Nephrologist

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Job Description – Consultant Nephrologist

For Hospital HR Use | NABH/NABL Aligned

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Job Title: Consultant / Senior Consultant – Nephrology

Department: Nephrology & Dialysis Unit

Reports To: Medical Superintendent / Medical Director

Location: [Hospital Name], Dialysis & OPD/IPD

Job Summary

Responsible for diagnosis, treatment, and management of patients with kidney diseases, hypertension, electrolyte disorders, and renal failure. Leads dialysis services, transplant work-up, and critical care nephrology. Ensures NABH compliance in dialysis unit.

Key Responsibilities / Duties

A. Clinical Care

OPD/IPD: Evaluate & manage CKD, AKI, glomerulonephritis, nephrotic syndrome, UTI, stones, hypertension

Dialysis: Supervise hemodialysis & peritoneal dialysis. Prescribe dialysis protocols, review adequacy Kt/V, handle complications like hypotension, access issues

Critical Care Nephrology: CRRT/SLED in ICU. Manage AKI, poisoning cases, electrolyte emergencies

Transplant: Pre-transplant evaluation, post-transplant follow-up, immunosuppression management. Coordinate with transplant team

Procedures: Kidney biopsy, temporary/permanent catheter insertion, AV fistula planning with vascular surgeon

B. Administrative & Quality

Dialysis Unit Head: Ensure RO plant, water quality, machine maintenance as per NABH/AERB norms

Protocols: Implement infection control for dialysis unit. Zero CLABSI & hepatitis seroconversion target

Documentation: Medico-legal case sheets, MLC, death summary, dialysis records, transplant registry

Academics: CMEs, DNB teaching, training dialysis techs & nurses. Participate in audits

C. Coordination & Growth

Team Lead: Guide RMO, dialysis technicians, dietitian for renal diet plans

Referrals: Build OP base. Coordinate with ICU, urology, medicine for indoor cases

Camps/Outreach: Conduct kidney screening camps – Diabetes, HTN patients. Patient education on CKD

Qualifications & Experience

Education: MBBS + MD/DNB General Medicine or Pediatrics + DM/DNB Nephrology from MCI/NMC recognized institute

Registration: Must have additional qualification registered with NMC/State Medical Council

Experience: 0-3 yrs post DM for Consultant. 3+ yrs for Sr. Consultant. Dialysis & transplant experience must

Key Skills & Competencies

Clinical: Dialysis prescription, CRRT, renal biopsy, transplant medicine, USG-guided procedures

Managerial: Dialysis unit quality indicators, NABH standards for dialysis, team leadership

Soft Skills: Patient counseling for dialysis/transplant, empathy, ethical decision making

KPIs for Appraisal

Dialysis Quality: Kt/V >1.2 in >90% patients, infection rate <1 per 100 patient-months

OPD/IPD Numbers: Target new OPD + indoor admissions/month

Mortality/Morbidity: Dialysis mortality rate, AKI recovery rate

Compliance: 100% NABH dialysis indicators, audit closure rate

Patient Satisfaction: >4.2/5 in feedback for nephrology services

Working Conditions

Duty Hours: Full-time consultant. Emergency call for AKI/transplant as needed

Benefits:

• Flexible schedule

Work Location: In person