Job Description for Intensive Care Component - CMT Training, Derby City General Hospital INTENSIVE CARE INTRODUCTION This module will be at the Derby City General Hospital which is the recently built state of the art intensive care unit currently with 3 ICU beds and 2 HDU beds (but with the capacity for 18 beds when fully operational). Under direct Consultant Supervision the Trainee will work closely with other Trainees, nursing and support staff to learn the fundamentals of managing critically ill patients and to complete the Intensive Care Medicine Basic competencies as determined by the ICM intercollegiate board for Intensive Care Training. The competency package is made available to each trainee on commencing their time on the unit. AIMS To provide the trainee with an introduction to ICU and subsequent training to a level consistent with the requirements of the first basic 3-month period stipulated by the Intercollegiate Committee on ICU training and the Royal College of Anaesthetists. LEARNING OBJECTIVES To understand the status of the ICU in the hospital and recognize patients for whom ICU referral is appropriate. To recognize the potential value of ICU and also its limitations. To understand the need for good relationships and good communication with the patient, the relatives and the referring team. To understand the pathophysiology of and institute initial management of: Respiratory Cardiovascular Renal Central and Peripheral nervous system disorders To understand and develop practical skills in: Maintaining a clear airway, using simple means Insert an Endotracheal tube Insert arterial and central venous cannula Institute controlled mechanical ventilation Understand the pharmacology and adverse effects of drugs used in the ICU. To recognize the value/limitations of currently available monitoring methods. To make use of the laboratory and other services and understand the need for consultation, referral and recognize one’s own limitations. To understand the use of ICU scoring systems. To be able to initiate appropriate resuscitative treatment, and be comfortable with the stabilisation and continuing management of the critically ill patient. An appreciation of the multidisciplinary nature of intensive care will be achieved, as we are fortunate to have regular input from radiologists, microbiologists, pharmacists, physiotherapists and the dieticians. Trainees will gain experience in the placement of invasive monitoring including arterial lines, CVP lines and if appropriate Pulmonary artery catheters Understand the principles and practice of renal support. Understand various ventilatory strategies. Witness the insertion of a percutaneous tracheostomy and be able to discuss the rationale of the use of tracheostomies in the ICU setting. Understand the continuing medical and surgical management that takes place on the unit. Gain an understanding of respiratory, cardiovascular and renal physiology Understand the pharmacology of the commonly used drugs on ICU. Understand the principles of the safe transfer of the critically ill patient. Consultants There are 10 Consultants specialising in Intensive Care, all of whom currently work across both sites. Out of hours the consultants are responsible for both intensive care units in Derby. Dr Naresh Nandwani (Clinical Lead) Dr Juergen Rayner Klein (LES for Intensive Care) Dr Sujad Kiani (Outreach Services Lead) Dr Alistair Boyd Dr James Low Dr Peter Harris Dr David Rogerson Dr Nick Reynolds Dr Marco Giovanelli Dr Craig Morris Example Timetable AM Lunchtime PM Monday Consultant WR Ward work Word Work Journal Club Tuesday Consultant WR Medical Consultant WR Wednesday Teaching Ward work Consultant WR Thursday Ward work Friday Consultant WR This post forms part of the CMT training program for the Mid-Trent Deanery This job description supplements that of the CMT training program and describes the training opportunities offered by this post.