Cardiology

2014 – 2015 HOUSE OFFICER CLINICAL ATTACHMENT SUMMARY SHEET FOR: CCU WELCOME to the Cardiology department
WHO’S WHO:
Charge RN:
Contact Details:
Receptionist: Sharon CC2 & Rina CC3
Contact Details:
Booking Clerks:
Contact Details:
WEEKLY TIMETABLE + MEETINGS + CLINICS/OT LISTS:
Morning
Mon
Tues
Wed
Thurs
Fri
Afternoon
ETT ( D team)
ETT ( D team)
House officer teaching at 8am
ETT ( A team)
12 pm – cardiology & cardiothoracic
conference
ETT ( A team)
DAILY RESPONSIBILITIES:
1. Bloods needs to chased at the end of the day– follow up bloods eg Trop, Cr
2. Check whether patient having procedure (cath lab or surgery). Ensure consent is
done by registrar/consultant prior to going to cath lab
3. Patient going to cath lab ( Needs fluids charted if high Cr/ IDDDM, Protophane at
0.1unit/kg mane of angiogram ( If IDDDM or on gliclazide)
4. Liaise with Ruth Asplen about all procedures especially cath / angio / pacemaker /
conference list. This is to ensure pts are placed on the appropriate waiting lists.
5. Warfarin charting and INR monitoring
6. Clerking transfers from other hospitals when you are on call. Direct transfers from
consultant clinic’s are clerked in by the respective teams
7. Weekend plans & re-charting medications for the weekend
8. All patients are to be given discharge summaries on discharge
9. Ensure CXR are done for patients post PPM and ICD. This will need to chase prior
4pm to ensure no pneumothorax and correct lead placement.
10. Ensure pts with ACS have appropriate blood tests ie fasting lipids and HbA1c
11. To go through unacknowledged work list frequently and to follow-up as necessary
OTHER USEFUL INFORMATION / ADDITIONAL NOTES:
!
You will be scheduled for 1-2 ETT sessions – either morning or afternoon on
Mondays and Fridays. D team would do the ETT list on Monday and A team would
do the ETT list on Friday. This is inclusive of inpatient and outpatient on these
respective days. However B team and C team HO will also do ETT if needed
!
You will hold the arrest pager on your on- call days. You will mainly be assisting
during arrest calls ie performing CPR, performing ABG. The pager must be handed
over to the night medical HO.
!
Patients who need to undergo CTS surgery will be admitted/remain under cardiology
care until day of surgery. HO to ensure Ruth is aware of these patients. If patient
needs to be discussed in conference, Ruth will need to be informed as well. Allison
McAlley is the nurse in charge on CTS patient. HO would need to ensure appropriate
investigations are done vein mapping/ CTA/Dental (for valve surgery)/ECHO/ carotid
USS. This will be directed by the surgeons
!
Pts who are for TOE will have their consent done by the consultant performing the
TOE.
!
CHF patient needs additional detail on discharge summary ie U&E, Weight, clinical
examination on discharge. If HF CNS input is needed, yellow referral form needs to
be sent. CNS are divided according to area they visit
!
Ticagrelor is a common anti-coagulation that patient is discharged on – usually for 12
months. This needs a special authority on discharge ( either electronic / manual)
!
Pts with ACS who own heavy driving license will need ETT 4 weeks after PCI prior to
regaining licence. This needs to be organised on discharge.
!
Ensure you check the land transport website for stand down periods from driving for
different types of cardiac conditions.
!
Cardiology clinic appointments are done by the receptionist in the CCU wards.
However if patient are from different wards, a yellow referral form needs to be sent or
give a copy of the discharge to one of the CCU receptionists

Download Report