SHO
1. Ensure that patients are comfortable, writing prescriptions for medications, as necessary. See above for usual medications.
2. Examine all patients together with registrar before daily ward-round, completing examination before 8.45 am.
3. Ask patients to be at their beds for 8.45 am.
4. Continue or amend prescriptions for medications as necessary, ensuring that all patients are dilated for ward-round.
5. Complete prescription for medications on discharge, as appropriate. All patients should be discharged on topical Chloramphenicol, Betnesol and either Cyclopentolate or Atropine (depending on degree of inflammation).
6. Write clearly in the notes the approximate date when discharged patients should be reviewed at their home hospital so that the ward clerk can telephone the referring hospital. The time to first follow-up visit is approximately one week after local resection or endoresection, two weeks after enucleation, ten weeks after insertion of markers, and four weeks after other operations. If the ward clerk is on vacation, speak to oncology secretary to organize follow-up at local hospital and at RLUH.

Registrar
1. Supervise SHO, completing all tasks as necessary.
2. Attend daily ward-round.

Consultant
1. Supervise SHO and registrar.
2. Attend daily ward-round.
3. Write discharge letter.
4. Write comments on pathology reports, for referring ophthalmologist.
5. Arrange follow-up appointments with oncology secretary.
6. On receipt of cytogenetic results, decide on screening for metastatic disease and co-ordinate screening (i.e. inform patient as previously agreed with patient with letter to GP, referring ophthalmologist and oncologist).
7. On detection of metastatic disease, inform patient of diagnosis in most appropriate manner, and write letters to oncologist, referring ophthalmologist, and general practitioner).

Oncology Nurse
1. Visit and reassure patients in ward.
2. Advise patients on telephone help-line and support service.
3. Phone each patient within 2 weeks of discharge, as appropriate.
4. Co-ordinate screening for metastatic disease in selected patients (i.e. telephone patient to discuss letter, arrange for scan of abdomen to be performed every 6 or 12 months, together with LFT's and other appropriate blood tests). Scan is to be performed on Thursday on day of follow-up visit or at local hospital if patient is not attending RLUH).
5. Counsel patients developing metastatic disease, after they have been informed by appropriate doctor.
6. Counsel patients about treatment of metastatic disease, or arrange for such counselling to be given elsewhere.

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