What you need to know

Induction for taster week trainees

Welcome to RMCH This is a brief induction about the paediatric

anesthetic department, theatres and what to expect in this week.

Please read this prior to arrival.

Any burning questions or unanswered queries please email rosalind.morley@cmft.nhs.uk

Where do I go on my first day? Please come to the anesthetic department on the first

morning of your attachment. You will need to get buzzed in through the theatre doors and ask to go to the department.

It will be useful to arrive prior to 8am to allow the team to help you out

Overview of Central Site

Car park £5/day Children’s ED

RMCH Ground Floor

SMHREHMRIM and S

Best set of stairs to get to

theatres on first floor.

There is a model of a big white

rabbit on the corridor outside

the stairs!

RMCH First Floor

*

Anaesthetic department

SMHREHMRI

Theatres

What we do Emergency Lists

Bronchoscopy

Burns

Cardiac Catheterisation

CT + MR Scans

Dental / Max Fac

ENT

Eyes

Gastroenterology

General Surgery

Neonates

Nephrology / Transplant

Neurosurgery

Oncology / Haematology

Orthopaedics & Trauma

Plastics

Rheumatology

Spinal Surgery

Urology

Also cover paediatric lists at Trafford and The Christies

Which Theatres does what- subject to short notice changes! 18 (eye hospital) EYES

21 Urology

22 General/Urology

23 ENT/ General

24 CEPOD

MPU –gastro lists/ Dental/ ENT

27 Spines, Ortho,

28 Neuro, ENT

29 Ortho

30 Ortho/ Neonates

31/ Burns/ plastics/General

Ward 84 -oncololgy

MR scan/ CT scan

Who is whoThe Anaesthetic Department

Consultants (34) Nicola Anders Clinical Director/ Clinical Lead CBU Lucy Hartley Deputy CD Dan Fines College Tutor Roz Morley College Tutor / Trainee Rotamaster Moataz Abdelrahman Clinical Lead Theatres Zsuzsanna Kulcsar Consultant RotamasterDr P Ashford, Dr V Barlow, Dr D Barman, Dr Bendon, Dr V Colovic, (Dr K Dalgleish), Dr Diacono, Dr C Doherty, Dr H EasonDr A Griffiths, Dr A Guleria, Dr T Howell, Dr K KirkpatrickProf R Mackinnon, Dr V Oshan, Dr J Owen, Dr D PatelDr R Perkins (RA), Dr D Prosser, Dr T Raghavendra,Dr S Rolfe, Dr J Sivaprakasam, Dr Shah ,Dr R Sutton, Dr M ThirukkamuDr R Vashisht, Dr R Walker

NW Trainees: up to 16 + Dual ICU traineesClinical Fellows: 2

We use CLWRota

Accessed via:

1. Trust computer:Intranet front page - Resources - Paediatric Anaesthetic Rota

2. Any computer, via https://rmch.clwrota.com1. Generic log in available on arrival at RMCH

3. Your Rota name is Taster Weeks

Rota You will be on

accompanied lists – don’t let anyone make you do a solo list

The rota is done 3 weeks in advance so if you know that you are not going to be able to make a day email Dr Morley who will change the rota

Showing > Locations > All

Week 1 : 27- 01- 2014

Week 2 : 03 Feb 2014 - Published

Week 3 : 10- 02- 2014

Mon, 03 Feb Tue, 04 Feb Wed, 05 Feb Thu, 06 Feb Fri, 07 Feb Sat, 08Feb

Sun, 09Feb

Theatre 21 Morning

UROL- AD / Urology K DALGLEISH

PSURG ALMOND / PSurg ANDERS NHARTLEY(SpR Grade)

UROL-HENNAYAKE / UrologyHOWELL T

UROL-GOYAL / Urology ROLFE SRAJAGOPALANST5

UROL-GOYAL / Urology LONSDALE(SpR Grade)No Mentor

Afternoon UROL-APDI / Urology K DALGLEISH [APS]

PSURG ALMOND / PSurg GULERIAHARTLEY(SpR Grade)

UROL-HENNAYAKE / UrologyHOWELL T

PSURG RJC / PSurg ROLFE SRAJAGOPALANST5

UROL-GOYAL / Urology BEAUVE BLONSDALE(SpR Grade)

Evening UROL AD / Urology ASHFORD P

Night

Theatre 22 Morning UROL-RAMC / Urology C DOHERTYKELLY(SpR Grade)

PSURG GMH / PSurg COLOVIC V

PSURG SIMINAS / PSurg THIRUKKAMU

TRAUMA / Emergencies MACKINNON R

UROL SHEN / Urology RAGHAVENDRA TMOUNTST5

Afternoon UROL RAMC / Urology C DOHERTYKELLY(SpR Grade)

PSURG RJC / PSurg ANDERS NKELLY(SpR Grade)

PSURG SIMINAS / PSurg ROLFE S

ENT MPR / ENT HOWELL TSTOETERFellow

PSURG SIMINAS / PSurg RAGHAVENDRA T

Evening UROL-RAMC / Urology SIVAPRAKASAM [APS]

PSURG RJC / PSurg ANDERS N

PSURG SIMINAS / PSurg ROLFE S

PSURG AMOR / PSurg

Night

Theatre 23 Morning

ENT-MRI / ENT HANISON(SpR Grade)No Mentor

CLEFT-BEALE FINES DFRADKIN(SpR Grade)

ENT IAB / ENT ANDERS N

PSURG JCB / PSurg PROSSER DLEEDHAMST7

PSURG JCB / PSurg J OWEN

Afternoon ENT/IB / ENT HARTLEY LJACKSON(SpR Grade)

ENT-LOUGHRAN / ENT C DOHERTYFRADKIN(SpR Grade)

ENT LLOYD / ENT FINES D

PSURG JCB / PSurg PROSSER DLEEDHAMST7

ENT BL / ENT SIVAPRAKASAMCHITGOPKARST5

Evening ENT/IB / ENT HARTLEY L

Night

Theatre 24(CEPOD)

Morning CEPOD / Cepod ANDERS NDIACONO(SpR Grade)

CEPOD / Cepod C DOHERTY [APS]WAI(SpR Grade)

CEPOD / Emergencies BEAUVE BLONSDALE(SpR Grade)

CEPOD / Cepod FINES DMONKSST5

CEPOD / Cepod SIVAPRAKASAMFRANKST5

Afternoon CEPOD / Cepod V BARLOWHARTLEY(SpR Grade)

CEPOD / Cepod MACKINNON RHANISON(SpR Grade)

CEPOD / Cepod WALKER RWAI(SpR Grade)

CEPOD / Cepod SUTTON RMOUNTST5

CEPOD / Cepod GULERIAMONKSST5

Theatre 27 Morning SPINES VERMA / Spines WALKER RWILSON(SpR Grade)

SPINE-HDA / Spines PROSSER DHOBBS(SpR Grade)

PLASTICS-SK / Plastics FINES D

SPINES-NJO / Spines WALKER RFORRINGTONST5

HAEM RJC / Haematology Zs KULCSAR

Afternoon SPINES VERMA / Spines WALKER RWILSON(SpR Grade)

SPINES-HDA / Spines PROSSER DHOBBS(SpR Grade)

CLEFT-DJW V OSHANLONSDALE(SpR Grade)

SPINES / Spines WALKER RFORRINGTONST5

ENT GASKIN / ENT V BARLOWSTOETERFellow

Evening

SPINES VERMA / Spines

SPINES-HDA / Spines PROSSER D

SPINES-NJO / Spines WALKER R

Night

Theatre 28 Morning

ORTHO-ND / Ortho BANNIFellowNo Mentor

NEURO JOSAN / NeurosurgeryRAGHAVENDRA TBAYLIS(SpR Grade)

ENT-NICHANI / ENT K DALGLEISH

ENT-NICHANI / ENT RAGHAVENDRA TWILLIAMSST5

NEURO THORNE / Neurosurgery COLOVIC VFORRINGTONST5

Afternoon ENT-MPR / ENT THIRUKKAMUBANNIFellow

NEURO JOSAN / NeurosurgeryRAGHAVENDRA TBAYLIS(SpR Grade)

ORTHO NIXON / Ortho K DALGLEISH

ENT JN / ENT V BARLOWWAI(SpR Grade)

NEURO THORNE / Neurosurgery COLOVIC VFORRINGTONST5

Theatre 29 Morning

ORTHO-ANF / Ortho SCOTT-WARREN(SpR Grade)No Mentor

PSURG JCB / PSurg BEAUVE B

ORTHO ALI / Ortho GRIFFITHS A

ORTHO MORAKIS / Ortho C DOHERTYLEIFER(SpR Grade)

CLEFT Beale GULERIALONGBOTTOMST6

Afternoon

PSURG JCB / PSurg BAYLIS(SpR Grade)No Mentor

ORTHO-ND / Ortho COLOVIC VEASONFellow

ORTHO ALI / Ortho GRIFFITHS A

ORTHO MORAKIS / Ortho C DOHERTYLEIFER(SpR Grade)

CLEFT BEALE FINES DLONGBOTTOMST6

Theatre 30 Morning TRAUMA AHMAD /Emergencies ASHFORD P

TRAUMA-ND / Emergencies ROLFE S

Trauma / Trauma SUTTON R [APS]

PSURG GMH / PSurg COLOVIC VWAI(SpR Grade)

TRAUMA-ALSHRYDA /Emergencies BEAUVE B

Afternoon NEONATES / Neonates BEAUVE BEASONFellow

PSURG KHALIL / PSurg K DALGLEISHWAI(SpR Grade)

ORTHO AHMAD / Ortho BEAUVE B

NEONATES / Neonates RAGHAVENDRA TCHITGOPKARST5

NEONATES / Neonates MACKINNON RWAI(SpR Grade)

Theatre 31 Morning BURNS / burns J OWENBAYLIS(SpR Grade)

ENT-DJW / ENT THIRUKKAMU

BURNS / burns GULERIA

Transplant / Nephrology PATEL DFRANKST5

BURNS / burns ASHFORD P

Afternoon PLASTICS-SHAH / Plastics ASHFORD P

PSURG JAMO / PSurg V OSHANWILSON(SpR Grade)

BURNS / burns GULERIA

NEPH TRANSPLANT /Nephrology PATEL DFRANKST5

BURNS / burns ASHFORD P

MPU Morning ENT/IB / ENT HARTLEY LJACKSON(SpR Grade)

Gastro AKA /Gastroenterology KELLY(SpR Grade)No Mentor

CAMMS - NO ANAES REQ PSURG SIMINAS / PSurg HOWELL T PSURG SIMINAS / PSurg

STOETERFellowNo Mentor

Other people in the department Secretaries

Christine Taylor (Flexi retirement) Helping with arranging taster

weeks

Ext 11263

Paula Gardner (Not Fri)

E-Rota For consultants

Stacey Masterson

In from 7am

If running late or sick:

0161 701 7252

Pain Team

Dot

Frances

Claire

Also based in the

anaesthetic

department

Pain team webpage

on intranet via

Departments

All guidelines for

every pain relief

used in RMCH

found here!

Useful for revision

for exams.

“Trainees Facilities” Trainees office

Next to Secretaries / Consultant Offices on corner of corridor

Extremely handy for the bathroom

Two desks, computers, internet access

Also can use the hot desk computers within the department

Free tea/coffee/ milk in theatre

(nespresso coffee maker – please supply your own pods)

Small reference library

Convenient but expensive vending machine by the department

WARNING Do not go to food areas in scrubs (i.e. canteen/ M and

S / Costas)

They may refuse to serve you

OR

If caught by management will ‘tell you off ’

Other issues You will need you ID bade from your host trust at all

times

Car parking – if you park in Hathersage Car Park and show a NHS badge – it is £5 for the day. However there are streets close to the hospital that it is free to park on. (One of the consultants park the far side of Whitworth Park with few issues).

Drug Charts Please do not write drugs up on the chart.

We are fully aware that you are more than capable of doing this in your routine practice!

It is just a safety measure brought in to try and protect the pilot project from unwanted criticism

You can give drugs however please check your dosages (and check again!)

Drug Dosage – a reminder

Recent multiple critical incidents involving:

10 x overdose of Paracetamol (ml for mg)

10 x overdose of Fentanyl

Both occurred in small babies

Please check dosage of drugs with a colleague (consultant/trainee/ODP) FOR ALL DRUGS

Beware dilutions!

The AnaestheticMachine

Drager Primus – some defaults Set up different to adults -

Phillips Monitoring

“Brick” compatible throughA&E, HDU, ICU, TheatresPush for ETCO2 monitoring in Recovery.

Other equipment The other equipment used

are the:

Carefusion fluid pump

Alaris infusion pump –often with a pressure gauge

These are easy to use but get someone to show you how to program them prior to use

Anything else that you have not used before just ask!

Pre operative visiting As you are aware by now this is an essential part of the

anaesthetic journey

Please either accompany the consultant or offer to carry out your own assessment (CBD in the making!). Just be aware that there are some extra questions that we sometimes ask – like about pregnancy and NICU stay – if not sure ask your consultant for advice

Emergencies!

CEPOD/ ARREST BLEEPS This occurs in theatre 24

By definition unable predict what is going to happen!

If want exposure to this please let Dr Morley know

CEPOD trainee holds the emergency bleeps for arrest/trauma.

If want exposure to this please let Dr Morley know and we will try and work something out

Please note trauma calls often at the beginning or end of the day – so you may have to stay late for maximal exposure

Feedback Currently taster weeks are a pilot

and we need your feedback to:

Improve

Continue

At the end of week it is mandatory to fill in the questionnaire and leave in an envelope in Morley pigeon hole/ Christine’s desk.

In return a certificate for the taster week will issued

The questionnaires will not be opened until a batch (5+) come through to maintain confidentially.

Please include in your feedback anything not covered that would have been useful