Clinical Associate

Job Description

Unique Job RoleClinical AssistantPosition Clinical Assistant - OrthopaedicsFunction*Clinical ServicesSub FunctionOrthopaedicsDepartmentOrthopaedicsReports To (Job Role / Position)Director - Orthopaedics*

1. Job Purpose**

Responsibility for assisting Mentor / 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

No.Key Responsibilities: Service

• 1

Will work under the supervision of Mentor / Director / Consultants.

Help Mentor / Director / Consultants in conducting OPD and other clinical activities as specified and as per privileges granted

Manage casualty cases under supervision of the consultants

Assist in OPD based procedures like plastering, injections, K wire removals

Guide the Orthopaedics nurse in day to day nursing activities and patient management

Assist the OT team in ensuring adequacy of instruments and inventories for the Orthopaedics procedures. Also to ensure that the correct implants are ordered and available during the procedure

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 patient and family

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 patient / family as advised by the treating consultant

Coordinate with the admission hub, OT staff and billing section for booking OT

Follow the surgical checklist during the OT stage including surgical site marking and WHO surgical guidelines

Prep the surgical patients, and carry out pre-op and post op care until discharge

Conduct regular ward rounds and work at a time that facilitates efficient patient flow and meets treatment objectives to maintain continuity of patient care

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, OT notes, progress notes and HOTO notes on a daily basis

Coordinate activities of nurses, resident doctors, specialists, therapists, and other medical staff for quality care and patient safety

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

• 1

Follow use of evidence based practice protocols 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 as per departmental rota

Comply with CME credits as per MMC guidelines and registrations 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:

1. Confirmation of discharge by Consultants
2. Confirmation and clearance of investigations done on the day of the discharge
3. Removal of all lines and tubes in coordination with Nursing team

Mark for Discharge:

1. Completion of discharge summary

Any other responsibility as assigned by the Director on the need basis Key Responsibilities: Growth

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

Actively participate in infection control and prevention activities, campaigns, awareness sessions etc. Key Responsibilities : Finance

Ensure optimum utilization of departmental resources Key Responsibilities : People

Be available to cover colleague when they are sick / on leave (within the constraints of existing workload)

Train the new joinees on the departmental policies, SOPs and protocols

Guide the junior medical staff and DNB students on the departmental activities and processes Key Responsibilities : Innovation & Research

Participate in clinical education, research, test medication, clinical tests to advance the practice of medicine as well as academic and teaching activities of department as required by the DNB or any Fellowship programs

Keep updating knowledge and skills by attending and presenting at conferences and CME or similar training programs

Actively give suggestions / feedback to further improvise services of department and growth of the department

3. Competencies

CompetenciesA. Core HNH ValuesPatient FirstExcellence Accountability RespectTeamworkIntegrityB. Function-specific Competencies (Technical /Functional)Knowledge of departmental policies and proceduresAptitude towards, teaching, publication and researchKnowledge about Infection prevention and controlKnowledge about JCI & NABH standardsKnowledge on use of HIS Knowledge about Patient SafetyCommunication & Interpersonal SkillsInclination towards continuing medical education / attending conferencesThe above is a broad outline on competencies required for the role. The competency definition and descriptor of proficiency level will be provided in a separate competency framework

4. Experience & Educational Requirements

EDUCATIONAL QUALIFICATIONS:

Include Additional Certification Required if anyNecessary:

• MBBS and MS / DNB Orthopaedics

Desirable:

• Fellowships in Orthopaedics

RELEVANT EXPERIENCE:

Type of roles (and duration) which an individual ideally should have done in his/her prior experience to be detailedNecessary:

• 0-3 yrs post MS/DNB Orthopaedics

Desirable:

• Experience in large multispecialty hospital

7. 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):

• Orthopaedics

d) Working Conditions

• Possible exposure to communicable diseases
• OPDs, Procedure Rooms and Wards
• On shift rota

6. Key Performance Areas & Key Performance Indicators

Key Result AreasKey Performance IndicatorsClinical Care PerformanceQuality care indicators Patient Satisfaction Index on clinical careContribution towards financial goals if applicableBudgeted Vs. ActualsAdherence to operational protocols Deviation from standard operating practicesTraining of team members% Adherence to training calendar No. of training hoursMark for DischargeDischarge summary release timeThe above are broad KRAs and KPIs. These will be reviewed & set every year as per operational needsPrepared By:Recommended By:Approved By: Dr. Vaibhav BagariaDr. Charulata Pamnani

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