• 5 moments for hand hygiene
• Avoid catching gastro or colds and flus! Wash before you eat!
• Don’t spread bugs between patients!
• Alcohol hand rub is a good alternative to soap and water, except…
• Soap and water must be used where C.difficile infection is known or suspected.

• Put rubbish in the bin, don’t leave it on the trolley for someone else to clean up
• Pay particular attention to disposing of sharps in sharps bins and contaminated waste in the large yellow bins.
  • If the bin is full, ask a nurse or wardsperson to show you how to change it
  • Avoid disposing of regular waste (e.g. packaging, dressings, lines) in special bins
• Rinse non-disposable instruments and place them in the appropriate bucket in the dirty utility room. All instruments on trays should be placed back on their tray and left in the dirty utility room.
• If the floor is dirty, contact the cleaner
• “Someone else” does not exist – you must clean up after yourself.

• Follow infection control guidelines
• Universal precautions
  • Wear gloves for all patient care
  • If fluid spray is a possibility wear goggles and gowns.
• Special precautions
  • Covid guidelines here – masks at all times, goggles within 1.5m of patients
  • Multi-resistant organisms (MROs) – see alerts in EMR – PPE at end of the bed
  • Chemotherapy and cytoxic patients – orange gloves, purple specimen bags

Staff working in clinical areas within the ED MUST wear a PDA

It is your responsibility to ensure you have a PDA at all times.

• obtain from the acute staff base at the beginning of each shift
• sign the PDA out of the book
• return the PDA to charge at the end of your shift, and sign it back in to the book

• self-test the PDA each shift- press the BLUE button
• to trigger the alarm – long press the RED button (or PULL to disconnect the PDA from the belt clip)
• the PDA screen will display locations of alarms in the department. Long press the GREY (menu) button to clear the message.

If you have any PDAs at home, can you please return them. They are worth approximately $250 each.

The NSW Health policy is availble at https://www.seslhd.health.nsw.gov.au/sites/default/files/documents/SESLHDPR281.pdf

Medical Staff Uniforms
The colour range assigned to medical staff is emerald with navy outwear.
Medical staff are not required to wear uniforms. Should medical staff wish to wear the ‘scrub style’ uniform this is at the individual’s cost.

Staff not required to wear a uniform:
• Clothing must be neat and in good repair
• The following items are considered unacceptable:
• Singlet, low cut and revealing tops
• Clothing with writing, logos or advertisements (without express permission of a Tier 2 Director)
• Patches/ fringes on clothing
• Thongs/ crocs
• Leggings
• Midriff blouses
• Tracksuit pants and scruffy jeans
Medical Staff Appearance:

• Uniforms can be purchased from the designated uniforms in Health Share Uniforms – HealthShare NSW
• Identification badges must be worn at all times on the upper right hand side of the chest.
• For staff who require an undershirt for warmth the colour must be the same as the uniform top and not be below the elbow.
• Cardigans and long sleeved jackets must be removed prior to performing direct patient care, treatment or procedures.

Stockings
• Stockings should be conventional and in good condition (Black, Navy or Beige).
• Patterned or Coloured stockings and socks are not considered part of the uniform and are unacceptable.

Shoes
• Closed footwear (i.e. not open toed or backless) with non-slip soles, of a solid colour (black, brown or navy blue) and with non-slip soles must be worn at all times
• Footwear should be leather/vinyl and impervious to hazards in the workplace
Hair
• Hair below collar length should be tied back at all times
• Facial hair should be neat and trimmed

Call the ED comms clerk on 9540 7121 and ask to speak to the staff specialist on duty: 

• Call as soon as possible when you realise you cannot attend your shift 0800-2400
• You may NOT ring and leave a message for the ED SS overnight
  • Please speak to us personally after 0800
• Please notify Nicole.Vass by email.

Be particularly conscious of the difficulty of obtaining replacement for night shifts – phone before 2pm if possible.

Sick leave is monitored:

• Most JMOs are conscientious, but we regularly observe patterns of potentially fraudulent sick leave
• All sick leave will be documented on your end of term assessment
• You need to provide a sick certificate for absences of more than two days, or those immediately before or after days off/weekends/holidays.

If you are rostered on for sick relief, you are on call for the full 24 hour period, in addition to working the shift rostered.

• It is possible you may be sent home from a day or evening shift, and asked to come back for a later shift.

Once the roster is published all shift swaps are the responsibility of the staff member wanting the shift change.

Roster swaps must be:

• Same pay period
• Same level i.e. intern/RMO to intern/RMO, SRMO to SRMO
• All shift swaps must be submitted to Nicole Vass (ED admin assistant)
• Use the official paper TSH shift swap form (found in the dinosaur folder above the acute in-charge desk)
• All parties involved in the swap to complete & sign the forms.
• Ensure you have received a confirmation email from Nicole

If this is not done then the original roster holds and staff will be expected to work their rostered shifts.

If yo uhave been allocated annual leave on the roster, you must also complete the leave form and submit to Nicole.

• Thursday afternoon 2-3pm every week
  • Protected time
• Day staff allocated to teaching
  • plan so that you can handover your patients well before 2pm for the hour you will be away.
  • If you will be eating your lunch during teaching, make time to get this ready before 2pm.
• Evening staff allocated to teaching: report directly to teaching in the conference room at 2pm
• Return to work promptly after teaching

• For SRMOs and above
• Paid and protected time every Wednesday 2-6pm
• Two sections
  • First half—all SRMOS and above, focussed on clinical knowledge & skills and their application at TSH ED
  • Second half —ACEM trainees, increased focus on exam preparation
• Attendance on days off is expected and you are paid for 4 hours.
• Attendance is a requirement of the training program for all ACEM trainees.
• See emails from your DEMTS for the teaching program, and investigation of the week.

Tuesdays 0830 – Medical Grand Rounds

Wednesday 1300 – Surgical Meeting

Thursday 1200 – Geriatrics.

Friday 0800 – Cardiology Meeting

Friday 1300 – Respiratory/ Lung Lunch