Junior Resident

Requisition Id

16424

Junior Resident – Intensive Care Unit (ICU)

Position Details

Job Title

Junior Resident – Intensive Care Unit

Department

Critical Care Medicine / Intensive Care Unit

Designation Level

Junior Doctor / Medical Officer – ICU

Employment Type

Full-time

Duty Pattern

Rotational shifts, including day shifts, night duties, weekends, and public holidays

Reporting To

ICU Consultant / Intensivist / Senior Resident / Head of Department

Functional Coordination With: Nursing Superintendent, ICU Nursing Team, Respiratory Therapist, Emergency Department, Laboratory, Radiology, Pharmacy, Infection Control Team, and other clinical departments

Work Location

Adult ICU / Medical ICU / Surgical ICU / Multidisciplinary ICU, as assigned

Job Purpose

The Junior Resident is responsible for assisting in the comprehensive medical management of critically ill patients admitted to the Intensive Care Unit. The role involves initial patient assessment, continuous clinical monitoring, implementation of treatment plans under supervision, early identification of clinical deterioration, participation in emergency resuscitation, assistance with ICU procedures, and maintenance of accurate medical records.

The Junior Resident must ensure that patients receive timely, safe, ethical, and evidence-based care while adhering to hospital policies, standard operating procedures (SOPs), clinical protocols, and applicable professional regulations.

The resident is expected to work collaboratively with the ICU consultant and multidisciplinary healthcare team to improve patient outcomes, minimize preventable complications, and maintain continuity of care throughout the patient's ICU stay.

Detailed Roles and Responsibilities

A. Patient Assessment and Admission

Receive patients admitted to the ICU from the Emergency Department, wards, operation theatres, recovery areas, or other hospitals.

Obtain a detailed clinical history, including presenting complaints, history of present illness, relevant past medical and surgical history, drug history, allergies, and associated comorbidities.

Perform a systematic clinical examination, including

General condition and level of consciousness.

Airway patency and respiratory assessment.

Cardiovascular examination and peripheral perfusion.

Neurological status, including Glasgow Coma Scale where appropriate.

Abdominal examination and other system-specific assessments.

Skin condition, pressure injury risk, and relevant lines or devices.

Record baseline vital parameters, including heart rate, blood pressure, respiratory rate, temperature, oxygen saturation, and other parameters indicated by the patient's condition.

Review available referral notes, previous investigations, medication charts, and treatment received before ICU admission.

Assist the ICU consultant in assessing the need for invasive monitoring, ventilatory support, vasopressor therapy, or other organ support.

Ensure timely entry of admission notes, provisional diagnosis, initial assessment, and the treatment plan approved by the responsible clinician.

Identify immediate life-threatening conditions and initiate emergency measures within competence and hospital protocols while urgently informing the senior doctor.

Verify patient identity, allergy status, medication history, and relevant consent documentation.

Ensure structured handover from the referring team, including the patient's condition, ongoing infusions, airway status, pending investigations, and outstanding clinical concerns.

B. Daily Patient Monitoring and Clinical Management

Conduct regular bedside assessments according to patient acuity and ICU protocols.

Review vital signs, oxygen requirements, neurological status, urine output, fluid balance, and other relevant clinical parameters.

Assess trends in laboratory results, arterial blood gases, ECG findings, radiological reports, and microbiology results.

Identify abnormal findings and communicate significant changes promptly to the ICU consultant or designated senior doctor.

Follow up on investigations and ensure that clinically significant results are brought to the attention of the treating team without delay.

Implement prescribed treatment plans and monitor the patient's response.

Review fluid intake, output, and cumulative fluid balance, particularly in patients with shock, renal impairment, or respiratory failure.

Monitor blood glucose, electrolyte levels, renal function, and other parameters as clinically indicated.

Assist in daily review of medication indications, dosing, allergies, potential adverse effects, and renal or hepatic dose adjustments.

Participate in multidisciplinary rounds and communicate unresolved issues, pending reports, and changes in clinical status.

Reassess patients after significant interventions, changes in treatment, or episodes of deterioration.

Maintain continuity of care by ensuring that important clinical instructions are documented and communicated during shift changes.

C. Emergency Management and Resuscitation

Respond promptly to ICU emergencies, including cardiac arrest, respiratory arrest, severe hypotension, acute desaturation, altered sensorium, and sudden clinical deterioration.

Initiate immediate assessment and emergency support within training and competence while activating the hospital emergency response system where indicated.

Participate in cardiopulmonary resuscitation (CPR) and advanced life support according to current protocols and the assigned role.

Assist with airway stabilization, oxygen delivery, bag-mask ventilation, and preparation for advanced airway management.

Assist in the evaluation and initial management of shock, sepsis, anaphylaxis, major bleeding, and acute respiratory failure.

Recognize life-threatening arrhythmias and promptly alert the responsible senior doctor.

Prepare emergency medications, resuscitation equipment, defibrillator, airway equipment, and vascular access supplies as re