Scf in Cardiothoracic Surgery
3 weeks ago
**Job title**: Senior Clinical Fellow in Cardiothoracic Surgery
**Location**: Harefield Hospital
The Directorate provides both Cardiac and Thoracic Surgical services on both Royal Brompton and Harefield sites, with a Paediatric/GUCH service at the Brompton, and Transplantation at Harefield Hospital.
Cardiac Surgery, within the Heart Division at Harefield Hospital, provides a comprehensive service for patients requiring cardiac surgical intervention including:
Heart & Lung failure surgery
Coronary Artery By-pass Surgery (including total arterial revascularization and Off-Pump techniques)
Aortic Valve Surgery
Mitral Valve surgery
Minimally invasive cardiac surgery (including mínimal access valve replacement and endoscopic vein harvesting)
Aortic Surgery
Thoracic Surgery is undertaken by 4 consultants and has an international reputation for pioneering clinical practice and research. The work involves total care of the patient, both pre and post operatively.
The post holders will rotate between the consultant firms and be fully involved in a range of cardiothoracic work. In addition to providing immediate cover to patients in cardiac recovery and on the general cardio-thoracic ward, the post holder will provide cover for intensive care emergencies. Consultant cover will be available at all times.
Main Duties & Responsibilities
1. To acquaint him/herself with details of patient management in discussion with the consultants and ensure their efficient execution.
2. To ensure that good communications are maintained with all medical colleagues, e.g. anaesthetists, cardiologists, nursing staff and paramedical departments such as physiotherapists, radiographers and ancillary staff, to the benefit of the patient.
3. To ensure other Specialty Registrars and Consultants are kept informed regarding alteration in the condition of any of their patients.
4. To ensure that all in-patient notes are kept up to date and tidy.
Royal Brompton &
Harefield Hospitals
Part of Guy’s and St Thomas’ NHS Foundation Trust
11
5. Supervise the junior staff (SHOs and Nurse practitioners) in the performance of their duties.
Our Trust includes St Thomas' Hospital, Guy's Hospital, Royal Brompton and Harefield Hospitals, Evelina London Children's Hospital, and community services in Lambeth and Southwark.
Our Trust has a reputation for clinical excellence and high-quality teaching and research. We are part of King’s Health Partners, one of eight accredited UK academic health sciences centres. Together with King’s College London we have dedicated clinical research facilities and a National Institute for Health Research (NIHR) Biomedical Research Centre. We are also working in partnership with King’s Health Partners, to deliver the vision of creating a brand-new centre of excellence, which will be the global leader in the research into and treatment of heart and lung disease, in patients from pre-birth to old age.
Royal Brompton and Harefield Hospitals (RB&HH) became part of Guy’s and St Thomas’ NHS Foundation Trust in February 2021 and the Group is the largest specialist heart and lung centre in the UK and among the largest in Europe. We provide treatment for people with heart and lung disease, including rare and complex heart and lung conditions, carrying out some of the most complicated surgery, and offering some of the most sophisticated treatment that is available anywhere in the world.
Clinical Duties
1. To take history, examine and record all findings of all patients admitted under the Consultant’s care.
2. Carry out and arrange all relevant investigations.
3. To see and examine all patients under the care of the Consultant concerned, including those in the Intensive Therapy Unit ensuring communication is maintained regarding the condition of any of their patients
4. To assist in the operating theatre.
5. To attend and assist Outpatient clinics under the direction of the consultant and to ensure that clinic letters are dictated promptly to fall in line with the 18 week referral to treatment policy.
6. To arrange for the transfer of patients to other hospitals or discharge home, and including a discharge summary on patient’s transfer.
7. To be responsible for the care of all cardiothoracic patients on the wards when working the on-call duty during weekend and evenings.
8. To perform minor surgical procedures such as chest aspiration, insertion of intercostal tubes, etc. and if necessary under the supervision of a Consultant.
9. To dictate all urgent discharge summaries and ensure that these are forwarded to the patient’s General Practitioner or hospital of transfer within 24 hours after the patient is discharged and complete letters to General Practitioners.
10. To cross cover, in conjunction with other Specialty Trainees to ensure the service is covered during periods of absence, annual or study leave and with the guidance and supervision of the appropriate Consultant.
11. To keep Specialist Registrar colleagues
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