DR INDRANI GUHA

*Participated in daily ward rounds led by Consultant and Registrar in the Renal Department.
*Observed the clinical - decision making and multidisciplinary team discussions.
*Observed the management of patients with Acute Kidney Injury, Chronic Kidney injury, Hemodialysis related issues, both on the ward and in Emergency Setting.
* Observed minor procedures such as Cannulation, Phlebotomy, Drug Administration and witnessed safe prescribing practices.
* Observed how patients are managed in the Emergency department, from admission to clerking to inpatient care and discharge planning.
* Learned how to write discharge summaries and complete medications charts accurately.
*Attended departmental audit presentations and regular clinical teachings.
* Currently working on a clinical audit focused on the accuracy and completeness of id input-output charts in AKI and AKI on Ckd patients

Company Overview: Narayana Multi-speciality Hospital 78, Jessore Road (South) Barasat, Pin - 700127 West Bengal, India

• As a Medical Officer in the Critical Care Unit, my clinical responsibilities were:
• Assessing patients presenting to the Critical Care Unit
• Managing a wide range of medical and surgical emergencies independently as well as under supervision
• Detailed history taking
• Performing relevant examinations.
• Requesting various investigations
• Carrying out various procedures in the Critical Care Unit
• Reporting to consultants on-call, presenting patients and discussing management plans
• Admitting and discharging patients and preparing discharge summaries
• Counseling the patients and their relatives.
• Attending rounds and handover meetings
• Teaching junior colleagues and paramedical staff
• Delivering presentations and attending seminars
• Declaring deaths and completing Death Certificates
• All of this was possible through effective communication, dedication to provide excellent care and a coordinated team effort of junior doctors, registrars and consultants. This gave me a good level of experience in dealing with various types of critical cases.

Common Critical Conditions that I managed in Critical Care Unit:

• Acute Exacerbation of COPD
• Acute Exacerbation of Asthma
• Status Epilepticus
• Acute Gastroenteritis with severe dehydration
• Hypoglycaemia
• Diabetes Ketoacidosis
• Acute Ischemic Stroke
• Headache
• Vertigo
• Acute Hemorrhagic Stroke
• Hyperkalemia
• Hypokalemia
• Myocardial Infarction
• Acute Pancreatitis
• Pneumonia with sepsis
• Cardiac Arrest
• Bradycardia
• SVT
• VT
• VF
• Atrial Fibrillation in hemodynamically stable and unstable patients
• Acute Heart Failure
• CKD 5 with Overload symptoms
• Septic shock
• Hemorrhagic Shock
• Anaphylactic Shock
• Upper GI bleed
• Urinary tract Infection

Procedures that I have proficiency in:

• Proficient in Managing NIV and Invasive Ventilators
• Endotracheal Intubation:

Under supervision -20 Independently - 7

• External Jugular Vein Cannulation:

Under supervision -5-6 Independently - >100

• Central line - USG guided Internal Jugular Vein line insertion:

Under supervision -7-8 Independently - >30

• Central Line - Femoral Vein line insertion:

Under supervision -3 Independently - 5

• Arterial line for Invasive BP monitoring- Femoral Artery:

Under supervision -4 Independently - 8

• Lumber Puncture- for CSF tapping (NPH) and CSF Analysis:

Under supervision -8 Independently - 4

• Hemodialysis line (USG guided Internal Jugular Vein line insertion):

Under supervision -4-5 Independently - >30

• Abdominal Paracentesis:

Under supervision - 4 Independently - >20

• Blood drawing for Blood CS:

Under supervision - 3 Independently - 4

• I.V Cannulation:

Under supervision -4-5 Independently - >100

• Foleys Catheterization:

Under supervision -2 Independently - >100

• Ryles tube insertion:

Under supervision -3 Independently - >100

• ABG:

Under supervision -20 Independently - 7

• Intramuscular injection and Subcutaneous injections:

Under supervision -2 Independently - 10

• Company Overview: College Of Medical Sciences Bharatpur P.O.Box Chitwan (Dist), Nepal
• As a Medical Intern, I worked as a junior member of the healthcare team in both in-patient and out-patient settings at a College Of Medical Sciences Nepal (a tertiary hospital) I earned the importance of patient centered care, being a safe junior doctor, working with integrity within the limits of my competence, asking for senior help readily and prioritizing my tasks according to their importance.
• ROTATIONS:
• General Medicine - 2 months
• General Surgery - 2 months
• Obstetrics and Gynaecology- 2 months
• Community Medicine- 3 months
• Ophthalmology-15 days
• ENT - 15 days
• Emergency Department- 15 days
• Paediatrics - 15 days
• Anaesthesia- 8 days
• Radiology- 7 days
• Psychiatry - 8 days
• Dermatology- 7 days
• DUTIES AND RESPONSIBILITIES:
• Clerking elective and emergency admissions, and reporting to seniors
• Managing medical emergencies with the help of senior members of the healthcare team
• Carefully assessing the patients by taking adequate history and performing relevant examination, and documenting clearly in the patient notes
• Requesting bloods
• Liaising with other members of the healthcare staff and other departments
• Making initial management plans for the patients, under the supervision of my seniors and consultants
• Participating in ward rounds and being involved in the day to day management of patients
• Presenting cases to my seniors and consultants
• Performing practical procedures under supervision as well as independently
• Communicating effectively with patients and their relatives and addressing their concerns
• Carrying out administrative tasks such as rewriting drug charts and preparing operation theatre lists
• Preparing discharge summaries to be reviewed by senior members of the team
• Discussing home management with patients and their relatives as well as making follow up arrangements
• Declaring deaths.
• College Of Medical Sciences Bharatpur P.O.Box Chitwan (Dist), Nepal