These are our consultant call rules which are posted all over the
department. Our nursing and medical staff are told not to interpret them as
they are rules not guidelines!
8. Consultant Call Rules
Mon - Fri 0900 to1700
Call the Floor Consultant (see board outside Resus)
ALL STANDBY CALLS
All patients admitted to the resus room (including receiving specialties)
Clinical or administrative problems that cannot be resolved by the duty
middle grade doctor or senior nurse.
Mon - Fri Out of hours, weekends and public holidays
Call the On call Consultant (see board outside Resus or rota in doctors
office)
All patients admitted to the resus room with:
· Airway problem, respiratory failure or shock not responding to simple
measures
· Trauma
· Seriously ill or injured children
· Patients likely to require Intensive Care
· Diagnostic or therapeutic uncertainty
· "VIPs" & patients in resus longer than 2 hours
All helicopter transfers, potential major incidents or team call outs
Waiting times in excess of 3 hrs
Clinical or administrative problems that cannot be resolved by the duty
middle grade doctor or senior nurse.
I am sure I would be burned at the stake in some places in the UK for this.
Phil Munro
A&E Glasgow
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