Consultant in Paediatric Intensive Care Medicine

Duration of Post

Full Time, Permanent

Campaign Reference

MA 4850

Closing Date

15th November 2019.

Job Summary

The purpose of this post is to comply with international norms and devolve PICM as a separate specialty run primarily by full time Intensivists with recognised training and accreditation in PICM, drawn from both a Paediatric Anaesthesiology and Paediatric Medicine backgrounds. This strategy is supported by two reviews by DNV on paediatric critical care that recommended the establishment of a Paediatric Critical Care network across CHI at Crumlin and CHI at Temple Street along with a paediatric retrieval network. DNV recommended between 12 and18 Consultant Intensivist posts be appointed between CHI at Temple Street and at Crumlin before the establishment of a single unit on the St. James’s campus. The proposed 42 bed PICU at St. James’s will be one of the biggest Paediatric Intensive Care Units in Europe and the biggest ICU in Ireland.

In parallel with the development in PICM, is that of Transport Medicine. It is identified as a priority in a number of reports, most recently the 2017 Irish National ICU Audit published by NOCA called specifically for the development of a 24 hour centralised paediatric retrieval service. This compliments the HSE Models of Care for Paediatric Critical Care Medicine, Paediatrics, Paediatric Anaesthesiology, Anaesthesiology, Adult Critical Care and the aforementioned DNV reports.

In terms of current retrieval services, there is 1 WTE (O.5 WTE x 2) in post with a further 0.7WTE on a locum arrangement providing a 5 days a week 10hrs per day service. The service demand being met by this arrangement is between 30-40%, as many children are referred into PICU do so outside of the operational hour of IPATS.  This means that children are being transported to the Dublin region by ad-hoc teams drawn from the referring hospitals anaesthesia, paediatric, nursing and regional ambulance services. Aside from severely depleting referring hospital/regional assets, there is a spectrum of quality and patient safety issues. The development of a reliable retrieval and paediatric critical care outreach program will support the implementation of the hospital networks as described in the Higgins report.

Principal Duties and Responsibilities

The successful applicant, as an appropriately trained specialist in Paediatric Intensive Care Medicine, will assume a full clinical role of Consultant in Paediatric Intensive Care at CHI Temple Street and the National Ambulance Service Critical Care Retrieval Services(NASCCRS).

The successful candidate will:

  • Manage, as required, patients in the Critical Care Care Unit by leading the multi-disciplinary team.
  • Provide a consultative service and attendance as required to relevant areas of the hospital and its network.
  • To participate in the development and provision of the Paediatric Retrieval/Transport Service to include participate in the transfer of neonates, infants and children on ground and air transport platforms.
  • Provide national outreach education and training to the CHI Paediatric Network in the management and transfer of the critically ill child.
  • A Consultant Intensivist with Specialist Registration in Anaesthesiology may provide anaesthesia services for assigned operating lists on a rotational basis.
  • A Consultant Intensivist with Specialist Registration in another specialty (Paediatrics, Neonatology, Surgery) may provide services on a rotational basis to the parent specialty.
  • To participate on the emergency duty rosters of CHI at Temple Street as appropriate until the move to the National Children’s Hospital at the St. James’s campus.
  • Will participate in the integration of the PICU at CHI at Temple Street with the PICU at CHI at Crumlin.
  • Will participate with preparations and duties for PICM and Retrieval Medicine on the appropriate aspects for Mass Casualty Incidents for paediatrics.
  • The provision, if appropriate, of staff training in Cardiopulmonary Resuscitation and Trauma.
  • Cover of fellow consultants during holiday, sickness and other approved absences for a reasonable defined period of time compliant with working-time legislation.
  • Engage in the teaching of undergraduate and postgraduate medical, nursing personnel and other health care professionals.
  • Engage in Research, Audit and Accreditation processes
  • Participate in the Administration of the Department of Intensive Care Medicine.
  • Engage in the administration of the National Ambulance Service Critical Care & Retrieval Services.
  • Liaise with the Chief Executive, Director of Nursing, consultant staff and others in all matters pertaining to the efficient management of the hospital services.
  • Liaise with the Clinical Director, IPATS Clinical Lead and General Clinical Services Manager for NASCCRS in all matters pertaining to the efficient management of retrieval services.
  • Participate in the development and administration of services in the department and in the hospital e.g. Transfusion and infection control services.
  • Update himself/herself in education and service, technological and other advances
  • Engage in continuing medical education and maintenance of professional standards for the specialty accreditation and to meet patient need.

The above is not intended to be a comprehensive list of all duties involved and consequently, the post holder may be required to perform other duties as appropriate to the post, which may be assigned to them from time to time and to contribute to the development of the post while in office.

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CHI provides a comprehensive benefits package to meet your needs through your work life and beyond:

  • Excellent Annual Leave entitlement
  • Pension Scheme
  • Sick Pay Scheme
  • Monthly Health & Wellbeing Activities
  • Access to first-rate postgraduate programmes/Educational Assistance
  • Subsidised Canteen
  • Access to excellent public transport at all CHI sites
  • Bike to Work
  • Tax Saver Travel Scheme
  • On-site Banking
  • Choirs/Musical Society
  • Running Clubs/ Walking Groups
  • Employee Assistance Programme
  • Lunch and Learns

CHI provides a comprehensive benefits package to meet your needs through your work life and beyond:

  • Excellent Annual Leave entitlement
  • Pension Scheme
  • Sick Pay Scheme
  • Monthly Health & Wellbeing Activities
  • Access to first-rate postgraduate programmes/Educational Assistance
  • Subsidised Canteen
  • Access to excellent public transport at all CHI sites
  • Bike to Work
  • Tax Saver Travel Scheme
  • On-site Banking
  • Choirs/Musical Society
  • Running Clubs/ Walking Groups
  • Employee Assistance Programme
  • Lunch and Learns