Roles and responsibilities of ED-based junior paediatric staff

• Attend ED handover with medical staff in seminar room, should not attend the CDU board round unless specifically asked to do so
• Should be based predominantly in ED majors, consultant team may ask you to move to another acute location such as CDU / 2C if activity high
• Review patients prior to admission to 2C*
  
  *Patients for admission to 2C that have been seen by a consultant and are stable can be transferred to the ward with handover to ward staff until 5pm without a medical review in ED

• If patient has been seen by a consultant in ED and decision is to admit to 2C, the late shift registrar does not need to see the patient provided there are sufficient staff available in 2C to safely receive the patient and continue their management
• Review of unwell patients prior to transfer to ward and liaison with medical staff on wards
• Provide initial assessment of patients in ED (particularly those likely to require admission to ward or known to medical specialties)
• Each doctor should see patients independently, not routinely see patients jointly / in pairs
• Provide initial assessment of patients on the medical expect list that are unwell enough to require resus with the support of the ED consultant and wider team as required
• Provide medical review of patients in ED who are potentially fit for discharge with robust follow up arrangements

Phone for CDU referrals should be held by the medical registrar based in CDU to prevent duplication of work/referrals