Registered Nurse - ER

Role Overview

Registered Nurse - ER at NMC Healthcare. The role operates in an emergency department setting, providing acute and emergent patient care in ambulatory, urgent, and emergent care environments.

Role Purpose

Deliver safe, effective emergency nursing care to patients in trauma situations, acute illness, and severe medical conditions. Provide immediate intervention to prevent imminent severe damage, long-term disability, or death. Coordinate patient care, education, and emotional support while working collaboratively with physicians and interprofessional teams.

Key Responsibilities

Patient Care & Assessment

• Assess and identify patients' condition and determine case priority based on needs assessment.
• Perform systematic patient assessment, reassessment, and collect pertinent data about the patient's health or situation.
• Understand and analyze assessment information and data.
• Determine actual and potential nursing diagnoses, problems, and issues.
• Define predicted and expected outcomes of the patient's planned care.
• Create and evaluate patient care plans with the interprofessional team, in collaboration with the patient and patient's bystanders.
• Record vital signs, recognize, address, and escalate all abnormalities.
• Provide ongoing assessments including observation, physical examination, laboratory/test results, and patient response to procedural intervention.
• Identify the best interventions to stabilize the patient and reduce pain intensity.
• Assess and manage episodic illnesses, injuries, and acute exacerbations of chronic diseases.

Emergency & Crisis Response

• Provide care to patients in ambulatory, urgent, and emergent care settings.
• Work in crises and handle patients in trauma situations, suffering from injury or severe medical condition.
• Demonstrate sound decision-making in emergency scenarios based on patient conditions such as vital signs, patient presentation, and assessments.
• Engage in patient prioritization, triage, differential diagnosis, patient management, monitoring, and appropriate consultation.
• Coordinate the transfer of care.
• Manage a deteriorating patient without delay, using the Early Warning System escalation process and American Heart Association emergency algorithms.
• Perform essential life support as per regulatory requirements and scope, including Basic Life Support, Pediatric Advanced Life Support, Advanced Cardiac Life Support, and Neonatal Resuscitation.

Clinical Interventions & Procedures

• Prepare patients for medical examination and treatment.
• Administer medications and monitor patients for any side effects and reactions.
• Administer treatments such as IV fluids or blood products and monitor patients for any reactions.
• Provide wound care management.
• Assist in medical procedures, invasive or non-invasive, as needed.
• Facilitate the process of safe patient admission, transfer, and discharge.

Patient Education & Support

• Provide and coordinate patient care.
• Educate patients and the public about various health conditions.
• Provide advice and emotional support to patients and their family members.
• Involve patients in their own healthcare and recovery through education, awareness, and positive reinforcement.
• Employ strategies to promote patients' health and a safe environment.
• Understand different diagnostic tests and laboratory examinations.
• Understand aspects of diagnostic studies interpretation and the importance of non-pharmacological therapies.

Clinical Knowledge & Skills

• Maintain and update technical and clinical skills related to nursing practice.
• Ensure they are skilled, trained, and competent before using any medical device.
• Maintain awareness of and comply with NMC Policies and Procedures.
• Comply with all aspects of the UAE Code of Conduct, Scope of Practice, and licensure as per the regulator.
• Refuse to undertake any task for which they have not been trained and are not competent to undertake.
• Always seek expert help when the demand of care, service, or skill falls outside their capabilities.
• Ensure timely expert advice or senior nursing support is sought when a patient's condition fails to respond to prescribed treatment.

Professional Development & Supervision

• Ensure relevant training and competency is undertaken to deliver care safely.
• Maintain up-to-date mandatory training requirements.
• Follow and comply with the NMC Nurse Competency Matrix/Framework, relevant to their role profile.
• Be willing to learn new clinical skills and actively contribute to the learning culture through attendance of journal clubs and professional development programs.
• Support and supervise pre-registration and new nurses and other healthcare workers when required.
• Participate in teaching, mentorship, and preceptorship when required.
• Participate in clinical supervision of student nurses, newly graduated nurses, newly hired experienced nurses, return-to-practice nurses, and nurses undergoing cross-training or upskilling.
• Participate in Performance Improvement Plans when required.
• Share knowledge and skill with others to improve patient care and services.
• Assist, engage with, and contribute to the professional development of colleagues.
• Assist in updating clinical policies and guidelines in line with skill and experience.

Quality Assurance & Governance

• Always speak up if safety is a concern.
• Speak up if something isn't right.
• Participate in all activities related to DOH/DHA/MOH/MOHAP and NMC Quality Improvement when required.
• Uphold regulatory and accreditation standards.
• Continually seek to improve the service and care delivery for patients and their families.
• Report and notify all untoward, serious, and near-miss incidents to direct line manager and then through the incident reporting system in a timely manner.
• Cooperate with all investigations and audits when requested to do so in the interest of developing a learning culture and seeking to improve care and services.
• Promote customer service based on NMC patient satisfaction results.
• Share best practices and quality patient outcomes through audit.
• Be aware of the impact of nursing care on patient outcomes measured through Nursing Sensitive Key Performance Indicators and external benchmarks.
• Contribute to a positive practice environment, upholding the six standards of ANCC Pathway to Excellence®.

Professional Conduct & Ethics

• Always speak up if safety is a concern.
• Treat all patients with kindness, respect, and compassion.
• Recognize and work within the limits of their own competence.
• Take responsibility for their own actions.
• Communicate effectively with colleagues to ensure patients receive the safest, most effective care possible.
• Perform additional duties when required.
• Always uphold the reputation of the nursing profession.
• Act as a positive role model for all nursing and support staff.
• Have insight of own behaviour and in others.
• Be responsible for the assessment, planning, implementation, and evaluation of programmes of care under the indirect supervision of senior nursing staff.
• Only delegate tasks to those team members who are trained, skilled, and competent to undertake such tasks.
• Ensure re-licensure is managed in a timely manner.
• Always maintain patient confidentiality.

Infection Prevention & Control

• Read and implement the NMC IPC Policy and Strategy to maintain the highest possible standards of cleanliness at all times, thus reducing the risk of infection in patients, staff, and visitors.
• Maintain strict hand hygiene compliance encompassing the five moments of hand hygiene, bare below the elbows, and environmental care at all times.

Equality, Diversity & Safeguarding

• Promote diversity, equity, inclusion, and belonging in service delivery and employment practices.
• Comply with NMC equality and diversity policies, procedures, and initiatives.
• Commit to safeguarding and promoting the welfare of all children and vulnerable adults.
• Comply with Federal Law No. 3 of 2016 (Wadeema's Law).

Occupational Safety & Health

• Comply with OSHMS instructions, policies, and safe working procedures.
• Use appropriate personal protective equipment and safety systems.
• Be familiar with emergency and evacuation procedures.
• Not wilfully or recklessly endanger anyone's health and safety.
• Assist with the preparation of risk assessments.
• Report OSH hazards, incidents, near misses, and issues.
• Reduce, reuse, and recycle waste as much as possible.
• Attend all OSH trainings, awareness programs, and mock drills.
• Participate in OSHMS audits and inspections, ensuring standards are maintained.
• Adhere to proper manual handling techniques, consistently applying safe manual handling practices in all patient care activities to minimize the risk of injury to oneself and patients.
• Utilize proper body mechanics when lifting, transferring, or assisting patients, and while moving equipment (e.g., wheelchairs) to prevent strain and injury.
• Reduce slip, trip, and fall hazards by maintaining a clear and hazard-free environment, wearing supportive non-slip footwear, and promptly removing obstacles from walkways.
• Verify that all equipment used in patient care is in safe working condition before each use.
• Promptly report any malfunctions or