Common use of ED and Intensive Care Units Clause in Contracts

ED and Intensive Care Units. In the first 6 months of employment under a provisional general scope of practice under HPCAA an employee may work in these departments only if there is immediate onsite supervision from a senior member of the medical staff (registrar, XXXX or specialist). Such supervision will involve the supervisor knowing about all the cases managed by the RMO, assisting when required and at the request of the employee concerned and reviewing all patients seen by the employee. Review means presentation of the case by the employee to the more senior doctor and then discussion of management. Subsequent reassessment of the patient by the more senior doctor shall occur if thought necessary by that doctor. After 6 months employment under a provisional general scope of practice, the employee may work in these departments without immediate and direct supervision only if the following criteria are met: • Effective backup and support • Appropriate orientation is provided before commencement on the roster within the department • Several days of induction are provided under direct supervision to acquire all skills (eg, intubation, IV lines, assessment, and management of acute presentation) • Written guidelines are provided on when it is appropriate to contact a more senior doctor • The employee knows how to summon help and is able to document adequately any such approach made to a senior doctor • The more senior doctors are available, approachable, helpful and reasonable • The employee’s discharges are audited on a regular basis and no less frequently than 8 hourly to ensure appropriate decision making is made.

ED and Intensive Care Units. In the first 6 months of employment under a provisional general scope of practice under HPCAA an employee may work in these departments only if there is immediate onsite supervision from a senior member of the medical staff (registrar, XXXX or specialist). Such supervision will involve the supervisor knowing about all the cases managed by the RMO, assisting when required and at the request of the employee concerned and reviewing all patients seen by the employee. Review means presentation of the case by the employee to the more senior doctor and then discussion of management. Subsequent reassessment of the patient by the more senior doctor shall occur if thought necessary by that doctor. After 6 months employment under a provisional general scope of practice, the employee may work in these departments without immediate and direct supervision only if the following criteria are met: • Effective backup and support • Appropriate orientation is provided before commencement on the roster within the department • Several days of induction are provided under direct supervision to acquire all skills (eg, intubation, IV lines, assessment, and management of acute presentation) • Written guidelines are provided on when it is appropriate to contact a more senior doctor • The employee knows how to summon help and is able to document adequately any such approach made to a senior doctor • The more senior doctors are available, approachable, helpful and reasonable • The employee’s discharges are audited on a regular basis and no less frequently than 8 hourly to ensure appropriate decision making is made.