Ryde Newsletter - Jun 2023

Winter Education for Junior Doctors

A session this week provided by the Endocrine Advanced Trainee (Dr Annabel Lee) and the Clinical Nurse Consultant Diabetes Educator (Jen Kinsella), not only answered many prescribing problems, but took the attendees into the life expe- rience of a patient with retinopathy needing to use complex equipment to adjust their insulin. Further sessions are planned in Gas- troenterology emergencies and anti- coagulation, and Cardiology, rhythm recognition and response. The series is well - received, and off to a flying start.

The 2023 recruitment of additional advanced trainee and registrar posi- tions has created new opportunities in providing hands on education to the junior doctors at Ryde. Doctors with more expertise but a clear memory of the difficulties of those ear- ly years, managing complex patients in the after - hours, make especially pow- erful mentors. Dr Andrew Tang, the 2023 Gastroenterology Advanced Trainee, is convening a series of inter- active sessions with his colleagues over the winter, focusing on new skills and hands - on problem solving. A session in May, provided in the Sim- ulation Suite, by the registrars from ICU and Anaesthetics (Drs Morgan Burrows and Ahilan Gnanasuntharan) provided skills in ultrasound guided placement of difficult IV lines, and built the attendee ’ s confidence in ask- ing the specialist team for help when needed.

(above) Junior Doctors practicing the precise movements of their lines on the ultrasound screen under the watchful eye of Dr Morgan Burrows.

(right) Dr Annabel Lee and Jen Kin- sella supervise Dr Kevin Lee ’ s at- tempts to check his blood glucose while wearing retinopathy simulating glasses.

Focus on Allied Health - Orthotics

Orthotists play a small but important part in many patient journeys. You may be familiar with the inpatient work Orthotists do fitting cervi- cal collars and other spinal braces. At Ryde common referrals are for spinal fracture management, offloading interventions for high risk foot patients, shoulder subluxation support, patient positioning and general mobility rehabilitation at Graythwaite. Orthotists also combine clinical and hands - on manufacturing skills in other areas, such as burns management, range of motion control, gen- eral fracture management, pressure area prevention / pressure injury management and head protection. The Orthotic department also sees a broad range of outpatients, rang- ing from paediatric (e.g. Cerebral Palsy, CTEV, Hip Dysplasia) to chronic adult presentations ( e.g. mobility issues arising from trauma, neurological conditions) to name a few. At Ryde, staff are not on site full - time. We have a staff member on site Monday mornings and Thursday mornings. Outside these times it may be necessary for an Orthotist to travel to Ryde from RNS to see pa- tients for urgent needs. For this reason it is important to put in Power- chart referrals to Orthotics ASAP to ensure that patients are seen in a timely manner. If you have any questions or are just not sure if Orthotics needs to be involved in a case, give us a call or send a referral and we would be more than happy to assess.

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Contact Orthotics on 946 32303 07:30 - 15:45 Monday - Friday. Inpatient Referrals can be made via Powerchart Outpatient Referrals can be sent to: NSLHD - RNS - Orthotics@health.nsw.gov.au

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