Welcome

Welcome to Worthing Emergency Department. Emergency Medicine is a dynamic and exciting specialty, but we recognise that starting work in EM can be daunting, especially early on in your career.

Our induction programme is designed to help you cover the mandatory requirements before you start your placement with us, familiarise yourself with some of the policies and protocols you will need from day one and also aims to include advice to help you make the most of the time you spend working as part of our team. Education and learning in EM is not confined to once a week teaching sessions, but should be seen as a dynamic and constant process both on and off the shop floor.

On this page you will find information to help you during your first few days and weeks in the department. Please work your way through the series of videos, blogs and podcasts. This will augment the face to face induction that takes place during your first couple of days with us.

We hope you enjoy completing this module, and look forward to welcoming you to the Emergency Department in the near future.

Induction Video

This short video was recorded in 2015 by Dr. Matt Staniforth and introduces the department and some of its staff. There have been a few changes in some of the detail since the video was produced, but the majority remains current. For the current list of consultant staff in the department see here.

 
 

Why do emergency medicine.......

It's often said that Emergency Medicine is the best 15 minutes of everyone else's specialty; that probably isn't far from the truth. This is a great short video introducing EM as a specialty. Despite the heavy workload and high percentage of anti-social hours worked, trainees often say they find their time in EM to be some of the best of their junior years; something I've no doubt our strong teamwork ethos contributes to greatly. 

 
 

#Hello My Name Is

This is a video recorded by Doctor Kate Granger; a Care of the Elderly Consultant who has spearheaded the #hellomynameis campaign. Take a few minutes to watch and reflect on our interactions with our patients.

It is important to remember that although time in the Emergency Department soon becomes the norm for those working there, for our patients needing to attend ED is often a highly stressful and frightening experience. 

 
 

Dr Toolbox

The Worthing Way is a fantastic resource that has been developed over a number of years, and contains information, policies and procedures specifically related to Emergency Medicine at Worthing Hospital. The Worthing Way is available from the home page of all trust computers and can also be downloaded as an app via the Dr. Toolbox platform. Access is currently password protected; the password will be forwarded to you with your joining instructions, or is available on request for those working in the trust.

 
 

RCEM Standard for consultant sign off

Over the past 40 years the Emergency Department (ED) has become the “front door” of the acute hospital, responsible for the management of 14 million patients every year in England alone. Some of the sickest patients in the hospital will be found in the ED, and the level of clinical risk is very high because ED clinicians are required to make critical decisions under conditions of considerable uncertainty with limited information, limited resources and limited time. 

The Royal College of Emergency Medicine have recommended that certain patient groups should be reviewed by a consultant in EM prior to discharge (i.e. discharge home or to their usual place of residence) from the ED. If, due to insufficient numbers of consultant staff, an EM consultant in not immediately available on the “shop floor” of the ED, then review may be carried out by a senior trainee in EM (ST4 or above), or by a staff grade or similar substantive career grade doctor with sufficient ED experience to be designated to undertake this role by the EM consultant medical staff. 

Please read the RCEM standard to familiarise yourself with these guidelines. It is your responsibility to ensure that senior review is documented both in the patient notes and on the Sema computer system - you will be shown how to do this during face-to-face induction.

Adherence to this standard is audited on a regular basis. 

 
 

Preventing nightmares - a guide for medical students and residents

One of the hardest parts of Emergency Medicine are the numerous decisions you will be making during each shift and the risk of taking things home with you. There is a lot of truth in this blog; it describes situations that all doctors working in EM will encounter at some point (unless they are extremely fortunate!). It suggests a good way to approach your clinical work and some considerations to make. The ethos of recognising a mistake, learning from it and trying to move on is important. In EM there is always the next patient and the next problem, and hopefully you can take your mistakes and use them to help others. 

 
 

Worthing ED Induction E-Learning Package

This e-learning package has been developed by the departmental Consultant team, and covers some useful information for doctors starting work as part of the team. Please work through the content prior to starting with us; this will allow any issues raised to be covered during your face-to-face induction.

To access please click the image and log in / create an account using your trust email account. Select doctors only, go to departmental inductions and select A&E.

 
 

Mandatory Training

Trust mandatory training needs to be updated on a yearly basis. Applications for study leave will only be approved if mandatory training is up to date. If you need to check your status, or complete modules please click on the image to be taken to the package.