POSITION DESCRIPTION/RUN DESCRIPTION POSITION TITLE: HOUSE OFFICER/SENIOR HOUSE OFFICER DEPARTMENT/SERVICE: WHANGANUI HOSPITAL HEAD OF DEPARTMENT – RESIDENT MEDICAL OFFICERS REPORTS TO: SPECIALIST CONSULTANT OF ASSIGNED AREA APPROVED: Manager Date ACCEPTED: Employee Date ROLE SUMMARY This position works principally within the department or service specified above, however all employees at Whanganui District Health Board may be required to undertake duties in other areas of the organisation which promote the efficient and effective operation of Whanganui District Health Board which reasonably fall within the general parameters of this position PURPOSE OF THE Each run is of three months’ duration at Wanganui Hospital POSITION rotating through: Medical Services Surgical & Orthopaedic Services Paediatric Services / Obstetrics & Gynaecology Services Emergency Department Mental Health DIRECT REPORTS Nil DELEGATED Financial AUTHORITIES Nil Staff Nil 1 FUNCTIONAL RELATIONSHIPS Key Contacts (internal): Nature or purpose of contact: Clinical Director/Head Professional Responsibility / Accountability of Department Delivery of strategy and advice on clinical related issues Other doctors within Facilitation of Patient Care the Hospital The multi disciplinary Referral to Specialist care health care team Clinical advice Support Services Facilitation of Patient Care Key Contacts (external): Nature or purpose of contact: Patients/clients and To develop effective relationships in providing management families/whanau of patient care External agencies Referral of patients to other health service providers REGISTRATION/SCOPE OF PRACTICE You must be able to demonstrate that you are registered with the Medical Council of New Zealand and that your scope of practice enables you to undertake the duties of this position RECOGNITION BY ROYAL COLLEGES Whanganui Hospital is recognised by: The Royal Australasian College of Surgeons for the purposes of surgical training in General Surgery (Part I); and in advanced trainee Orthopaedic Surgery The Royal Australasian College of Physicians for basic training It is also recognised in Paediatrics for the Diploma in Child Health (Otago) and the Diploma of Obstetrics & Gynaecology (Otago) 2 KEY PERFORMANCE INDICATORS Key Accountabilities Tasks Key Performance Indicators (Key areas of focus) (How it is achieved) (How it will be measured) Emergency All House Officers when rostered on duty shall attend the Department Emergency Department at 8am to receive handover from the night House Officers and attend a supervised Emergency Department handover session, if they were on evening duty the previous day (4pm-10pm). Ward duties The House Officer shall attend all ward rounds conducted by the consultant(s) in rostered hours, unless there is a medical emergency. Each patient is to be seen and examined at least on a daily basis on week days, and as clinically indicated outside of working hours / weekends. Instruction from consultants re-investigations/ treatments are to be carried out as soon as is practicable. Consultants or Registrars, where applicable, shall be notified of admissions, significant changes in patients' condition and deaths as soon as practicable. Review and action investigation results as appropriate. 3 Acute admissions Responsible for assessment and management of general practitioner and emergency admissions, and for clerking patients of the appropriate consultant. Consultants or Registrars, where applicable, must be informed of all acute admissions to the ward and emergency monitoring unit as soon as practicable. Outpatient clinic Attendance at these clinics is recommended (if possible). Pre-admission clinics Attendance at pre-admission clinic of assigned (Surgical / Orthopaedics consultant, assessing and clerking pre-operative / O&G runs) patients. House Officers have the responsibility for organising appropriate investigations and liaising with anaesthetic staff. Theatre (Surgical / Assisting in Theatre as requested by Consultant. Orthopaedic / O&G Encouraged to attend Theatre when ward duties permit. runs) Minor operations General Surgical House Officers may assist Registrar (Surgical / Orthopaedic with day case list once a week. Where minor runs) operations are performed by the House Officer the House Officer is responsible for organising follow-up including GP letter. Documentation Clinical records must be updated as often as indicated by the patient’s condition; the minimum requirement is daily during week days. Investigations, changes of treatment, including prescriptions and procedures, are to be documented in the clinical records. Discharge summaries must be completed prior to discharge. Written referrals are to contain adequate clinical information, degree of urgency and a legible signature. Specialist referrals must be discussed with the consultant or the appropriate Registrar first. 4 All documentation must be dated, with time of entry recorded, and signed by the House Officer making the entry. Medical practice Must be conducted in accordance with legislative requirements and normal professional standards. Speciality cover On rostered evenings and weekends, House Officers cover the specialty area where rostered for both admissions and inpatients. House Officers rostered on night duty will be expected to cover both the wards and the Emergency Department alternatively with the other House Officer on duty. Out of regular hours, (ie 4:00 pm to 10:00 pm, 9.30 pm to 8.30 am and weekend and statutory holidays) House Officers are expected to assist with the caseload in the Emergency Department as ward workload allows. House Officers may be expected to cover departments to which they are not attached at that point in their current run. This should be the exception rather than the rule. Health and Safety in Comply with all safe work procedures, policies and Completed the WDHB Health and Employment instructions. Safety Orientation Course and Report all incidents hazards and injuries to supervisors updates in a timely manner. Attendance at workplace safety Actively participate in the ongoing development of safe meetings (indicated by minutes) workplace practices in Whanganui District Health Board. Demonstrated by signed training records Active Involvement in, and completion of, rehabilitation programmes as required Timely, full and accurate completion of accident and hazard forms if and when required. 5 TRAINING AND DEVELOPMENT Professional development of a House Officer's skills and knowledge should occur during the run Wanganui Hospital provides the following tutorials and all House Officers must attend their departmental meetings. The other training and development sessions are available for attendance if their clinical commitments allow Monday 0800 to 0900 hours Emergency Dept / O&G RMO X-ray meeting Tuesday 0800 hours Surgical X-ray tutorial 1230 hours Post graduate lecture – topics published in advance Wednesday 0800 hours Orthopaedic meeting 1230 hours Multidisciplinary lecture Thursday 1230 hours House Officer tutorial Friday 0830 to 0930 hours Medical X-ray meeting 1130 hours Paediatric tutorial 1230 hours Medical meeting – alternate weeks IDEAL PERSON PROFILE QUALIFICATIONS, SKILLS AND EXPERIENCE Essential Registered with the Medical Council of New Zealand Hold a current Annual Practising Certificate Have a medical indemnity insurance (which complies with New Zealand requirements) Desirable Ability to communicate fluently in English, both verbally and in writing Ability to work effectively as part of a multi-disciplinary team Sensitivity to the needs of other cultures High professional standards Commitment to professional development AD. MA 8 July 2010 6 PHYSICAL ATTRIBUTES Under the Human Rights Act 1993 discrimination based on disability is unlawful. Whanganui District Health Board will make all reasonable efforts to provide a safe and healthy work place for all, including persons with disability. Every effort has been made to outline requirements clearly. If a potential applicant has uncertainties about their ability to fulfill these physical requirements, enquiry should be made whether it would be possible to accommodate a particular issue by obtaining advice from Occupational Health Unit/Infection control team. Must be able to function in rapidly changing and demanding conditions when required Hearing and speech sufficient to communicate clearly with patients and co-workers, monitor patient status and equipment, recognise impending emergencies relating to patients and equipment and hear emergency alarm Ability to wear face masks and rubber gloves for protection against infectious disease. Absence of a health condition which could increase appointee's susceptibility if exposed to infections more frequently than usual Skin condition should allow frequent contact with water, soap/disinfectant soap, chemicals and latex rubber Skin should not be fissured, scaly, cracked on hands, forearms, face or neck The appointee must not have infection or colonisation with MRSA The appointee must not have a health condition that will put others at risk Manual dexterity sufficient to operate a variety of specialised equipment used within wards/departments at Wanganui Hospital as required, including syringes and intravenous pumps together with safe administration of drugs and use of clerical items including personal computers A high degree of physical capacity is required as the work is physically demanding, involving standing,