We have five biochemists on our rota (across 2 sites). Each
weekday someone has the morning off, comes in at lunchtime and works till 9pm.
Advantages are ability to phone urgent GP work to deputising service (and cover
the phone/bleep until 9pm to ease the load on BMS staff. The person working the
late is on-call for the rest of the night (very rarely called) and the person
who does the Friday late is on-call for the weekend. It works well for us as we
all appreciate a morning off in the week (for different reasons). No real
disadvantages that we have found - except that with 5 people if someone is off
for a week someone has to do two lates, but that isn't a big problem. The more
junior staff get a modest unsocial hours payment for the last hour (after 8pm)
but that isn't available to 8c and above. Otherwise there is no additional
remuneration as AfC core hours are 8-8 (I think, or maybe 7-8). The time up to
7.30 or so is usually pretty busy, but after that there is often time to get
something else done in (relative) peace and quiet! There is obviously much less
of an overnight backlog to authorise the next morning as a lot of it has been
done. It also means we can offer a routine xanthochromia service till 9pm (we do
do them as emergencies also, but need more persuading!).
Happy to answer any other questions people
have.
Mike
Further to the mention of a duty biochemist being
available in Mike's laboratory until 2100hrs, I wonder how many labs
have duty biochemists on site (working their official
hours) after 17.30hrs?
It would also be a great help to have an idea of
what benefits were gained (if any) from having a biochemist
available on site after 17.30 (and/or weekends?) Did it mean less
biochemist cover during the earlier part of the day (or Monday to Friday) and
was there any disadvantage associated with that? What number of duty biochemist staff was needed
to cover the rota system?
Feedback will greatly assist!
Many thanks,
Chris
--------------------------------------------------------------------------------------
Chris Sergeant
Principal Biochemist
Dept. Clinical Biochemistry
Barking, Havering and Redbridge University Hospitals NHS Trust
Ext. 8318
Direct: 0208 970 8318
From: Clinical
biochemistry discussion list [mailto:[log in to unmask]] On
Behalf Of Hallworth Mike (RLZ)
Sent: 04 January 2012
16:45
To: [log in to unmask]
Subject: FW:
abnormal results in the middle of the night
We basically follow the RCPath out of hours procedure for
analytes and limits with scope for discretion by Duty
Biochemist.
A Duty Biochemist is on duty in the lab until 2100, which
covers the vast majority of primary care abnormalities detected. DB contacts
deputising service with abnormal results, following RCPath limits but using
discretion (e.g. we wouldn't phone a low sodium if it was already known to be at
that level). The DB is a qualified clinical scientist.
Primary care practice phoned with results the following
morning.
Mike
Dear All,
May I ask what your lab. does with grossly abnormal
results from primary care that are analysed in the middle of the
night?
What analyte results & at what level would your
lab. 'phone the out of hours service?
Who 'phones results? BMS/Clinical Scientist/Medical
staff/other?
Many thanks for your responses.
Happy New Year
Helen
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