Quick Guide RHCYP Hospital @ Night (HAN) Team

Paediatric guidelines (in development)
NHS Lothian

Quick Guide RHCYP Hospital @ Night (HAN) Team:

  • Team Leads:
    • RHCYP Clinical Coordinator (CC) bleep 9278 phone 50086
    • Tier 2 Paediatric Doctor (ST4-8) bleep 9424 phone 50333
  • Other team members:
    • HCSW
    • Tier 1 Paediatric medical doctor (ST1-3) or APNP bleep 9102 phone 50340
    • FY/GPST for medical paediatrics bleep 9292 phone 51387
    • FY for surgical paediatrics bleep 9107 phone ?

How it works:

  • Between 9pm and 7am ALL inpatient workload and job allocation will happen via the HAN team and coordinated by the CC using the HAN workbench on Trak.

 

  • Communication to the HAN team will be through one single point of contact - Bleep 9031 or call 50927.
    • any job or task requests will be triaged and added to the HAN workbench
    • it will be allocated to the most appropriate person in the HAN team by the Clinical Coordinator or HCSW. 
    • It will be signed off once completed by HAN team member
    • Workbench will be monitored by HCSW with support of CC throughout the shift for outstanding/overdue tasks
  • ALL jobs required overnight need to be entered on the H@N Workbench for ALL patients in RHCYP wards (for all surgical and medical patients).
  • This will be checked at 4.30pm medical paediatric handover from Speciality Teams and any additional jobs identified and added. This includes requests for medical review and patients to be aware of.
  • all non-urgent/routine work should be undertaken during the extended day

 

  • Requests for patient review in the ED e.g. surgical/medical referrals should also go through the HAN bleep for awareness of workload of individual team members and efficient allocation of tasks.
    • The ED team can either contact HAN as above or can add the job to the workbench where possible then flag to HAN.
    • Handover can then be done face to face in the ED or via follow up phone call. If delays in review likely an alternative plan can be discussed by HAN team.
    • If unreasonable delays please contact CC or medical staff directly in normal way.

 

Deteriorating patients/Emergencies:

PET call process remains unchanged – emergency call 2222

  • Requests for RAPID reviews for deteriorating patients on wards or in ED should go directly to the Tier 2 Reg on phone 50333. The CC should also be notified and this call should then be logged as a HAN urgent task on WB.

 

  • Escalation to responsible consultants, specialty (non-resident) teams and to the critical care outreach team should occur via the usual processes by the HAN team

HAN Handovers and Huddles:

  • 9pm handover
    • Should include ALL medical staff on overnight, including the Surgical team (FY +/- Reg) and ideally the Paediatric Anaesthetic Resident if on shift and available. (sometimes the resident anaesthetic middle grade cover is from DCN team).
      • See suggested format
    • The Clinical Coordinator and HCSW will also attend
    • All routine jobs should be updated on the HAN workbench during this handover if have not been done already by day teams.
  • 10.45pm RHCYP PET Safety Huddle
    • in PCCU at the desk in Pod 1
    • all members of the PET team attending (with exception of ED resident if cannot be released).
    • Please see suggested proforma
  • Further HAN catch ups at pre agreed times – suggested 2am and 5am at H@N base (ground floor seminar room).
  • 7am HAN period ends
    • Outstanding tasks allocated 
    • no new jobs will be added to the workbench via the CC/HCSW therefore the medical team will need to be contacted directly for jobs/tasks that come up after this time (see bleep list above)

Additional info:

  • Jobs planned in daytime/evening not put on workbench may not be completed as this is how the HAN tasks will be monitored, allocated and signed off.

 

Please see RHCYP HAN SOP for more details.