Sagar Shrestha

• Attending deliveries, neonatal assessment, and resuscitation.
• Neonatal procedures: IV cannulation, lumbar puncture, central line insertion, cranial ultrasound, LISA, Intubation.
• Stabilisation of preterm and term infants requiring respiratory or circulatory support.
• Daily NICU/SCBU rounds, documentation, and care planning.
• Parent communication and counselling.
• Teaching, departmental presentations, and QI involvement.

• Assisted in evaluating and managing trauma cases in busy provincial emergency department.
• Supported clinical evaluations and initiated investigations for patient care.
• Facilitated formulation of management plans and coordinated admissions.
• Executed emergency procedures including IV access, catheterisation, airway management, wound care, plastering, I&D, debridement, suturing, and tendon repair.
• Collaborated with multidisciplinary teams across ED, wards, ICU, theatre, and clinics to promote safe patient care.
• Facilitated teaching sessions and supervised paramedic students.
• Contributed to departmental CME and quality-improvement initiatives.
• Engaged in disaster preparedness and safeguarding processes in cooperation with OCMC.

• Developed understanding of NHS systems, including admission/discharge pathways, safeguarding processes, bereavement support, and multidisciplinary collaboration.
• Assisted with neonatal care through participation in ward rounds, handovers, documentation, investigations, and communication within a high-acuity tertiary neonatal unit.
• Supported key neonatal procedures, including IV cannulation, umbilical and PICC line insertion, intubation, surfactant administration, and lumbar puncture.

• Achieved high‑quality care for critically ill neonates in a Level III NICU, including successful neonatal resuscitations.
• Managed common neonatal conditions such as sepsis and jaundice with timely interventions and ongoing treatment adjustments.
• Contributed to clinical decision‑making during ward rounds and ensured accurate, comprehensive documentation.
• Performed advanced neonatal procedures with proficiency and maintained effective, compassionate communication with families.
• Presented audit findings to support service improvement and identified factors contributing to medical advice departures.
• Enhanced team performance by training junior staff, coordinating rotas, collaborating with nursing teams, and promoting safeguarding practices

• Assisted in assessing and stabilising trauma and stroke patients using ABCDE, GCS, and pupil evaluation.
• Supported escalation of cases to senior staff when necessary.
• Performed outpatient neurological assessments and collaborated with consultants on investigations.
• Provided assistance in pre-operative assessments and theatre support to ensure effective postoperative monitoring.
• Contributed to key neurosurgical procedures such as debridement, suturing, and lumbar puncture.
• Delivered educational sessions on trauma assessment, GCS, pupil assessment, and seizure management.
• Enhanced clinical safety and communication through training in airway management and protocol adherence.

Achieved effective triage and management of trauma patients in the casualty department, leading to improved patient outcomes.
Delivered high-quality care for medical emergencies and surgical cases, significantly enhancing departmental efficiency.
Executed medical procedures such as IV cannulation and urinary catheterisation with precision, contributing to patient safety and care quality.
Maintained thorough documentation of patient histories and progress notes in the ward and ICU, ensuring continuity of care.
Monitored patient conditions and collaborated with senior consultants, resulting in enhanced management strategies.
Optimised pre-operative processes and patient counselling, ensuring patients were well-informed and prepared for procedures.
Supported surgical teams in complex operations, ensuring adherence to safety protocols and post-operative care guidelines.
Enhanced professional knowledge through participation in case presentations and community health initiatives, fostering continuous learning and social responsibility.