Clinical Fellow in Cardiac SurgeryinLondoninLondonPUBLISHED THU 24 OCT 2024

To co-ordinate and supervise the admission and discharge of patients from the unit. Responsible for maintaining accurate notes, up-to-date cardiac and thoracic monthly audit and for recording patient details in the database. To take charge of all patients in the unit under the direction of the consultant surgeon to which you are attached. Co-ordinate and supervise the work of all the junior medical staff. Operating duties are directly or indirectly supervised and specific targets in operative experience as prospectively set out should be achieved.

In addition to providing immediate cover to patients in cardiac recovery and on the general cardiothoracic ward, the postholder will provide cover for intensive care emergencies. Consultant cover will be available at all times.

Attend and assist in the out-patient clinics, taking responsibility to ensure adequate staffing for the clinic and to facilitate its efficient running in any other way. Clinic letters must be dictated promptly.

Attend consultant ward rounds.

Make formal ward rounds daily including at weekends and holidays as part of the on-call responsibilities. These rounds should be considered a teaching opportunity for more junior staff.

You will be joining one of our two Rota tiers; out of hours responsibilities include:

• Night-time supervision of care of surgical patients including those in the Intensive Care Unit/Recovery Unit and communicate appropriately with the responsible consultant regarding major problems arising with that consultants' patients.

• Weekend on-call responsibilities include ward rounds as well as participation in emergency operations and assessment of in-patients or outside referrals.

Advise on the discharge of patients under the care of the cardiothoracic surgical consultants.

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• Ensure that the theatre cases are appropriately staffed.
• Ensuring that junior staff are involved at an appropriate level wherever possible. Junior staff must be assigned to cases whenever ward responsibilities permits.
• Ensuring that adequate junior level assistants are available to help open and close cases performed under the direction of, or with the assistance of, a consultant.
• Ensuring that all cases are sent for promptly and facilitating the efficient transfer of patients if required.
• Ensuring that communication is maintained with the relatives of patients.
• Ensure that either the operating surgeon or senior level assistant involved in the operation complete all appropriate data entry tasks at the end of the operation. In addition, the principal operator should be responsible for creating a suitable operation note, which accurately records the events of the procedure. If operations are delayed or cancelled, the post holders are responsible for communicating with the wards appropriately and explaining the situation to the patients.
• Communicate with the consultant staff regarding their respective theatre schedules individually and co-ordinate hospital admission in an integrated and coherent manner such that hospital beds are utilised most efficiently. This may require suggesting modifications to the planned admissions schedule to individual consultants on the basis of in-patient referrals, emergency cases or theatre cancellations. Participation in weekly planning meetings is required.
• Maintain knowledge of the active waiting list for your consultant and participate in their selection for admission and surgery in a manner that is equitable for patients as much as possible.
• Be involved in the evaluation of patients referred to the service, particularly in-patient referrals.
• Respond to queries from the patients and their GPs (both by telephone and letter) regarding their position on the waiting list and anticipated time of operation.