Medical Registrar - UPMC Whitfield Hospital, Waterford

To act under the supervision of the Medical Consultants in the provision of a Medicine service and to support the Consultants in their duties. To admit patients to the Medical Floor. To attend daily ward rounds with the medical team. Take handover of patients so that continuity of care is ensured and immediate decisions are made and orders written. To review patients on a regular basis in accordance with the plan of care made at the beginning of the shift and inform the consultant of any issues or problems. Document review findings in clinical notes in a timely and legible manner. To participate in family meetings when required. To respond to any adverse occurrences e.g. injuries, falls, sudden illnesses etc. suffered by patients, visitors or staff. To contribute to quality improvement; risk management initiatives and policy development so that the overall Internal Medicine Service is of the highest quality and reflective of best practice. To assist in the education of colleagues and staff. To participate in work related projects at UPMC Whitfield Hospital. To act and behave professionally and perform one’s duties in a manner that optimises patient care and protects and enhances the reputation of UPMC WhitfieldUPMC Whitfield Hospital. To adhere to Hospital Policies and Procedures. To comply with Health and Safety Regulations, ensuring safe working practices in a safe working environment. To undertake any other duties that may be required, which could include assisting medical colleagues throughout the hospital and acting as a resource for more junior colleagues. The post holder will work with all members of the multidisciplinary team, medical and non-medical to provide a seamless service for patients. Diagnose and treat patients under the direction of the consultant, surgical and medical staff. Will document patients’ assessment, history and physical on admission and write appropriate follow up comments in case notes in line with the Assessment of Patient Policy. Complete a typed up detailed discharge summary for each patient to be approved by the Consultant Physician for submission to GPs and Insurers. Will conduct daily re-assessment on in-patients as advised by the consultant and/or nursing staff To be the lead in code blue and clinical emergency calls whilst carrying a pager on their person throughout their shift Carry out clinical procedures as requested by Consultants 1. Administer IV drugs 2. Cannulate/site IV lines 3. Venepuncture 4. Catheterise male patients 5. ECGs Lead nursing staff in emergency/cardiac arrest procedures. Discuss care with patients and relatives as appropriate. To ensure discharge summaries are completed as per Discharge Policy requested by Consultants and/or nursing staff. Further own knowledge of diagnosis and management. Participate in programmes of research, education and training. Management of medical information to support insurance claims. Provide support to the administration team prior to claims being submitted to the relevant insurer for payment where required. Medication Management Work in full compliance with all Medication Management Policies relevant to the role. Verify each patient’s current medication list on admission to ensure accuracy and completeness. Reconcile the patient’s stated or documented medication history with the original prescription order. Accreditation Work collaboratively with the organisation and the wider multidisciplinary team to prepare for JCI Accreditation standards, ensuring ongoing compliance with CHKS and HIQA requirements. Training and Audit To complete one Clinical Audit on an annual basis. Clinical Audit can be defined as ‘the systematic review and evaluation of current practice with reference to research based standards to improve patient care’ IMC A team approach may be taken to the selected Clinical Audit, under the guidance of the Medical team. All members of staff are expected to attend mandatory training sessions on an annual basis or as appropriate. All member of staff are expected to participate in any in-house or external training or education sessions appropriate to their position. Continuing Professional Development (CPD) Registrar’s are required under their IMC Registration to participate in continuing professional development. From time to time the Hospital will host educational events which will generate CPD points. Expectations Lead the response to emergency situations across the hospital site, ensuring timely and effective clinical intervention. Participate as an active member of the Deteriorating Patient Committee and contribute to Sepsis auditing and related quality‑improvement initiatives for same Review patients, visitors, and staff following any incident or accident, providing appropriate clinical assessment and follow‑up. Complete incident reporting in line with hospital policy, including accurate and timely completion of Accident and Incident forms. Maintain comprehensive, legible, and contemporaneous case notes documenting all aspects of patient assessment, treatment, and clinical decision‑making. Remain familiar with and adhere to all relevant hospital protocols, guidelines, and clinical pathways. Engage in hospital‑wide initiatives aimed at improving the quality, safety, and efficiency of patient care. Demonstrate cost‑effective clinical practice while ensuring that patient safety and quality of care are never compromised. Model professional behaviour that reflects the values and standards of the hospital. Personnel Follow uniform policy reference General Through the course of the working day or week there maybe a requirement to work in other areas of the hospital in line with patient requirements as requested by your line manager/deputy or nurse management. Staff must produce satisfactory documentary evidence of all training and experience claimed by them, if required to do so by the organisation. To respect the organisational values of the Hospital. Quality Safety – Safe Culture Quality and Safety are rooted in the daily work of all individuals at UPMC.As an employee you are required to actively participate throughout your working day in pursuit of excellencee You are required to work in conjunction with your line manager in the planning, monitoring, analysing and improvement of all quality programmes. Participate in the development of performance indicators in conjunction with your department manager and the business objectives. Initiates, participates in and evaluates audit according to JCI, Hospital policy and Lean requirements under the guidance and supported by an audit lead Health Safety UPMC employees are required to ensure that they take reasonable care to protect their own safety, health and welfare and that of any other person who may be affected by their acts or omissions. Employees must co-operate with UPMC to ensure safety, health and welfare at work and report anything potentially dangerous at work of which they become aware. Staff are expected to abide by guidelines/policies and all Incidents and near misses. All employees are required to attend an education sessions on Fire Health safety on an annual basis. Information Governance In the course of your employment you may have access to, or hear information concerning the medical or personal affairs of patients and / or staff. Such records and information are strictly confidential, unless acting on the instructions of an authorised officer, on no account must information concerning staff or patients be divulged or discussed except in the performance of normal duty. In addition records must never be left in such a manner that unauthorised persons can obtain access to them and must be kept in safe custody when no longer required.