Consultant Intensive Care

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Job Summary

The Consultant is responsible for providing care for his/her patients (inpatient and outpatient including patients admitted in Intensive Care Unit) maintaining a high-level of professional performance in accordance with:

1. Evidenced based medicine.
2. Professional medical ethics and JCIA standards.
3. Hospital medical by-laws.
4. Laws of Ministry of Health in Kingdom of Saudi Arabia and any other applicable regulations according to the departmental quality plan.

Providing effective leadership of the department maintaining an appropriate quality plan using measurable performance improvement standards in the field of intensive care.

Major Duties and Responsibilities

1. Ensures through his actions, either directly or indirectly, that a superior quality of medical treatment, compassion, and understanding is given to every patient served at the NMC Hospitals and Clinics.
2. Provides patient care within the parameters of their professional competence as reflected in the scope of their clinical privileges for both in-patients and out-patients.
3. Practices within the framework of clinically relevant and scientifically valid standards, guidelines, and criteria.
4. Conducts regular ward rounds on his own and/or as a team to formulate a multi-disciplinary treatment plan.
5. Performs diagnostic and therapeutic procedures on his/her patients within the range of the specialty.
6. Assessment and referral of appropriate patients under his/her medical care to other appropriate medical facilities as well as accepting referrals of patients with medical problems in his/her field of specialty.
7. Participates in the on-call rota of the department for patient care and admission.
8. Responds to emergencies to offer advice and actively participates with problems if required, related to his/her specialty.
9. Observes and upholds the patients' rights of security, confidentiality, and privacy.
10. Maintains appropriate records of all patients with accurate, timely legible completion of patients' medical records.
11. Has a leadership role in the organization performance.
12. Supervision of duties of assigned junior staff.
13. Provides leadership for performance-improvement functions in the process of measurement, assessment, and improvement of both clinical and non-clinical processes as part of the Departmental Quality Plan.
14. Active participation in Continued Medical Education (C.M.E.) through educational hospital activities (morning report meetings, grand rounds, clinical tutorials and seminars, journal club, radiology or clinico-pathological conferences). Also, through National and International meetings, conferences, and symposia. Participation in review of literature, case reporting, and clinical studies/research.
15. Active participation in training programs related to his field and organization within the hospital for training of junior medical staff and in-service training for nursing staff and technicians.
16. Continuous update of his knowledge in the medical field as well as continuously upgrading the level of skill in his/her field of profession.
17. Participation in committee meetings assigned to him/her (Quality Improvement, Infection Control, etc.).
18. Abides by Department Policies and Procedures, as well as hospital by-laws, Rules, and Regulations.
19. To carry out any other assignments as directed by Hospital Administration and/or the department head and within the realm of his knowledge, skills, and abilities.
20. Responsible to educate patients/families as per their needs and to implement their whole role regarding patient/family education process as mentioned in patient & family education policy and procedure including documentation in patient medical record.
21. Involves the patient/families in the plan of care and respects patients/families regarding their goals and choices of patient care.
22. Provides health promotion and health teaching through methods appropriate to a patients' developmental level, learning needs, readiness and ability to learn, language preference, culture, and situations.
23. Allots time necessary to assess, plan, implement, and evaluate patient education provided to patients/families with appropriate documentation.

DUTIES RELATED TO HIS SUBSPECIALITY

1. Available in emergencies to offer advice on problems related to his/her subspecialty and accept referrals of patients with medical problems in his field.
2. Responsible for coverage of emergency consultation in his field as per duty rota.
3. Should participate actively in daily unit management activities necessary for the efficient, timely, and consistent delivery of ICU services to the patient of the hospital. These activities include but are not limited to:
   1. Triage and bed allocation, discharge planning.
   2. Recommendation of unit policies and procedures and supervision of application of unit policies.
   3. Participation in ongoing Quality Improvement, Infection Control activities including supervision of data collection in addition to membership of committees including Code Blue Committee.
   4. Interaction with other departments as necessary to facilitate the management of patients and smooth operation of ICU.
   5. Review of the appropriate utilization of ICU resources in the hospital.
   6. Recommend equipment purchases and changes, and have input on structural and design changes within the unit.
   7. Provide the Medical Director with recommendations on the activities, morbidities, mortalities, and major changes in the ICU/CCU.
   8. Should conduct regular ICU rounds with ICU team and see patients as often as required by acuity but at least twice daily.
   9. Investigations and management of patients with medical problems related to his subspecialty, even if under the primary care of other attending physicians but with prior permission and willingness of the primary physician concerned using subspecialty related invasive and non-invasive procedures.
   10. Collaborative assistance in referrals of above type of patients to appropriate facilities for further management if resources of this institution are not adequate.
   11. Should be able to perform the usual critical care procedures, diagnostic and therapeutic as indicated by the competence, capability; including but not limited to:
       1. Maintenance of the airway to include endotracheal intubation and mechanical ventilation.
       2. Placement of Intravascular Catheters and monitoring devices including:
          1. Peripheral and central venous lines
          2. Pulmonary artery catheters
       3. Cardiopulmonary resuscitation
       4. Placement of transvenous temporary pacing lead wire.
       5. Tube Thoracostomy.
   12. Should be able to serve as the team leader providing managed care within the ICU, integrating and facilitating the care of the patient with complex illness or injury including multi-system failure.
   13. Active participation in Continuing Medical Education through national/international medical meetings. This includes Morbidity and Mortality, Morning Reports, grand Rounds, clinical Seminars, journal Club, X-ray and Clinico-Pathological Conference.
   14. Keep current with medical literature.
   15. Participate in CME programs for ICU Junior Staff, Nursing staff, and other related health care providers.
   16. Should perform duties in accordance with policies and procedures, rules, and regulations of Riyadh Care Hospital and should follow the ethics of the medical profession and laws of the Kingdom.

Reporting to

Head of Department

Liases with:

Consultants of his/her specialty, of other specialties within the department, Consultants of other departments, Nursing staff Respiratory Therapy, and other health care professionals, patients, and their families.

Senior Registrars, Registrars, Residents, Respiratory Therapy, Nurses, and other paramedical staff assigned to him.

Qualifications:

A minimum of:

EDUCATION :

Required

Graduation from an accredited medical school, completion of required period of training in specialty and/or subspecialty. Saudi Board / Arab Board or American Board, or Canadian Fellowship, or FRCS, or Equivalent.

Higher qualifications in his specialty, if any.

EXPERIENCE:

Required

Minimum five (5) years experience Post Qualification.

Current valid license to practice medicine in the area of specialty.

Registration in Saudi Commission of Health Specialties and/or Current license to practice medicine in Saudi Arabia.

Additional experience in a sub-specialty

Academic affiliation.

Demonstrates leadership and administrative skills.

Fluent in spoken and written English.

Communication in spoken Arabic is desirable.

Exhibits professionalism and excellent interpersonal communication skills.

Mid-Senior level

Full-time

Health Care Provider

Hospitals and Health Care