the Duty Consultant to discuss any issues identified around 2130 (NB. At times the Duty Consultant will choose to come in to do a round (depending on unit volume, complexity or registrar experience). At a minimum, there must be a telephone conversation between the registrar and Duty Consultant.
Weekends: Minimum of two ward rounds
Morning round starts between 8:00 and 09:00 am
Other rounds by arrangement
Weekdays:
ICU: 0800 - 1800
Outreach: 0900 – 1600 (1700 on Wednesdays)
Weeknights: Call the Duty Consultant to discuss any issues identified around 2130 (NB. At times the Duty Consultant will choose to come in to do a round (depending on unit volume, complexity or registrar experience). At a minimum, there must be a telephone conversation between the registrar and Duty Consultant.
Weekends: Minimum of two ward rounds
Morning round starts between 8:00 and 09:00 am
Other rounds by arrangement