Overview of Role  

The Anaesthetic Registrar is a key member of the hospital's clinical team whose primary role is to provide and oversee care to patients in the Operating Theatre, the Cardiac Cath lab, Coronary Care Unit and to any other patients in the hospital who require acute medical intervention. 

Specific Overview of the post includes but not limited to:

Pre-operative Assessment:

• Conducting thorough patient evaluations to assess fitness for anaesthesia.
• Reviewing medical history, current medications, allergies, and prior anaesthesia experiences.
• Ordering and interpreting preoperative tests and investigations.

Anaesthetic Management:

• Developing and implementing anaesthetic plans tailored to each patient's needs.
• Administering general, regional, or local anaesthesia.
• Monitoring and managing patients' physiological status during surgery, including vital signs, fluid balance, and pain levels.

Intraoperative Care

• Ensuring patient safety and stability throughout surgical procedures.
• Adjusting anaesthetic levels as needed.
• Collaborating with surgical teams to optimize patient outcomes.

Postoperative Care:

• Managing patients in the post-anaesthesia care unit (PACU).
• Monitoring recovery from anaesthesia and addressing any complications.
• Ensuring effective pain management and providing instructions for postoperative care.

Emergency Response

• Responding to anaesthesia-related emergencies, such as difficult airways, cardiac arrest, or severe allergic reactions.
• Providing advanced life support and resuscitation as needed.

The Anaesthetic Department at UPMC Whitfield is a consultant delivered service. The team consists of an Anaesthetic Consultant who will work in collaboration with the Anaesthetic Registrar in patient care and in formulating management plans for patients.

Qualifications & Experience  

• Proven ability to work as an effective team member.
• Effective Communication skills
• Competent to work autonomously.
• All posts at UPMC require a high level of flexibility to ensure the delivery of an effective and efficient service. Therefore, the post holder will be required to demonstrate flexibility as and when required by their manager or hospital management.
• Completion of Mandatory Training as required by UPMC Management, including but not limited to:
• Fire Training - Annual
• Radiation Safety Training - Annual
• Infection Prevention and Control Training - Annual
• ACLS Training- Biennial
• BCLS Training - Biennial
• ICHGCP Training - Biennial-desirable
• ICORG PI Training - Triennial-de
• Manual Handling and Patient Movement Training - Triennial

Candidate Specification

Qualifications:  

• Medical degree, MBBS pr equivalent
• Current Full Medical Council Registration
• Fellowship of the College of Anaesthetists is desirable

Experience:

• At least 5 years' experience as an Anaesthetic registrar in an acute hospital setting.

Job Specific Competencies:

• Current ACLS and BLS

Duties & Responsibilities 

• As an employee of UPMC, you will also have the responsibility of:
• Provide services in Anaesthesia including diagnosis, treatment, and care for patients, both inpatient and outpatient.
• Participate in departmental teaching/education programs.
• Participate in research in Anaesthesia.
• Participate in an out-of-hours Anaesthetic Registrar roster.
• Participate in administrative matters as required by the General Manager or Clinical Director of UPMC Whitfield
• Participate in continuous quality improvement activities.
• Observe all hospital policies and procedures and statutory regulations.
• Actively participate in and contribute to the organisation's Quality & Safety and Work Health & Safety processes, including the development and implementation of safety systems, improvement initiatives and related training, ensuring that quality and safety improvement processes are in place and acted upon.
• To ensure in consultation with the General Manager, Medical/Clinical Director that appropriate medical cover is always available having due regard to the implementation of the European Working Time Directive as it relates to doctors.
• To supervise and be responsible for diagnosis, treatment and care provided by the Resident Medical Officer (RMO) treating patients under the Consultant's care.
• To participate as a right and obligation in selection processes for Resident Medical Officers and other staff as appropriate.
• To participate in clinical audit and proactive risk management and facilitate production of all data/information required for same in accordance with regulatory, statutory, and corporate policies and procedures.
• The Candidate can expect to be allocated duties, not specifically mentioned in this document, that are within the capacity, qualifications and experience normally expected from persons occupying jobs at this classification level.
• Participate and attend all code blue calls or INEWS calls within the hospital.
• Assessment of the deteoriating patient.

Health & Safety

As an employee of UPMC you have a responsibility to:

• Take reasonable care of your own Health and Safety and that of any other person who may be affected by your acts or omissions at work.
• Co-operate with UPMC in ensuring that statutory regulations, codes of practice, local policies and departmental health and safety rules are adhered to.
• Not intentionally or recklessly interfere with or misuse anything provided in the interests of health and safety.

Infection Prevention and Control

The prevention and management of acquired infection is a key priority for UPMC. As an employee of UPMC you have a responsibility to:

• Ensure that your work methods are compliant with UPMC's agreed policies and procedures and do not endanger other people or yourself.
• Be aware of infection prevention and control policies, practices, and guidelines appropriate for your duties and you must always follow these to maintain a safe environment for patients, visitors, and staff.
• Maintain an up-to-date knowledge of infection prevention and control, policies, practices, and procedures through attendance at annual mandatory updates and ongoing continuing professional development.
• Challenge poor infection prevention and control practices of others and to report any breaches, using appropriate UPMC mechanisms (e.g., incident reporting policy).

Information Governance

UPMC is committed to compliance with Information Governance standards to ensure that all information is handled legally, securely, efficiently, and effectively. You are required to comply with the UPMC Information Governance policies and standards.

• Confidentiality and Security - Your attention is drawn to the confidential nature of information collected within UPMC. Whilst you are employed by UPMC you will encounter confidential information and data relating to the work of UPMC, its patients or employees. You are bound by your conditions of service to respect the confidentiality of any information you may encounter which identifies patients, employees or other UPMC personnel, or business information of the Company. You also have a duty to ensure that all confidential information is always held securely, both on and off site.
• Disclosure of Information - The unauthorized use or disclosure of information relating to UPMC activities or affairs, the treatment of patients or the personal details of an employee, will normally be considered a serious disciplinary offence which could result in dismissal. Upon leaving UPMC employment and at any time thereafter you must not take advantage of or disclose confidential information that you learnt in the course of your employment. Unauthorized disclosure of any of this information may be deemed as a criminal offence.
• Information Quality and Records Management - You must ensure that all information handled by you is accurate and kept up-to-date and you must comply with the UPMC recording, monitoring, validation and improvement schemes and processes.

Medication management

• Adhere to all Medication Policies relevant to your role.
• Will document and sign clearly all medications prescribed and administered prior to, during and post-surgical intervention.
• Be responsible and accountable for all patients receiving any form of anaesthesia under your care.
• Verify and document patient's current medication on admission if required.

Professional Standards and Performance Review

As an employee of UPMC you have a responsibility to:

• Participate in statutory and mandatory training as appropriate for the post.
• Maintain consistently high personal and professional standards and act in accordance with the relevant professional code of conduct.
• Take responsibility for the maintenance and improvement of personal and professional competence and to encourage that of colleagues and subordinates.
• Participate in UPMC's appraisal processes including identifying performance standards for the post, personal objective setting and the creation of a personal development plan.

Safeguarding Children and Vulnerable Adults

• We all have a personal and a professional responsibility within UPMC to identify and report abuse. This may be known, suspected, witnessed, or have raised concerns. Early recognition is vital to ensuring the patient is safeguarded. The Sharing of Information no matter how small is of prime importance in safeguarding children, young people, and vulnerable adults.
• As an employee of UPMC you have a responsibility to ensure that you attend safeguarding awareness training and undertake any additional training in relation to safeguarding relevant to your role.

Social Responsibility

UPMC is committed to behaving responsibly in the way we manage transport, procurement, our facilities, employment, skills, and our engagement with the local community so that we can make a positive contribution to society. As an employee of UPMC you have a responsibility to take measures to support our contribution and to reduce the environmental impact of our activities relating to energy and water usage, transport, and waste.

Quality & Safety

• Will work with the organisation as part of a Multidisciplinary team in preparing for JCI accreditation.
• Required to provide high standards of patient care throughout your working day in pursuit of excellence.

Quality Assurance           

Participation in all Quality Control related functions as set down by the Medical Director:

• Management meetings (Medical Director)
• New Patient Review Meetings
• Planning Review Meetings
• Morbidity & Mortality Review
• Continuous Quality Initiative Meetings
• Radiation Safety Committee Meetings
• Hospital Management Meetings (Medical Director)

Education & Research

• Participation in Departmental Educational Meetings.
• Mandatory Clinical and non-Clinical Training (BLC, GCP, Fire safety etc).
• UPMC/D3 e-Rounds
• Other education activity (Conferences, lectures etc.) to meet the requirements of the statutory rules regarding Professional Competence Assurance, as well as to acquire and maintain the necessary skills relevant to the proper function of UPMC Hillman Cancer Centre at Whitfield.
• Participation, within the departmental framework and guidelines, in research which may be multi-institutional (ICORG) or internal.

This job description is intended to be an outline of the areas of responsibility. As UPMC Whitfield Hospital and the post holder develop, this job description may be subject to review considering the changing needs of the Hospital. 

UPMC is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

At UPMC we provide a total rewards program that is not only market competitive, but fair and provides growth opportunities for all our colleagues.

• Compensation - Competitive pay for the work employees do - base pay, performance related pay and premium pay where applicable.
• Benefits - Fully paid maternity and paternity leave for new parents. Competitive Pension Plan, company funded Death in Service Benefit x 3 times. Critical Illness cover for all employees up to the age of 66.
• Performance and Recognition - Rewards for performance that supports the goals and mission of UPMC through our annual ACES programme.
• Work-Life Balance - Enhanced annual leave up to a maximum of 27 days. Flexible working opportunities to support you to work around external family commitments.
• Development and Career Opportunities - Opportunities for each employee to reach their career goals through continued learning and/or advancement.

About UPMC      

A $26 billion healthcare provider and insurer, Pittsburgh, Pennsylvania-based UPMC is inventing new models of patient-centred, cost-effective, accountable care. Working in close collaboration with the University of Pittsburgh Schools of the Health Sciences, UPMC shares its clinical, managerial and technological skills worldwide through its innovation and commercialisation arm, UPMC Enterprises, and through UPMC International.

Providing high-quality healthcare in the South East since 2006, UPMC's operations in Ireland now include UPMC Whitfield Hospital in Waterford, UPMC Sports Surgery Clinic in Dublin, UPMC Kildare Hospital in Clane and UPMC Aut Even Hospital in Kilkenny. Outpatient care is available at the UPMC Carlow Outreach Centre, UPMC Hillman Cancer Centre radiotherapy locations at UPMC Whitfield and in Cork, the UPMC Sports Medicine Clinic at SETU Arena, Waterford, TUS Moylish Campus, Limerick, TUS Thurles Campus, Tipperary, UPMC Mardyke Arena, Cork and the UPMC Concussion Network. The UPMC Institute for Health is located in Mayo and the Global Technology Operation Centre is based in Kilkenny. UPMC is the Official Healthcare Partner of the GAA and GPA.