The primary purpose of the position is to provide quality intensive care to patients in a complex clinical environment whilst participating in the College of Intensive Care Medicine (CICM) training program, with the goal of obtaining fellowship of CICM.
St George ICU is an award winning state of the art Level 3 Intensive Care unit in a600-bed tertiary referral and the major trauma centre for SESLHD.
The unit currently treats over 3000 patients each year (including 500 post‑op cardiothoracic patients) and has 52 physical beds of which 36 beds are currently funded.
Most surgical and medical subspecialties are represented in the case‑mix in keeping with the tertiary referral centre status of the hospital. In addition to the major trauma, neurosurgery, cardiothoracic surgery and complex GI cancer surgery, the ICU provides an ECMO service.
There is an ICU‑based echocardiography service with an opportunity for hands‑on training and supervision for those seeking formal qualification in echocardiography. There is also a fully equipped simulation centre in the Intensive Care complex where regular multidisciplinary simulation sessions are held.
Trainees work under the supervision of Specialist Intensive Care Physicians to manage patients requiring intensive care, as well as those at risk of clinical deterioration. The position is flexible and has graded responsibility to allow increasing clinical autonomy, development of skills in research and administration, and to build on skills and attributes acquired in the early years of training to assist the movement of the trainee into specialist practice.
In addition to the accredited training program for the College of Intensive Care Medicine (CICM), the unit also contributes to anaesthetics, surgery, physician and emergency medicine training. Trainees in the specialty of Intensive Care may be seconded to rotational positions in Anaesthesia or Medicine, according to their training requirements.
Key Responsibilities
* Clinical duties as assigned by the Consultants on duty.
* Immediate management of ICU patients and assist in the day‑to‑day clinical management of patients in Intensive Care Unit at St George Hospital, Kogarah and ICU at Shoalhaven Hospital, Nowra
* IT work in Shoalhaven Hospital ICU for a period of 3 months as part of rotation to District Hospital from a Tertiary Centre
* Attend consult calls from the wards, Emergency Department and Medical retrieval unit.
* Discuss all admission requests with the ICU Consultant/Provisional Fellow
* Assist in liaising with the other teams involved in patient management.
* Participate in ALS team, Trauma team, and ICU Outreach programme.
* Documentation of history and physical examination on admission and on a continuing daily basis.
* Ordering, follow‑up, review and recording of investigations according to protocol and direction.
* Complete discharge summaries when directed by the Provisional Fellow/Consultant on duty.
* Daily progress notes (including documentation of decisions made on the daily Consultant round).
* Specialised procedures as directed and supervised by the Provisional Fellow/Consultant on duty.
* Communicate all TPN requests to Provisional Fellow or TPN Lead Clinician.
* Implementation of Provisional Fellow / Consultant instructions for patient management.
* Presentation of patient history, progress and management plans at hand‑over meetings held at the change of shifts each day.
* Training and supervision of Resident Medical Officers.
* Participate in clinical research and quality assurance activities of the Unit.
ThispositionensuresthattheICUservicesatSt.GeorgeHospitalandShoalhavenDistrictHospitalundertheSouthEastSydney LHD are provided as per the standards laid by CICM for functioning of a tertiary intensive care unit. ICU at StGeorgehas52physicalbedsofwhich36bedsarefundedatpresent.
Important information
2.This is a Category A+ position. All Category A+ applicants must read and understand NSW Health Policy PD2023_022.Successful applicantstotherolemustprovidevaccinationhistoryandpathologyaspartoftheapplicationdocumentation,andbecertifiedascompliantbeforeemploymentcancommence.Alinkwillbeprovidedoncedeemedsuccessful MBBS or equivalent, currently registered or eligible for registration with the Medical Board of Australia in an appropriate registration category.
* Experience working in a Level 3 ICU at Resident Medical Officer Level grade or Anaesthetic experience at Resident Medical Officer level or above.
* Demonstrate competence in simple ICU procedures such as insertion of central venous catheters and peripheral arterial catheters.
* Demonstrate excellent clinical skills and judgment.
* Demonstrate commitment to relevant training program.
* Demonstrate teamwork, time management, and problem solving skills in the clinical setting and ability to work in a complex environment.
* Experience and willingness to teach junior medical staff.
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