Consultant Anaesthetist and Intensive Care
NHS Jobs Newport
Duties of the post The ICU utilises a 6-week rolling schedule for the in hours duty consultant between the hours of 08:00 & 18:00. All 6 current post holders undertake anaesthetic sessions & have string links to the anaesthetic department. Should the applicant prefer to undertake sessions in an alternative department (eg medicine) this can also be considered.
The anaesthetic Department utilises a 12-week rolling schedule. It is expected that the successful applicant would undertake theatre lists in a wide range of specialities including colorectal surgery, trauma, ophthalmic theatre, and maternity.
As well as the pre-assessment clinic & daytime on call consultant rota (bleep 062). The anaesthetic & ICU consultants provide out of hours non-resident consultant cover for anaesthesia for emergency surgery, obstetric anaesthesia, and the management of the intensive care unit; on a 1:12 prospective cover basis.
The anaesthetic department have recently strengthened our in hours anaesthetic senior cover, with the provision of daytime resident consultant sessions to undertake emergency work and ensure the smooth running of theatres. Additional daytime anaesthetic/ICU cover is provided at weekends to allow specialist staff to undertake the ICU ward round and to facilitate emergency work.
Some consultants undertake weekend emergency anaesthetic/trauma sessions or an ICU ward round in lieu of participation in the OOH ICU and anaesthetic on call rota. This is agreed at job planning. Intensive Care Unit (ICU) We have daily multidisciplinary ward rounds with colleagues from pharmacy, microbiology, dietitians, and physiotherapists.
The unit admits about 400 patients a year. The majority (70%) are critically ill adult medical patients. We have up to date equipment, monitoring and ventilators that can be expected from a general high quality intensive care unit. The Trust is currently developing an ICU follow up service and enhanced care provision for level 1+ patients.
There is ample opportunity for the post holder to be involved in these developments. Critical care outreach is well established, and this nurse delivered service also leads the hospital at night team, providing 24/7 cover in supporting amongst other things the referring teams in timely assessment and referral of critically ill patients.
This team has strong links to ICU as well as an expanded role throughout the hospital and is playing a pivotal role in many aspects of keeping patients safe. Tertiary ICU services including paediatric the regional neurological unit are based in Southampton.
Initial assessment, resuscitation and stabilisation of these patients involves the anaesthetic team. Due to the remote location the anaesthetic team may also be involved in transfer by helicopter or ferry to mainland services. Medical staffing consists of 7 consultants (including this post), each of whom undertake weeks on ICU.
There is a resident SAS doctor 24/7 as well as an FY2 trainee post. Out of hours the consultant support is shared with the anaesthetic department. To strengthen the ICU specialist advice OOH, there are weekend morning ICU consultant ward rounds and consideration is being given to OOH telephone advice to the non-ICU anaesthetic consultants.
The medical team run regular M&M and consultant team meetings to ensure high quality standardised care. There are well established links to PUHT ICU educational meetings and attendance at their educational meetings is encouraged. The Anaesthetic Department The department provides anesthetic services for general, ophthalmic, maxilla-facial, ENT, urological, orthopedics and gynecological surgery.
The Department operates a mentor scheme for all new appointees. Allied Services We have 7 operating theatres (4 main, 2 in a separate day case unit, 1 satellite eye theatre) and a dedicated obstetric theatre. Pre-Assessment The nurse led pre-assessment process of all elective patients is well established at St Marys Hospital.
There is a daily consultant anaesthetic clinic available to review anticipated difficult cases and to communicate potential problems to colleagues. We run an Enhanced Recovery Program for orthopedic, colorectal, and gynecological surgery. Obstetrics The Maternity unit has about 1200 deliveries per year with an epidural rate of approximately 25% and a caesarean section rate of around 17%.
The Anaesthetic department provides Consultant cover in hours to the labor ward. Out of hours there is a dedicated specialist doctor to provide anaesthesia for obstetrics. Acute Pain Service (APS) The APS is provided by a consultant anaesthetist and a full-time acute pain nurse, supported by ward-based link nurses.
Apart from the clinical service, it provides teaching and education for medical and nursing staff. Post-operative pain is managed in a variety of ways including PCA and PCEA. Ultrasound guided nerve and plexus blockade are also commonly employed techniques.
We have recently invested in several state-of-the-art ultrasound machine and developed a protocol for local anesthetic wound/nerve catheter infiltration postoperatively. The new post holder will be expected to work closely with the APS when implementing new post-operative pain management strategies.
Chronic Pain Service (CPS) This is an outpatient service open to GPs for malignant and non-malignant pain syndromes. It is provided by a team of two consultants from the Department, a Clinical Psychologist and part-time Nurse Specialist, as well as Specialist Physiotherapists providing Physical Therapy and Acupuncture sessions.
The anaesthetic Department utilises a 12-week rolling schedule. It is expected that the successful applicant would undertake theatre lists in a wide range of specialities including colorectal surgery, trauma, ophthalmic theatre, and maternity.
As well as the pre-assessment clinic & daytime on call consultant rota (bleep 062). The anaesthetic & ICU consultants provide out of hours non-resident consultant cover for anaesthesia for emergency surgery, obstetric anaesthesia, and the management of the intensive care unit; on a 1:12 prospective cover basis.
The anaesthetic department have recently strengthened our in hours anaesthetic senior cover, with the provision of daytime resident consultant sessions to undertake emergency work and ensure the smooth running of theatres. Additional daytime anaesthetic/ICU cover is provided at weekends to allow specialist staff to undertake the ICU ward round and to facilitate emergency work.
Some consultants undertake weekend emergency anaesthetic/trauma sessions or an ICU ward round in lieu of participation in the OOH ICU and anaesthetic on call rota. This is agreed at job planning. Intensive Care Unit (ICU) We have daily multidisciplinary ward rounds with colleagues from pharmacy, microbiology, dietitians, and physiotherapists.
The unit admits about 400 patients a year. The majority (70%) are critically ill adult medical patients. We have up to date equipment, monitoring and ventilators that can be expected from a general high quality intensive care unit. The Trust is currently developing an ICU follow up service and enhanced care provision for level 1+ patients.
There is ample opportunity for the post holder to be involved in these developments. Critical care outreach is well established, and this nurse delivered service also leads the hospital at night team, providing 24/7 cover in supporting amongst other things the referring teams in timely assessment and referral of critically ill patients.
This team has strong links to ICU as well as an expanded role throughout the hospital and is playing a pivotal role in many aspects of keeping patients safe. Tertiary ICU services including paediatric the regional neurological unit are based in Southampton.
Initial assessment, resuscitation and stabilisation of these patients involves the anaesthetic team. Due to the remote location the anaesthetic team may also be involved in transfer by helicopter or ferry to mainland services. Medical staffing consists of 7 consultants (including this post), each of whom undertake weeks on ICU.
There is a resident SAS doctor 24/7 as well as an FY2 trainee post. Out of hours the consultant support is shared with the anaesthetic department. To strengthen the ICU specialist advice OOH, there are weekend morning ICU consultant ward rounds and consideration is being given to OOH telephone advice to the non-ICU anaesthetic consultants.
The medical team run regular M&M and consultant team meetings to ensure high quality standardised care. There are well established links to PUHT ICU educational meetings and attendance at their educational meetings is encouraged. The Anaesthetic Department The department provides anesthetic services for general, ophthalmic, maxilla-facial, ENT, urological, orthopedics and gynecological surgery.
We have 7 operating theatres (4 main, 2 in a separate day case unit, 1 eye satellite unit) and a dedicated obstetric theatre. We also provide anaesthetic and resuscitation services to obstetrics, paediatrics, radiology, ECT and the ED. The relative geographical isolation means that all anaesthetists must maintain a wide range of core skills in order to be able to safely deliver these low frequency but high impact services We are currently 15 consultants and 17 specialty doctors.
We have a single training post in anaesthesia (which is at present occupied by a FY2 post in Intensive Care) and also have a training commitment to several ED doctors undertaking consultant accreditation via the CESR route as well as a constant influx of medical students.The Department operates a mentor scheme for all new appointees. Allied Services We have 7 operating theatres (4 main, 2 in a separate day case unit, 1 satellite eye theatre) and a dedicated obstetric theatre. Pre-Assessment The nurse led pre-assessment process of all elective patients is well established at St Marys Hospital.
There is a daily consultant anaesthetic clinic available to review anticipated difficult cases and to communicate potential problems to colleagues. We run an Enhanced Recovery Program for orthopedic, colorectal, and gynecological surgery. Obstetrics The Maternity unit has about 1200 deliveries per year with an epidural rate of approximately 25% and a caesarean section rate of around 17%.
The Anaesthetic department provides Consultant cover in hours to the labor ward. Out of hours there is a dedicated specialist doctor to provide anaesthesia for obstetrics. Acute Pain Service (APS) The APS is provided by a consultant anaesthetist and a full-time acute pain nurse, supported by ward-based link nurses.
Apart from the clinical service, it provides teaching and education for medical and nursing staff. Post-operative pain is managed in a variety of ways including PCA and PCEA. Ultrasound guided nerve and plexus blockade are also commonly employed techniques.
We have recently invested in several state-of-the-art ultrasound machine and developed a protocol for local anesthetic wound/nerve catheter infiltration postoperatively. The new post holder will be expected to work closely with the APS when implementing new post-operative pain management strategies.
Chronic Pain Service (CPS) This is an outpatient service open to GPs for malignant and non-malignant pain syndromes. It is provided by a team of two consultants from the Department, a Clinical Psychologist and part-time Nurse Specialist, as well as Specialist Physiotherapists providing Physical Therapy and Acupuncture sessions.
The Earl Mountbatten Hospice provides malignant pain control, respite services and terminal care and cooperates closely with the Hospital CPS. The service runs a Pain Management and a Functional Restoration Program on the Island. Job Planning and Appraisal Post holders will take part in Annual Appraisal and performance review against objectives as well as specific requirements laid out above.
Isle of Wight NHSNewport
paediatrics, radiology, ECT and the ED. The relative geographical isolation means that all anaesthetists must maintain a wide range of core skills in order to be able to safely deliver these low frequency but high impact services
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