1. Acute Medicine The postholder will work across the following 3 areas as outlined in the work schedule below: The Acute Medicine ward (AAU), Mary Seacole North and South wards The Acute Medical Take The Ambulatory Emergency Care Unit (AEC) to facilitate same day emergency care (SDEC) Acute Medicine ward (AAU) This is a 34-bed unit based across two adjacent wards (Mary Seacole North and Mary Seacole South). This is staffed on a daily basis by 2 Consultants, a registrar, 2-4 SHOs and 2-3 FY1s with daily Consultant led ward rounds. Wider AMU staffing includes a dedicated and highly trained nursing, physiotherapy, occupational therapy and MDT team, a frailty team, pharmacy and a full complement of support staff.
There are full cardiac monitoring facilities and isolation facilities, and patients may receive non-invasive ventilatory support on the AAU as well as chest drains, management of level 0 and level 1 patients and a close working relationship with the intensive care, cardiology, respiratory and gastroenterology teams who all in reach to AAU regularly. Ambulatory Emergency Care (AEC) The award-winning Ambulatory Emergency Care Unit is staffed by a dedicated team of senior and junior doctors and Advanced Clinical Practitioners who see acutely unwell patients, in an outpatient same day emergency care (SDEC) setting, providing an alternative to admission for many patients. The ambulatory care unit has a dedicated Consultant and Senior Nurse who supervise the diagnosis, management and treatment of patients on the unit and provide teaching and support for the many procedures (chest drains, ascitic drains, lumbar punctures, infusions and diagnostic imaging) which take place there. Acute Medical Take This is staffed by 1 SpR, 2 SHOs and 1 FY1.
There is an average intake of 30 patients over 24 hours. During the day, there is a continuous consultant post take ward round providing the opportunity for immediate feedback and learning. Overnight, Consultant advice is available by telephone, and patients are reviewed on the morning post take ward round. Work Schedule: 14 person rota (full shift) You will work a full shift rota with nights and days on call as well as periods on the AAU and in SDEC.
There is a parallel GIM rota which operates alongside the Acute Medicine SHO level rota to provide the full complement of staff across the medical take and on calls.
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