Senior Clinical Fellow in Critical Care and Medicine

Job overview

Applications are invited for a Senior Clinical Fellow in Critical Care and Medicine at the Whittington Hospital NHS Trust, to start on 6th August.

This post is for 6 months, but can be longer by mutual agreement, and is suited to applicants undertaking their alternative pathway qualification in critical care where the medicine component is required.

Duties involve day-to-day management of patients on our 11 bedded adult Critical Care Unit with about 700 admissions a year, as well as supporting the Critical Care Outreach service, on a full shift rota. The Unit is fully covered by Consultant Intensivists in a dedicated rota.

There is a weekly ITU teaching program, weekly anaesthetic teaching sessions and many other training opportunities are available within the Trust.

The Whittington Hospital is a busy, friendly teaching hospital situated in North Central London. The Emergency Department sees 85,000 new patients per year who come from diverse backgrounds with a broad range of clinical problems.

Please note, this post may close early if sufficient applications are received.

Main duties of the job

• Assessment & clinical management of critically ill patients both within the ICU and across the wider hospital who are referred for assessment, admission and on-going care. This includes prompt review of referrals from ED or the ward teams at night as the Critical Care Outreach nurse service only operates 8am-8pm 7 days a week
• Timely discussion with senior supervising colleagues regarding appropriateness of admission, unexpected deterioration and suitability for discharge.
• Familiarity and competence at common procedures is expected (vascular access, chest drain insertion etc) but supervised training is also given for other procedures e.g. percutaneous tracheostomy. Airway support is provided by the on-call Anaesthetics team for ICU doctors without anaesthesia or airway skills.
• Direction, guidance, supervision & teaching of more junior ICU trainees including for practical procedures.
• Organisation of appropriately detailed patient hand-over both at shift changes including current clinical condition of patients under review outside of the ICU.
• Written and verbal handover to ward team for patients stepping down to ward care
• Updating of clinical records, electronic & paper data & audit systems including the ICU activity database (Wardwatcher)
• Communication with families & relatives of patients to update them on patient progress.

Detailed job description and main responsibilities

For a detailed overview of the main duties and responsibilities of the post please refer to the attached Job Description.