Consultants are always available to be called if you have a question or are concerned about a patient, at any time of the day or night. If you do not feel that you can call someone or if you feel you have been treated unfairly when you phoned a consultant please tell someone (e.g. educational supervisor / the clinical lead) so the problem can be solved quickly.
You must liaise with the consultant in charge regarding all admissions to the ACCU. Please discuss with the consultant if you have any queries about patient management regarding patients on the ACCU, those you have been asked to see on the wards or in the Emergency Department, especially if you do not think someone is appropriate for critical care because it would be futile. We would prefer that you speak to us rather than take responsibilities / decisions which you feel unsure about
Out of hours, you may want to liaise with the other trainees on-call (particularly the senior trainee on 4E if you are covering HDU).