A surgical registrar should be available on Pager 202—24 hours a day
- Sometimes you may need to call theatres
- If you still can’t find them, call their mobile, and then their boss.
- The surgical registrar covers general surgery 24/7
- The gen surg reg also covers vascular and urology after hours
- In hours vascular and urology referrals are covered by the respective in-patient registrar :
- Urology reg – p. 121
- Vascular reg – p. 120
Other surgical sub-specialities at Sutherland:
- ENT referrals
- TSH ENT registrar in hours (p.146, but often will prefer mobile)
- St George ENT reg after hours (call via StG switch)
- Orthopaedics – registrar onsite 0800-2000 p. 240
- orthogeriatrics – call the ortho reg + notify geriatric team
- on call from home overnight, non-urgent referrals made at 7am
- O&G – call the registrar 24/7 p. 125
- Ophthalmology – call the eye registrar 24/7 via TSH switch
“One-way referral” policy applies
- Surgical registrar should arrange any additional consultations
One hour review policy applies
- “No inpatient registrar should request a CT examination prior to their own assessment of the patient, where the ED determine it is not required”
- Stable patients can be transferred to the ward to await surgical review— after ED senior has assessed the patient and referred for admission
Sub-specialties requiring transfer:
| Paediatric Surgery | Sydney Children’s Hospital, Randwick 9382 1111 |
| Hands (any injury below the elbow) | Sydney Hospital 9382 7111 |
| Plastics (except below the elbow) | St George x3 1111 |
| Trauma* ( refer to guideline ) | call Trauma hotline 24/7 St George 9113 4 500 |
| * Except isolated rib fractures requiring admission | TSH surgical registrar |
| * Except isolated spinal injury | POWH 9382 2222. (as they have the LHD’s spinal rehab service) |
| Neurosurgery (includes spinal surgery) | St George x3 1111 |
| * Endovascular clot retrieval | 1800 4 STROKE |
| Cardiothoracic surgery | St George x3 1111 |
| Maxillofacial/dental | St George (POWH also possible) x3 1111 |
| Burns | Concord or RNSH (or Westmead for Children) |