Incharge - NICU

Role & responsibilities

Responsible for the functioning of the NICU

- Adherence to Nursing clinical standards.

Responsible for the NICU routine, equipment and patients.

- Take over and handover efficiently at change of shifts.

- Manpower deployment as per Patient Nurse ratio based on neonate condition; escalates in

case of shortage.

- Ensures compliance to grooming standard, discipline and decorum of team.

- Capable of quick accurate decision making in emergencies.

- Ensures the Nursing Assessment Guide is completed within 15-30 minutes of admission.

- Ensures the patient is comfortable and implements safety measures for vulnerable patients

as per the policy.

- Adheres to all safety measures involved in patient care and self-protection.

- Competently handles all equipment and gadgets used in patient care in NICU.

- Understands and ensures patient rights are adhered to.

- Reviews the doctors notes and the drug chart on admission and acts as required.

- Prepares nursing care plans and renders effective bedside nursing care.

- Ensure all investigations are carried out as advised by the doctor; reports available on time

for doctors perusal and further advice.

- Assist the doctors in procedures, dressings and rounds.

- Mandatorily present for the daily Neonatologist counseling of parents.

- Ensure all equipment is always serviceable.

- Aware of and adheres to narcotic policy.

- Infection control: monitors and ensures personnel, patients and environmental hygiene.

- Ensures parents adhere to infection control - hand washing, change of attire before entry.

- Maintains medical and nursing records of patients as per protocol.

- Handles waste segregation and disposal as per the policy.

- Inventory management for drugs and consumables; ensures no wastage.

- Implements the visitor policy; ensure visitors are briefed regarding personal items safety,

infection control requirements.

- Monitors pharmacy indents, checks on receipt, stocks the patients bedside locker and

medication trolley.

- Ensures medication safety and timely therapies based on care plan.

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Responsible for the functioning of the NICU

- Adherence to Nursing clinical standards.

Responsible for the NICU routine, equipment and patients.

- Take over and handover efficiently at change of shifts.

- Manpower deployment as per Patient Nurse ratio – based on neonate condition; escalates in

case of shortage.

- Ensures compliance to grooming standard, discipline and decorum of team.

- Capable of quick accurate decision making in emergencies.

- Ensures the Nursing Assessment Guide is completed within 15-30 minutes of admission.

- Ensures the patient is comfortable and implements safety measures for vulnerable patients

as per the policy.

- Adheres to all safety measures involved in patient care and self-protection.

- Competently handles all equipment and gadgets used in patient care in NICU.

- Understands and ensures patient rights are adhered to.

- Reviews the doctor’s notes and the drug chart on admission and acts as required.

- Prepares nursing care plans and renders effective bedside nursing care.

- Ensure all investigations are carried out as advised by the doctor; reports available on time

for doctor’s perusal and further advice.

- Assist the doctors in procedures, dressings and rounds.

- Mandatorily present for the daily Neonatologist counseling of parents.

- Ensure all equipment is always serviceable.

- Aware of and adheres to narcotic policy.

- Infection control: monitors and ensures personnel, patients and environmental hygiene.

- Ensures parents adhere to infection control - hand washing, change of attire before entry.

- Maintains medical and nursing records of patients as per protocol.

- Handles waste segregation and disposal as per the policy.

- Inventory management for drugs and consumables; ensures no wastage.

- Implements the visitor policy; ensure visitors are briefed regarding personal items safety,

infection control requirements.

- Monitors pharmacy indents, checks on receipt, stocks the patient’s bedside locker and

medication trolley.

- Ensures medication safety and timely therapies based on care plan.

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w Administering of dangerous medicines is counter checked by a second nurse for the ‘ten

medication rights and complete documentation as per policy is ensured.

w Observes the patient to ensure safe medication and note any adverse reactions.

w Any errors in medication or nursing intervention to be brought immediately to the

notice of the Nursing Superintendent.

- Manage patient transfers and discharges as per protocol.

- To coordinate neonate transportation – complete management of neonate retrieval from outside location – equipment, manpower, transport kit.

- Aware of and practices the following measures: Barrier Nursing, neonatal death protocol.

- Aware of NABH & Nursing Excellence standards and ensure implementation.

- Ensures accurate data collection for Nursing Quality Indicators.

- Maintain records of all procedures, births, still births, incidents, monthly census.

- Report the day-to-day activities, especially issues needing resolution.

- Maintains confidentiality of patient information: medical and personal; avoids any violation by ensuring no discussion of patient identifiable information in non-secure areas.

- Coordinates and works closely with LDR, OT & Ward.

- Co-ordinates with Billing team regarding admissions, discharges and billing activities.

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- Thorough knowledge on gestational age assessment, and the special problems of the premature, post-mature, small for gestational age, large for gestational age neonates. Medication dosage (i.e. according to weight and body surface)

- To follow universal precautions as per the unit protocol.

- To assist the doctors in the management of the asphyxiated neonates, including resuscitation and stabilization.

- To be fully aware of the APGAR scoring performed.

- To ensure safety and security of neonates by practicing safety measures.

- To assist the doctors in the following procedures with properly set procedure trolleys.

w Veno-puncture w Lumbar puncture

w Endotracheal intubation w Catheterization of umbilical artery and vein.

w Peripheral I.V. and arterial line insertion w ICD insertion

- To encourage, educate and assist mothers in breastfeeding.

- To reassure and provide education to the attendant on breastfeeding, additional feeding, safety measures, and effect of medication.

- To prepare additional feed with strict aseptic technique as per the doctor’s written instruction.

- To have thorough knowledge on I.V. fluid and drug calculation.

- Responsible for checking and recording daily weight of the neonate.

- Responsible for monitoring and maintaining normal oxygen saturation level. Monitoring the oxygenation level of the neonate.

- Manage neonatal emergency.

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- Inspires and leads team effectively.

- Creates and maintains cordial relationships within the team and with other departments.

- Ensure Induction and training of team as per protocol.

- Prepares effective training modules, coaching to enhance team skills on the job.

- Conduct appraisals fairly and objectively; encourages and helps develop team skills.

- Develops competent 2nd line.

- Ensures retention of team.

Preferred candidate profile

Supervisory Skills; Team Management; Communication Skills; Interpersonal skills; Problem Solving & Decision making; Ability to anticipate emergencies; patient and calm especially during emergencies.

Strong functional /Clinical Skills, Ability to plan & execute work, aware of NABH & Nursing Excellence standards; Ability to document accurately; MS skills