Clinical Associate in Liver Transplants Critical Care

Role & responsibilities :

• You will be expected to do shift duties on a rotation basis: They may be required to do extra hours if the situation demands.
• You must be informed of all admissions to the CCU. Preferably, no CCU admission should take place without the prior knowledge of the Intensivist and the decision to transfer the patient to the CCU should be taken after consultation with the Intensivist or a designated member of the Critical Care team.
• Discharge of a patient from the CCU should be with the knowledge of the Intensivist.
• All patients admitted to the CCU must be seen by the Intensivist.
• You must do daily rounds on all CCU patients. During these rounds, you need to do the following.
• Be familiar with all relevant clinical aspects of the history and presentation.
• Do a focused and relevant clinical examination.
• Review all the radiology, laboratory and microbiology data. At this point he/she needs to ensure that all recent test reports have been collected, seen and appropriate action has been taken.
• Review the input by all the specialists involved in the care of the patient. If needed, further opinions may be sought.
• Make a clear plan for the next 12-24 hours. This should include all aspects of management including but not limited to major organ support, fluid therapy, nutrition and antibiotics.
• It should also specify the appropriate preventive measures including but not limited to prevention of pressure sores and appropriate DVT and stress ulcer prophylaxis
• You may seek specialist consultations for the CCU patient when required. You must co-ordinate the advice of various consultants and devise a plan of management for the patient as a whole
• Check that all prior jobs generated by previous rounds and by other consultants have been completed.
• You should periodically review the patients progress and may make necessary changes in patient management.
• All CCU procedures should be performed by the Intensivist or by personnel designated by the Intensivist under his / her supervision.
• You must communicate with the patients and / or their family members the nature and seriousness of the illness, the plan of management and the progress of the patient.
• You may also provide services such as but not limited to
• Management of patients in the high-dependency unit
• CCU outreach teams / rapid response team– for Medical Emergencies outside the CCU
• Invasive procedures outside the CCU (e.g., Central Line, PICC lines, Lumbar puncture, Insertion of feeding tubes etc)