Junior Clinical Fellow in Adult Critical Care -Royal Brompton Hospital London, England
Job description
Junior Clinical Fellow in Adult Critical Care.
Location - Royal Brompton Hospital
Fixed Term - 6 Months (with possible further 6 months extension by mutual agreement). Th
2 posts, 1 full time 40 hours per week and 1 part time post are available
Start Date – ASAP
These posts are within the Heart Division, Department of Critical Care, and the postholder will be professionally accountable to the Clinical Lead of AICU and EICU, the Cross-site Director of Critical Care and the Director of Heart Division.
Come and join us at a pivotal moment in Royal Brompton & Harefield’s history. The only UK hospital to be ranked by Newsweek in the top 10 globally for cardiology and we have some exciting plans we want you to be part of our journey. In February 2021 we merged with Guy’s and St Thomas’ NHS Foundation Trust as a first step towards our vision of creating a brand-new centre that will be the global leader in the research into and treatment of heart and lung disease in patients from pre-birth to old age. This is a once in a lifetime opportunity to help to shape this vision and we want you to be part of it.
This post is suitable for those pursuing a career in intensive care, respiratory medicine, cardiology or cardiothoracic surgery and/or any acute specialty including acute medicine, emergency medicine, ACCS or anaesthesia.
The intensive care unit has over 800 level 3 admissions per annum and has 2 level 3 beds. The case-mix is mainly level 3 admissions following adult cardiac surgery, cardiology (including GUCH), and thoracic surgery or those requiring Extracorporeal Life Support due to severe respiratory failure or cardiogenic shock. The post-holder will also work in the 16 bedded adult HDU at Royal Brompton Hospital. Here the case mix includes postoperative cardiac (including GUCH and vascular), thoracic surgery and acutely unwell cardiology admissions including local STEMI admissions.
Fellows would be expected to acquire the critical care competencies as described in the Faculty of Intensive Care Curriculum at basic level, that is within stage 1.
Guy’s and St Thomas’ is among the UK’s busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.
In February 2021 the Royal Brompton and Harefield joined Guy’s and St Thomas’ NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.
We have a reputation for clinical excellence and high quality teaching and research. We are part of King’s Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King’s College London we have dedicated clinical research facilities and a National Institute for Health Research (NIHR) Biomedical Research Centre.
Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of ‘good’. Our adult community services achieved a rating of ‘outstanding’.
he objective of this post is to provide the junior clinical fellow with knowledge and clinical experience in delivering a broad spectrum of critical care including:
- Recognition and management of single and multiple organ failure following cardiovascular intervention.
- Basic techniques in respiratory support including invasive and non-invasive ventilation, protective lung strategies and management ALI/ARDS, and respiratory weaning.
- Basics of extracorporeal life support (VV and VA ECMO).
- Essentials of renal failure and basic management of renal replacement therapy.
- Recognition and management of sepsis and appropriate antimicrobial therapy.
- Haemodynamic monitoring including pulmonary artery flotation catheters and noninvasive cardiac output monitoring.
- Intra-aortic counter-pulsation therapy and temporary pacing.
- Postoperative and peri-operative management of complex cardiothoracic surgical patients.
- General management of critically ill patients (analgesia, sedation, nutrition, EOLC etc).
- Contribution to a clinical or basic science research project during their appointment.
- Contribution to an audit project/Quality Improvement Project.
