Intensive Care in Cornwall is provided at the Truro site in a purpose-built Unit that was fully refurbished in 2011. It provides critical care services for a catchment population of around 480,000. 9 of the 19 available bed spaces are cubicles. Current staffing is for 15 - 17 patients of combined level 3 and level 2 dependency. The Unit is located adjacent to the trauma and emergency theatres and immediately above the Emergency department.
Review of ward-based patients with increased dependency care is delivered by nurse led critical care outreach. Other high care areas on site are a separate 3 bed paediatric high dependency unit on the children's ward, a Neonatal Intensive Care Unit and a 10 bed Coronary Care Unit.
Consultant Medical staff
Sixteen consultants specialise in Intensive Care Medicine: Drs Thys DeBeer, Will English, Mike Spivey, Adam Garland, Dave Ashton-Cleary, Mat Holland, Dave Connor, Jennie Stephens, Dave Cain, Barney Scrace (Faculty Tutor), Ruth Creamer, Richard Hunt, Sarah Jarvis, Fraser Gould, Alex Coombes and Helen Jones. Many of the ICU consultants are APLS or ATLS instructors. Six consultants are accredited trainers in critical care echocardiography and three are accredited trainers in critical care lung ultrasound. Previous trainees have completed their FICE accreditation whilst in post. Many are actively involved in clinical research and medical education.
Main duties of the job
The critical care unit at Royal Cornwall Hospitals NHS trust has approval for all stages of training in intensive care medicine. The post holder will initially participate in a rolling twelve week full-shift rota comprising a rotating programme of short days, long days and nightshifts. With the implementation of a middle grade tier for critical care it is anticipated that those appointed to a permanent post will switch to a new rota schedule more suited to longer term placements.
Those successful in application for the above post will be supported in gaining skills and accreditations pertinent to their role in critical care including:
Airway skills and management - (4 month block in Anaesthesia to gain IAC sign off)
Echocardiography and USS training
Support towards possible CESR equivalence in Intensive Care Medicine
During the day on the unit you will be supervised by two consultants and work in a medical team usually comprising a senior trainee in intensive care medicine and a minimum of one other CT or ST Intensive Care trainee and one foundation doctor. At night, you will be supported by the critical care consultant, the resident senior anaesthetic trainee and a critical care foundation trainee.
About us
Royal Cornwall Hospitals NHS Trust is the biggest provider of healthcare services in Cornwall and the Isles of Scilly. Our three main sites are Royal Cornwall Hospital Truro, St Michael's Hospital Hayle and West Cornwall Hospital Penzance, our staff and services are available across the region.
The Trust employs 5,000+ staff, has a budget of £380 million and 750 beds. We work with health and social care organisations -including NHS Kernow and NHS England- to ensure local healthcare needs are met. We provide acute medical, surgical and specialist services to around 500,000- which can increase significantly during busy holiday periods.
The Trust has teaching hospitals status as part of the University of Exeter Medical School. Keeping at the forefront of medical advances, we continually develop clinical services and are committed to maximising the range of specialist care offered locally.
We can offer you a rewarding career in a supportive working environment. We have extensive educational links to help you realise your full potential and develop skills to provide outstanding healthcare to the local community.
Enjoy an outstanding quality of life in a place that offers surfing beaches and fishing harbours to beautiful countryside and historic towns. With clean air, plenty of opportunities for outdoor activities and excellent schools, colleges and universities (including adult education) it is the ideal place for families and for you to develop your own career.
Job responsibilities
Trainee medical staff
The intensive care unit has educational approval from the Faculty of Intensive Care Medicine for training at all levels, including advanced training. The Advanced level trainee in Intensive Care Medicine undertakes a full time six month attachment. Twelve other core or specialty trainees are attached to ICU and provide day-time and night-time cover to the unit in a dedicated full-shift.
Training assessment and appraisal
A framework syllabus is based on the Competency Based Training in Intensive Care Medicine documents from the Faculty of Intensive Care Medicine. Unit induction and initial appraisal meeting will occur at the start of the post with the latter allowing individual learning needs to be identified. Further appraisals and assessments occur at 3 monthly intervals in accordance with FICM recommendations and appropriate paperwork is then completed and forwarded to the Regional Advisor in Intensive Care Medicine where appropriate. At the end of the module, trainees complete an evaluation form indicating the adequacy of their experience and any deficiencies needing attention in future.
Procedures
Cardiac output monitoring (Pulse contour analysis, Pulmonary artery catheterisation and oesophageal Doppler monitoring), continuous renal replacement and intravascular cooling are all available and employed locally. There is considerable local expertise in critical care lung ultrasound and trans-thoracic echocardiography. Percutaneous tracheostomy, non-invasive ventilation and fibreoptic bronchoscopy are frequently performed. Intra-aortic balloon counter pulsation is available with the hospital delivering a 24/7 PCI service.
PLEASE NOTE: To view the full Job Description and Person Specification, please click view the supporting document on the right hand side
To be an employee of the NHS you need to successfully complete the following:
* Identity ChecksProfessional registration and qualification checks
* Employment history and reference checks
* Work health assessments
* Criminal record check standards
* Right to work checks
For further information please visit:
https://www.nhsemployers.org/topics-networks/employment-standards-and-regulation
Person Specification
Qualifications
* GMC registration
Experience
* Current post-graduate experience in ICM or Anaesthesia
* Teaching (medical students, peers, MDT)
* Experienced in clinical audit and clinical governance
* Flexible in approach and able to adapt quickly to changing priorities
* Able to operate as a change of agent and ability to work collaboratively with peers, MDT.
* Attention to detail in all professional tasks
Practical
* Excellent Communication and interpersonal skills; adapts style depending on audience
* Conceptual and analytical skills
* Speak fluent English to at least I.E.L.R.S level 7.5
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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