Gabrielle Hanly

First on call for Paediatric Service Mon-Thursday and rostered overnight on calls.

• Responsible for inpatients whilst consultant have rostered clinics.
• Take calls from surrounding areas, GP, nursing posts etc - providing various advice including acutely unwell children.
• Take calls and attend ED to provide advice, assist and admit children as required.
• Attend maternity unit, deliveries, neonatal complications and liaise with NETs for transfer as needed.
• Respond to overnight calls.
• Daily outpatient clinics of my own including a developmental outpatient clinic weekly.
• Involved in teaching of rural medical students, allied health, nursing staff and GP/DMO colleagues.
• Involved in frequent MDT meetings regarding inpatients.

• Assessing and managing presentations indpednently including ADHD, ASD, behavioural and emotional dysregulation, traits of anxiety, specific learning disorders, global developmental delay, intellectual disability and neurodevelopmental syndromes.
• Liaising with multidisciplinary team and information gathering from school.
• Attending MDT ASD assessments.
• Presenting cases at weekly case discussion.
• Medication management.
• Ensuring up to date record keeping, letters, pathology results.

• Responsible for new assessments of children with various developmental concerns and difficulties including full assessments and diagnosis of ADHD and multi-disciplinary assessment of new diagnosis Autism Spectrum Disorder (ASD) and Foetal Alcohol Spectrum Disorder (FASD) including for patients through The Justice System.
• Responsible for initiation and ongoing pharmacotherapy management of ADHD and other developmental disorders including anxiety and ASD.
• Liaising with Clinical Psychologists, other medical specialists and various members of the allied health team to achieve the best outcome for the patient.
• Gained experience in running clinics entirely independently.

• Attending medical emergency calls, leading resuscitation teams and attending simulation scenarios as part of Emergency Department teaching.
• Working effectively and independently within my scope of practice.
• Assisting RMO's with patient management and disposition decisions such that ED patient care is as safe and efficient as possible.
• Managing multiple patients simultaneously to ensure safe clinical practice as well as appropriate bed management.
• Dealing with psychosocial complexities of chronic patients.
• Assisting in the breaking of bad news including new diagnosis malignancy in a busy ED department.
• Performing clinical duties with the CAHS values in mind.

• Clear, confident communication and timely decision making required to manage daily external phone calls from state-wide hospitals regarding emergency management and patient transfer.
• Liaising with GP’s regarding acute management, follow up and specialist advise.
• Liaising with HITH and speciality teams.
• Teaching junior doctors and medical students including providing constructive feedback to FRACP long case participants.
• Attend and actively participate in team meeting, team teaching and hospital lectures.
• Case presentation of current inpatients and recent outpatients at the weekly multidisciplinary respiratory meetings.
• Contributed to training and teaching of RMO’s and medical students including encouraging team attendance at hospital meetings and grand rounds.
• Leading residents and medical students on busy ward rounds, liaising with consultants.

• Completed a large number of paediatric developmental assessments including the use of the Griffiths-III Developmental scales.
• Liaised with the multidisciplinary team including arranging or participating in team meetings as required, co-ordination of care and advocacy for complex patients.
• Observed formal Autism Assessments
• Presented complex cases at weekly meetings
• Participated in education of team members at weekly meetings
• Demonstrated the use of excellent written and verbal communication with external agencies such as teachers, Department of Communities and NDIA to improve the health outcomes of multiple patients
• Recognised the importance of clear and timely written communication including clinic letters
• Liaised with various specialty teams at PCH including
• Ensure timely and accurate clinical records using Genie, CDIS and other electronic systems

• General paediatrics terms PCH, JHC, Emergency Department, Oncology, KEMH.
• Increasing responsibility during overnight admissions shifts during and overnight neonatal shifts at JHC.
• Focusing on taking on increasing responsibility within the scope of my practice, with a focus on patient centred care and safety.
• Actively participating in education of medical students and junior doctors.
• Working toward taking an increasing leadership role in the team environment.
• Dealing with difficult parents in an emphatic and confident manner, remembering that their interactions are likely to be coming from a place of concern and emotional distress.
• Participating in clear ISOBAR format handover to other registrars and consultants to ensure that the safety of the patient is not compromised after handover between teams.
• Liaising with allied health and other members of multidisciplinary team to ensure that health care and services for the child are maximised as necessary.
• Considering disposition and discharge planning early to ensure safe and effective clinically management whilst limiting delays for patients and parents.
• Actively seeking out formal and informal education and clinical experience opportunities including attending registrar teaching, grand rounds and stimulation session wherever possible.
• Carrying out my daily duties in a manner that demonstrates my respect for the people around me including patients, parents and colleagues.
• Continuing to gain experience in paediatric practical skills including lumbar puncture, cannulation, venepuncture, stapling, in/out catheter insertion, supra-pubic catheter urine collection, local anaesthetic techniques (e.g Ring block) plastering, suturing, gluing;