Cardiac Eccco(Emergency Medicine and Critical Care Clinical Officer) at Tenwek Hospital

Job Summary:

• The Anesthesiologist job exists to monitor, evaluate, oversee, and provide a continual assessment of the patient's care before, during, and after surgery, prepare reports, and participate in research in the area of specialization.

DUTIES AND RESPONSIBILITIES

• Perform comprehensive History and Physical Examinations relevant to clinical practice.
• Rapidly form differential diagnoses in undifferentiated patients.
• Appropriately triage patients who require urgent intervention.
• Safely initiate management plans for the stabilization of critically unwell patients.
• Provide continuous care to patients in Critical Care areas – including ventilated patients.
• Perform relevant procedures required to assess and stabilize patients including, but not limited to:
• Cardiac Ultrasound (ECHO)
• Focused Abdominal Sonography in Trauma (FAST)
• Assessment of IVC volume by Ultrasound
• Arterial Blood Gas sampling and analysis
• Central Line insertion and care (if trained in this procedure)
• Rapid Sequence Induction and Intubation of adults and children
• Conscious Sedation
• Regional Analgesia (as trained)
• Ventilator set up and continuous management of ventilated patients
• Stabilization of open and closed fractures
• Needle decompression and chest tube insertion (if trained in this procedure)
• Administration of IV pressors and anti-hypertensives, as clinically indicated
• ECG Interpretation Basic and Advanced Level
• Work in the Cardiac Emergency / Casualty Department as the primary caregiver for undifferentiated presenting patients, when assigned to the Emergency Department.
• Work as part of a multidisciplinary team as the primary caregiver in the Critical Care areas of the Hospital including Cardiac Intensive Care Units, HDU Units, and the Thoracic and General Ward as needed.
• Teach and supervise other clinicians in the areas of Basic Cardiac Life Support, Advanced Cardiac Life Support, and Advanced Trauma Life Support.
• Lead and participate in ‘rapid response’ teams aimed at quick assessment and stabilization of critically unwell patients, including resuscitation.
• Be actively involved in the ECCCO Training Program and willing to provide a lecture presentation 3-4 times yearly to the ECCCO Trainees. Provide active training and mentoring of the ECCCO Trainees at the bedside and in the clinical areas.
• Perform any other responsibilities as may be assigned from time to time by the Director of Cardiothoracic Surgical Services or his/her designate, depending on the need and urgency.
• Promote effective interpersonal and public relations with team.
• Display Christ-like attitude and character both on- and off-duty
• Abide by the Tenwek Hospital moral code and Kenya Medical and Dental Council regulations.
• Maintain familiarity with the legal implications of clinical practice and ensure that legal requirements are met.

SUPERVISION RECEIVED FROM:

• Director of Cardiothoracic Surgical Services or his/her designate (Primary Supervisor)
• Lead ECCCO Clinical Head, Head of Critical Care ICU, Head of Cardiac Emergency

SUPERVISION GIVEN TO:

• Nursing staff, Patient Assistants, and Clinical teams

QUALIFICATIONS                                                     
Minimum Acceptable Qualifications:

• Committed born again Christian with evidence of spiritual maturity and growth.
• Successful completion of a Kenya Clinical Officers Council approved Basic Diploma of Clinical Medicine and Surgery, as well as an approved Internship year program or an  equivalent qualification.
• Successful completion of the Higher Diploma in Clinical Medicine and Surgery
• (Emergency Medicine and Critical Care, or ECCCO).

Desirable Qualifications:

• Two to three years of ECCCO experience.
• Previous experience or training in Basic Cardiac Life Support (BLS), Advanced
• Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), and 
• Advanced Trauma Life Support (ATLS).
• Previous experience or training in teaching.

Other Skills Required:

• Communication skills
• Leadership skills
• Organizational skills
• Observational skills
• Analytical skills
• Compassion
• Supervisory skills
• Ability to work under pressure
• Mentorship training is an added advantage.