Nurse In Charge - ER

Role Overview

Nurse In Charge - ER at NMC Healthcare. The post holder will work collaboratively with other team members, uphold and live the NMC Nursing Strategy in order to provide safe and outstanding care to patients and patients' bystanders at all times.

Company Overview

NMC Healthcare is committed to providing clinical excellence through safe, compassionate, and individualized care to every patient, every time. The nursing team exemplifies clinical excellence by doing the right thing, being the patient's advocate, being open and transparent, delivering safe and compassionate care, recognizing the uniqueness of each patient, contributing to an outstanding patient experience, engaging with and contributing to a learning culture, and leading and influencing changes in healthcare. The core values are Safety, Excellence, Ethics, Trust, and Collaboration.

Role Purpose

The Nurse In Charge leads the Emergency Department shift, overseeing safe and effective patient care across all ages and acuity levels, coordinating clinical activities, supervising nursing staff, and maintaining operational excellence while managing emergency situations and driving continuous improvement.

Key Responsibilities

Patient Care & Clinical Assessment

• Ensure and oversee that care delivered to all patients in the unit is safe, appropriate, and effective.
• Determine nursing interventions based on assessment data.
• Prioritize identified needs.
• Implement nursing actions and evaluate patient outcomes.
• Develop or revise the plan of care.
• Deliver identified patient needs.
• Triage patients of all ages, including pediatric, adult, and pregnant patients by collecting current symptoms and detailed medical history to determine the appropriate triage level and ensure timely and accurate care based on patient condition.
• Evaluate the ability of the patient and patient's bystanders to understand and participate in decisions about their care.
• Facilitate patient education.

Clinical Skills & Emergency Interventions

• Perform advanced or specialized nursing skills competently.
• Assist with emergency procedures such as endotracheal intubation, insertion of central venous and arterial catheters, intercostal drain placement, and intraosseous needle insertion.
• Administer emergency medications and perform Advanced Cardiac Life Support (ACLS) interventions, including defibrillation, cardioversion, and medication administration, to stabilize patients with life-threatening cardiac arrhythmias or acute myocardial infarctions.
• Perform essential life support as per regulatory requirements and scope such as Basic Life Support, Pediatric Advanced Life Support, Advanced Cardiac Life Support, and Neonatal Resuscitation.
• Operate and monitor emergency medical equipment to support patient care and ensure accurate diagnostic and therapeutic interventions.
• Participate in disaster preparedness drills, trauma resuscitations, and Code Blue activations; follow established emergency protocols and procedures; and maintain competency in emergency nursing skills including trauma assessment, airway management, and haemorrhage control to optimize patient outcomes in critical situations.
• Handle emergency situations calmly and efficiently.

Department Operations & Staffing

• Coordinate the overall clinical activities of the unit when assigned to the charge nurse role.
• Collaborate with the Nursing Supervisor on staffing for a particular shift.
• Manage the shift by allocating staff to each area based on departmental needs, including Resuscitation (RESUS), Observation, Triage, and the Plaster Room.
• Manage and oversee the daily operations of the emergency department.
• Supervise and support nursing staff, providing guidance and training as needed.
• Conduct board rounds meetings in the department.
• Actively participate in rounds in the Emergency Department to ensure that all equipment is properly checked by staff upon their arrival.

Clinical Leadership & Development

• Maintain accurate and real-time clinical records.
• Maintain current knowledge of clinical nursing practice.
• Act as a clinical resource for staff within the department and unit.
• Communicate and consult with other healthcare disciplines.
• Represent nursing at multidisciplinary rounds.
• Collaborate with emergency physicians, trauma surgeons, and other healthcare professionals to develop and implement comprehensive care plans, coordinate diagnostic tests and imaging studies, and facilitate timely patient disposition and admission to appropriate hospital units or specialty services.
• Participate in the development of standards, procedures, and protocols.
• Facilitate evidence-based practice.
• Promote change in nursing practice when required.
• Take a proactive role under the guidance of Nursing Management and Nursing Education in training, education, and continuous quality improvement activities of nursing staff.
• Promote a safe learning environment.
• Identify opportunities for improvement.
• Regularly review staff profiles to verify that all team members have completed required emergency-related training, including BLS, ACLS, PALS, and triage courses, and coordinate and schedule additional training as needed.
• Collaborate with the Nurse Manager to address challenges within the department and implement improvements aimed at enhancing patient care and staff satisfaction.

Performance & Improvement

• Monitor and improve departmental KPIs.
• Plan, implement, and evaluate clinical programs.
• Perform other professional duties as may be assigned within scope and ability.

Qualifications & Experience

• Evidenced experience in managing teams.
• Appropriate license to work as a registered nurse in the relevant regulatory health authority with all qualifications and experience these mandate.

Skills & Competencies

• Ability to influence and implement change when necessary.
• Ability to make decisions and communicate effectively.
• Clear and effective communication in English (spoken and written).
• Advanced or specialized nursing skills competency.
• Valid American Heart Association Basic Life Support Provider card.

Additional Information

• Willingness to work across departments when necessary.
• Responsibility to manage own professional re-licensure.