One C-day trainee on 4E and CARRIES BLEEP 1113 – this should be the C day from the 1113 rota and thus should allow for continuity
- Stays on ACCU
- “Attaches” themselves to team A consultant
- Fields all referrals
- Acts as coordinator for the day, deploying colleagues and ensuring the consultant is kept informed
- Would usually be the same person Monday to Wednesday and Thursday to Sunday
Weekend cover on ACCU
All trainees for 4E and 4F to meet in doctors’ office on 4E o Work load to be shared across the unit and agreed at morning hand over
Outside the ACCU
ED deployment
Advanced Adult Trauma Calls: ST3 and above
Code red: ST5 and above or Consultant
ED Consultant requests help: ST5 and above or Consultant
Supervising colleagues (both ACCU and non ACCU) in ‘remote locations’, such as supervising an ED registrar performing an intubation, can only be done under exceptional circumstances
- ACCU Consultant needs to be informed and has to agree that this is appropriate
- Clear lines of responsibility and communication to be agreed prior to the procedure
- Check lists, where available, need to be followed