Senior Registrar

Job Details

• Job Title: Senior Registrar - Anaesthesiology
• Department: Anaesthesiology
• Reporting To: Head of Department (HOD) / Consultant Anaesthesiologist
• Department Head: HOD - Anaesthesiology
• Employment Type: Full-time
• Work Location: Hospital / Multispecialty Healthcare Facility
• Duty Schedule: Shift-based, including emergency duties, night shifts, weekends, and on-call responsibilities as per hospital policy

Key Roles and Responsibilities

A. Pre-Anaesthetic Assessment and Preparation

• Conduct comprehensive pre-anaesthetic evaluations for patients scheduled for elective and emergency surgeries.
• Review patient medical history, previous anaesthesia records, current medications, allergies, comorbidities, and relevant investigations.
• Assess airway, cardiovascular status, respiratory function, and other factors relevant to anaesthetic risk.
• Identify high-risk patients and escalate concerns to the consultant anaesthesiologist.
• Determine the appropriate anaesthetic plan in consultation with the supervising consultant and surgical team.
• Explain the anaesthesia procedure, anticipated risks, benefits, and available options to patients and their families.
• Obtain and document informed consent in accordance with hospital policy and applicable regulations.
• Ensure appropriate preoperative preparation, including fasting status, medication review, and optimization of associated medical conditions.

B. Administration of Anaesthesia

• Assist in and, within the scope of competence and supervision, administer general, regional, and local anaesthesia for surgical and diagnostic procedures.
• Perform or assist with spinal, epidural, peripheral nerve blocks, and other regional anaesthesia techniques as appropriately credentialed.
• Ensure the availability and functioning of anaesthesia machines, monitors, airway equipment, emergency drugs, and resuscitation equipment.
• Monitor patients throughout the perioperative period, including oxygenation, ventilation, circulation, temperature, and depth of anaesthesia as indicated.
• Recognize and promptly manage anaesthesia-related complications, including hypotension, hypertension, arrhythmias, difficult airway, bronchospasm, anaphylaxis, and other acute events.
• Maintain accurate anaesthesia records, including drugs administered, fluid balance, vital signs, procedures performed, and intraoperative events.
• Ensure compliance with established anaesthesia safety checklists and operating room protocols.

C. Intraoperative Patient Management

• Provide continuous perioperative monitoring and maintain patient stability during surgical procedures.
• Coordinate with surgeons, operating room nurses, and other clinical personnel to facilitate safe and efficient surgical care.
• Manage intravenous fluids, blood products, analgesics, and other medications as clinically indicated and within the scope of authorization.
• Identify changes in the patients clinical condition and initiate timely corrective measures.
• Assist in the management of major blood loss, haemodynamic instability, and other intraoperative emergencies.
• Ensure safe patient positioning and take appropriate measures to prevent pressure injuries and positioning-related complications.
• Maintain strict adherence to infection prevention, medication safety, and patient identification protocols.

D. Post-Anaesthesia and Recovery Care

• Supervise or assist in the transfer of patients to the post-anaesthesia care unit (PACU) with appropriate handover.
• Monitor recovery from anaesthesia, including consciousness, airway patency, respiratory function, circulation, pain, and nausea or vomiting.
• Assess readiness for discharge from the recovery area according to established clinical criteria and hospital protocols.
• Identify and manage postoperative complications, including respiratory depression, delayed recovery, haemodynamic instability, and uncontrolled pain.
• Provide appropriate postoperative analgesia and assist in the management of postoperative nausea and vomiting.
• Coordinate escalation or transfer to the intensive care unit when clinically indicated.
• Document postoperative assessments, interventions, and handover details accurately.

E. Emergency and Airway Management

• Participate in emergency anaesthesia services and provide timely clinical support in critical situations.
• Assist with the management of difficult airways, respiratory failure, cardiac arrest, shock, and other life-threatening emergencies.
• Perform airway management procedures, including endotracheal intubation and supraglottic airway placement, according to competence and hospital protocols.
• Participate in cardiopulmonary resuscitation and advanced life support activities as trained and authorized.
• Support emergency surgical procedures, trauma care, obstetric emergencies, and other urgent interventions as assigned.
• Ensure prompt recognition, stabilization, and escalation of critically ill patients.
• Maintain familiarity with emergency drugs, difficult-airway algorithms, resuscitation equipment, and crisis management protocols.

F. Critical Care and Intensive Care Support

• Assist in the assessment and management of critically ill patients requiring airway support, haemodynamic monitoring, and perioperative stabilization, where assigned.
• Monitor patients receiving ventilatory support and assist with ventilator-related management within the scope of training and authorization.
• Participate in multidisciplinary ICU rounds and clinical discussions when required.
• Assist in the management of postoperative patients requiring intensive monitoring and organ support.
• Coordinate with intensivists and other specialists regarding patient deterioration, treatment plans, and transfer of care.
• Maintain appropriate clinical documentation and ensure timely escalation of changes in patient status.

G. Pain Management

• Assess and manage acute postoperative pain using appropriate pharmacological and regional techniques.
• Assist with patient-controlled analgesia, epidural analgesia, and peripheral nerve catheter management where applicable.
• Monitor patients for adverse effects of analgesics, including opioids and regional anaesthesia techniques.
• Participate in acute pain service activities and multidisciplinary pain management initiatives as assigned.
• Educate patients and caregivers regarding pain management plans and safety precautions.

H. Obstetric, Paediatric, and Specialty Anaesthesia

• Provide anaesthesia support for obstetric, paediatric, orthopaedic, neurosurgical, cardiac, and other specialty procedures according to experience, training, and hospital credentialing.
• Assist in labour analgesia and obstetric anaesthesia, including caesarean section procedures, where trained and assigned.
• Recognize the specific physiological and anaesthetic considerations associated with paediatric and high-risk obstetric patients.
• Seek consultant support for complex cases and procedures beyond the individuals competence or privileges.
• Participate in emergency obstetric and neonatal resuscitation support as trained and required.

I. Patient Safety, Quality, and Compliance

• Adhere to hospital policies, standard operating procedures, clinical protocols, and applicable regulatory requirements.
• Follow patient identification, surgical safety checklist, medication administration, infection control, and biomedical waste management procedures.

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