Registrar (Intensive Care/Anaesthetics)

ORGANISATIONAL RELATIONSHIP

The Registrar (Intensive Care) will report to the designated Head of Department/Specialist Medical Officer (Anaesthesia and Intensive Care).

NATURE & SCOPE

The Registrar (Anaesthesia and Intensive Care) is responsible for the diagnosis, assessment and management of critical care patients in a hospital or Intensive Care Unit. The officer is also responsible for the provision of anaesthesia services in the operating theatre or other designated area.

SPECIFIC ACCOUNTABILITIES

The Registrar (Anaesthesia and Intensive Care):

• Provides safe and effective anaesthesia for patients requiring elective and emergency procedures.
• Supervises and trains House Officers in the conduct of Anaesthesia and critical care management.
• Diagnoses, assesses and initiates the treatment for patients requiring critical care management.
• Develops treatment plans for patients requiring critical care management including but not limited to cardiopulmonary resuscitation, emergency airway management, respiratory and ventilatory support, preparation for renal replacement therapy, administration of pharmacological cardiac support and other organ support processes and procedures that may be required.
• Conducts perioperative management as may be required specific to the field of Anaesthesia including but not limited to preoperative assessment, intraoperative management through the provision of sedation, general, regional or local anaesthesia and their required procedures.
• Conducts follow up care via postoperative care and pain management including patient-controlled analgesia devices and catheters.
• Counsels perioperative patients and relatives of critical care patients.
• Conducts daily ward rounds when assigned to the Intensive Care Unit.
• Updates the Specialist Medical Officer (Anaesthesia and Intensive Care) of events applicable to the elective and emergency Anaesthesia services and critical care services.
• Contributes to the quality improvement, risk management initiatives and policy development so that the overall Anaesthesia and critical care service is of highest quality and reflective of best practice.
• Provides follow up care through ward rounds, reviews and clinics.
• Collaborates in the provision of medical education to staff assigned to the unit when required.
• Performs any other related work as may be required by the appropriate Authority.

KEY KNOWLEDGE, SKILLS AND ABILITIES

• Knowledge of medical jurisprudence.
• Considerable knowledge of the principles and practices in the field of Anaesthesia and Intensive Care.
• Some knowledge of administrative practices and procedures, rules, regulations policies and standards related to medical services.
• Ability to supervise and aid in the development of junior medical staff.
• Ability to gain the co-operation and confidence of patients and to establish and maintain effective working relationships with other employees and the public.

MINIMUM TRAINING AND EXPERIENCE

• Post graduate qualification in the field Anaesthesia and Intensive Care and training as evidence by the possession of a medical degree from a recognized school of medicine.
• Specialist registration in the field with the Medical Board of Trinidad and Tobago.
• At least five (5) years’ experience in the field of Anaesthesia/Intensive Care.
• Registration as a medical practitioner by the Medical Board of Trinidad and Tobago.
• Any equivalent combination of experience and training.

SUPERVISORY RESPONSIBILITIES

• House Officer
• Medical Interns

COMMUNICATION AND WORKING RELATIONSHIP

Internal:

• Medical Director
• Manager-Hospital Administration
• Manager-Para-Clinical Services
• Specialist Medical Officer
• Nursing Personnel
• Other Heads of Department

External:

• Public
• University of the West Indies
• Other Regional Health Authorities
• Private Medical Institutions
• General practitioners in the area