Registered Nurse - ER

Role Overview

Registered Nurse - ER at NMC Royal Hospital. This role provides emergency nursing care in ambulatory, urgent, and emergent care settings, managing patients in trauma situations and acute medical conditions.

Role Purpose

To provide safe, compassionate, evidence-based emergency nursing care to patients presenting with trauma, injury, and acute medical conditions. The role coordinates patient care, educates patients and families, and delivers immediate intervention to prevent severe damage, disability, or death in crisis situations.

Key Responsibilities

Patient Assessment and Care Coordination

• Provide and coordinate patient care, educating patients and the public about various health conditions.
• Provide advice and emotional support to patients and family members.
• Perform systematic patient assessment, reassessment, and collect pertinent data about the patient's health or situation.
• Assess and identify patients' needs and implement and monitor the patient's medical plan and treatment.
• Understand and analyse the assessment information and data.
• Determine actual and potential nursing diagnoses, problems, and issues.
• Define the 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.
• Work with a team of physicians and other health care specialists and allied health in various settings.
• Provide care to patients in ambulatory, urgent, and emergent care settings.
• Handle patients in trauma situations, suffering from injury or severe medical condition by providing immediate intervention to prevent imminent severe damage and long-term disability or death.
• Assess and identify patient's condition and determine the case priority based on the patient's needs assessment.
• Identify the best interventions to stabilize the patient and reduce pain intensity.
• Assess and manage episodic illnesses, injuries and acute exacerbations of chronic diseases.
• Provide ongoing assessments including observation, physical examination, laboratory/test results, and patient response to procedural intervention.
• Engage in patient prioritization, triage, differential diagnosis, patient management, monitoring and appropriate consultation and in coordinating the transfer of care.
• Understand aspects of diagnostic studies interpretation and the importance of non-pharmacological therapies.

Clinical Skills and Interventions

• Record vital signs, recognize, address and escalate all abnormalities.
• Maintain and update technical and clinical skills related to nursing practice.
• Employ strategies to promote patients' health and a safe environment.
• Understand different diagnostic tests and laboratory examinations.
• Perform essential life support as per regulatory requirements and scope such as but not limited to Basic Life Support, Pediatric Advanced Life Support, Advanced Cardiac Life Support, and Neonatal Resuscitation.
• 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.
• Demonstrate sound decision-making in emergency scenarios based on patient conditions such as vital signs, patient presentation, and assessments.
• Manage a deteriorating patient without delay, using the Early Warning System escalation process and American Heart Association emergency algorithms.
• Ensure timely expert advice or senior nursing support is sought when a patient's condition fails to respond to prescribed treatment.

Education and Professional Development

• 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 the 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 health care 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.
• Ensure skilled, trained and competent status before using any medical device.
• Involve patients in their own healthcare and recovery through education, awareness and positive reinforcement.
• Maintain and update technical and clinical skills related to nursing practice.
• Assist in updating clinical policies and guidelines in line with skill and experience.
• Assist, engage with and contribute to the professional development of colleagues.

Quality Assurance and Governance

• Speak up if safety is a concern.
• Treat all patients with kindness, respect and compassion.
• Speak up if something isn't right.
• Maintain awareness of and comply with NMC Policies and Procedures.
• Participate in all activities related to DOH/DHA/MOH/MOHAP and NMC Quality Improvement when required.
• Uphold the 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 the direct line manager and then through the incident reporting system in a timely manner.
• Cooperate with all investigations and audits when requested 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 and Standards

• 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.
• Comply with all aspects of the UAE Code of Conduct, Scope of Practice and licensure as per the regulator.
• Recognize and work within the limits of own competence.
• Take responsibility for own actions.
• Communicate effectively with colleagues to ensure patients receive the safest, most effective care possible.
• Refuse to undertake any task for which not trained and not competent to undertake.
• Always seek expert help when the demand of care, service or skill falls outside capabilities.
• 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.
• Perform additional duties when required.

Infection Prevention and 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 the strictest hand hygiene compliance encompassing 5 moments of hand hygiene, bare below the elbows and environmental care at all times.

Occupational Safety and 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 by 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 by employing appropriate body mechanics when lifting, transferring, or assisting patients, and while moving equipment such as wheelchairs to prevent strain and injury.
• Reduce Slip, Trip, and Fall Hazards by actively mitigating risks through maintaining a clear and hazard-free environment, wearing supportive, non-slip footwear, and promptly removing obstacles from walkways.
• Ensure Equipment Safety and Report Malfunctions by verifying that all equipment used in patient care is in safe working condition before each use and promptly reporting any malfunctions or safety concerns according to facility protocols.
• Initiate Emergency, Safety, and Fire Safety Protocols as Needed by following established protocols for emergency situations, including safety practices and fire safety measures, and responding to incidents in accordance with OSH and hospital guidelines.

Equality