Staff Nurse - ICU

Role & responsibilities

• Adhere and comply with Organization Regulations and Administrative Policies.
• Adhere and comply with policies and procedure related to patient care, infection control, patient safety and accreditation standard.
• Implements patient care, plan as per doctor's recommendation; monitor & record vital parameters.
• Responsible for total patient care, including medication, orders and treatments.
• Assists the physicians in performing special procedures.
• Under the direction and guidance of the ICU incharge closely monitors cardiac and physical status of patient under his/her care.
• Assists in emergency nursing procedures necessary for prompt control of changes in patients physical condition.
• Able to perform the techniques of cardiopulmonary resuscitation accurately and effectively.

Keeps abreast of changing techniques in critical care nursing and maintains a high level of expertise in

OVERALL RESPONSIBILITIES

• Adhere and comply with Organization Regulations and Administrative Policies.
• Adhere and comply with policies and procedure related to patient care, infection control, patient safety and accreditation standard.
• Implements patient care, plan as per doctor's recommendation; monitor & record vital parameters.
• Responsible for total patient care, including medication, orders and treatments.
• Assists the physicians in performing special procedures.
• Under the direction and guidance of the ICU incharge closely monitors cardiac and physical status of patient under his/her care.
• Assists in emergency nursing procedures necessary for prompt control of changes in patients physical condition.
• Able to perform the techniques of cardiopulmonary resuscitation accurately and effectively.
• Keeps abreast of changing techniques in critical care nursing and maintains a high level of expertise in critical care.
• Accepts responsibilities delegated by the Head of Nursing or Nurse administrator and evaluates the nursing care provided in the area assigned.
• Maintains the patient’s clinical records; assists with execution of the physician’s orders; keeps accurate problem oriented nursing notes
• Assists the physician with procedures and treatments. Administers treatments including sterile procedures.
• Participates in or initiates CPR and Codes when necessary.
• Monitors, record & report any symptoms / changes in the patient condition to the doctors.
• Ensures patient safety by adhering to International Patient Safety Goals (IPSG)
• Accompanies the doctor on rounds: - provide update on patient condition and help in clinical procedures.
• Maintains continuity of patient care through documentation & communication during shift change.
• Remains responsible for consumables: - for the patients under her nursing care, accounting and indenting of consumables/ medicines & nursing supplies and ensuring the availability of the same.
• Educates patients / patient relatives on medication and self-care during stay and discharge as necessary for recovery.
• Ensure regular relevant and appropriate health education is given to all patients/relatives (as appropriate) assigned to her care on a daily basis.
• Updates on essential knowledge and skill by participating in on-going CNE (continuing nursing education), on the job training and various academic training programs organized.
• Ensures financial clearance in full before discharge of patient from the ward.
• Ensures all orders, admission/discharge/death/bills/diet/transfer etc. are up-to-date in HIS.
• Reports Expiry dates of Drugs and working condition of equipments to appropriate person/incharge to Keep everything in working order.
• Reports loss or damage of equipments during duty hours to the reporting manager.
• Knowledgeable about the medication process and ADR.
• Administers prescribed medications safely and accurately by following rights and follows the hospital policy on safe drug administration.
• Reports any medication error, ADRs and accurately complete incident report or ADR forms.
• Adheres to the Incident management policy of the organization. Raises incident reports when required. Has understanding on Root Cause Analysis (RCA) and Corrective & Preventive Action (CAPA) of incidents
• Knowledgeable on the nursing quality indicators
• Performs the 5 moments of hand hygiene.
• Ensures appropriate cleaning and fogging of the patient room after care of infected cases.
• Notifies the infection control department about the notifiable diseases.
• Proper segregation and disposable of BMW after the medication administration or any other procedure as per hospital infection control policy
• Supervise the nursing aides when they are attending the personal hygiene of the patient’s.
• Responsible for Initial assessment to be completed within 30 mts of admission & reassessment in each shift.
• Have expertise in handling life threatening conditions. Has knowledge and skill to handle advance medical instruments & machines – ventilator, cardiac monitor, defibrillator, infusion pumps, ECG & echo
• Possess the ability to take ECG and interpret the same. Identifies abnormal cardiac rhythms
• Possess knowledge on high risk and emergency medications, inotropes, dosage, action and side effects
• Be a part of the code blue team to meet medical emergencies within the hospital and be ready to attend to the same as and when codes are initiated and support is required
• Be with the relatives and provide support in grievance and provide psychological support and help in the bereavement process for the relatives of deceased patients
• Have the skill to perform advanced procedures including taking sample for ABG, analysis of the same and interpreting and informing the physician on the same
• Be aware of policies and protocols pertaining to MLC and handle the same appropriately as per organizational policy
• Warrants that all patient care plans are done and documented according to the patients need and condition & the same is modified as per the condition of patients, to ensure proper continuity of care
• Checks and documents patient’s Vital signs & pain assessment every 4 hourly & as when required.
• Ensures all patient information is appropriately documented and handing over is done at the end of each shift & during transfer between unit / departments following ISBAR
• Inserts peripheral venous catheters as and when required as per safe infusion practice protocol
• Mention date and time of insertion and arrow indicating the direction of the vein flow.
• Check and send correct specimen to the lab following the hospital policy.
• Collect the lab reports in time and inform the concerned consultant.
• Carry out the protocol for Blood & blood products transfusion
• On patient’s discharge, see that the discharge procedure is carried out as per the policy.
• Enter in the activity card immediately after each procedure.
• Knowledgeable about all codes & how to raise emergency codes.
• Well versed in EMR and compliant to the same

TRAINING AND DEVELOPMENT

• Utilizes effective communication skills in reporting pertinent information on time.
• Adheres to the grooming standards.
• Aware of the departmental vision, mission, objectives and its implementation.
• Participates in the hospital quality improvement program.
• Works collaboratively and support efforts of team members.
• Completes BLS/ACLS/PALS/NALS certification (as applicable).
• Demonstrates exceptional customer service and interact effectively with physicians, patients, visitors, staff and the broader health care community.
• Participates in the academic programs and CNE which is planned for nurses in order to upgrade both knowledge & skills.

QUALITY

• Updates and keep abreast of the HAI statistics and preventive measures.
• Handles the sharp items safely and disposes the sharps properly.
• Works as a team to enhance patient satisfaction and physician satisfaction

KEY RESULTS AREA’S (KRA’s)

• To carry out duties delegated to her /him in floors effectively.
• To provide clean and therapeutic environment to the patient to provide a comfortable and clean bed.
• To check and maintain equipment’s and stocks and use them judiciously.
• To be punctual on duty and follow hospital policies.
• To maintain nurses records as per hospital policy

GENERAL COMPETENCIES

• Job competence.
• Job knowledge, job skills, quality and safety consciousness.
• Commitment & initiative.
• Initiative, punctuality & learning, adherence to work ethics, dependability.
• Interpersonal relations.
• Team work, effective communication, positive & empathetic attitude.