A Typical Day
There can be a lot of variability between days but here's a rough guide to get you started:
0800 - Handover
We start handover with an Operational Handover where we run through some information e.g. introductions, number of patients, allergies etc.
The on-call team will stay and get handover from the night team. Everyone else will divide to review patients. Where possible we try not to allocate patients to the on-call team but if needed allocate first to the SHO then the SpR.
~0930 - Morning Ward Round
In preparation for this the on-call SHO should prepare some portable computers - WOWs. Each consultant has a different preference but the more jobs that can be done of the ward round, the better. To help this we suggest a computer each for:
A person to read their ward round entry/present
A person to enact jobs like ordering x-rays or changing medication
Our ICU pharmacist
The consultant on-call
We use Cerner and during induction we will teach you how we make best use of it. We use a standard template and a systems based approach.
After finishing the ward round we divide the jobs and enact them.
1400 - Teaching
We have a robust teaching program and have sessions most days. If you'd like to see our teaching program
1630 - Afternoon Ward Round
A shorter ward round than the morning. The aim is to recap the progress of the day and make a plan for the night shift so you only need to write a short note.
1800 - End of a Normal Day
2000 - Evening Handover
The day on call team handover to the night team. This is a consultant free handover.