Ward Rounds

Level 3 on Service

• Level 3 ward round attended daily by specialist. All babies in Level 3 are reviewed.
• Specialist on service available on the Grafton site from 8:30 - 16:00.
• Available to review new admissions or unstable babies during the day.
• Attends resident teaching at 1230hr on Mondays.
• Chairs Neonatal Grand Round at 0830hr on Tuesdays.
• Attends Antenatal ward round at 1200hr on Wednesdays (Ward 96/98).
• Is available for antenatal consultations for infants likely to be admitted to Level 3.

Level 2/PIN on Service

• Specialist on service available on the Grafton site each morning and at least 2-3 afternoons each week.
• All babies on Level 2 reviewed by specialist 3 times weekly.
• Level 2 new admissions discussed with Level 2 specialist and reviewed if necessary.
• PIN/Level 2 Multidisciplinary Round at 1130hr on Monday.
  • This round will involve the PIN registrar, the PIN FLN, lactation consultant, speech language therapist, and social workers.

Postnatal Wards

• Covered by the Level 2 specialist.  The registrar for PIN is the doctor who should be called first to review babies seen by the postnatal ward SHO.
• ADAPT team infants are generally looked after by either Carl Kuschel or Simon Rowley during the week.  On weekends, they may be reviewed by the neonatal SHO, NS-ANP, or registrar.

On Call

• One specialist on call out of normal working hours.
• Available to be contacted by cell phone or pager.
• On call and available to attend within 20 minutes.
• If a second specialist is required, the on-call specialist will ring colleagues as available.

Weekends

• Level 3 round at 0830hr.
• Level 2 round following this.  The registrar or fellow will have already commenced this ward round.
• PIN does not require a full round on the weekend, but the FLN or CCN should alert the registrar or fellow of any infants that need to be seen.
• Level 3 hand-over round at 2100hr or review in evening, as required.

Other Call Elsewhere

• Some specialists work at other hospitals or facilities.
• While on duty or on call at National Women’s, specialists will not be on call or on duty at outside hospitals or facilities.