Clinical Officer Emergency Medical & Critical Care (ECCCO) at Tenwek Hospital

Key Responsibilities:

• To be a witness of Jesus Christ and a disciple of others to God’s greater glory.
• Work in the Emergency Department/Casualty Department as the primary caregiver for undifferentiated presenting patients, when assigned to the Emergency Department.
• Work as part of a multidisciplinary team as the primary caregiver in the Critical Care areas of the Hospital including Intensive Care Units, HDU Units, and the Respiratory Ward as needed.
• Teach and supervise other clinicians in the areas of Basic Cardiac Life Support, Advanced Cardiac Life Support, and Advanced Trauma Life Support.
• Lead and participate in ‘rapid response’ teams aimed at quick assessment and stabilization of critically unwell patients, including resuscitation.
• Be actively involved in the ECCCO Training Program and willing to provide a Lecture Presentation 3-4 times yearly to the ECCCO Trainees. Provide active training and mentoring of the ECCCO Trainees at the Bedside and in the Clinical Areas.
• Perform any other duties that may be assigned to you, as the supervisor deems necessary.

Clinical Skills

• Able to perform comprehensive History and Physical Examinations relevant to clinical practice.
• Rapidly form differential diagnoses in undifferentiated patients.
• Appropriately triage patients who require urgent intervention.
• Safely initiate management plans for the stabilization of critically unwell patients.
• Provide continuous care to patients in Critical Care areas – including ventilated patients.
• Perform relevant procedures required to assess and stabilize patients including, but not limited to:

  Cardiac Ultrasound (ECHO)

• Focused Abdominal Sonography in Trauma (FAST)
• Assessment of IVC volume by Ultrasound
• Arterial Blood Gas sampling and analysis
• Central Line insertion and care (if Trained in this procedure)
• Rapid Sequence Induction and Intubation of adults and children

Conscious Sedation

• Regional Analgesia (as Trained)
• Ventilator set up and continuous management of ventilated patients
• Stabilization of open and closed fractures
• Needle decompression, and chest tube insertion (if trained in this procedure)
• Administration of IV Pressors and anti-hypertensives, as clinically indicated.
• ECG Interpretation Basic and Advanced Level

Requirements

• Diploma or bachelor’s degree in clinical medicine and surgery from a recognized institution.
• Higher Diploma or recognized postgraduate training in Emergency Medical and Critical Care
• Registration with the Clinical Officers Council of Kenya.
• Valid annual practising licence from the Clinical Officers Council.
• Valid certification in Basic Life Support