Job Description

Associate Consultant – Critical Care Services (AITU)

Position Details

Designation: Associate Consultant – Critical Care Services
Department: Critical Care Services / Adult Intensive Therapy Unit (AITU)
Reports To: Consultant / Clinical Head – Critical Care Services
Location: NICS
Employment Type: Full-Time
Department: Clinical Services

Key Roles & Responsibilities

• Provide comprehensive medical assessment and management of critically ill patients admitted to the AITU.
• Conduct regular clinical rounds and review patients' clinical status, investigations, treatment plans and response to therapy.
• Manage critically ill patients requiring advanced monitoring and organ support, under the supervision and guidance of the Critical Care Consultant.
• Recognize and appropriately manage medical emergencies, acute deterioration and life-threatening conditions.
• Participate in resuscitation and emergency response, including advanced life-support procedures as appropriately trained and credentialed.
• Initiate and monitor appropriate investigations, treatments and therapeutic interventions.
• Assist with management of patients requiring mechanical ventilation, non-invasive ventilation and other forms of respiratory support.
• Monitor hemodynamic status and assist in the management of patients requiring vasoactive and other critical-care therapies.
• Participate in procedures within the scope of training, hospital privileges and credentialing.
• Ensure timely documentation of clinical assessments, progress notes, treatment plans, procedures and discharge summaries.
• Communicate effectively with patients' relatives regarding clinical condition, treatment plans and prognosis, in coordination with the treating consultant.
• Coordinate with specialists from other departments for multidisciplinary management of critically ill patients.
• Work closely with nursing, respiratory therapy, physiotherapy, pharmacy, laboratory and other support teams.
• Ensure compliance with hospital policies, infection-control practices, medication-safety standards and critical-care protocols.
• Identify and escalate any significant clinical deterioration or concerns to the Consultant / Clinical Head promptly.
• Participate in morbidity and mortality meetings, clinical audits, case discussions and departmental academic activities.
• Contribute to quality-improvement, patient-safety and evidence-based practice initiatives within Critical Care Services.
• Participate in teaching and mentoring of junior doctors, residents and other clinical staff, as applicable.
• Maintain professional competence through continuing medical education, training and relevant certifications.
• Ensure ethical, professional and patient-centred clinical practice at all times.

Clinical Responsibilities

The Associate Consultant is expected to demonstrate competency, as applicable to the hospital's scope of practice, in:

• Initial assessment and stabilization of critically ill patients
• Airway assessment and management
• Mechanical and non-invasive ventilation
• Hemodynamic monitoring and management
• Sepsis and septic shock management
• Acute respiratory failure
• Acute kidney injury and management of critically ill patients requiring renal support
• Acute neurological emergencies
• Cardiac emergencies and arrhythmias
• Multiorgan dysfunction
• Post-operative and high-risk surgical critical care
• Toxicological and metabolic emergencies
• Nutritional assessment and support in critically ill patients
• Pain, sedation and delirium management
• Prevention and management of ICU-related complications
• End-of-life care and appropriate communication with patients and families