Requisition Id: 15643

Designation: Senior Registrar – Critical Care Services
Department: Critical Care Medicine
Reporting To: Consultant / Head – Critical Care Services

Key Responsibilities

1. Clinical Management

- Assess, stabilize and manage critically ill patients admitted to ICU/HDU and other critical care areas.
- Conduct comprehensive clinical assessment, formulate differential diagnoses and initiate appropriate management.
- Participate in daily ICU rounds with the Consultant/Intensivist and implement agreed treatment plans.
- Monitor haemodynamic, respiratory, neurological, renal and metabolic status of critically ill patients.
- Manage patients requiring mechanical ventilation, non-invasive ventilation and other organ-support therapies.
- Recognize and promptly manage deterioration, sepsis, shock, respiratory failure, acute kidney injury and other life-threatening conditions.
- Review patients referred from the Emergency Department, wards, OT/recovery and other clinical departments.
- Assist in ICU admission, triage, transfer and discharge decisions in coordination with the Consultant.
- Provide appropriate handover of patients during shift changes and transfers.

2. Emergency & Resuscitation

- Respond promptly to Code Blue, cardiac arrest and other medical emergencies.
- Participate in advanced life support and resuscitation according to hospital protocols.
- Assess and stabilize deteriorating patients outside the ICU in coordination with the treating team and Intensivist.
- Escalate complex or unstable cases to the Consultant without delay.

3. Procedures

Perform or assist with critical care procedures within demonstrated competency and hospital authorization, including:

- Endotracheal intubation and airway management.
- Central venous catheterization.
- Arterial line insertion.
- Ultrasound-guided vascular access.
- Pleural procedures/chest drain insertion where credentialed.




- Lumbar puncture and other bedside procedures where appropriate.
- Assistance with tracheostomy, bronchoscopy and other advanced procedures.
- Bedside point-of-care ultrasound/ECHO as per training and credentialing.

All invasive procedures must follow consent, infection-control, documentation and patient-safety requirements.

4. Patient & Family Communication

- Communicate the patient's clinical condition, treatment plan and progress to patients and relatives appropriately.
- Support Consultants in discussions regarding prognosis, treatment limitations and end-of-life care.
- Maintain confidentiality and demonstrate empathy and professionalism in all patient interactions.
- Facilitate communication between families and the treating Consultant/primary clinical team.

5. Supervision & Team Coordination

- Supervise Junior Residents, Registrars and other medical personnel working in the ICU.
- Guide junior doctors in clinical assessment, documentation and procedures.
- Coordinate closely with ICU nurses, respiratory therapists, technicians, pharmacists and other members of the multidisciplinary team.
- Liaise with specialty consultants and referring teams for coordinated patient management.
- Ensure appropriate escalation of clinical concerns to the Consultant/Intensivist.

6. Documentation & Patient Safety

- Ensure accurate and timely completion of admission notes, progress notes, treatment orders, procedure notes, transfer notes and discharge summaries.
- Maintain accurate ICU charts, medication records,



investigation results and clinical handovers.
- Ensure compliance with hospital policies, clinical protocols, infection-control standards and patient-safety practices.
- Report adverse events, medication errors, near misses and other incidents to the appropriate authority.
- Participate in clinical audits, morbidity and mortality reviews and quality-improvement initiatives.

7. Teaching & Training

- Participate in teaching of Junior Residents, interns, nurses and other ICU personnel.
- Conduct bedside teaching, case discussions, presentations and journal reviews as assigned.
- Participate in simulation training, mock drills, resuscitation training and departmental academic activities.
- Support orientation and competency development of junior ICU staff.

8. Quality, Research & Continuous Improvement

- Participate in departmental audits and quality-improvement projects.
- Support implementation of evidence-based Critical Care protocols and clinical pathways.
- Participate in research, data collection, clinical studies and publications where applicable.
- Contribute to infection-control, antimicrobial-stewardship and patient-safety initiatives.
- Keep updated with current critical care guidelines and practices.

Key Performance Indicators (KPIs)

- Quality and timeliness of ICU patient assessment and management.
- Compliance with ICU protocols and patient-safety standards.
- Timely response to emergencies and clinical deterioration.
- Accuracy and completeness of clinical documentation.
- Appropriate use of ICU resources and investigations.
- Compliance with infection-control and medication-safety practices.
- Effective multidisciplinary communication and handover.
- Participation in teaching, audits, quality improvement and research.
- Patient/family communication and skilled conduct.

📌 Senior Registrar (Bengaluru)
🏢 Narayana Health
📍 Bengaluru