Job Responsibilities:

• SHO shall be first 'on call' for all emergency calls. S/he will ensure effective telephone contact. For further advice, SHOs will contact Specialist. When a SHO is called to ER to see a patient, he/she should inform the Specialist/Consultant about the case. If the SHO feels it necessary, he/she should request the Specialist/Consultant to come to the ER to see the patient.
• Make decision about the admission of the patient to the relevant department in consultation with the Specialist/ Consultant if needed.
• S/he will receive the patients when admitted from emergency or OPD, take history, assess the patient clinically and reach provisional diagnosis and will initiate measures such as IV canula, oxygen inhalation etc. Upon advice from the seniors, arrange necessary investigations and treatment.
• SHOs shall see a patient within half an hour after his/her admission to the hospital
• S/he shall write/ record history, clinical examinations and initial management meticulously in 'the clinical notes' of the patient's confidential file.
• SHO shall not initiate or discontinue any treatment without prior consultation with the Consultant except in acute emergency situation where he/she shall use his/her clinical judgment. In this case he/she should immediately contact his/her seniors for further appropriate measures.
• SHOs shall make early morning round before the arrival of Consultant and his formal morning round and write detailed clinical notes in each patient's confidential file with date and time. During this round, he/she has to present all cases admitted overnight along with other patients.
• In case of specific urgent investigations ordered for any serious patient during the morning rounds, SHOs will not wait for normal routine procedures adopted to carry out those investigations. He/she has to take personal initiative, if necessary, by accompanying the patient to the respective department (Radiology or Laboratory) to make sure that these investigations are done within the shortest possible time and inform the Consultant about the results. Obviously these results have a tremendous impact on the patient management plan.
• For inter departmental referral, SHO will take the initiative and talk to the SHO of the department which made the referral. Then the SHO will go immediately to see the patient there and report to his/ her Consultant. Then the Consultant would take appropriate measures. Similarly, if a patient is referred to other department then the SHO will also take the initiative to contact the SHO of the other department and make sure that the Consultant/Specialist of that department visits the patient at the earliest available time. This would be applicable for all time: whether it is office hours or out of office hours.