Senior House Officer

Senior House Officer-

Department

Adult ICU / Critical Care Medicine

Reporting To

Consultant Intensivist / HOD Critical Care / ICU In-charge

Job Summary

The Duty Medical Officer in Adult Critical Care Medicine is responsible for providing continuous medical care to critically ill adult patients admitted in ICU, HDU, and emergency areas. The role includes patient assessment, stabilization, emergency management, monitoring, documentation, coordination with consultants, and execution of ICU treatment protocols during assigned shifts.

Key Responsibilities

1. Patient Care & Monitoring

• Assess and monitor critically ill patients in ICU/HDU.
• Perform detailed history taking and clinical examination.
• Monitor vital signs, ventilator parameters, ABG reports, and hemodynamic status.
• Identify clinical deterioration early and initiate immediate management.
• Carry out ICU rounds and ensure implementation of consultant orders.

2. Emergency & Critical Care Management

• Attend Code Blue and medical emergencies.
• Perform CPR/BLS/ACLS protocols.
• Stabilize critically ill patients before consultant review.
• Manage airway emergencies including intubation assistance.
• Handle sepsis, shock, respiratory failure, arrhythmias, and acute emergencies.

3. Procedures

• IV cannulation and central line assistance.
• Arterial blood sampling and ABG interpretation.
• Foley catheterization, Ryle’s tube insertion.
• Assist in intubation, ventilator setup, and bedside procedures.
• Wound dressing, suturing, and emergency bedside interventions.

4. Documentation

• Maintain accurate ICU notes and treatment records.
• Prepare admission notes, progress sheets, discharge summaries, and death summaries.
• Document emergency interventions and procedures.
• Maintain medico-legal documentation as per hospital policy.

5. Coordination & Communication

• Coordinate with intensivists, specialists, nursing staff, and technicians.
• Communicate patient condition and updates to consultants.
• Counsel patient attendants regarding clinical status when required.
• Ensure proper shift handover to next duty doctor.

6. Infection Control & Quality

• Follow ICU infection control protocols.
• Ensure compliance with NABH/JCI standards.
• Adhere to biomedical waste management guidelines.
• Participate in audits, mortality meetings, and quality improvement activities.