Job Description:

Resident Shifts Available - Leading London Private Hospital

Resident Fellow (24/7 On-Site Cover) + 10/12 hour shifts

Pay: £38.80 - £50 p/h

As the resident fellow you will provide on-site medical support to admitting Consultants, Clinicians and Nursing Staff and will ensure that patients experience the highest level of care and service. You will be joining a team of 3 Resident Fellows (RMOs) to provide 24/7 provision for all the non-cancer/non haematology patients, alongside the other non-resident fellows. You will be working with the non-resident fellows (8am-5pm) Monday-Friday who cover specific ward areas such that all patients are provided with regular review.

Duties and Responsibilities

• Work closely with the Clinical Site team, clinical nursing teams, Non-resident Fellows, Speciality Clinical Fellows, and ITU Fellow
• Always carry the Resuscitation bleep and radio when required. Attend and lead all cardiac arrest calls on 20 Devonshire Place apart from ITU where the cardiac arrest call is led by the ITU fellow unless they are intubating, in which case the Resident Fellow will lead the resuscitation.
• Carry out regular ward rounds to ensure the non-residents are supported as needed.
• Attend calls from Endoscopy, Day surgery, MITU, and main recovery for patient support and review.
• Out of hours - After 5pm or if non-resident fellow is not available or asks for support:
  • You will be asked to review unwell patients, escalate and ask for help early. In an emergency, put out a 2222 call for resuscitation team.
  • Assess patients at the request of Senior Nurses/Ward Managers and manage any emergency that may arise with the guidance of the consultant in charge if the non-resident fellow is not available for that ward.
  • As per Martha’s Law, be aware of any patients with a NEWS > 3 and ensure they are reviewed. Patients, family, or friends can trigger an Outreach review if they are concerned about a patient’s condition. Please support and facilitate this process to ensure timely and appropriate escalation of care.
  • Review unwell patients and liaise directly with the admitting consultants and help facilitate investigations, chase or hand over with a plan of action.
  • Clerk/Admit emergency admissions, discuss with admitting consultants, and facilitate any instructions/management plan. Please ensure past medical history, presenting complaint, systems assessment, drugs, and allergies are documented and a plan is made clear. If there are safeguarding issues, please highlight.
  • In the event you need urgent advice and the responsible consultant is not reachable, call the ITU fellow and if required, ICU consultant and/or medical director as well as Clinical Site Officer. A range of cover consultants should be available on-call – accessed via the intranet for all consultants. If in doubt, call an appropriate consultant and ask to help/advise.
  • In the event of a clinical emergency, all fellows are able to request any investigation (CT scan, MRI, X-ray, and blood tests) as they deem appropriate without the need for consultant approval if they cannot get contact the responsible consultant or a secondary consultant.
  • If there are drug or alcohol dependency concerns, please escalate to the clinical site team and the consultant.
  • Ensure clear documentation in medical notes following patient review, change in management plan, or discussion with consultants/healthcare professionals. Ensure notes are legible and any entry is signed and your name printed along with GMC number if you do not yet have a stamp.
  • Undertake medical procedures and assessments where required, such as inserting a urinary catheter, arterial blood sampling, ECGs, etc.
  • Responsible for checking take-home medicine requirements as well as dose checking protocols and approving medication.
  • Liaise with microbiology and antimicrobial policy for advice and ensure appropriate antibiotic stewardship.
  • Ensure regular medications are prescribed for in-patients, day cases, and all admissions.
  • Ensure drug charts are checked daily and re-charted/re-written (to ensure continuity over the weekend and prevent drug errors).
  • Discharge medications (TTOs) to be prescribed the day before patient discharge, to prevent delays on the day of discharge.
  • Anticipate discharges over the weekend and ensure TTOs are charted on Friday – this will prevent delays for patient discharge over the weekend due to reduced pharmacy service.
  • Only prescribe for patients you have personally assessed and have adequate knowledge of. Do not prescribe for someone for whom you have no knowledge.
  • Opiate prescribing should be clear and always prescribe rescue drugs i.e. naloxone.
  • If night sedation is required, use Zopiclone as the drug of choice, not benzodiazepines.
  • Refer appropriately to the relevant specialties if any concern, e.g. Pain team, psychiatry, dependency teams, chest physio, etc.
  • Ensure written appropriate communication and handover to the Resident Fellow.
  • Be flexible and work as part of a team; you may be asked to cross-cover other wards depending on patient demand, sickness, and annual leave cover.
  • Be aware of the needle stick injury policy and deal with needle stick injuries when requested.