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 medical students. Both registrar and HMO must teach the students.
We expect the registrars to take on as much responsibility as they feel comfortable with, knowing that the Intensivsts 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! A Clinical Excalation process exists. 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 medical students. Both registrar and HMO must teach the students.
We expect the registrars to take on as much responsibility as they feel comfortable with, knowing that the Intensivsts 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! A Clinical Excalation process exists. 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 Emma Broadfield. Bendigo Health runs a dual led Code system, with the nursing staff as the ALS Coordinators (Algorithm) and the medical staff as Team Leader (Hs and Ts).
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 Emma Broadfield. Bendigo Health runs a dual led Code system, with the nursing staff as the ALS Coordinators (Algorithm) and the medical staff as Team Leader (Hs and Ts).
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 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.
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 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.
Audit and Quality Assurance Projects
Each registrar and Critical Care HMO will be allocated to a unit quality improvement portfolio with an Intensivist clinical lead. Please meet with the associated Intensivist within the first month of you attachment. The portfolios are:
We will assign the registrars (and HMOs if they are interested) to a project after their initial meeting with Emma Broadfield (SOT).
Each registrar and Critical Care HMO will be allocated to a unit quality improvement portfolio with an Intensivist clinical lead. Please meet with the associated Intensivist within the first month of you attachment. The portfolios are:
- Education
- Paediatrics
- ICU Echo/US
- Clinical Performance & Innovation
- Communication
We will assign the registrars (and HMOs if they are interested) to a project after their initial meeting with Emma Broadfield (SOT).