Expectations
General duties
The registrar is responsible for the “Clinical Administration” of the Unit. As the medical team leader, the registrar can allocate tasks such as who admits, transfers a patient and who performs procedures. This is does not mean that all clinical and documentation tasks are to be performed by others, but that the registrar coordinates task allocation.
The registrar must also include and direct the students.
Both registrar & resident must teach the students.
We expect the registrars to take on as much responsibility as they feel comfortable with, knowing that the Intensivists are ALWAYS happy to assist as needed. Most Senior Medical Staff issues about communication with registrars is about a lack of phones calls, not too many! You must call if –
The registrar is responsible for the “Clinical Administration” of the Unit. As the medical team leader, the registrar can allocate tasks such as who admits, transfers a patient and who performs procedures. This is does not mean that all clinical and documentation tasks are to be performed by others, but that the registrar coordinates task allocation.
The registrar must also include and direct the students.
Both registrar & resident must teach the students.
We expect the registrars to take on as much responsibility as they feel comfortable with, knowing that the Intensivists are ALWAYS happy to assist as needed. Most Senior Medical Staff issues about communication with registrars is about a lack of phones calls, not too many! You must call if –
- You are worried
- The nurses are worried despite your assessment and intervention
- After you have assessed each referral
Critical events
When critical events occur, ICU patients require the same basic management as any patient who decompensates. Immediate basic resuscitative management (ABC) and Advanced Life Support (ALS) are required, until assistance can reach you.
ALS certification is compulsory and unless you have recently completed such a course in another hospital (a certificate of completion will be required) we expect you to have an ALS update at Bendigo Health within the first month of starting. If you require an update, please inform Dr Tim Chimunda (SoT).
When critical events occur, ICU patients require the same basic management as any patient who decompensates. Immediate basic resuscitative management (ABC) and Advanced Life Support (ALS) are required, until assistance can reach you.
ALS certification is compulsory and unless you have recently completed such a course in another hospital (a certificate of completion will be required) we expect you to have an ALS update at Bendigo Health within the first month of starting. If you require an update, please inform Dr Tim Chimunda (SoT).
Codes
ICU provides a Medical Emergency Team (MET) medical responder, and a doctor for the Code Blue (Cardiac Arrest) team. You must carry your CISCO phone (registrars) and pager (HMOs) at all times.
When there is a Registrar and a Resident available in the Unit, only one should attend MET, Code Blues and Trauma Calls. The registrar is expected to be the default ICU doctor to attend these emergencies, but can delegate to the resident if there are conflicting obligations.
ICU doctor attendance at Trauma Calls is not obligatory, but the Registrar should attend if available.
The ICU medical staff are not required to attend Neonatal Code Blues.
ICU provides a Medical Emergency Team (MET) medical responder, and a doctor for the Code Blue (Cardiac Arrest) team. You must carry your CISCO phone (registrars) and pager (HMOs) at all times.
When there is a Registrar and a Resident available in the Unit, only one should attend MET, Code Blues and Trauma Calls. The registrar is expected to be the default ICU doctor to attend these emergencies, but can delegate to the resident if there are conflicting obligations.
ICU doctor attendance at Trauma Calls is not obligatory, but the Registrar should attend if available.
The ICU medical staff are not required to attend Neonatal Code Blues.
Audit and Quality Assurance Projects
Each registrar and Critical Care HMO will be allocated to one of the consultants to support them in their portfolio. This will give you some insight and education/training in to how hospitals work from a non-clinical perspective and also expose you to quality assurance and research projects. Dr Tim Chimunda will allocate you to one of the consultants at your first SoT meeting in the first couple of weeks of commencing your attachment. Please let him know if you have any particular interests within any of these areas:
Each registrar and Critical Care HMO will be allocated to one of the consultants to support them in their portfolio. This will give you some insight and education/training in to how hospitals work from a non-clinical perspective and also expose you to quality assurance and research projects. Dr Tim Chimunda will allocate you to one of the consultants at your first SoT meeting in the first couple of weeks of commencing your attachment. Please let him know if you have any particular interests within any of these areas:
- Paediatrics (Emma Broadfield)
- Communication (Janice Yeung)
- Clinical Governance and Data (Cameron Knott)
- Education, including medical students, teaching and simulation (Vijay Palamiswamy)
Retrieval
On occasion the Registrar may rarely be asked to retrieve time-critical patients to or from Bendigo; this will be at the discretion of the Duty Intensivist.
On occasion the Registrar may rarely be asked to retrieve time-critical patients to or from Bendigo; this will be at the discretion of the Duty Intensivist.