Multidisciplinary Airway Education - Airway Ultrasound and Imaging.
General information to assist you ahead of your ARCP
WEBINAR - available on You Tube
Critical Care London is a multidisciplinary meeting where leading UK and international speakers will present on the latest developments and thinking in critical care.
20th July at the Ambassadors Bloomsbury Hotel, Euston.
Coffee, Lunch & Drinks provided.
Simulation & (Pre) Crisis Management in Anaesthesia & Intensive Care Medicine
Practical experience of percutaneous tracheostomy on animal models based at Northwick Park Institute for Medical Research. Delegates get to try a series of different kits available.
- post 1: six months in regional anaesthesia
- post 2: 12 months in obstetric anaesthesia with a focus on education
Medical Minds Matter: Thriving, not just surviving, in a modern medical career
As part of developing a course, we are sending out this survey to enable us to tailor it to people’s needs. Thanks for your help, it should take less than 2minutes
Introduction
Welcome to CXH anaesthetic department. This is a big friendly teaching hospital department providing services for several specialist areas including major head and neck surgery, neurosurgery and acute stroke services. There are many procedures you are unlikely to see anywhere else on your rotation. You will also be involved in providing critical care services and supporting the ICU so will be able to maintain and develop these skills.
The Daily Grind!
Lists are available on Cerner from around 1600hrs the day before but may be subject to change after this.
Patients for most elective operating will be admitted to the Elective Admissions lounge on 6W. It is best to arrive by 0730 at the latest. The first patient on the list should be sent for automatically at 0800hrs (but that is not always the case). Currently there are challenges with this process; missing notes and organisational difficulties are common. Do not be disheartened!
Major orthopaedic cases such as THRs may be admitted directly to main hospital wards, e.g. 7 South.
Angio. Suite - you may be attached to an interventional radiology list in the angio. suite. This is located on the 1st floor in the imaging department. Call 30777 the day before to find out what is listed. The department does not open until after 8am.
Who’s Who
Head of Specialty Anaesthesia at CXH – Dr Claire Hopkins
Departmental Office Manager/PA/Custodian (temporary Smartcards) - Ms Simona Eisvydyte. Please add her onto online study leave request as Leave approver/Rota Manager for Intrepid.
College tutors – Dr Nicky Stranix, Dr Ashwin Kalbag – They will authorise study leave – please add their email addresses to electronic study leave application via Intrepid.
Rotamaster – Dr Chris Whiten.
Trainee Rota Coordinator – Dr James Burrow. Please add him onto your online study leave request as Rota Manager/Leave approver for Intrepid.
In charge of fellows- Dr Dan Horner
Departmental Teaching – Dr Chris Whiten and Dr Dafydd Lloyd
Dr Tina Ainley: Breast and Vascular lists, Honorary Clinical Lecturer for Imperial College.
Dr Bruce Arrigoni: Mainly emergencies and orthopaedics. Good person to ask for advice regarding preparation for Consultant interviews. Blood Transfusion Lead for the Trust.
Dr Ian Bailes: Ortho/Regional
Dr Boyne Bellew: Regional
Dr Stewart Berry: Neuroanaesthetist. Interventional radiology lists.
Dr James Burrow: Neuro, Urology and Pre-Assessment.
Dr Ed Costar: ENT Airway, teaching
Dr Derwin Christmas: Airway/ENT, General lists.
Dr Doris Doberenz: ITU Consultant. Occasional Urology and other lists.
Dr Nieves Dorronsoro: TIVA specialist - will use PKA pumps. Neuro, Plastics.
Dr Patrick Doyle: Neurology
Dr Claire Hopkins: Neuroanaesthetist. Clinical Lead.
Dr Dan Horner: Neuroanaesthetist, orthopaedic and ENT lists. Clinical Lead for Fellows programme.
Dr Stephen Humble: Pain and General lists.
Dr Ashwin Kalbag: College tutor. Orthopaedics. Neuroanaesthetist. Acute pain.
Dr Lena Ladas: Neuroanaesthetist. Chronic pain. Likes to use Airtraq and does scalp blocks before craniotomies. Uses TIVA.
Dr Dafydd Lloyd: Teaching Lead. Airway and General lists.
Dr Dejan Markovic: Neurology, Orthopaedics and breast lists.
Dr Roseanne Meacher: ITU Lead. Does occasional urology lists.
Dr John Myatt: Plastics, head and neck lists, orthopaedics. Does lower limb blocks.
Dr Vidhya Nagaratnam: Neuroanaesthetist
Dr Jim Poncia: Head and neck, urology and plastics lists.
Dr Mala Siva: Breast, Neuro, Head and neck, and Airway/ENT lists.
Dr Nicky Stranix: College tutor, acute pain, Airway/ENT, emergency lists.
Dr Drinka Uzeirbegovic: Orthopaedics, Bariatrics. Audit lead.
Dr Jason Wilson: Neuroanaesthetist, General lists, statistics guru.
Dr Chris Whiten: Regional, Plastics, vascular, Ortho, Urology. Teaching Lead. Willing to help with Viva practice.
Dr Colleen Woo: Airway/ENT, General lists.
Dr Tom Dolphin, Dr Nick Gilfillan, Dr Sadie Syed, Dr Ian Bailes, Dr Boyne Bellew, Dr Shona Love Dr Philippa Borra, Dr Ian Barker, Dr Gary Stocks, Dr Ivan Dillon. Dr Abigail Richardson are based at other sites but do cross cover.
Contact numbers on notice board in Anaesthetic coffee room.
Further Contacts
Paging: Dial 456 then follow instructions
8844: Senior Registrar Anaesthetics
8189: ST3/4 Anaesthetics
8111: SHO Anaesthetics
7487: ICU SpR
1465: ODP On-Call
Useful extension numbers:
Anaesthetic coffee room x30501
Anaesthetics Office x17017
Theatre 8 x30367
Recovery x30310
Riverside: x38806
Milk: x11352 (for coffee room!)
Operator 0
ICT x5555, option 2 for IT related issues
Surgery
Gen Surg SHO: 8811
Gen Surg SpR: 8800
ENT SHO: 8855
ENT SpR: Off site, via switch on mobile
Urol SHO: 9193
Urol SpR: Off site, via switch on mobile
Labs
Blood bank: x17112, BP 8160 Out of hours
Medicine
Med Spr: 8988
Med SHO: 8999
Training Opportunities
Units which can be completed at CXH:
Advanced
Airway, Neuro, Pain
Higher
General duties, ICM, neuro, airway and various optional units
Intermediate
Pain, Neuro, Airway, General Duties,
Core
All basic level of training units but without trauma, obs and paeds
Novice
Initial assessment of competencies (IAOC)
Neurosurgery: Most of you will be placed at CXH primarily to sign off your intermediate or high neuro module. Ensure that you contact the rota coordinator early if you feel you are struggling to achieve the requisite number of lists.
ENT/Head and Neck: There are several interesting head and neck lists in the hospital and plenty of opportunity to work on your airway skills. Mr Sandhu performs laryngotracheal reconstructions which you may not see elsewhere. Both the anaesthetists and surgeons who work on these lists are friendly and approachable which makes it a great learning environment. There are numerous ENT clinics running in the hospital which might provide opportunity to practice nasendoscopy – approach one of the ENT team to attend.
Regional: Dr Boyne Bellew is an excellent regional anaesthetist and performs US guided blocks with an interest in teaching and organising courses.
Emergency Cases
Booking and Requesting Leave
The department actively try and facilitate leave where possible but the rota is tight and leave requests must be placed at least 6 weeks in advance. Please write your leave in the diary on the desk in the office. Please remember to book study leave in good time for mandatory training days. Every effort is made to allow as many people as possible to go, provided emergency bleeps are covered.
There are four slots each day for annual/study leave for 8844/8189 trainees. There are two slots each day for 8111 trainees.
Submit an online study leave request form through Intrepid, accessed via the Source and searching for ‘Medical Education’: http://source/pgme_cpd/index.htm
Swaps should ideally be made before the rota is drafted, 3-4 weeks out as it creates extra work to move people around, but short notice swaps might be accommodated if there is no net change to the rota.
It is your responsibility to check that the online CLW rota is correct as this is always taken as the definitive rota.
ID Badges: This is on the ground floor, pathology block. If you arrive for your on-call in the evening and do not have your Security ID access card with you, a temporary one can be taken from the Security Office on the ground floor, near the main reception (from the side).
The department is in the process to have its own Security ID access cards for emergencies.
NHS Smartcard: Anaesthetics Office Manager Simona Eisvydyte is PIN unlocker and Custodian for the department. She can issue you with a temporary smartcard (with Doctor’s access) for a day (if you left yours at home) or while waiting for the appointment with the Smartcard Team to sort out your own smartcard.
Car Park Permit: Go to the front desk/main reception on the ground floor and show your ID access card and car registration number. The permit costs £10 per day or monthly payment of £66.67 for 30 days. If you want the payment to be taken monthly from your salary, please email staffcarparking@imperial.nhs.uk
You will get a ticket if you do not show your permit. Code for the car park is 4321.
It is not sure if your CXH parking permit can be used at other Imperial sites, thus please email Security directly at securityadmin@imperial.nhs.uk to enquire if you need to at some point. The email must be sent from your Imperial email address.
Locum shifts: Time to time the department is looking to cover on-call gaps or sickness absence. If you are interested in locum shifts, please speak to Simona, so she can add you to the locum distribution list. If you want to do the locum shifts after leaving the Imperial Trust, please contact Doctor’s Bank imperial.locums.admin@nhs.net 1 month before you leave to start a registration.
Code to department: CX1986
Codes to on-call rooms: Doctors’ Mess on 3rd floor South Wing (directly above the main canteen): Room 7 CX3579, Room 9: CXZ048
Appendices
Major Orthopaedic ER Protocol
Airway emergency algorithms – www.tracheostomy.org
Cerner - On the desktops or in the start menu of the PCs attached to the anaesthetic machines is a link called ‘Cerner in Theatres’. The URL is http://170.71.159.29/Citrix/NotimeoutSSOWeb/ (this link will not log you out of Powerchart so you don’t have to keep logging in).
Consultants who are able to sign off module completions:
Neuro Module Airway / ENT
Dr Stewart Berry Dr Mala Siva
D Nieves Dorronsoro Dr Nicola Stranix
Dr Jason Wilson Dr Jim Poncia
Dr Ashwin Kalbag Dr John Myatt
Dr Vidhya Nagaratnam
Pain Module Orthopaedic
Dr Lena Ladas Dr Bruce Arrigoni
Dr Stephen Humble Dr Chris Whiten
Dr Ashwin Kalbag Dr Drinka Uzeirbegovic
Dr Nicola Stranix Dr Dejan Markovic
Dr Daniel Horner
General module - any consultant who is an educational supervisor should be able to sign off.
