Nimra Razaque Arain

• Role included collecting information about patient histories, current conditions and vital statistics to make accurate determinations about conditions.
• Provided emergency medical care to patients.
• Performed clinical procedures such as collecting blood,iv calculations ,catheterization,suturing wounds,incision and drainage of abscesses and applying casts.
• Educated patients about procedures, conditions and medications.
• As member of cardiac arrest team :

*Experienced high-pressure situations, particularly during cardiac arrests, while working in the Emergency Department.

*Witnessed the urgency and intensity of resuscitation efforts in cardiac arrest situations.

*Learned the importance of teamwork in delivering patient care.

*Observed the critical role of clear communication and synchronized actions in stabilizing patients during emergencies.

*Participated in coordinated efforts and efficient teamwork.

*Administered medications, including timing and dosage calculations.

*Performed CPR according to protocols and guidelines.
*Assisted with defibrillation, ensuring proper equipment setup and safety precautions.

• Conducted teaching sessions for junior doctors and interns as part of teaching program in emergency department. These sessions were supervised by other specialists in the ED. Topics covered included :

* Basics of Imaging in trauma.
* Stroke Presentation in ER & Thrombolysis.
* Chest x ray interpretation.
* Appendicitis & Diagnosis on CT Imaging.
* Differential diagnosis of Lumber pain & Role of CT KUB.

* PE & findings on CT angiogram.

• Role included observing clinical activity of physician, assisting with patient assessment tasks, making rounds in cardiac ER, monitoring patients with angina and electrolyte abnormalities and reviewing clinical documentation related to patients.
• Have obtained comprehensive understanding of management of critically ill patients particularly those on mechanical ventilators.
• Observed presentation and management of variety of diseases. To name few - coronary heart disease, congestive heart failure, arrythmia, cardiomyopathies.
  

• Overview of NHS healthcare system
• Clinical attachment in GP surgery included direct observation during clinical encounters with patients and indirectly listening to telephonic consultations
• Gained insight of how healthcare system works in UK specially electronic medical record system.
• Experienced Paramedic led home visits to see chronically and acutely housebound patients.

• Focused and relevant history taking from patients, which was followed by learning appropriate indication of the required imaging studies, basic understanding & interpretation
• Proficiently utilized modern ultrasound facilities including Ultrasonography (3D/4D) and Color Doppler Ultrasound, enhancing diagnostic accuracy.
• Observed various procedures including hysterosalpingogram, hepatic artery embolization, barium swallow, CT-guided pleural biopsy, and ultrasound-guided Tru-cut biopsies.

• Participated in morning handover sessions to discuss pediatric patient cases.
• Conducted patient consultations, including history-taking and clinical examinations.
• Collaborated with consultants to develop management plans.
• Presented cases during ward rounds and implemented post-round orders.
• Participated in pediatric emergencies, such as asthma exacerbations, seizures, and severe infections.
• Contributed to educational sessions and teaching medical students and colleagues about pediatric care.
• Stayed updated on pediatric guidelines and best practices through ongoing training and literature reviews.

• Conducted patient history-taking, clinical examinations, and devised management plans.
• Presented cases utilizing SBAR and managed orders during ward rounds.
• Monitored vital signs, ordered imaging scans, chased reports, and facilitated referrals.
• Prepared discharge summaries and offered counseling to patients' families.
• Conducted consultations across diverse outpatient clinics, including General OPD.
• Participated in consultant-led teams in Emergency Room, gaining exposure to wide array of medical conditions.
• Engaged in weekly morning meetings, where recent research articles were discussed, providing opportunity for collaborative input and fostering evidence-based practice.
• Performed IV cannulation, administered IV and IM injections, conducted ascitic taps, catheterization, and NG tube insertions.

• Reviewed assigned in-patient beds daily.
• Presented cases during morning rounds and followed up on orders.
• Managed patient files, requested and chased investigations, and prepared discharge summaries.
• Assisted in surgeries, including major procedures like cholecystectomy and appendectomy.
• Attended to patients in recovery room and ICU.
• Provided post-operative wound care and counseling to patients and their families.
• Managed minor surgical cases in outpatient department.
• Prepared patients for upcoming surgeries during long calls, including pre-op assessments and investigations.
• Managed trauma cases and surgical emergencies in ER following ATLS guidelines.

Engaged in morning handover sessions.

• Participated in small procedures and clerking duties as required.
• Assisted in pediatric surgeries, observing and learning various procedures such as herniorrhaphy, circumcision, tonsillectomy and appendectomy
• Attended to patients in recovery room and provided post-operative care.
• Managed minor pediatric surgical cases in outpatient department.
• Participated in consultations for pediatric babies, providing expertise and guidance.