Medical Registrar - UPMC Whitfield Hospital, Waterford
Location: UPMC Whitfield Hospital
Job type: Permanent
Overview of role
UPMC is currently recruiting for Medical Registrar on a Permanent part-time (24 hours per week) contract to join our team at UPMC Whitfield Hospital, Waterford.
The role involves providing high quality medical care to patients admitted through the Medical Admissions Unit (MAU) and to any other patients in the hospital requiring medical review within the scope of a Medical Registrar at UPMC Whitfield Hospital.
The post holder will: offer medical consults on surgical patients as required; manage the care of medical patients from admission to discharge under the direction of the Consultant Physician; manage medical information to support insurance claims; provide support in the management of claims being submitted to the relevant insurer for payment where required.
Primary Duties and Responsibilities:
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 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.
Document patient's 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, detailed discharge summary for each patient to be approved by the Consultant Physician for submission to GPs and insurers.
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 the shift.
Carry out clinical procedures as requested by Consultants: administer IV drugs; cannulate/site IV lines; venepuncture; catheterise male patients; ECGs; lead nursing staff in emergency/cardiac arrest procedures.
Discuss care with patients and relatives as appropriate.
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.
Manage 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 members of staff are expected to participate in any in-house or external training or education sessions appropriate to their position.
Continuing Professional Development (CPD)
Registrars 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 the 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 may be 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 excellence.
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.
Initiate, participate in and evaluate audits 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 cooperate 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 session 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.
Qualifications & Experience
Applicants must be fully registered with the Medical Council of Ireland.
Up to date certification in BLS & ACLS.
Preferable Qualification in PALS – Willingness to undertake same.
Experience at Registrar level in an acute Hospital setting.
Evidence of continuing professional development.
Sufficient medical diagnostic and surgical experience and the capability to fulfil the functions of the post.
Strong communication and interpersonal skills.
Equal Opportunity Statement and Benefits
UPMC is an equal opportunity employer.
We celebrate diversity and are committed to creating an inclusive environment for all employees.
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
UPMC is a renowned multinational academic medical centre committed to delivering people-focused care that's close to home.
Headquartered in Pittsburgh and affiliated with the University of Pittsburgh Schools of the Health Sciences, UPMC shapes the future of health through clinical and technological innovation, research and education.
UPMC expands its expertise globally, bringing world-class care across continents through its UPMC International division — an owned and operated network of hospitals and ambulatory care centres in Italy, Ireland and Croatia.
UPMC International brings new access to the signature specialty services of UPMC Hillman Cancer Centre, UPMC Sports Medicine and others to more people in more places around the world.
In Ireland UPMC has provided high-quality healthcare in the South East since ****.
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 in Waterford and Cork, UPMC The 4th Practice in Mallow, and across UPMC Sports Medicine Clinics in Dublin, Waterford, Limerick, Tipperary, Cork, and Mayo.
UPMC has also established a nationwide Concussion Network.
UPMC's Global Technology Operation Centre is based in Kilkenny.
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