Specialist-Nephrology dept. under Medical Services dept.

• Relevant professional experience in Nephrology and Dialysis Services.

• Hands-on experience in managing hemodialysis patients and addressing dialysis-related complications.

• Strong clinical judgment, critical thinking, and decision-making skills.

• Excellent communication, patient counseling, and interpersonal skills.

• Ability to collaborate effectively with multidisciplinary healthcare teams.

• Strong commitment to patient safety, clinical excellence, and quality care.

• Proficient in maintaining accurate medical documentation and patient records.

• Demonstrates professional integrity, empathy, confidentiality, and adherence to ethical standards.

Job Purpose

Provide safe, ethical, evidence-based, and patient-centred nephrology care, including the diagnosis and management of kidney diseases and supervision of dialysis services. The Specialist will contribute to high-quality inpatient, outpatient, emergency, and dialysis services in compliance with hospital policies and applicable medical standards in Bangladesh.

Key Responsibilities

1. Clinical Care

• Assess, diagnose, and manage patients with renal and related medical conditions.

• Provide outpatient consultation and follow-up care for patients with chronic kidney disease (CKD).

• Manage AKI, CKD, nephrotic syndrome, glomerular diseases, diabetic kidney disease, hypertensive nephropathy, electrolyte imbalances, and acid-base disorders.

• Provide nephrology consultations for hospitalized patients and referrals from other departments.

• Review renal function tests, electrolytes, urinalysis, imaging, and other relevant investigations.

• Develop individualized treatment plans and monitor patients’ clinical progress.

• Adjust medications appropriately based on patients’ renal function.

2. Dialysis Services

• Evaluate patients for initiation and continuation of renal replacement therapy.

• Prescribe and supervise hemodialysis based on individual patient needs.

• Monitor patients before, during, and after dialysis sessions.

• Identify and manage dialysis-related complications, including blood pressure abnormalities, cramps, arrhythmia, electrolyte disturbances, infections, and fluid imbalance.

• Assess dialysis adequacy and monitor relevant laboratory parameters.

• Evaluate dialysis access-related complications and coordinate with surgical or interventional teams when required.

• Participate in urgent and emergency dialysis management.

• Maintain accurate records of dialysis prescriptions, treatment progress, complications, and follow-up.

3. Inpatient & Emergency Care

• Provide nephrology consultation and support for critically ill and hospitalized patients.

• Manage AKI, fluid and electrolyte disorders, acid-base disturbances, and renal complications associated with systemic diseases.

• Coordinate patient care with ICU, Emergency, Cardiology, Endocrinology, Urology, Surgery, and other relevant departments.

• Attend urgent nephrology and dialysis cases according to hospital duty and on-call arrangements.

4. Patient & Family Counseling

• Explain diagnoses, treatment options, prognosis, and follow-up plans clearly to patients and their attendants.

• Counsel patients on CKD progression, medication adherence, fluid restriction, dietary management, blood pressure and diabetes control, and dialysis care.

• Educate eligible patients about renal replacement therapy options, including hemodialysis, peritoneal dialysis, and kidney transplantation.

• Maintain respectful, compassionate, and professional communication with patients and families.

5. Infection Prevention & Patient Safety

• Ensure strict adherence to infection prevention and control standards within the dialysis unit.

• Follow protocols for dialysis-unit hygiene, sterilization, disinfection, biomedical waste management, and prevention of blood-borne infections.

• Promote patient safety and report adverse events or clinical incidents promptly.

• Ensure appropriate screening, isolation, and infection-control measures for dialysis patients.

6. Documentation & Compliance

• Maintain accurate patient files, consultation notes, dialysis prescriptions, progress reports, and discharge summaries.

• Ensure proper documentation of informed consent and relevant clinical procedures.

• Maintain patient confidentiality and comply with hospital policies and applicable laws and regulations in Bangladesh.

7. Quality Improvement & Administration

• Participate in clinical audits, quality-improvement initiatives, morbidity and mortality reviews, and departmental meetings.

• Assist in developing and updating nephrology and dialysis protocols, guidelines, and SOPs.

• Monitor dialysis service quality indicators and recommend corrective measures when necessary.

• Promote appropriate utilization of dialysis resources, medicines, investigations, and medical equipment.

• Participate in hospital accreditation and regulatory compliance activities as required.

8. Teaching & Professional Development

• Provide clinical supervision, guidance, and training to junior doctors, nurses, and dialysis staff.

• Participate in case discussions, CME programs, clinical meetings, and departmental training.

• Stay updated with current nephrology and dialysis guidelines, research, and evidence-based clinical practices.

9. Duty & Working Arrangement

• Work six (6) days per week according to the hospital-approved duty roster.

• Provide inpatient, emergency, and dialysis services as assigned.

• Participate in dialysis rounds, nephrology consultations, and emergency/on-call duties.

• Attend urgent nephrology and dialysis cases, including emergency dialysis, when required.

• Working hours and on-call responsibilities will be determined by departmental needs and hospital policies.

• Work extended hours, weekends, or public holidays when required by the approved duty roster.

• Ensure proper patient handover, complete documentation, and continuity of patient care.