Paediatric Critical Care Airway and ECMO fellow

Paediatric Critical Care Airway and ECMO Fellow

Guy's and St Thomas' NHS Foundation Trust

This job would suit senior trainees nearing the end of their training or post CCT. There are two posts and the appointed fellows are expected to work together as a team to participate fully in all aspects of the Paediatric critical care, ECMO and airway services. There will be opportunities to participate in the delivery of PCC and retrieval service as well.

Main Duties of the Job

The ECMO Service
The Evelina ECMO service is expanding with approximately 20 ECMO runs annually accounting for 160 calendar days of ECMO. Originally set up to support cardiac surgery, the majority of ECMO cases are now respiratory and our team is pushing boundaries by supporting children as small as 2kg with venovenous ECMO. The service is co-located with the largest NICU in the UK and the largest adult respiratory ECMO service in Europe (GSTT).

As our PICU has general and cardiac patients, our ethos is to manage all ECMO referrals within Evelina so that those severe respiratory failure patients who ultimately don't require ECMO are still managed under our care. We are fully integrated within the PICU and the ECMO fellow assists the airway fellow in investigation and management of patients with airway issues and respiratory failure and vice versa.

The Airway Service
The paediatric critical care airway service is based within the PICU and has arisen from the need for airway interventions in a cohort of patients admitted to PICU. The majority of these have an underlying cardiac/vascular diagnosis. The team provides a bronchoscopy service to the following patients:

• PICU bronchoscopies - 150/year
• Vascular airway bronchoscopies - 50/year (cardiac theatre)
• Airway stents - (Cath lab) in collaboration with paediatric IR
• Elective airway lists for bronchoscopy usually combined with CT scan of lungs and airways.

About Us

The post will be based at the Evelina Children's Hospital. However, it is a requirement of your employment that you be prepared to work at any additional or different location owned or served by the trust, either on an on-going or temporary basis according to the demands of the service. There will be opportunity to observe the adult ECMO service based on site at St Thomas' and collaborate with the RBH paediatric ECMO team. As RBH PICU is merged with the Evelina PICU, there may be opportunity or occasion to deliver bronchoscopy at RBH as well.

The Paediatric Critical Care (PCC) has 30 beds with over 1,200 admissions annually. The South Thames Retrieval Service operates from within the PCC and receives over 1,750 requests each year and retrieves about 900 of these patients. The unit is accredited to undertake both Year 1 and Year 2 PICM training. Candidates who have completed their training in their parent specialty may wish to seek employment for 12 months.

Job Responsibilities

Please refer to the Job description for detailed job description and main responsibilities for PAEDIATRIC CRITICAL CARE AIRWAY and ECMO FELLOW.

Person Specification

Qualifications

• MB BS or equivalent.
• MRCP, FRCA or equivalent.
• Registration with the GMC.
• Additional qualifications e.g. BSc.
• Courses: APLS, or PALS.

Experience

• Proven record of experience and training in parent specialty with paediatric intensive care experience.
• Previous ECMO experience and attendance on a recognised ECMO course.
• Previous airway and bronchoscopy experience.

Ability

• Level of MRCP, FRCA or equivalent.
• Able to perform CPR, intubation, arterial/central lines, chest drains.
• Able to make good medical notes.
• Good IT skills - experience with data capture and reporting.
• Proficient in use of bedside ultrasound.

Motivation

• Commitment to specialty.
• Commitment to learning.
• Punctuality.
• Initiative.
• Ability to organise own learning and time.
• Maintenance of Intensive Care Training and Anaesthetic log book.

Personality

• Copes with stressful situations and undertakes responsibility.
• Ability to work as part of a multidisciplinary team.
• Demonstrates leadership qualities and uses initiative to refine processes and pathways.
• Able to develop and follow clinical guidelines.

Audit

• Understand principles and evidence of participation.
• Evidence of participation in audit.

Research

• Understands principles.
• Publications from research work undertaken previously.
• Evidence of interest in research.

Management Ability

• Shows interest and demonstrates ability.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

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