Dr Shahista

Rotational posts between Gastroenterology, Hepatology, Liver Transplantation Surgery and it's post-op Critical care ICU.

-Undertaken admissions for the relevant department and ensured timely passing of information to the Consulting Doctor, ensuring no delays in patient management.
-Conducted comprehensive patient interviews to elicit relevant medical history, symptoms, and chief complaints, ensuring accurate and thorough documentation.
• Performing vital signs assessments, including blood pressure, pulse rate, respiratory rate, temperature, and oxygen saturation, utilizing both manual and electronic monitoring devices.
- Regular outpatient postings.

Procedures:
• Conducted blood sampling , including venipuncture and arterial blood gas sampling, ensuring proper sample collection and handling for diagnostic testing.
• Inserted various types of intravenous cannulas, including peripheral, arterial, and central lines, as well as urinary catheters and nasogastric tubes.
• Assisted in endotracheal intubation and Tracheostomy procedures, ensuring proper airway management and ventilation support for critically ill patients.
• Assisted in Ascitic fluid Tapping and Chest drain insertion.
• Proficient in the insertion of nasogastric tubes (NGT) and Foley catheters, demonstrating attention to patient comfort and safety during the procedure.

Pre-Operative Responsibilities:
• Obtaining informed consent from patients for invasive procedures and surgeries, including liver transplants, by providing clear and comprehensive information about the risks, benefits, and alternatives.
• Effectively communicated with patients and their families to address concerns, answer questions, and ensure understanding of pre-operative instructions and expectations.
- Attended Multi-disciplinary meetings pre-operatively for devising a comprehensive plan of care as per individual patient requirements.

Endoscopy department:
-Observed and Assisted with multiple Endoscopic procedures for Adults and Paediatric patients under the guidance of the Consultant.
- Explained to the patients and then obtained the consent for the procedures, ensuring transparency.

Post-Procedure Care:
• Providing continuous monitoring of vital signs and post-procedural assessments to detect and respond to any complications or changes in patient condition promptly.
• Medication prescription and administration, ensuring accurate dosing, route, and frequency based on patient condition and treatment plan.
• Collaborated with consultants and multidisciplinary teams during patient rounds, providing updates on patient progress, treatment response, and any concerns or issues requiring attention.

Post-Operative Care:
• Skilled in post-operative care protocols, including removal of catheters and lines, wound suturing, and removal of abdominal drains, adhering to infection control and sterile technique guidelines.
• Effective management of electronic medical records (EMR) and treatment sheets, ensuring accurate and timely documentation of patient assessments, interventions, and outcomes.

Academics:
• Conduction of educational sessions for nurses under Consultant observation on various clinical topics, including procedural techniques, infection control practices, and patient communication skills, promoting continuous learning and professional development.

1) General Ward posting:
- Effective and comprehensive patient assessments including History and Physical examinations within 60 minutes of admission time.
- Venipuncture, wound care, suturing and insertion of Intravenous, intra-arterial and central line.
-Obtaining blood samples for laboratory testing and arterial blood gas sampling.
- Maintaining accurate and thorough medical records.
- Timely and well organized transfer of information between shift doctors.
- Participating in daily Consultant led rounds and discussions to develop and implement individualized care plans, including medication management and monitoring of patient progress.
-Collaboration with multidisciplinary teams, including nurses, specialists and support staff to ensure optimal patient outcome.
- Provided patient education on treatment options, medications and preventative measures.
- Monitoring of vitals and interpretation of X-rays, Arterial blood gas and Laboratory reports.

2) Out patient department posting:
- History taking and general physical assessment.
-Assessment of vitals.
-Record keeping for follow up appointments and Referrals.
-Effective development of comprehensive care plans
- Prescription of medications.

• Quickly learned the CRS (electronic records system) under supervision of Consultant Surgeon and applied them to daily tasks, improving efficiency and productivity.
• Observed, studied cases, attended surgeries and pre/post-op rounds with Senior Consultant Surgeon.
• Demonstrated respect, friendliness and willingness to help wherever needed.
• Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.
• Maintained excellent attendance record, consistently arriving to work on time.

• Attended necessary training to maintain regulatory compliance.
• Digitalized services by offering online sessions and materials.
• Led a team of 5 to create an e-learning program, on Hypertension for the general public for a better and easier understanding of the disease.
• Role-modeled positive behavior and interpersonal skills.
• Maximized productivity by initiating organizational structure changes that optimized data collection and patient-centered resources.

• Rotated through various departments including Internal medicine, Obstetrics and Gynecology, Pediatrics, Surgery and Emergency medicine, gaining practical experience in providing patient care and management under supervision.
  -Performed an average of 30+ thorough physical and mental health examinations per shift.
  -Monitored vital signs during treatment
  -Safely prescribed and administered medications including intravenous fluids, and vaccinations.
  -Attended Multidisciplinary team meetings and Consultant led rounds.
  -Attended daily lectures to ensure effective and continued learning.
  -Performed detailed discharge planning tasks including preparing discharge summaries and certificates, ensuring cohesive handover of care.
  -Performed diligent surgical care tasks including pre-operative evaluation, operative management, and post operative care.
  -Attended and observed variety of surgical procedures (Laparoscopic Hernia repair, Laparotomic cholecystectomy, ganglion cyst drainage, Appendectomy, Biopsy), under the supervision of attending physicians and surgical team. Developed a comprehensive understanding of surgical techniques, patient management protocols, and operating room dynamics.
  -Participated in endoscopy and colonoscopy procedures, shadowing gastro-enterologists and assisting with patient preparation and post-procedure care.
  
  Covid ICU Shifts:
  - Expertly managed caseloads of upto 20+ patients per shift.
  -Maintaining effective communication about ongoing treatment and treatment options to maintain patient involvement in healthcare plans.
  -Under consultant supervision, performed arterial blood gas sampling and venipuncture to obtain samples for laboratory investigations.
  -Collaboration with multidisciplinary teams, including nurses, specialists and support staff to ensure optimal patient outcome.
  
  Covid vaccination camps:
  -Taken detailed history of patients and physical assessments done.
  -Administered FDA approved Covid vaccinations to 50+ individuals on a daily basis.
  -Post vaccination observation and care.
  
  Rural posting:-
  Actively participated in antenatal care clinics, assisting with pre-natal examinations, maternal health education, and childbirth preparation for expectant mothers.
  -Administered vaccinations ( Intra-muscular, intra-dermal, oral route) to pediatric and adult patients according to national immunization schedules, ensuring proper storage, handling and documentation of vaccines.
  -Collaborated with healthcare team to diagnose and manage complex diseases such as rabies, snake bite, including patient assessment, administration of Post exposure prophylaxis, and coordination of follow up care.
  -Managed and assisted in medical emergencies, including resuscitation, trauma stabilization, and acute care interventions.
  -Effective communication with patients, families and multidisciplinary healthcare teams, demonstrating empathy, active listening and clear articulation of medical information.

• Evaluated patient vital signs and status to determine care needs.
• Monitored patient status during ambulance transport and transfer.
• Assessed situation severity of emergent medical incidents and helped deliver appropriate care under supervision.
• Communicated with lucid patients to gather incident and medical history information.
• Administered 20+ pain medications to stabilize patients in the field or during transit, under supervision.

• Interviewed patients before, during, and after procedures to maintain current knowledge of relevant conditions.
• Observed over 50+ cases performed by supervising Surgeon and took notes on successful strategies.
• Consistently arrived at work on time and ready to start immediately.

• Shadowed senior team members to develop practical knowledge and gain critical skills.
• Observed, monitored, and recorded patients' condition including temperature, pulse, respirations, and weight.
• Prepared patients for x-rays, electrocardiograms, suture removal, and dressing changes.
• Supported team by demonstrating respect and willingness to help.
• Maintained confidentiality and impartiality in all patient interactions to maintain data protection.