Trust Grade Clinical Fellow in Critical Care

2 weeks ago

London, United Kingdom Whittington Health NHS Trust Full time

Duties involve day-to-day clinical management of patients on the 10 bedded adult Critical Care Unit which has 700 admissions a year, as well as supporting the Critical Care Outreach service. These appointments are to enable us to continue running a 9-person rota, with 7 of these posts in recognised training programmes. The Unit is fully covered by Consultant Intensivists in a dedicated Critical Care rota.

These are whole time posts on a 6 month contract for 40 hours a week plus an additional on call supplement as a result of the out of hours duties and will be paid on the appropriate scale according to experience. Although these are trust funded service posts, the clinical duties and teaching components are the same as in our deanery funded SHO training posts.

You will participate in the SHO ICU resident staff cover based on a 1 in 9 full shift rota (Day 8.30am-9.30pm, Night 8.30pm-9.30am). The posts are EWTD compliant and working hours calculations include attendance at teaching sessions as well as prospective cover for annual and study leave.

Whittington Health serves a richly diverse population and works hard to ensure that all our services are fair and equally accessible to everyone. Nowhere is this more obvious than in the way we look after our staff. We aim to employ a workforce which is as representative as possible of this population, so we are open to the value of differences in age, disability, gender, marital status, pregnancy and maternity, race, sexual orientation, and religion or belief. The Trust believes that as a public sector organisation we have an obligation to have recruitment, training, promotion and other formal employment policies and procedures that are sensitive to these differences. We think that by doing so, we are better able to treat our patients as well as being a better place to work.

Duties & Responsibilities

The post-holder will report to Dr Sarah Gillis and/or other designated leads as she appoints and the duty ICU consultant who will direct activity on a daily basis.

The main duties of the post include
- 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 eg 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
- Communication with families & relatives of patients to update them on patient progress.

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