Senior Registrar

Designation: Senior Registrar – Critical Care Services Department: Critical Care Medicine Reporting To: Consultant / Head – Critical Care Services Key Responsibilities 1. Clinical Management • Assess, stabilize and manage critically ill patients admitted to ICU/HDU and other critical care areas. • Conduct comprehensive clinical assessment, formulate differential diagnoses and initiate appropriate management. • Participate in daily ICU rounds with the Consultant/Intensivist and implement agreed treatment plans. • Monitor haemodynamic, respiratory, neurological, renal and metabolic status of critically ill patients. • Manage patients requiring mechanical ventilation, non-invasive ventilation and other organ-support therapies. • Recognize and promptly manage deterioration, sepsis, shock, respiratory failure, acute kidney injury and other life-threatening conditions. • Review patients referred from the Emergency Department, wards, OT/recovery and other clinical departments. • Assist in ICU admission, triage, transfer and discharge decisions in coordination with the Consultant. • Provide appropriate handover of patients during shift changes and transfers. 2. Emergency & Resuscitation • Respond promptly to Code Blue, cardiac arrest and other medical emergencies. • Participate in advanced life support and resuscitation according to hospital protocols. • Assess and stabilize deteriorating patients outside the ICU in coordination with the treating team and Intensivist. • Escalate complex or unstable cases to the Consultant without delay. 3. Procedures Perform or assist with critical care procedures within demonstrated competency and hospital authorization, including: • Endotracheal intubation and airway management. • Central venous catheterization. • Arterial line insertion. • Ultrasound-guided vascular access. • Pleural procedures/chest drain insertion where credentialed. • Lumbar puncture and other bedside procedures where appropriate. • Assistance with tracheostomy, bronchoscopy and other advanced procedures. • Bedside point-of-care ultrasound/ECHO as per training and credentialing. All invasive procedures must follow consent, infection-control, documentation and patient-safety requirements. 4. Patient & Family Communication • Communicate the patient's clinical condition, treatment plan and progress to patients and relatives appropriately. • Support Consultants in discussions regarding prognosis, treatment limitations and end-of-life care. • Maintain confidentiality and demonstrate empathy and professionalism in all patient interactions. • Facilitate communication between families and the treating Consultant/primary clinical team. 5. Supervision & Team Coordination • Supervise Junior Residents, Registrars and other medical personnel working in the ICU. • Guide junior doctors in clinical assessment, documentation and procedures. • Coordinate closely with ICU nurses, respiratory therapists, technicians, pharmacists and other members of the multidisciplinary team. • Liaise with specialty consultants and referring teams for coordinated patient management. • Ensure appropriate escalation of clinical concerns to the Consultant/Intensivist. 6. Documentation & Patient Safety • Ensure accurate and timely completion of admission notes, progress notes, treatment orders, procedure notes, transfer notes and discharge summaries. • Maintain accurate ICU charts, medication records, investigation results and clinical handovers. • Ensure compliance with hospital policies, clinical protocols, infection-control standards and patient-safety practices. • Report adverse events, medication errors, near misses and other incidents to the appropriate authority. • Participate in clinical audits, morbidity and mortality reviews and quality-improvement initiatives. 7. Teaching & Training • Participate in teaching of Junior Residents, interns, nurses and other ICU personnel. • Conduct bedside teaching, case discussions, presentations and journal reviews as assigned. • Participate in simulation training, mock drills, resuscitation training and departmental academic activities. • Support orientation and competency development of junior ICU staff. 8. Quality, Research & Continuous Improvement • Participate in departmental audits and quality-improvement projects. • Support implementation of evidence-based Critical Care protocols and clinical pathways. • Participate in research, data collection, clinical studies and publications where applicable. • Contribute to infection-control, antimicrobial-stewardship and patient-safety initiatives. • Keep updated with current critical care guidelines and practices. Key Performance Indicators (KPIs) • Quality and timeliness of ICU patient assessment and management. • Compliance with ICU protocols and patient-safety standards. • Timely response to emergencies and clinical deterioration. • Accuracy and completeness of clinical documentation. • Appropriate use of ICU resources and investigations. • Compliance with infection-control and medication-safety practices. • Effective multidisciplinary communication and handover. • Participation in teaching, audits, quality improvement and research. • Patient/family communication and professional conduct.