JOB DESCRIPTION AND FURTHER DETAILS OF THE POSTS ...

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_________________________________________________________________________________________ <strong>THE</strong> DEPARTMENTS (contd) Appendix B (contd) _________________________________________________________________________________________ CLINICAL (Medical & Surgical) (nature of tasks to be performed) 1. The general care of patients with acute medical and surgical conditions as directed by the Consultant to whom attached. 2. Clerking of admissions, both routine and emergency, arranging appropriate investigations and preparing patients for theatre. 3. Routine ward duties. 4. Patient discharge summaries. 5. Ward rounds with Consultant/Specialist Registrar/SHO. 6. On call duty as part of shift rotas. 7. Assisting in theatre work, both routine and emergency. 8. Practical ward procedures and basic routine cases. 9. Care of post operative patients. TEACHING: There is an active teaching programme which takes place in the purpose built Medical Education Centre. This includes departmental teaching programmes, grand rounds, journal clubs, and MDT Meetings. Library facilities are of a high standard and are comprehensive. RESEARCH: N/A 8
<strong>THE</strong> DEPARTMENTS Appendix B (contd.) Trauma & Orthopaedics The Department of Orthopaedics and Trauma is based at the North Devon District Hospital and is staffed by six Consultants. The middle grade (non-resident on-call 1:5) staffing comprises of one Associate Specialist, four Staff Grades and two Specialist Registrars. The junior team is made up of 2 specialist trainees, 3 F2s, and 4 Trust Grade, 2 F1s doctors operating a full shift system. The Orthopaedic service has strong links with the RD&E Hospital in Exeter. Capener Ward is the trauma ward at the North Devon District Hospital which has 22 beds with a further 7 flexible beds for busy periods, typically required in the summer months. The elective Orthopaedic ward is Lundy Ward with 15 beds but there are plans for a new ward of 25 beds plus 2 elective Theatres to replace existing elective theatres. Paediatric beds are available on Caroline Thorpe ward, a 22 bedded children’s ward. A departmental training and seminar room is on Capener Ward. The care of the elderly department in North Devon has evolved to meet the needs of a very elderly and rural population over its lifetime. As a consequence the key needs have been stroke services and community care. We are now addressing services for falls, bone health, orthogeriatrics and acute elderly care to ensure best care for our frailest and most complex patients. In doing so we hope to prevent admission and re-admission, facilitate discharge, optimise preventative interventions and minimise dependency across the district. North Devon is a designated Cancer Unit with visiting Oncologists from the Royal Devon & Exeter Trust. There is a dedicated Chemotherapy unit in the Hospital. Plans are being drawn up to expand this Unit and develop the service for the next 5 years. The X-ray Department has imaging facilities, which include a new spiral CT and MRI. Radiotherapy services are sited at the Royal Devon & Exeter Trust. There is a fully equipped and dedicated Day Case Unit. The Roborough Suite is a 10+ bedded private patient facility sited in the main hospital complex. Private operating lists are available out of hours. General Paediatrics Eight consultants are based within this department. There are 2 Specialty Grades, 1 ST4, 3 ST3, 2 FTSTA 2/3 along with 2 STGP doctors and an F1. Caroline Thorpe Ward has 15 nominal beds, and 2 assessment beds, which provides for all children in the DGH. A 2 bedded, staffed Paediatric High Dependency Unit opened in 2008. The current ward has the facility for the options of one 8-bedded, one 6-bedded bay, and 5 cubicles, divided according to age and clinical needs of the children. There is a full time teacher and a ward school. There is a ward playroom facility staffed by a qualified play leader, and a purpose built outdoor play area. The paediatric outpatient suite is on the same floor and close to the Caroline Thorpe Paediatric ward and has 2 consulting rooms with its own paediatric waiting area and specially designed play facilities as well as a nurse led investigation unit. General Paediatric Outpatient clinics are also held in peripheral clinics in Bideford, South Molton, Holsworthy, and Ilfracombe. Specialist diabetic clinics also occur in these peripheral hospitals. Visiting specialists from Bristol Children’s Hospital, and Exeter conduct regular clinics in cardiology, neurology, nephrology, urology, endocrinology, oncology and clinical genetics. Paediatric intensive care is provided jointly with the anaesthetists in the general ITU on a short term basis. There is close liaison with the PICU at Bristol Children’s Hospital, who offer a 24 hour retrieval service. 9
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