ICU Fellowships

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The 46 bed Southmead Intensive Care Unit is one of the busiest ICUs in the country, with a team of over 300 staff treating more than 2,200 critically ill patients each year.

Southmead ICU cares for emergency and elective patients from all medical and surgical specialities except cardiac, ENT and paediatrics. We are the regional specialist critical care centre for major trauma, neurosurgery, renal medicine, plastics, and burns, and are delivering some of the highest intensive care and major trauma survival rates in the country.

Intensive Care Clinical Fellows CT1/2 Level

These posts are advertised as “Clinical Fellow (CT1/2 equivalent) in ICU/ED” on NHS Jobs. The posts are generally advertised in March/April each year for an August start-date, although positions may become available at other times of the year. Two types of post are available - 12-month posts in Intensive Care Medicine, and split-posts which involve 6 months of ICM and 6 months of Emergency Medicine. 

The minimum requirements for these posts are completion of foundation training (or equivalent), however these posts are also popular with those who have completed core training in another specialty who are considering a career in intensive care medicine, or would simply like to improve their clinical skills in caring for critically ill patients. The posts are educationally sound, with regular protected teaching time. Each post-holder is supported by a named educational supervisor.  

For further information please contact Dr Dom Janssen, ICM Consultant, Faculty Tutor on email dominic.janssen@nbt.nhs.uk

Intensive Care Clinical Fellows ST3/4 Level

These popular posts are advertised as “Clinical Fellows in Anaesthesia and/or Intensive Care (ST3 level)” on NHS Jobs. The posts are generally advertised in March/April each year for an August start-date, although positions may become available at other times of the year. The positions are suitable for trainees who have completed core training in any of the complementary specialties (Anaesthesia, Emergency Medicine, Acute Medicine or CMT).

These posts come with protected time to develop your CV by participating in Quality Improvement, Research and/or Education with the support of the ICU consultants. The fellowships are also an outstanding opportunity to develop clinical and procedural skills in intensive care medicine, including echocardiography, major trauma management, and neurocritical care. The posts are focused on career development, and each post-holder is supported by a named educational supervisor.

For further information please contact Dr Dom Janssen, ICM Consultant, Faculty Tutor on email Dominic.Janssen@nbt.nhs.uk 

Critical Care Fellowship

Our Critical Care Fellowship programme is suitable for post CCT or senior trainees, from both the UK and overseas, with a strong interest in high quality critical care, who wish to gain further experience of managing complex patients in a busy regional specialist centre. Successful applicants will have a senior clinical role in a medical team of 24 ICU Consultants and more than 35 ICU trainees. There is extensive opportunity to gain leadership and management experience and Fellows will be encouraged to assist in the development and delivery of projects and new services.

The Fellowship programme includes one day per week of scheduled career development time to pursue subspecialty interests of the Fellow’s choosing. Opportunities include, but are not limited to, research, major trauma, echocardiography, neuro critical care, and simulation, supported by Consultants with matching interests. As a University Teaching Hospital there are active research programmes in critical care and major trauma and Fellows could expect to gain peer reviewed publications during the term of the Fellowship.

For further information please contact Dr Julian Thompson, ICM Consultant on email julian.thompson@nbt.nhs.uk

ICU In-house Teaching

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Southmead ICU Trainee Teaching Programme

Monday

Neuroradiology MDT 8am-8.30am. Guy Jordan Seminar Room (GJSR)
Review of neuro-imaging with interventional neuroradiologist + neurosurgeons.

Teaching 12.30pm-1.30pm. Guy Jordan Seminar Room (GJSR)
Core ICM Topic Presentation by ICU trainee. Facilitated by ICM Consultant

ICU MDT Meeting 1.30pm-3.30pm. Guy Jordan Seminar Room (GJSR)
Attended by medical / nursing staff + AHPs. Topics vary by week and include M+M / journal club / audit / social media update

Tuesday

Neuroradiology MDT 8am-8:30am. Guy Jordan Seminar Room (GJSR) 
Review of neuro-imaging with interventional neuroradiologist + neurosurgeons

Radiology Case Review / Teaching 1pm-2pm. Guy Jordan Seminar Room (GJSR) 
XRay meeting for ICU medical staff. Led by consultant radiologist

Wednesday

Neuroradiology MDT 8am-8.30am. Guy Jordan Seminar Room (GJSR) 
Review of neuro-imaging with interventional neuroradiologist + neurosurgeons

Radiology Case Review / Teaching 1pm-2pm. Guy Jordan Seminar Room (GJSR)
XRay meeting for ICU medical staff. Led by consultant radiologist

Thursday

Neuroradiology MDT 8am-8.30am. Guy Jordan Seminar Room (GJSR)
Review of neuro-imaging with interventional neuroradiologist + neurosurgeons

Grand Round/Ploughman’s Lunch 1pm-2pm. Guy Jordan Seminar Room (GJSR)
Case presentation and discussion

Friday

Neuroradiology MDT 8am-8.30am. Guy Jordan Seminar Room (GJSR)
Review of neuro-imaging with interventional neuroradiologist + neurosurgeons

Radiology Case Review / Teaching 1pm-2pm. Guy Jordan Seminar Room (GJSR)
XRay meeting for ICU medical staff. Led by consultant radiologist

Other training taking place at flexible times

  • Consultant-led FFICM Viva + OSCE practice sessions (often following Monday MDT)
  • Echocardiography (FICE) mentoring

ICU National Guidelines

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Guidelines for the Provision of Intensive Care Services (GPICS)

https://ics.ac.uk/guidance.html 

ICS Guidelines + standards
ics.ac.uk/ICS/guidelines-and-standards

ICS Advisory documents including sample LocSSIPs and management support tools

ics.ac.uk/ICS/Advisory-Documents

FICM guidelines: including antimicrobial stewardship, guidance for training units and forms for the diagnosis of death using neurological criteria

ficm.ac.uk/standards-and-guidelines/access-standards-and-guidelines

FICM NICE guidance relevant to intensive care, including head injury management, organ donor identification guidance, pneumonia in adults management

ficm.ac.uk/standards-and-guidelines/nice-standards-guidelines

Donate to ICU

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If a member of your family was critically ill, you’d want the very best care for them. With your help and donations our Intensive Care Unit team can continue to look after people with life-threatening and complex conditions – either as a result of injury or surgery.

 

Donate to ICU

In the Unit, seriously ill patients receive specialist life-saving treatment and close monitoring from our experienced team. We constantly want to improve our facilities and the care we give.

Your support will make a difference

Donations to our ICU through Southmead Hospital Charity make a huge difference to the Unit and to the patients treated there.

Your money will help fund:

  • life-saving equipment
  • important research
  • bereavement services
  • staff training and development
  • improved facilities for our patients

Recent donations have helped buy:

  • emergency airway videoscopes
  • communication aids for patients
  • live music for patients and relatives
  • patient radios and headphones
  • brain monitoring equipment
  • equipment for a children’s area in the waiting room
  • emergency resuscitation bags
  • a patient cough assist machine

You can make a donation to the ICU via Southmead Hospital Charity.

ICU Performance

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ICU Performance

ICNARC (Intensive Care National Audit and Research Centre)

SMR 2016-2017 0.91. This is within the expected range. 
What is SMR? This is the standardised mortality ratio and is the observed to predicted ratio of deaths for all patients admitted to our ICU.
For more information visit www.ICNARC.org

TARN (Trauma Audit & Research Network)

2016/17: 0.6 additional survivors out of every 100 patients. 

CQC (Care Quality Commission)

April 2016 rated ‘Good’
For more information visit 
www.cqc.org.uk

Step Inside Cossham Hospital

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This tour allows you take take a virtual walk through Cossham Hospital, see where your outpatient appointment will be, find where the clinics are located throughout the building or view Cossham Birth Centre.

We know that coming to hospital can be a stressful experience, so we hope that being able to familiarise yourself with the building before you arrive for an appointment will demystify the experience and help you to feel more relaxed.