ICU Locally Employed Doctor / Trust Grade

Job overview

Applications are invited for the post of Trust Grade in Adult Critical Care Medicine for a 6 to 12 month period, ideally full time.The successful candidate will participate in the provision of intensive care services as part of a close-knit, multi-disciplinary team on our state of the art 14 bedded intensive care unit, under appropriate direct and indirect clinical supervision. We currently provide 6 Level 3 and 4 Level 2 patient equivalents for a wide range of surgical and medical patients and also manage 2 level 1.5 “Higher Care” beds for high risk orthopaedic admissions.The Torbay hospital, catchment includes areas of significant poverty. We therefore care for above average numbers of admissions related to alcohol and substance abuse.

This post would be ideally suited to doctors who have completed foundation or core training competencies and are either wishing to take time out of training, or have not yet secured an ongoing training post.

Main duties of the job

You will be responsible for supporting admission, discharge and day to day management of the patients in our mixed ICU and HDU unit under supervision of the Consultant in charge of the Intensive Care Unit. Clinical Responsibilities will include (but are not limited to)

Performing daily reviews on ICU patients with presentation of relevant findings during ward rounds and to the MDT meeting.

Admission, stabilisation and formulation of initial management plans for critically unwell adults.

• Competent management of general medical administration, i.e. note taking, record keeping, ordering and reviewing investigations, timely completion of discharge summaries, etc.
• Providing a clear, concise “handover” to relieving colleagues before going off duty.
• The review and stabilisation of critically unwell patients in the wider hospital with close communication with the duty intensive care or critical care outreach consultant. This can also include assisting with the management of critically ill children prior to transfer to the regional PICU.
• Attendence and support of hospital cardiac arrest and trauma calls (adult and paediatric).
• Close liaison with the ICU nurse in-charge, bed-side nurses and wider allied professional MDT.

More in Job Description

Detailed job description and main responsibilities

• Communication and working relationships - Effective communication with:
• Patients, relatives and carers
• Nursing Staff
• Clinical staff both from within and outside of speciality
• Other medical and service departments within the Trust
• Ability to work as part of a team
• Planning and organisation
• Able to prioritise workload efficiently and safely on a daily basis
• Able to plan and initiate effective clinical care
• Analysis and judgement
• To be able to analyse and judge appropriate care, follow appropriate protocls and/or rapidly escalate and seek senior support for critically ill patients (adult and paediatric)
• Responsibility for patient care:
• To be proactive in ensuring all patients receive rapid assessment treatment and clinical decision making, whilst ensuring safety and quality
• Responsibility and accountability
• To follow Trust protocols and intensive care unit guidelines to deliver a safe and efficient service
• Policy and service responsibility
• To adhere to policies and guidelines of the Trust
• To participate in relevant audit and quality assurance processes
• To participate in clinical governance
• Information technology and administrative duties
• To use the Trust’s systems to complete relevant medical records both paper and electronic as per policies and procedures
• Use IT systems i.e. ICCA, ICE, vitalpac, PACs etc.
• Responsibility for research and development
• To take part in research and development within the department