Fracture Clinic

Tuesday 8:30 AM (sharp)- Finish. Level 1 Adult Outpatients. (Consultant / Fellow present)

Wednesday AM (No consultant)

  • Sunshine team needs to send 1 registrar to triage patients before the clinic starts. This registrar does not need to do the ward round at Sunshine/ Williamstown- will go straight to Footscray OPC in the morning at 7:30 to triage. There are 2x triage boxes (Elective and Fracture).
  • HMO allocated to the clinic will need to go through triaged patients to determine if they need XRs on the day of appt- use the sticky note function on the ambulatory organiser to determine if a patient requires XR. Used by nurses to send pt down on arrival.
  • Everyone else expected to arrive at 8:30 AM
  • Fracture clinic Rooms 1-9 (Registrars) run alongside wound clinic Rooms 10-17 (HMOs and interns)
  • Wound clinic (40-90 patients)
  • Fracture clinic (160-210 patients)
    • Usually will be a fellow/ consultant in the clinic, often it is the first-year consultant who attends. Sits in room 6 and provides advice.
    • Nurses float around clinic. Can help with simple dressing tasks and logistics.
    • Patients are booked 8:30AM-12PM. Then 1PM-4:30PM.
    • Lunch: please try to have lunch together after the morning clinic is done for 1hr (Ebi, West 48). Sometimes, isn’t possible due to patient load (you can order Ebi delivery if this happens)
    • After clinic finishes, all registrars huddle (usually in room 6) and discuss new operative patients and find a list for them.
    • Ensure Jessy (SLN) is notified of the time of the huddle – she attends to help with bookings.
  • Workflow
    • Patient Box located outside room 6. When patients arrive and are ready to be seen, nurses will put clipboard with patient Braedmas in this box.
    • Take patient clipboard from front
    • Change EMR status from ‘Ready for doctor’ to ‘In Room’ to avoid doubling up on calling patients in
    • If you need to send a patient to the plaster room or XR, change the status to ‘Additional Review’. Put your name on a sticky note attached to the patient clipboard and hand it to nurse or place it on the designated XR tray outside Room 6
    • Once finished with the consult, check patients out and order follow-up appointments on EMR
  • IT/ EMR
    • OPC notes transitioned from Bossnet to EMR July 2023. All OPC/ operation notes prior to July 2023 will be on Bossnet
    • New external referrals will be uploaded to Bossnet
  • Radiology
    • Same day CT scans can occasionally be arranged- need to call CT prior to sending pt down
  • Plaster Room
    • Situated at the end of Outpatients area, behind reception
    • Patients take a number located on plaster room door
    • Able to fit PCL braces in addition to all standard casts. Liase with John Kinealy for custom Orthotics/ OAPL referrals

Authors and Contributors

  • 2023 Min Jia Tang
  • 12/2023 – Phong Tran – checked