Narayana Health—Senior Registrar

Job description

Description: 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.