In hours

The Inpatient Team (specialty registrar or consultant) when contacted by the medical staff from ED:

  • may accept the admission and have the patient transferred to the ward for assessment
  • may assess the patient in ED and make a decision to admit or discharge the patient within one hour of being contacted (regardless of pending investigations) with appropriate follow-up and discharge letter.
  • If assessment is not possible within one hour, the ED senior may elect to admit the patient under the AMO team and the patient may be transferred to a ward.

Evenings (1630 to 2300)

  • ED senior contacts AMO directly for admission

Overnight

  • ED senior admits on behalf of AMO and call AMO between 0700 and 0800 (unless urgent advice required, or patient requiring ICU admission)

NB: the doctor who has arranged admission is responsible for

  • Charting medications and fluids for the next 24h
  • Ensuring the patient is suitable to be transferred to the ward
  • Modifying BTF calling criteria as required
  • In hours this is therefore the responsiblity of the admitting team

Medical Services at TSH

Medical Registrar pager 201

  • Covers the whole hospital
  • Weekday evenings from 1630 (after normal day job)
  • 0800-2230 on weekend
  • Night shift from 2230

 Sub-specialities at Sutherland:

  • Aged Care (ACAU registrar)
  • Cardiology (including interventional cardiology 24/7)
  • Endocrine
  • Gastroenterology
  • Medical Oncology
  • Neurology
  • Renal
  • Respiratory

Coverage for some sub-specialties is limited:

  • Infectious diseases—consult service only (covered by endocrine registrar in business hours), admit to TSH under Gen Med
  • Haematology—consult service (covered by renal registrar in BH), refer to St George for admissions  9113 1111
  • Dermatology – May be accessible through Gen Med/Radius. Otherwise refer to St George for admissions only, no consult service 9113 1111
  • Endovascular clot retrieval service 1800 4 STROKE (usually POWH)
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