Junior Clinical Fellow in Adult Critical Care

Job overview

Junior Clinical Fellow in Adult Critical Care. Location - Royal Brompton Hospital This post is within the Heart Division, Department of Critical Care, and the postholder will be professionally accountable to the Clinical Lead of AICU and EICU, the Cross-site Director of Critical Care and the Director of Heart Division. Come and join us at a pivotal moment in Royal Brompton & Harefield’s history. The only UK hospital to be ranked by Newsweek in the top 10 globally for cardiology and we have some exciting plans we want you to be part of our journey. In February 2021 we merged with Guy’s and St Thomas’ NHS Foundation Trust as a first step towards our vision of creating a brand-new centre that will be the global leader in the research into and treatment of heart and lung disease in patients from pre-birth to old age. This is a once in a lifetime opportunity to help to shape this vision and we want you to be part of it. This post is suitable for those pursuing a career in intensive care, respiratory medicine, cardiology or cardiothoracic surgery and/or any acute specialty including acute medicine, emergency medicine, ACCS or anaesthesia.

This advert may close early if sufficient number of applications have been received.

Main duties of the job

The intensive care unit has over 800 level 3 admissions per annum and has 2 level 3 beds. The case-mix is mainly level 3 admissions following adult cardiac surgery, cardiology (including GUCH), and thoracic surgery or those requiring Extracorporeal Life Support due to severe respiratory failure or cardiogenic shock. The post-holder will also work in the 16 bedded adult HDU at Royal Brompton Hospital. Here the case mix includes postoperative cardiac (including GUCH and vascular), thoracic surgery and acutely unwell cardiology admissions including local STEMI admissions. Fellows would be expected to acquire the critical care competencies as described in the Faculty of Intensive Care Curriculum at basic level, that is within stage 1.

Detailed job description and main responsibilities

The objective of this post is to provide the junior clinical fellow with knowledge and clinical experience in delivering a broad spectrum of critical care including:

• Recognition and management of single and multiple organ failure following cardiovascular intervention.
• Basic techniques in respiratory support including invasive and non-invasive ventilation, protective lung strategies and management ALI/ARDS, and respiratory weaning.
• Basics of extracorporeal life support (VV and VA ECMO).
• Essentials of renal failure and basic management of renal replacement therapy.
• Recognition and management of sepsis and appropriate antimicrobial therapy.
• Haemodynamic monitoring including pulmonary artery flotation catheters and noninvasive cardiac output monitoring.
• Intra-aortic counter-pulsation therapy and temporary pacing.
• Postoperative and peri-operative management of complex cardiothoracic surgical patients.
• General management of critically ill patients (analgesia, sedation, nutrition, EOLC etc).
• Contribution to a clinical or basic science research project during their appointment.
• Contribution to an audit project/Quality Improvement Project.

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.