Senior Registrar

Narayana Health; Bengaluru; On-site; INR 1,200,000 - 1,800,000; Full time

Job summary

Narayana Health in Bengaluru invites applications for the position of Senior Registrar – Critical Care Services in the Critical Care Medicine department. The role centers on clinical management of critically ill patients in ICU/HDU, participation in daily rounds, and implementing treatment plans.

You will supervise junior residents, coordinate with nurses and therapists, and perform airway and other ICU procedures, while ensuring accurate documentation and handovers.

Job description

Select how often (in days) to receive an alert:

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.
• 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.
• 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.
• 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 professional conduct.