General Medicine Rundown

Teams and Wards

There are 5 General Medical wards – 63, 65, 66, 67, 68 – and 5 colours – Red, Gold, White, Black and Purple.

Each colour consists of 3 teams, each team consists of a Consultant, Registrar and House Officer. Of the 3 teams in each colour, 2 are assigned to the ward and 1 is assigned to AED/CDU (seeing new patients downstairs and admitting). You will be rostered in blocks of 1 week in AED/CDU and 2 weeks on the ward.

Any patient who comes up to your ward from CDU or ED will be taken over by your team the next day if they weren’t already under your team in ED/CDU (i.e. a new patient moving from ED/CDU to Ward 65 will be a White Team patient, even if they were previously cared for by the Red Team whilst in ED/CDU). The exception to this rule is if the ward they move to is part of your ‘pod’. For example, White Team’s home base is Ward 65, but they pod to 66 too. Therefore, White Team patients who move from CDU to 66 will remain under White Team rather than being transferred to Gold.

There may also be outliers in other wards (e.g. 31, 61, 81 and 83) which will belong to you if your SMO saw them in ED/CDU or if they haven’t been seen by an SMO yet (i.e. not post‐acute yet).

Usual day is from 0800–1600. Typically, you do one long-day per week, and this may be downstairs (where you admit patients in AED/CDU) or on the ward (answering Medtasks).

Red ‐ Home Ward 63, No Pod White ‐ Home Ward 65, Pod with 66 Gold ‐ Home Ward 66, Pod with 65 Purple ‐ Home Ward 67, Pod with 68 Black ‐ Home Ward 68, Pod with 67

Daily routine and duties

0800 handover in on 5th floor in Clinical Education Centre (Opposite Ward 51) ‐ follow signs for ‘Gen Med’. Lists should be printed close to or after handover as patients are only allocated by ~7:45 (sometimes later). New patients are delegated to each team evenly, and the patients may be switched near/after handover depending on who admitted them/patient location (i.e. if a patient was admitted by a registrar the day before and the team that registrar is on wants to keep the patient, a swap may occur). Patients tend to get allocated to the home ward team as described above.

After handover: Teams tend to start rounding in ED/CDU on new patients first. Try to complete as many jobs as you can during the round as they can often go until midday. Consultants will usually round on new patients daily, and do a full ward round twice weekly (Mondays and Fridays). There are daily rapid rounds (time differs between wards) where you or your Rag/consultant will go through every patient with the charge nurse and MDT, usually around 1000‐1100.

Ward Shift (until ~1600): After rounding on the new patients, the SMO may depart and the rest of the patients will have to be rounded on by registrar/house officer. Complete the associated jobs, go through bloods / investigations, update family or MDT, and write/prep discharges.

AED/CDU patients on your team may be moved to an upstairs ward during the day depending on bed availability. Your team is still responsible for these patients for the day even though they have been moved. They will be re‐assigned to another team the following day based on their location.

Put up bloods for the next day before going home (in the slots on the ward) ‐ for ED/CDU patients, leave blood forms in the folders and label them for the next day so they aren’t missed when they transfer to a ward.

Admitting Shift (1300‐1600): (i.e. when your name is in pink) You may be rostered during the day to be on “admitting shift” in the afternoon ‐ on the daily roster your name will be highlighted in pink. You should aim to start admitting patients from 1300 downstairs. There are other admitting registrars you can ask for advice. Additionally, you can attend the 1600 handover to go through the patient with the on‐call SMO. As house officers, each patient you admit should be discussed with a registrar or SMO on the day of admission.

Weekly events

On call evenings and nights

1600 handover on 5th floor in CEC in the “glassroom”. If you are on a long day, pick up the on‐call phone at level 5 reception prior to attending handover. If you are not on a long day, you can either attend handover to hand jobs over to the on‐call team, or directly MedTask them the jobs; OR if you were admitting and want to hand over jobs for the patient you admitted please attend.

The HO on ward calls answers MedTask for Gen Med wards. The HO on acutes/admitting “downstairs” admits patients (ensure to discuss them with registrar). Gen Med outliers (i.e. patients on wards not on Level 6) are the responsibility of the OPH (Mana Awhi) HO.

Gen Med outliers on OPH wards are the responsibility of the OPH HO.

2200 handover on the 2nd floor in the Robin Mitchell Training room. Door code is 24795. Overnight you do ward-calls only. You also cover OPH and Psychiatry (including Starship). You can call security and request a ride down to TWT (psychiatry wards) if it is raining or dark etc.

Weekends

Meet at usual handover room at 0800. Each colour will usually have one house officer. You should receive a handover email from the team registrars on Friday –print these out to keep over the weekend. You’ll round with the team on new patients under your teams’ colour (both downstairs and upstairs). Afterwards, complete jobs from the round and any reviews or jobs you have been handed over to do over the weekend.

If you’re on admitting long day, go down to admit once ward jobs are done (aim to be down by 1600). If you’re on wards long day, pick up the on‐call phone at 1600 from level 5 reception as usual.

Medtasker

MedTasker is now active at all times for house officers on General Medicine.

Nursing staff will send non‐urgent tasks to you via MedTasker (recharts, bladder scan results, etc.).

Please remind the nurses to use MedTasker if they happen to call you for non‐urgent enquiries.

Weekdays 0800 ‐ 1600: Login to MedTasker on your work phone (each house officer is given one) and select the Team and SMO you are working under for the day.

Long Days 1600 ‐ 2200:

• For the Wards House Officer, pick up the on‐call phone from Level 5 and login to MedTasker on it, select Gen Med On Call.

• For the Admitting House Officer, you don’t have a MedTasker to log into ‐ liaise with the Wards House Officer so that they can send you tasks for patients down in CDU/ED.

Nights:

• The Long Day house officer will give you the on‐call phone at Handover on Level 2. Log them out and log into your own account and select Gen Med On Call.

Weekends:

• Similar to the weekdays