All the essentials for .....

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GOSH is nearly paperless and has been since 2019

- System is called Epic

- all records will be available on the system

- only paper record is consent forms

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Bleeping:

To bleep: 7600 ....[bleep no]....[extension number]# (Follow prompts)

ENT Registrar: Baton phone  called "1020" after historic bleep number. Monday-Friday 8:30-18:00  number #07395 852177

Jo Cooke, Tracheostomy CNS: blp ________

Frances Beckwith: ENT waiting list coordinator extraordinaire: ext: 5226

Day ENT SHO is bleep 0801
Out of hours SHO cover: Twilight shared with ENT, plastics, urology; Night SHO covered by SNAPS

 

ENT ward:

• Inpatients managed on Panther ward

• Ward round: Starts with handover  8:30am daily in Panther Staff room

 

SHOs:

• 2 SHO-posts(post-FY2 level non-training fellows)  & 1 x physician associate

• ENT experience: They all have various levels of ENT experience - often very little. Their main responsibility is to clerk patients and do wardwork, they do not assess ENT-specific conditions

• Physician Associate (Neeti) is a long-term member of staff and supports the team with ward/clinical work in the mornings & MDT coordination/specific clinics in the afternoon

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Emergency clinic called "Hot clinic/treatment room?"

• No A&E and no "hot clinic" run at GOSH

• Urgent patients are either booked into a clinic or can be brought as ward attenders in certain cases 

  

Theatre:

• All elective cases should have discharge letters completed at the end of the case

• Elective cases:

  • EPIC: Case request and Anaesthetic Pre-operative Assessment (APOA) requetsts

  • General rule: confirm with consultant before listing

• Emergency cases in main theatre VCB01/VCB02

  • Handwrite details in book at theatre reception

  • Discuss case with on-call anaesthetic registrar

  • Enter Case Request on Epic​

• Pre-op Patients:

  • ​Patients planned bed for pre-op admission is decided at 4-5pm the day before​
  • Low-risk elective patients are admitted for Woodpecker or Nightingale wards (Level 3 VCB/PICB#
  • Higher risk patients are admitted to an appropriate ward
  • International and private patients (IPPs) are admitted to Bumblebee or Butterfly wards (OBW level5 or 4)

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Clinics:

• ENT Level 3 of Sight & Sound building  

• Cleft/Microtia: Level 4 Homeopathic Hospital 

• First patients booked: Morning: 9 or 9:30; Afternoon 13:30 or 14:00

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  Most clinics require triaging to determine who needs audio on arrival (aim to do 2 weeks in advance)

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Common investigations/referrals: 

• Vestibular function tests: Outpatient referral to audiovestibular physicians

• BAHA assessments: Outpatient referral to audiology

• Sleep studies: Outpatient sleep study request (Performed and reported by respiratory sleep team)​

• Allergy skin prick tests: Not routinely performed

• Allergy RAST testing: Requests on EPIC and book in with blood test/phlebotomy team. If you request, be clear on form what allergens should be tested

 

Rotas & leave

• One of the Fellows will update this. 

• Monthly on-call rota sent by Fellow to Tom Colton (Directorate coordinator) who will send out to switchboard and ENT team 

• Annual leave 

  • Minimum: 8 weeks notice​

  • Rules: Need 3 members of staff for service to run (at a pinch 2 over Christmas)

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    Organised in house to provide flexibility. Email Rota Fellow and cc in Richard Hewitt for approval

  • ​Once approved, email Directorate Manager (Hugh Collins), Coordinator (Tom Colton) and relevant secretary to request clinic cancellation ​

• Study leave

  • As above

  • To claim for reimbursement: apply formally on Health roster (after departmental approval with Fellow) - login details will be provided after starting.