Clinical Assistant

Job Description

Unique Job Role: Clinical Associate

Position: Clinical Associate Pulmonology

Function: Clinical Services

Sub Function: Pulmonology Medicine

Department: Pulmonology Medicine

Reports To (Job Role / Position): Director / Consultant - Pulmonology Medicine

1. Job Purpose

Responsibility for assisting Director and Consultants in diagnosis and delivery of clinical care in conformance with the Sir HN RFH standards of medical and service excellence

2. Accountabilities

1. Key Responsibilities: Service

• Will work under the supervision of Director / Consultant. Will not ordinarily have independent privileges
• Help Director / Consultants in conducting OPD and other clinical activities as specified and as per privileges granted
• Conduct free OPDs under supervision of Consultants as per the privileging and hospital policy as defined from time to time
• Support Consultants in conducting specialty clinics such as Allergy clinics as per privileges
• Assist in Bronchoscopy & chest related pleural tapping, insertion of ICDs and other clinical procedures as per the assigned clinical privileges
• Collate and analyze records, reports, test results, or examination information to diagnose disease of the patient
• Prescribe or administer medication, therapy, and other specialized comprehensive medical care to treat / prevent / limit illness, disease, or injury under consultation of primary consultants. Identify patients risk status and recommend appropriate intervention to minimize risk under consultation of primary consultants.
• Explain procedures, obtain consents and discuss test results or prescribed treatments with guardian and family
• Supervise PFT Technicians and review their PFT reports for final submission to the treating consultant and patients
• Monitor patients' conditions and progress and reevaluate treatments as necessary and discuss the same with the treating Consultant. Refer patient to other specialist as and when required after due intimation and explanation to guardian / family as advised by the treating consultant
• Conduct regular ward rounds and works at a time that facilitates efficient patient flow and meets treatment objectives to maintain continuity of patient care covering the wards, Floors, EMS and Outreach clinics
• Maintain and update documentation in Hospital Information System with respect to assigned clinical responsibilities including patient history, clinical assessment, prescriptions, medications, progress notes, investigations, discharge notes and any other medical records
• Maintain clinical documentation including initial assessment, progress notes and HOTO notes on a daily basis
• Ensure accurate exchange of information during care transition and transfer of patients ensuring that patient privacy and confidentiality is duly protected at all the times
• Promote use of evidence based practice to ensure patient safety
• Prepare and release discharge summaries as advised by primary consultant
• Work collaboratively with other disciplines and health professionals to develop effective and appropriate multidisciplinary treatment plans for patients
• Cover ward duties and attend to on call emergency care on need basis and as per departmental rota
• Comply with CME credits as per MMC guidelines in vogue
• Participate in interdepartmental meetings, committees and perform all the responsibilities as assigned
• Participate as per the defined role during any internal / external disaster
• Ensure the following activities are completed with respect to discharge process:
• Provisional Discharge:
• Confirmation of discharge by Consultants
• Confirmation and clearance of investigations done on the day of the discharge
• Removal of all lines and tubes in coordination with Nursing team
• Mark for Discharge:
• Completion of discharge summary
• Any other responsibility as assigned by the organization on the need basis

1. Key Responsibilities: Growth

• Participate in health programs in the hospital, outreach activities, or communities for prevention and treatment of injuries or illnesses.

1. Key Responsibilities: Quality

• Ensure clinical care and infection control quality indicators are within the defined bench mark
• Actively participate and be accountable for implementation of all quality programs to ensure continuous quality improvement in the department
• Ensure adherence to internationally accepted standards of care, including but not limited to those recommended by JCI, NABH and other quality systems
• Follow all infection control protocols during all stages of clinical care
• Actively participate in infection control and prevention activities, campaigns, awareness sessions etc.

1. Key Responsibilities: Finance

• Ensure optimum utilization of departmental resources

1. Key Responsibilities: People

• Be available to cover colleague when they are sick / on leave (within the constraints of existing workload)
• Ensure adequate coverage ensuring hand-over of responsibilities prior to proceeding on leaves
• Train the new joinees on the departmental policies, SOPs and protocols
• Be a mentor and guide the junior medical staff and DNB students on the departmental activities and processes

1. Key Responsibilities: Innovation & Research

• Participate in clinical education, research, test medication, clinical tests to advance the practice of pulmonology medicine as well as academic and teaching activities of as required by the DNB or any teaching programs.
• Actively give suggestions / feedback to further improvise services of department and growth of the department
• Participate in the research activities of the department

3. Competencies

• Competencies
• A. Core HNH Values
• Patient First
• Excellence
• Accountability
• Respect
• Teamwork
• Integrity
• B. Function-specific Competencies (Technical /Functional)
• Knowledge of departmental policies and procedures
• Aptitude towards, teaching, publication and research
• Knowledge about Infection prevention and control
• Knowledge about JCI & NABH standards
• Knowledge on use of HIS
• Knowledge about Patient Safety
• Communication & Interpersonal Skills
• Inclination towards continuing medical education / attending conferences

The above is a broad outline on competencies required for the role.

4. Experience & Educational Requirements

• EDUCATIONAL QUALIFICATIONS:
• Include Additional Certification Required if any
• Necessary: MBBS and MD / DNB Pulmonology Medicine
• Desirable: Additional Fellowships
• RELEVANT EXPERIENCE:
• Type of roles (and duration) which an individual ideally should have done in his/her prior experience to be detailed
• Necessary: 3-5 yrs post MD/DNB Pulmonology Medicine
• Desirable: Experience in large multispecialty hospital

5. Scope of Work

• a) Financial Scope (Range of financial spend): Nil
• b) People Management Scope (Range of no. of Direct Reports): Nil
• c) Corporate Coverage (hospital-wide / sub-function-wide / area wide): Pulmonology Medicine
• d) Working Conditions
• Possible exposure to communicable diseases
• OPDs, ICUS, IPDs, Procedure Rooms and Wards
• On shift rota

6. Key Performance Areas & Key Performance Indicators

• Key Result Areas
• Clinical Care Performance
• Quality indicators
• Patient Satisfaction Index on clinical care
• Contribution towards financial goals if applicable
• Budgeted Vs. Actuals
• Adherence to operational protocols
• Deviation from standard operating practices
• Training of team members
• % Adherence to training calendar
• No. of training hours
• Mark for Discharge
• Discharge summary release time

The above are broad KRAs and KPIs. These will be reviewed & set every year as per operational needs