Senior House Officer

Requisition Id

16106

Job Title

Senior House Officer – Vascular Surgery

Department

Department of Vascular Surgery

Reporting To

Consultant / Senior Consultant – Vascular Surgery

Clinical Supervisor

Senior Consultant Department of Vascular Surgery

Departmental Coordination: Nursing, Anaesthesia, Radiology, Interventional Radiology, ICU, Emergency Medicine, Physiotherapy, Wound Care, Diabetic Foot and Allied Services

Employment Type

Full-time

Duty Pattern

Regular clinical duties with rotational night, weekend, holiday and emergency/on-call duties as per hospital roster.

Job Purpose

The Senior House Officer (SHO) will provide comprehensive day-to-day clinical support to the Vascular Surgery team under the supervision of Consultants and senior surgical staff.

The SHO will be responsible for the initial assessment, monitoring, documentation and ongoing management of patients admitted under the Vascular Surgery service, while assisting with outpatient, emergency, ward, operating theatre and postoperative care.

The role requires particular attention to the early recognition of vascular emergencies, limb-threatening ischemia, postoperative complications, bleeding, infection and clinical deterioration, with timely escalation to the appropriate senior clinician.

The SHO will contribute to safe, efficient and patient-centred care while working within their level of training, competence and hospital privileges.

Core Clinical Responsibilities

A. Patient Assessment

The SHO will

Take a comprehensive history and perform an appropriate clinical examination.

Assess new admissions and emergency referrals.

Review patients transferred from the Emergency Department, ICU, other wards or outside hospitals.

Identify relevant vascular risk factors, including

Diabetes mellitus

Hypertension

Dyslipidaemia

Smoking

Previous vascular interventions

Coronary artery disease

Cerebrovascular disease

Chronic kidney disease

Previous thromboembolic disease

Perform and document appropriate vascular examination, including

Limb colour and temperature

Capillary refill

Peripheral pulses

Sensory and motor function

Signs of tissue loss

Ulcers and gangrene

Signs of infection

Limb swelling

Venous disease

Carotid examination where appropriate

Assess the urgency of the patient's condition and escalate appropriately.

Vascular Conditions

The SHO should develop familiarity with the assessment and initial management of patients with

Arterial Disease

Peripheral arterial disease

Acute limb ischemia

Chronic limb-threatening ischemia

Intermittent claudication

Arterial occlusive disease

Diabetic vascular disease

Aortic aneurysmal disease

Peripheral aneurysms

Carotid artery disease

Visceral and renal arterial disease

Vascular trauma

Venous Disease

Deep vein thrombosis

Superficial venous thrombosis

Chronic venous insufficiency

Varicose veins

Venous ulceration

Post-thrombotic disease

Venous obstruction

Diabetic Foot and Limb Problems

Diabetic foot ulcers

Ischemic ulcers

Infected foot

Gangrene

Critical limb-threatening ischemia

Osteomyelitis in collaboration with relevant specialties

Post-amputation care

Vascular Emergencies

The SHO should promptly recognize and escalate

Acute limb ischemia

Ruptured aneurysm

Acute arterial thrombosis/embolism

Major vascular bleeding

Acute vascular trauma

Compartment syndrome

Acute DVT with significant clinical concern

Rapidly progressive limb infection or tissue necrosis

Postoperative hemorrhage

Acute graft or stent occlusion

Ward Responsibilities

Daily Ward Management

The SHO will

Participate in daily Consultant/Senior Resident ward rounds.

Review all assigned patients before rounds.

Present relevant clinical information concisely.

Review vital signs, fluid balance, laboratory results and imaging.

Monitor postoperative patients.

Identify changes in clinical condition.

Implement treatment plans prescribed by the supervising team.

Arrange investigations and follow up results.

Ensure timely escalation of abnormal findings.

Coordinate with nursing staff regarding patient care.

Review drains, wounds, catheters and vascular access sites.

Monitor limb perfusion following vascular intervention.

Assist with medication reconciliation.

Review analgesia, antibiotics, anticoagulation and antiplatelet therapy as directed by the senior team.

Prepare patients for procedures and surgery.

Coordinate discharge planning.

Preoperative Responsibilities

For patients scheduled for vascular procedures, the SHO will assist with

Complete clinical assessment.

Review previous medical and surgical history.

Identify significant comorbidities.

Review relevant laboratory investigations.

Ensure required imaging is available.

Review ECG and other investigations where indicated.

Check blood group and cross-match requirements as directed.

Assess renal function, particularly before contrast-based procedures.

Review anticoagulant and antiplatelet medications according to the Consultant's plan.

Ensure appropriate preoperative instructions are documented.

Confirm that required consent documentation is completed by the appropriately authorized clinician.

Ensure the patient is appropriately prepared for theatre/procedure.

Communicate relevant clinical information to the operating team.

Operating Theatre Responsibilities

The SHO will assist the Vascular Surgery team during operative and endovascular procedures within their level of training and competence.

Responsibilities may include

Preparing the patient for surgery.

Reviewing relevant imaging before the procedure.

Assisting with patient positioning and preparation.

Assisting the Consultant/Senior Surgeon during procedures.

Maintaining awareness of sterile technique.

Assisting with vascular exposure and closure where appropriately supervised.

Assisting during endovascular procedures as required.

Supporting specimen handling and documentation.

Ensuring