Acute Medicine (EAU 3 Month Post)
Brief description of Department:
The Emergency Assessment Unit (EAU) houses patients admitted under the care of General Medicine, Surgery and the Emergency Department. The priority is care of patients at the early part of their stay, which begins with their initial admission assessment and continues through to patient discharge or specialty ward transfer.
There are two EAU wards (EAU 3 and EAU 4) EAU3 has 21 beds and a clinical decision unit (CDU) that houses ED patients requiring a short-stay to ascertain their best management, but where admission is not anticipated. EAU4 has 14 beds and the Acute Medical Unit (AMU). AMU has capacity for 4 patients on trolleys and 8 on chairs. AMU hosts all GP referred medical patients who do not require resuscitation or a side-room bed. The emphasis is on early assessment, investigations and senior review, with ambulatory management of conditions, where appropriate.
EAU junior doctors work with on-call staff, nursing teams and the multi-disciplinary team to support clinical assessment, investigation and management of these patients. Job roles and shifts will vary week to week to allow the junior staff to gain experience in all areas of acute medicine, including the assessment of newly referred patients, the ongoing management of patients on the unit and the ambulatory care of patients.
Core principals of EAU include good communication (using the SBAR system), multi-disciplinary working, safe care for all patients, quality improvement and the adoption of best practice. EAU operates the Enhanced Recovery system for medical patients, involving patients and their carers in decisions regarding their care.
Curriculum Opportunities in this Post
Top Tips from Fellow Trainees
- Introduce yourself to all the nurses/ physios/ OTs at the start of your job
- Check in with the nurses in your bay at the end of the day to check all your jobs done and plans are clear.
- Post take ward round: If the consultant is late, call them, as they may not be aware you're waiting for them.
- Dr Helen Waters is a valuable ally.
- Read Prof Ben's blog.
- Take emergency rations with you if you hold the 169 bleep overnight: just in case you don't get to stop.
- Find out the radiologist to avoid and do so.