Main function of the job:-
To provide support to the Associate Specialists and Consultants in the medical assessment and treatment of patients who are admitted either formally as detained under the MHA2007 or informally, ensuring safety, privacy and dignity is paramount.
Main duties of the role: – Junior doctors have responsibilities for all inpatients within the unit.
Responsibilities within this role include:
- Daily visits to units to check if there is any work outstanding for allocated patients and to provide appropriate medical cover for colleagues in their absence.
- Liaise with the nursing team to address identified deficits of care and treatment to promote the wellbeing of the patient at all times.
- Re-writing of medication prescription charts and TTOs according to Hospital policy and agreed standards and when required in consultation with the Responsible Clinician.
- Ensuring that the Drug Allergy Status is known in relation to all individuals receiving an inpatient service.
- Undertaking work required in terms of the admission of new patients. This includes the completion of a standard admission document which will include a full psychiatric history, physical examination and initial risk assessment.
- Contacting family, carers and relevant professionals in the community to obtain any information required to plan the patients care.
- Ensuring that all inpatients have had a physical health check, liaising with nursing staff to identify when checks are due.
- Undertaking physical health checks in conjunction with the dedicated physical health lead and request further screening/testing or referral to third party departments as required.
- Attendance at Multi-disciplinary meetings and daily morning meetings when allocated the assistance pager.
- To undertake weekly 1:1 reviews with allocated patients outside the MDT meeting receiving care in the unit. This meeting is to be documented in full in the clinical records.
- To undertake any clinical audit which is required to be undertaken.
- Full documentation of all contact, treatment plans and progress to be made within the individual patients clinical records.
- Preparation of reports such as Ward Review updates and discharge summaries as requested by the Medical Director/Supervising Consultant.
- Other tasks as deemed suitable by the Medical Director/Supervising Consultant.
Medication prescription sheets
All Doctors should be aware of the Hospital’s Medicines Policy.
- All charts are produced on the electronic prescribing platform.
- All required information is to be clearly documented such as allergies, MHA status and legal documents in place such as T2/T3 and Section 62 where used.
- There should be a record of the drug form e.g. table, liquid capsule
- There should be a record of the frequency of dosage.
- There should be a record of the route of administration using correct abbreviations e.g. PO, IM, IV, S/L.
- Termination of any drug treatment should be indicated correctly by a stop date being documented and the Nurse in Charge of the shift informed of this.
- The frequency of administration of any PRN medication should be clearly indicated.
- The maximum dosage of any PRN medication within a 24 hour period should be clearly indicated.
- The indication for usage of PRN medication should be clear and precise. Where there are two or more medications prescribed for the alleviation of symptoms such as anxiety/agitation clear direction must be made as to the 1st and 2nd line of medication to be administered.
- A record should be made of all non-administered drugs, using the recognised codes.
- Rationale for changes to medication regime clearly documented within the individual patients clinical records.
- Preparation for and presentation of allocated patient’s progression against identified treatment plan within the MDT meeting.
- Preparation of reports/letters pertaining to allocated patients.
- Liaison with external professionals as required.
- MBBS or equivalent medical qualification
- Good clinical care
- Maintaining good medical practice
- Good relationships and communication with patients
- Good working relationships with colleagues
- Good teaching and training
- Professional behaviour and probity
- Delivery of good acute clinical care
- Eligibility to work in the UK.
- Applicant’s knowledge is up to date and fit to practise safely.
- To have demonstrable skills in written and spoken English that are adequate to enable effective communication about medical topics with patients and colleagues.
- Meets professional health requirements (in line with GMC standards in Good Medical Practice)
- Able to demonstrate that they are acute care safe and up to date in resuscitation training.
- Experience in making clinical decisions and managing risk. Knows when to seek help, able to prioritise clinical need.
- Capacity to be alert to dangers or problems. Demonstrates awareness of good decision making. Aware of own limitations. Track record of engaging in clinical governance: reporting errors, learning from errors.
- Capacity to work co-operatively with others and demonstrate leadership when appropriate. Capacity to work effectively in multi-professional teams.
- Demonstrated experience working in a team, values the input of other professionals in the team.
- Capacity to operate under pressure. Demonstrates initiative and resilience to cope with setbacks & adapt to rapidly changing circumstances.
- Capacity to organise oneself and prioritise own work. Demonstrates punctuality, preparation and self-discipline. Understands importance of information technology.