North Central Thames Foundation School (NCTFS)
Individual Placement Description - East and North Herts NHS Trust
Placement
The department
The type of work
to expect and
learning
opportunities
F2 Intensive Care Medicine
Lister Hospital Critical Care Unit
Currently 18 Level 2 and 3 beds
Beds are used flexibly for level 2 or 3 care depending on need
Practical skills
 Venous access including central venous cannulation
 Arterial line insertion
 Larnygocopy and endotracheal intubation
 Assisting in percutaneous tracheostomies
 Pleural procedures (aspirates/chest drains)
 Peritoneal procedures (aspiration/drains)
 Lumbar punctures
Clinical aptitude
 Highly organized systemic approach to major organ systems enables trainees
to understand basic organ function, diagnose a failing trend and institute
organ support measures – both ward based and in level 2 and 3 environments
 Ability to ‘outreach’ or attend peri-arrest and cardiac arrest calls with ICU SpR
or ICU Consultant
Location
Supervisor(s)
Main duties of the
placement
Typical working
pattern in this
placement
Audit/Research
 Plenty of opportunities to get involved in audit and research
Lister Hospital
All ICM Consultants – Drs. Prasad, Kambli, Hearn, Carrington, Chilvers, Bates, Patel,
Grover, Jamardhakhana, Bramall
Attending ward rounds and completing ward round paperwork.
Maintaining an up to date ICU patient list
Admitting and discharging patients to and from the unit (elective surgical patients post
op and emergency admissions).
Practical procedures to facilitate advanced organ supportive measures.
Death certification.
The FYs are the only consistent level of doctor throughout the 4 month period due to
frequent SpR and Consultant rotations, hence are expected to contribute to ward
rounds and patient discussion, as they help enable continuity of care during these
rotations.
Weekdays
0800 – 1200
Handover from night staff and daily ward
round
1200 – 1600
Ward round jobs e.g. CVC insertion,
specialty
team
patient
reviews,
organizing scans, talking to relatives,
seeing patients being considered for ICU
admission, admitting and discharging
patients to the ward
1600 – 1700
Recap over the list and update it for the
evening and night team
This is usually the case for the week except Fridays when often a teaching seminar is
held 1230 – 1330 and lunch if often provided
On call requirements:
Nil and no weekends
East and North Herts NHS Trust
Employer
information
It is important to note that this description is a typical example of your placement and may be subject
to change.