obstetrics and gynaecology

• HOURS ON SITE 24/7

DECT 52859 - overnight a single registrar is on-call for both ED, birthing suite and admitted patients

Registrars and SRMOs or GP trainees - all generally very helpful. Overnight the registrar is often busy in birthing or in operating theatre, but will usually answer the phone regardless.

In a time critical emergency when the registrar is unavailable a consultant is second on-call (via mobile)

Bleeding in Early pregnancy

Management of bleeding in early pregnancy has been fine tuned in Maitland ED and multiple helpful resources are available. These can be found opposite the Doctor In Charge (DIC) computer (in the “Fish Bowl”) in the main department. These include but are not limited to patient information handouts and a clinical decision algorithm, available in hard copy or via the links below.

…(work in progress)

Early pregnancy assessment service (EPAS)

• An outpatient clinic for problems in early pregnancy

• Frequently, patients with bleeding in early pregnancy are suitable for discharge home and follow up with EPAS.

• The process is simple and effective. Write a discharge summary, leave in the EPAS pigeon hole opposite the DIC computer in the fishbowl. Then call this number %%%%% and leave a message with a very brief handover. The ObGyn team call the patient to arrange an appointment.