Clinical Assistant

Job Description

Unique Job Role: Clinical Assistant

Position: Clinical Assistant - Ophthalmology

Function: Clinical Services

Sub Function: Ophthalmology

Department: Ophthalmology

Reports To (Job Role / Position): Director - Ophthalmology

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

Key Responsibilities: Service

• Will work under the supervision of Director / Consultants.
• Help Director / Consultants in conducting OPD and other clinical activities as specified and as per privileges granted
• Conduct free OPDs and Executive Health Check-ups as per the privileges given under supervision of the consultants.
• Manage casualty cases under supervision of the consultants
• 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
• Coordinate with the treating consultants and the stores to ensure availability of Intra ocular lens and or any specific consumables required as patients surgical requirement
• 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 works 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
• Raise and release opthal OPD procedures for referral IPDs in HIS
• 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
• 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 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

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 ophthalmology 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
• Be a mentor and 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

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. 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 any

Necessary:

• MBBS and MS Ophthalmology or
• MS / DNB (Appeared but results awaited)

Desirable:

• Fellowships in Ophthalmology

RELEVANT EXPERIENCE:

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

Necessary:

• 0-3 yrs post MS/DNB/ (Ophthalmology)

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): Neurology
• 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 Areas

Key Performance Indicators

• Clinical Care Performance
• Adherence to OPD appointments - (% of patients undergoing consultation at previously scheduled time)
• Time for assessment after admission of patient in nursing unit
• Information given to the patient at each stage of treatment
• 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

Prepared By: Kavita Singh

Recommended By: Dr. Pooja Deshmukh

Approved By: Dr. Satpal Pannu

Dr. Sujal Shah

Dr. Aashish Contractor

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