Registered Nurse - ICU

Role Overview

Registered Nurse - ICU with NMC Healthcare.

Role Purpose

Provide and coordinate patient care in the ICU, educate patients and families about health conditions, perform systematic clinical assessments, implement and monitor medical plans and treatment, and deliver emotional support to patients and their family members in collaboration with physicians and allied health specialists.

Key Responsibilities

Patient Care and Clinical Assessment

• Perform systematic patient assessment, re-assessment and collect pertinent data about the patient's health or situation.
• 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.
• Assess and identify patients' needs and implement and monitor the patient's medical plan and treatment.
• Record vital signs, recognize, address and escalate all abnormalities.
• Manage a deteriorating patient without delay, using the Early Warning System escalation process and American Heart Association emergency algorithms.

Clinical Interventions and Procedures

• 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.
• Prepare patients for medical examination and treatment.
• 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, Neonatal Resuscitation etc.

Patient Education and Support

• 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.

Admission, Transfer and Discharge

• Facilitate the process of safe patient admission, transfer and discharge.

Professional Development and Mentoring

• Maintain and update technical and clinical skills related to nursing practice.
• 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.
• 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.

Education and Training

• 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.
• Participate in Performance Improvement Plans when required.
• Ensure they are skilled, trained and competent before using any medical device.
• Understand different diagnostic tests and laboratory examinations.

Quality Assurance and Governance

• Speak up if something is not right.
• Always speak up if safety is a concern.
• Maintain awareness of and comply with the 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 of and care delivery for patients and their families.
• Report and notify all untoward/serious and near miss incidents to your 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 and Responsibility

• Always uphold the reputation of the nursing profession.
• Act as a positive role model for all nursing and support staff.
• 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.
• 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.
• Refuse to undertake any task for which they have not been trained and is not competent to undertake.
• Always seek expert help when the demand of care, service or skill falls outside their 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.
• Ensure timely expert advice or senior nursing support is sought when a patient's condition fails to respond to prescribed treatment.
• 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.

Equality and Diversity

• Promote diversity, equity, inclusion and belonging in service delivery and employment practices.
• Comply with NMC equality and diversity policies, procedures and initiatives.

Safeguarding

• Uphold commitment to safeguarding and promoting the welfare of all children and vulnerable adults in accordance with Federal Law No. 3 of 2016 (Wadeema's Law).

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 the OSHMS audits and inspections, ensuring standards are maintained.

Qualifications & Experience

Essential

• Hold an appropriate license to work as a registered nurse in the relevant regulatory health authority with all the qualifications and experience these mandates.
• Manage their own professional re-licensure.
• Hold a valid American Heart Association Basic Life Support Provider card.
• Be willing to work across departments when necessary.
• Be able to communicate clearly and effectively in English (spoken and written).

Desirable

• Evidenced ability to work as part of an interprofessional team.
• Organizational and administrative skills with which to use the electronic medical record platform for clinical documentation.
• Be able to communicate effectively in Arabic.

Skills & Competencies

• Drive Performance and Results (Proficient level).
• Coaching and Mentoring (Developing level).