Please note that hand written applications will not be accepted

Contract RMO CV Template

Title:Dr. Surname:Ogbudu Forename:Henrypat

Gender: Male Female Date of Birth: 28th July, 1987 Nationality: Nigerian
Primary Secondary
GMC Registered: Full Full APS Right to work: EU Passport Visa Qualification:            
Reg. No:       HSMP Other:       Month & Year:            

APLS/PALS/EPLS ACLS/ALS

Employment History Summary

DATES (from most recent position) HOSPITAL (Name and Address) POSITION HELD
Position 1:Medical            

Position 2:                 

Position 3:                 

Position 4:                 

Please list additional roles on a separate paget

Position 1

Hospital:      

Position:      

Dates:      

Rotations/Departments/Experience:

Surgery (General, Orthopaedics, Cardiothoracic) Duration (months):      

Medicine (General, Cardiology, Neurology, Respiratory) Duration (months):      

Paediatrics (Includes exposure to paediatrics) Duration (months):      

Anaesthetics Duration (months):      

Intensive Care and HDU Duration (months):      

Emergency/A&E Duration (months):      

Please give details about the hospital and department you work in. If you work in multiple departments or have ‘on call’ duties please give details of
these also:      

Please describe in detail your daily routine and all of the clinical skills you use ( these should include basic skills such as blood taking, cannulation,
catheterisation, ECG’s, resuscitation etc):     

Please detail your exposure to paediatric patients in this role including the age range of patients:      

If you have exposure to oncology patients please describe your involvement with these patients and if you take blood, cannulate, treat side effects, or
administer chemotherapy:      
Position 2

Hospital:      

Position:      

Dates:      

Rotations/Departments/Experience:

Surgery (General, Orthopaedics, Cardiothoracic) Duration (months):      

Medicine (General, Cardiology, Neurology, Respiratory) Duration (months):      

Paediatrics (Includes exposure to paediatrics) Duration (months):      

Anaesthetics Duration (months):      

Intensive Care and HDU Duration (months):      

Emergency/A&E Duration (months):      

Please give details about the hospital and department you work in. If you work in multiple departments or have ‘on call’ duties please give details of
these also:      

Please describe in detail your daily routine and all of the clinical skills you use ( these should include basic skills such as blood taking, cannulation,
catheterisation, ECG’s, resuscitation etc):     

Please detail your exposure to paediatric patients in this role including the age range of patients:      

If you have exposure to oncology patients please describe your involvement with these patients and if you take blood, cannulate, treat side effects, or
administer chemotherapy:      
Position 3

Hospital:      

Position:      

Dates:      

Rotations/Departments/Experience:

Surgery (General, Orthopaedics, Cardiothoracic ) Duration (months):      

Medicine (General, Cardiology, Neurology, Respiratory) Duration (months):      

Paediatrics (Includes exposure to paediatrics) Duration (months):      

Anaesthetics Duration (months):      

Intensive Care and HDU Duration (months):      

Emergency/A&E Duration (months):      

Please give details about the hospital and department you work in. If you work in multiple departments or have ‘on call’ duties please give details of
these also:      

Please describe in detail your daily routine and all of the clinical skills you use ( these should include basic skills such as blood taking, cannulation,
catheterisation, ECG’s, resuscitation etc):     

Please detail your exposure to paediatric patients in this role including the age range of patients:      

If you have exposure to oncology patients please describe your involvement with these patients and if you take blood, cannulate, treat side effects, or
administer chemotherapy:      
Position 4

Hospital:      

Position:      

Dates:      

Rotations/Departments/Experience:

Surgery (General, Orthopaedics, Cardiothoracic ) Duration (months):      

Medicine (General, Cardiology, Neurology, Respiratory) Duration (months):      

Paediatrics (Includes exposure to paediatrics) Duration (months):      

Anaesthetics Duration (months):      

Intensive Care and HDU Duration (months):      

Emergency/A&E Duration (months):      

Please give details about the hospital and department you work in. If you work in multiple departments or have ‘on call’ duties please give details of
these also:      

Please describe in detail your daily routine and all of the clinical skills you use ( these should include basic skills such as blood taking, cannulation,
catheterisation, ECG’s, resuscitation etc):     

Please detail your exposure to paediatric patients in this role including the age range of patients:      

If you have exposure to oncology patients please describe your involvement with these patients and if you take blood, cannulate, treat side effects, or
administer chemotherapy:      
Practical experience Paediatrics: Number

Resuscitation of Newborn      

Please write the total number of times you have carried out Acute Respiratory Distress      

Eg. IV Cannulations 750 Pneumonia      

Post Tonsillectomy Bleeds      

General Experience: Number
Resuscitation of shock/ dehydration      
Cardio-Pulmonary/Resuscitations (Team Leader)      
Lumbar Punctures      
Endotracheal/Laryngeal Mask Intubations      
Age range of Paediatrics worked with (eg 2 yrs +)      
Conducting/Interpreting/Responding to ECGs      

Cardioversion and Sedation      

Accident and Emergency: Number
IV Cannulations      
Blood taking       Allergic Reactions      

Arterial Blood Gas Sampling (ABG)       Myocardial Infarctions      

Urethral Catheterisation       Arrhythmia      

Suturing wounds       Acute Psychosis      

Insertion of naso-gastric tubes       Major Bone Fractures      

Thrombolytic Therapy administered       Acute Bowel Obstruction      

Drug Overdose      

Oncology: Number
Intercostal Drain Insertion      
Chemotherapy Administered      

General Surgery: Number Internal Medicine: Number

Laparotomies      
Adult Respiratory Distress Syndrome      
Incision and Drainage of Abscesses      
Multiple Organ Failure      
Bladder washouts      
Cardiac Failure      
Debridement of wound      
Pneumonia, Respiratoty Failure and COAD      
Haemorrhoidectomies      
Diabetic Keto-Acidosis      
Skin Graft      
Anemia      

Blood Transfusions      

Anaesthetics and ICU: Number
Infusion Pumps      

General anaesthetics performed       Stress ECG’s      

Local anaesthesia and blocks performed      

Orthopaedics: Number
Epidural and Spinal anaesthesia performed      
N Arthroscopy      

Lumbar Puncture performed       Hip Replacement      

Ventilated Patients in ICU       Knee Replacement      

CVP Lines       Spinal Surgery      

Inotropes used in ICU      

 RMO Self Declaration Procedures Checklist

Regular RMO Procedures

Competent

Blood taking

Peripheral IV Cannualtion

Prescribing analgesics, antibiotics and common drugs

as described in the BNF

Introduction to Programming/Management of drug

Infusion pumps (PCAs)

Bladder catheterisation (male and female)

Conducting, interpreting and responding to ECGs

Adult resuscitation including defibrillation

Paediatric resuscitation including defibrillation

Desirable RMO Procedures

Competent Exposed

Performing lumbar puncture and epidural

Chemotherapy administration

Intubation with endotracheal tube

Laryngeal mask insertion

Obtaining arterial blood for blood gas analysis

Placing of central venous lines

Venous pacemaker placement

Intercostal drain insertion

 CONSOLIDATED SUMMARY OF PRACTICAL EXPERIENCE BY DISCIPLINE

Skills/Experience Months Comments

worked

General            

Orthopaedic            

Surgery
Cardiothoracic            

Other (please state)            

General            

Medicine Cardiology            

Neurology            

Respiratory            

Dedicated
Paediatric Rotation            
Paediatrics
Acquired as part of
another speciality            

Anaesthetics            

ITU / ICU (Intensive Therapy/ Care Units)            

HDU (High Dependency Units)            

Emergency/A+E            

Oncology Medical Oncology            

Chemotherapy
Administration Yes No      

Other (please state)                  

Please note that some of the above experience may have been gained concurrently.

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