Job Description – Senior House Officer (SHO), Pediatric Intensive Care Unit Job Title Senior House Officer (SHO) – Pediatric Intensive Care Unit (PICU/PITU) Department Pediatric Intensive Care Unit Reports To PICU Consultant / Unit Head Key Responsibilities • Assess and clinically review critically ill pediatric patients on admission and during their PICU stay. • Obtain focused histories, perform appropriate clinical examinations and formulate initial management plans. • Recognize and promptly manage deterioration, including respiratory failure, shock, altered consciousness and cardiac arrest. • Initiate and assist with pediatric resuscitation according to current institutional protocols. • Monitor vital signs, fluid balance, urine output, neurological status and other relevant parameters. • Request, interpret and act on appropriate laboratory and radiological investigations under senior supervision. • Assist with airway management, oxygen therapy, non-invasive ventilation and invasive ventilation as appropriate to level of training and competency. • Assist with procedures such as venous access, arterial sampling, central venous access, lumbar puncture and other procedures when appropriately trained and supervised. • Prescribe medications, fluids, nutrition and other treatments safely and in accordance with hospital policies. • Participate in daily multidisciplinary ward rounds and communicate effectively with nursing, allied health and other medical teams. • Provide clear and timely handovers during shift changes. • Maintain accurate, contemporaneous and confidential medical records. • Communicate appropriately with parents/guardians regarding the child's condition and treatment, within the scope of responsibility, and involve senior clinicians when required. • Escalate clinical concerns promptly to the PICU registrar/consultant. • Participate in emergency calls, referrals and transfers as required. • Contribute to infection prevention and control practices and maintain high standards of patient safety. • Participate in clinical audit, quality-improvement activities, teaching and departmental meetings. • Maintain professional competence through continuing medical education and supervised clinical practice.