Practice Guidelines and Obligations

We highly recommend an allotted time of at least one hour to be given at beginning of the placement in order to ensure a sufficient handover is completed.

The principal doctor or a nominated representative from the practice must be present to meet and greet the locum on arrival, show them to their place of accommodation and provide a comprehensive orientation.


Clinical handover

A person-to-person handover occurs before the locum commences in the practice. It is expected that the practice will provide the locum with a comprehensive list of:

  • In-patients
  • Patients requiring special medication
  • Notes regarding patients of particular concern
  • List of medical specialists (for referral purposes)
  • List of health professionals (for referral purposes)
  • How to organise pathology/X-ray
  • Use of equipment e.g. pager, login for PC etc
  • Patient records: How and where maintained/accessed?
  • What is the patient billing: Bulk Billing or Private?
  • Other information necessary to enable the locum to adequately carry out duties


Practice information

  • What is the practice culture? (Any Indigenous members)
  • What services are provided? ie: hospital out-patients/aged care
  • Is there hospital, ambulance services, and palliative care services?
  • Usual hours for consultations?
  • Average patient load per day?
  • Patient demographics?
  • Any allied health support available within practice?
  • Expected availability for telephone calls?
  • Introduction to health team/staff members

On-Call

  • On-call practice required (home visits, after hours)
  • All on-call, after hours and weekend duties will be negotiated between RWAV and the practice prior to your locum commencement
  • On-call hospital frequency including an on call roster

VMO requirements

  • Ensure visiting medical rights for the locum to attend the local rural health facility and that all credentialing paperwork has been completed and submitted and approved
  • Provide details for all hospital obligations as appropriate
  • Any weekend requirements?
  • Are additional routine clinical obligations present? eg nursing home rounds


Accommodation

The practice is required to organise appropriate accommodation for the locum which meets the following criteria:

  • Suitable for a locum and family if required
  • Self-contained, fully furnished with kitchen facilities (shared facilities are not suitable)
  • Fully serviced with linen and towels provided and be in a good hygienic condition
  • Within reasonable proximity to the surgery (or transport provided)
  • Be available for the entire duration of the locum placement. It is not acceptable for the locum to relocate to alternative accommodation at any time during the term of the assignment
  • List of emergency and domestic contact numbers provided e.g. electrician, plumber, vet
  • Written instructions for use of household items eg air conditioning, security system, garbage disposal, garbage pick-up times
  • Name and after hours contact number for emergencies for house and/or practice
  • Additional domestic requests (if accommodation is the GP's private residence)
  • Animal care requested? (see below)
  • Garden or plant maintenance requested? (please give details)
  • Other requirements
  • If the locum accommodation offered does not meet his or her requirements, then negotiations may be made with the practice to find suitable alternative accommodation
  • If the locum chooses to travel between the practice and their principal place of residence the locum will be responsible for all travel costs incurred

As locums generally arrive in town after most retail outlets have closed, practices are encouraged to provide a small portion of basic items for the locum at their accommodation (eg toilet paper, tea, coffee, milk, sugar, bread, butter, jam etc).

In circumstances where the rural GP's private residence is offered to accommodate the locum, domestic/farm animals and pets belonging to the GP must not become the responsibility of the locum unless prior agreement is reached. Arrangements for re-housing domestic animals and pets, and the care of farm animals must be made prior to the principal doctor’s departure. Equally, the rural GP must not be expected to accommodate a locum’s animals or pets.


Town information

The practice shall provide the locum with:

  • A map of the town
  • Details of emergency services (eg police; hospital, ambulance, fire brigade)
  • Domestic details such as business trading hours
  • Location of banks, supermarkets, cafes, hotels and other retail outlets
  • Information relating to council facilities (such as refuse collection etc), churches, social clubs
  • Local tourist attractions/information