• Clinical Resources

  • Orthopaedics

    There is an orthopaedic registrar in the hospital throughout the day and on-call "after-hours". They are frequenly operating, both during the day and in the evenings so a phone call to theatre is always worthwhile if you cannot contact them by pager/CISCO phone or mobile.

    After-hours call-backs should be approved by the ED senior. Please ensure you have the patient details including name, UR, fasting time, key clinical details available when you call.

    Private patients are generally referred via the registrar however if a patient is well known to a specific consultant or is requesting a specific consultant or if the registrar cannot be contacted in an appropriate time-frame the consultant should be called. Be sure to discuss this with the ED senior first.

    Fracture clinic runs every week for follow up of fractures. It is an enormously busy clinic so do what you can to ensure the patient moves through the process efficiently. After booking fracture clinic on the discharge summary program, ensure your printed summary as an Xray request with it as you place it in the discharge fax tray.

    Unstable fractures are appropriate to be re-Xrayed in plaster.

    Subtle and suspected fractures should be Xrayed out of plaster. This means writing on the Xray slip "out of POP" and ensuring the patient is in a removable slab rather than a circumferential plaster so that it can be easily removed for Xray.

    This particularly applies to "suspected" Scaphoid fractures where a repeat X-ray in plaster is a waste of time. Please click here for a comprehensive guide to approaching the suspected scaphoid fracture prepared by physiotherapist Theo Kapakoulakis.

    Fractured NOFs

    These are frequently admitted on interim orders after discussion with the orthopaedic registrar, a femoral nerve block, IDC, bloods, paperwork and mandatory referral to the medical registrar. The medical regsitar will usually see the patient on the ward and should not delay transfer.

    Reduction of joints and fractures

    All joints and fracture reductions are expected to have post procedure films done with an adequate backslab in situ before they are admitted to the ward.

  • Orthopaedics

    There is an orthopaedic registrar in the hospital throughout the day and on-call "after-hours". They are frequenly operating, both during the day and in the evenings so a phone call to theatre is always worthwhile if you cannot contact them by pager/CISCO phone or mobile.

    After-hours call-backs should be approved by the ED senior. Please ensure you have the patient details including name, UR, fasting time, key clinical details available when you call.

    Private patients are generally referred via the registrar however if a patient is well known to a specific consultant or is requesting a specific consultant or if the registrar cannot be contacted in an appropriate time-frame the consultant should be called. Be sure to discuss this with the ED senior first.

    Fracture clinic runs every week for follow up of fractures. It is an enormously busy clinic so do what you can to ensure the patient moves through the process efficiently.  After booking fracture clinic on the discharge summary program, ensure your printed summary as an Xray request with it as you place it in the discharge fax tray.

    Unstable fractures are appropriate to be re-Xrayed in plaster.

    Subtle and suspected fractures should be Xrayed out of plaster. This means writing on the Xray slip "out of POP" and ensuring the patient is in a removable slab rather than a circumferential plaster so that it can be easily removed for Xray.

    This particularly applies to "suspected" Scaphoid fractures where a repeat X-ray in plaster is a waste of time. Please click here for a comprehensive guide to approaching the suspected scaphoid fracture prepared by physiotherapist Theo Kapakoulakis.

    Fractured NOFs

    These are frequently admitted on interim orders after discussion with the orthopaedic registrar, a femoral nerve block, IDC, bloods, paperwork and mandatory referral to the medical registrar.  The medical regsitar will usually see the patient on the ward and should not delay transfer.

    Reduction of joints and fractures

    All joints and fracture reductions are expected to have post procedure films done with an adequate backslab in situ before they are admitted to the ward.