Consultant Anaesthesiology

1. Job Purpose

To provide safe, effective and comprehensive anesthesia and pre-operative care for patients undergoing orthopaedic and trauma procedures. The Anaesthetist will be responsible for pre-operative assessment, anaesthesia administration, intra-operative monitoring, post-operative care, pain management and management of anaesthesia-related emergencies.

2. Key ResponsibilitiesA. Pre-operative Assessment

• Conduct comprehensive Pre-Anaesthesia Check-up (PAC) for all scheduled surgical patients.
• Review medical history, medications, allergies, investigations and previous anaesthesia records.
• Assess and optimise patients for surgery, particularly elderly patients and those with co-morbidities.
• Assess airway, cardiovascular and respiratory status and determine anaesthetic risk.
• Develop and document an appropriate anaesthesia plan.
• Explain the proposed anaesthesia and relevant risks to the patient/attendant and obtain informed consent as per hospital policy.
• Coordinate with orthopaedic surgeons and other specialists regarding patient optimisation and surgical planning.

B. Anaesthesia Services

• Provide appropriate general, regional, neuraxial and monitored anaesthesia/sedation, according to the procedure and patient's clinical condition.
• Manage anaesthesia for orthopaedic procedures such as:
• Joint replacement surgeries
• Fracture fixation and trauma procedures
• Arthroscopy
• Spine and other orthopaedic procedures, where applicable
• Day-care orthopaedic procedures
• Ensure appropriate airway management, ventilation and haemodynamic monitoring.
• Administer anaesthetic drugs safely and monitor the patient's response throughout surgery.
• Recognise and manage intra-operative complications and emergencies.

C. Regional Anaesthesia & Pain Management

• Perform appropriate regional/neuraxial techniques within the doctor's competence and hospital scope of practice.
• Provide peri-operative analgesia and multimodal pain-management strategies.
• Assist in managing acute post-operative pain and other hospital pain-management requirements, where applicable.

D. Intra-operative Patient Safety

• Ensure continuous monitoring of vital parameters during anaesthesia.
• Maintain appropriate anaesthesia records and documentation.
• Ensure availability and proper functioning of anaesthesia equipment, drugs and emergency/resuscitation equipment.
• Follow hospital infection-control, patient-safety and medication-safety protocols.
• Communicate effectively with the orthopaedic surgical team, nursing staff and other healthcare professionals.

E. Post-operative Care

• Assess and manage patients in the recovery/PACU area following anaesthesia.
• Ensure safe recovery from anaesthesia and appropriate transfer to the ward, HDU or ICU.
• Monitor for post-operative complications such as respiratory depression, haemodynamic instability, nausea/vomiting and uncontrolled pain.
• Provide post-operative analgesia and follow-up when required.

F. Emergency & Critical Care Responsibilities

• Attend anaesthesia-related emergencies and provide immediate resuscitation when required.
• Participate in management of peri-operative emergencies, trauma cases and critically ill patients within the hospital's facilities and protocols.
• Provide support for airway management and emergency care outside the operating theatre when required.
• Participate in ICU/HDU responsibilities if included in the hospital's scope of work.

G. Operating Theatre Responsibilities

• Coordinate daily OT lists with orthopaedic surgeons and the OT team.
• Ensure appropriate pre-operative clearance and anaesthesia preparedness.
• Promote efficient and safe functioning of the operating theatre.
• Report equipment deficiencies, drug shortages or safety concerns promptly.
• Maintain required anaesthesia registers, records and documentation.

H. Quality, Compliance & Professional Responsibilities

• Maintain accurate and timely clinical documentation.
• Follow applicable NMC regulations, professional ethics and hospital policies.
• Participate in clinical audits, quality-improvement activities and morbidity/mortality reviews as applicable.
• Maintain confidentiality of patient information.
• Participate in continuing medical education and professional development.
• Work collaboratively with surgeons, physicians, nursing staff and hospital administration.
• Provide teaching/training to OT and nursing staff on relevant emergency and anaesthesia-related protocols, where required.

3. Qualifications

Essential:

• MBBS from a recognised medical institution.
• MD/DNB in Anaesthesiology or an equivalent recognised postgraduate qualification.
• Valid registration with the appropriate medical regulatory authority.
• Appropriate experience in administering anaesthesia independently, as required by the hospital.

Desirable:

• Experience in orthopaedic and trauma anaesthesia.
• Experience with regional/neuraxial anaesthesia and peripheral nerve blocks.
• Experience in post-operative pain management.
• Training/experience in critical care, ATLS/ACLS/BLS or equivalent emergency-care training.

The NMC lists MD in Anaesthesia/Anaesthesiology among recognised postgraduate specialties and maintains competency-based postgraduate curricula.

4. Required Skills

• Strong clinical judgement and decision-making skills.
• Competence in general and regional anaesthesia.
• Good airway-management and resuscitation skills.
• Ability to assess and manage high-risk surgical patients.
• Good communication and interpersonal skills.
• Ability to work effectively with orthopaedic surgeons and multidisciplinary teams.
• Ability to remain calm and effective during emergencies.
• Good clinical documentation and record-keeping skills.

5. Working Conditions

• Regular operating-theatre duties.
• May include emergency and on-call duties depending on hospital requirements.
• May be required to provide anaesthesia for trauma and urgent orthopaedic procedures.
• Working hours and on-call arrangements will be as per hospital policy and appointment terms.

6. Key Performance Areas

• Patient safety and quality of anaesthesia care.
• Timely completion of PAC and anaesthesia documentation.
• Safe intra-operative monitoring and management.
• Effective post-operative pain management.
• Appropriate management of anaesthesia-related emergencies.
• Compliance with hospital protocols and professional standards.
• Effective coordination with the orthopaedic and OT teams.
• Participation in quality-improvement and clinical-audit activities.

Email : ikoc.careers@gmail.com

Phone no : 9972946104