Qualification:
MD / DNB, Emergency Medicine or Critical Care Medicine with fellowship/training in Critical Care.
Key Responsibilities:
1. Clinical Care Responsibilities
- Conduct initial assessment of all ICU patients.
- Prepare and update daily treatment plans.
- Manage critically ill patients with respiratory failure, sepsis, shock, cardiac emergencies, neurological emergencies, renal failure, trauma, and post-operative complications.
- Manage ventilated patients, oxygen therapy, non-invasive ventilation, and weaning protocols.
- Prescribe and monitor emergency drugs, antibiotics, fluids, blood products, vasopressors, sedation, analgesia, and nutrition.
- Perform or supervise ICU procedures such as central venous line insertion, arterial line insertion, intubation, CPR, pleural tapping, and other emergency procedures as per privilege.
- Attend ICU emergencies immediately and guide the ICU team.
- Ensure timely referral or involvement of specialty consultants whenever required.
2. ICU Rounds and Monitoring
- Conduct ICU rounds at least once daily and whenever clinically required.
- Review vitals, lab reports, radiology reports, fluid balance, ventilator settings, medication charts, and nursing notes.
- Ensure proper documentation of progress notes, treatment orders, and clinical decisions.
- Monitor high-risk patients closely and escalate care when needed.
- Review need for invasive lines, catheters, ventilator support, restraints, and antibiotics on a daily basis.
3. Coordination and Communication
- Coordinate with primary consultants regarding patient condition and treatment plan.
- Communicate patient status, prognosis, risks, and treatment plan to patient relatives in a clear and compassionate manner.
- Support informed consent process for ICU procedures and high-risk interventions.
- Participate in multidisciplinary discussions for complex cases.
- Ensure proper handover during shift changes and patient transfers.
4. Emergency and Life Support Management
- Lead code blue and ICU emergency response.
- Ensure implementation of ACLS/BLS protocols.
- Supervise resuscitation, airway management, shock management, and emergency stabilization.
- Review crash cart readiness and emergency preparedness in ICU.
- Participate in mock drills and emergency training.
5. Infection Control and Patient Safety
- Ensure compliance with hand hygiene, aseptic precautions, isolation practices, and biomedical waste segregation.
- Monitor and reduce ICU-associated infections such as VAP, CLABSI, CAUTI, and SSI.
- Promote rational antibiotic use and antimicrobial stewardship.
- Ensure compliance with bundle care practices.
- Report and review adverse events, sentinel events, medication errors, near misses, and device-related complications.
6. Quality and NABH Responsibilities
- Follow NABH standards, hospital policies, SOPs, clinical protocols, and ICU care pathways.
- Participate in clinical audits, mortality reviews, medical record audits, and infection control audits.
- Monitor ICU indicators such as mortality rate, ventilator days, VAP rate, CLABSI rate, CAUTI rate, average length of stay, readmission to ICU, and code blue outcomes.
- Participate in RCA/CAPA for incidents and complications.
- Support quality improvement projects in ICU.
7. Documentation Responsibilities
- ICU admission notes
- Initial assessment and treatment plan
- Daily progress notes
- Procedure notes
- Consent documentation
- Ventilator chart review
- Drug and infusion orders
- Blood transfusion documentation
- Referral notes
- Discharge/transfer summary
- Death summary, if applicable
- Incident/adverse event reporting
8. Training and Supervision
- Guide ICU Medical Officers, residents, nurses, and other clinical staff.
- Conduct training on BLS, ACLS, ventilator care, sepsis management, infection control, emergency drugs, and ICU protocols.
- Supervise clinical competency of ICU staff.
- Participate in CME/CNE and departmental training programs.
Required Skills and Competencies
- Strong clinical knowledge in critical care medicine.
- Competency in ventilator management and airway management.
- Ability to manage cardiac arrest and life-threatening emergencies.
- Knowledge of infection control and ICU quality indicators.
- Good communication with patients, relatives, and healthcare team.
- Leadership and decision-making skills.
- Accurate documentation and medico-legal awareness.
Key Performance Indicators
- Timely assessment of ICU patients.
- Compliance with ICU protocols and documentation.
- Reduction in ICU infection rates.
- Compliance with ventilator and central line bundles.
- Timely response to ICU emergencies and Code Blue.
- Proper communication with relatives and consultants.
- Participation in audits, mortality reviews, and RCA/CAPA.
- Staff training and competency improvement.
Authority
The Intensivist is authorized to:
- Make emergency clinical decisions for ICU patients.
- Initiate life-saving treatment.
- Perform procedures as per approved clinical privileges.
- Escalate cases to specialty consultants.
- Recommend ICU admission, transfer, referral, or discharge based on patient condition.
- Lead ICU emergency response and resuscitation.
Pay: ₹120,000.00 - ₹180,000.00 per month
Benefits:
- Leave encashment
- Paid time off
Work Location: In person
