Job Purpose

The Critical Care Instructor/Registrar will perform clinical and educational functions within the Critical Care units of the Aga Khan University Hospital – Nairobi. The Instructor/Registrar’s clinical duties will include assessment and management of Critically ill patients in the Medical-Surgical Intensive Care Unit and the High Dependency Unit in the Hospital under the supervision of a Critical Care Consultant.

Their academic responsibilities will also include clinical instruction to senior house officers, interns, medical students and resident doctors within Critical Care Medicine.

Key responsibilities

Access and manage patients.

• Participate in daily multidisciplinary rounds in the ICU & HDU per the monthly schedule/rota under the supervision of the Critical Care Consultant.
• Clinical instruction to junior medical staff in the critical care units with oversight by the Critical Care Consultant
• Perform Critical Care procedures within their competence in the ICU & HDU under the supervision of the Critical Care Consultant
• Assess and examine patients, order and interpret diagnostic studies, develop care plans, update patients, their families, primary care providers and other consultants. This will be done under the supervision of the Critical Care Consultant.

Consultation outside the Critical Care Units

• Assist in the initial assessment and triage by phone, other electronic means or in person of potential critical care patients by providing assessment, management, and triage advice to non-critical care medical providers. This will be done at the direction and supervision of the Critical Care Consultant.

Participate in the review and development of appropriate policies and procedures for patients’ health care to formulate best practice guidelines.

• Participate in discussions with relevant members of the clinical care team to enable better integration of patient care activities under the supervision of the Critical Care Consultant.

Participate in the meticulous use of resources.

• Work closely with other members of the clinical care team to reduce errors and waste, improve skillfulness and resource utilization.

Participate in departmental research and academic activities, institutional quality improvement and patient safety activities.

• Clinical instruction of medical school students, interns and residents as assigned.
• Participate and occasionally present in weekly Morbidity and Mortality meetings for the section of critical care.
• Seek opportunities to attain and maintain competency in knowledge and skills to perform duties described.
• Seek feedback from Critical Care Consultants on performance.

Perform other duties as may be assigned by Critical Care Medical Director

• Participate in all team efforts as departmental (DOM) and sectional (Critical Care) needs arise.

Qualifications, Experience and Skills required:

• Bachelor of Medicine and Bachelor of Surgery (MBChB) or equivalent
• Master of Medicine in Internal Medicine/Anesthesia/Emergency Medicine or successful completion of a residency in Internal Medicine/Anesthesia or Emergency Medicine.
• Registration by the Kenya Medical Practitioners and Dentists Board
• Basic Life Support & Advance Cardiac Life Support (BLS & ACLS)
• Demonstrates competency and dexterity with all equipment utilized in the hospital environment
• Good communication skills
• Demonstrates honesty, integrity, compassion, and respect for diversity and applies ethical principles appropriately
• Seeks and accepts advice and adheres to deadlines
• Punctual and respects commitments made
• Responsible team layer
• Basic computer skills and electronic medical record knowledge is an added advantage.

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Responsibilities:

Conducting MRI procedures as per approved protocols and guidelines

• Correctly interpret the request form
• Explain procedure to the patient beforehand.
• Consults with radiologists in case of doubt in any protocol selection
• Ensure all consumables for selected protocols are available.
• Perform high quality MRI scans
• Monitor patient’s condition throughout the procedure.
• Make sure the patient is on sight throughout the procedure.
• Ensure all patients fill in the screen form before procedure.
• Ensure all patients fill in the screen form before procedure.
• Ensure a nurse is present at all times when imaging critically ill patients for monitoring purposes.
• Ensure all relevant records of all patients undergoing MRI scans are maintained.
• Ensure all images are sent to PACs.
• Work collaboratively with anesthetists and nurses for patients requiring MRI under sedation.
• Perform Intravenous cannulation and I.V contrast administration to patients.

Ensure safety of patients, staff and MRI equipment

• Assess patients for risk of fall and implement safety measures.
• Strap all patients to avoid falling during procedures.
• Where patients are immobile, use designated MRI safety wheel chair and /or trolley to take patients in the magnetic room.
• Ensure no gas/oxygen cylinders are taken into the magnet room
• Ensure safety checklist properly filled and checked before patient admitted to magnet room.
• Ensure is patient prepared and changed into appropriate attire (no zip, no clips, no metallic buckles, no pins, and no jewelry) before scanning.
• Minimize entry of people to MRI area.

Equipment Management

• Report all machine faults to Section Technologist In-charge and Biomedical engineering for action immediately.
• Ensure daily QCs for equipment in the sections are done.
• Ensure equipment is cleaned as per manufacturers guidelines.

Compliance with infection control measures

• Ensure adequate supply of hand washing soaps and hand sanitizing gels and dispensers.
• Ensure hands are washed/sanitized before and after every procedure.
• Observe stipulated guidelines when handling infectious patients e.g. use of masks etc.

Monitor environment in UPS, control, chiller and gantry rooms

• Monitor and document temperatures in these rooms
• Ensure UPS and chiller working correctly

Monitor helium levels and magnet pressure

• Read and record helium levels daily.
• Read and record magnet pressure daily.

Patient Information Documentation

• All exams done should be recorded.
• Record all doses of contrasts administered to patients.
• Perform Intravenous cannulation and I.V contrast administration to patients.

Supervise machine maintenance/repair services

• Staff should avail themselves during maintenance/repairs

Training of MR Technologist / residents

• When needed, conduct orientation of residents and new MR technologists

Embrace modern technology, techniques and skills in providing MRI procedures.

• Undergo training on any new technologies that are started in the MRI section, be it new machines, software etc.
• Participate in individual staff development e.g advance MRI procedures

Perform other duties as may be assigned

• Participate in all team efforts as departmental needs arise.

Requirements:

• Diploma in Medical Imaging Sciences or Equivalent.
• Training in MRI Scan procedures.
•  A valid Basic Life Support certificate
• 3 years’ experience as a Radiographer with sufficient training in MRI scan procedures.
• Good communication and interpersonal skills
• A team player with good customer care skills

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