Staff Nurse - Emergency TP

Role Overview

Staff Nurse - Emergency TP at American Hospital Dubai. This position provides direct and indirect age-specific care for assigned patients in the Emergency Room per scheduled shifts.

Role Purpose

Deliver professional, safe patient care across the emergency care continuum through nursing assessment, diagnosis, planning, intervention, evaluation, and care coordination involving patients and families. Abide by Joint Commission International (JCI) requirements, including International Patient Safety Goals and national and international standards.

Key Responsibilities

Patient Care & Assessment

• Provide age-specific patient-centered care utilizing the nursing process.
• Perform patient assessment using appropriate, problem-focused, and age-specific assessment techniques.
• Perform continual critical care assessment of patient and family's physical and psychological needs.
• Recognize subtle cues to anticipate potential problems.
• Conduct health history interviews and physical assessments in pediatrics.

Care Planning & Coordination

• Involve the patient, significant others, and healthcare providers in the plan of care when appropriate.
• Collaborate with a multi-disciplinary team to provide patient care.
• Coordinate and plan critical care/clinical pathway and prioritize care based on individual needs.
• Revise the care plan as necessary.
• Initiate appropriate transfer plan.

Monitoring & Assessment

• Interpret arterial blood gas.
• Interpret basic Electrocardiogram (ECG).
• Monitor arterial pressure.
• Monitor central venous pressure.
• Conduct triage using the Emergency Severity Index (ESI).
• Monitor cardiopulmonary status in pediatrics.

Medication Management

• Perform safe handling and administration of Narcotic/Controlled and Semi-Controlled Drugs and documentation as directed by policies and procedures.
• Administer emergency medications to pediatrics.
• Administer Intravenous (IV) alteplase for acute ischemic stroke.
• Administer moderate sedation.
• Administer nebulized drugs to pediatrics.

Diagnostic Testing

• Conduct COVID-19 Polymerase Chain Reaction (PCR) testing.
• Measure creatinine levels.
• Measure ketone levels.
• Perform rapid strep test using point-of-care testing (POCT).
• Operate urine analysis machine.

Emergency Interventions

• Perform intubation with direct visualization.
• Insert and assist with intraosseous infusion device.
• Remove the intraosseous infusion device.
• Manage seizures in pediatrics.
• Manage obstructed airways in children and infants.
• Perform cardioversion.
• Perform defibrillation.
• Perform transcutaneous pacing.

Central Venous & Vascular Access Management

• Sample blood from central venous access catheter.
• Flush and lock the central venous access catheter.
• Change central venous catheter dressing.
• Change central venous catheter needless connector and line tubing.
• Access implanted port.
• Sample blood from the implanted port.
• Remove the non-coring needle from the implanted port.
• Manage infiltration and extravasation in pediatrics.
• Sample blood from a peripherally inserted central catheter in pediatrics.
• Change dressing on the peripherally inserted central catheter in pediatrics.

Respiratory & Airway Management

• Suction tracheostomy.
• Manage tracheostomy tube cannula and stoma.
• Change tracheostomy ties.
• Change tracheostomy tube.
• Utilize handheld resuscitation bags and masks in pediatrics.
• Administer oxygen via nasal prongs to neonates.
• Prepare mechanical ventilation during patient transport.

Chest Tube Management

• Monitor and care for the chest tube drainage system.
• Set up chest tube drainage system.
• Assist with chest tube removal in pediatrics.

Burn Care

• Perform chest, abdomen, and back burn care.

Immobilization

• Apply splints and casts.

Fluid Management

• Calculate pediatric fluid requirements.

Aspiration Precautions

• Implement aspiration precautions for child or adolescent.
• Implement aspiration precautions for children receiving enteral tube feedings.
• Implement aspiration precautions for infant.

Documentation & Record Keeping

• Document all relevant data in the medical record according to hospital/departmental standards.

Environment & Equipment

• Ensure availability and maintenance of supplies and equipment needed for the unit and patient care.
• Maintain a safe environment for patients and staff.

Safety & Compliance

• Assume responsibility for meeting Joint Commission International Accreditation (JCIA) required mandatory education including fire, safety, infection control, and others.
• Ensure completion of unit competencies including pain management and utilization of Emergency department devices.

Professional Development

• Maintain clinical and professional competency based on the latest research and established standards of practice.
• Complete yearly the critical care nursing competencies (basic).
• Participate in ongoing educational activities.
• Maintain mandatory educational requirements.

Quality Improvement

• Participate in staff meetings and unit committees/projects.
• Participate in developing and achieving unit goals.
• Participate in unit-based Continuous Quality Improvement (CQI) activities including data collection, CQI teams, incident reporting, customer complaint reporting, and medication error reporting.

Administrative

• Perform clerical duties when needed.
• Perform additional duties when required.

Preceptor Responsibilities (When Applicable)

• Complete the Preceptor workshop and meet the criteria indicators for the preceptor role on the unit.
• Plan, implement, and evaluate the individualized competency-based orientation in collaboration with the orientee, nurse manager, and clinical resource nurse.
• Provide appropriate feedback on time to orientee and Nurse Manager.
• Provide objective documentation to the nurse manager utilizing the American Hospital Dubai's established standards of care including Competency List "Green Book and Blue Book."

Qualifications & Experience

Education

• Bachelor's degree in nursing with minimum of three (3) years full-time course duration, OR
• Degree in nursing with minimum two (2) years course duration and Registration as a Registered Nurse from Canada, USA, UK, Ireland, South Africa, New Zealand, and Australia.

Special Provisions for UAE Nationals

• Graduates of UAE or non-UAE universities are exempted from the experience and clinical training requirements for the applied title.
• Must submit a copy of birth certificate and the mother's family book.

Special Provisions for Non-UAE Nationals Graduating from UAE Universities

• Required to successfully complete six (6) months of clinical training post-graduation in an APS health facility, except for Registered and Assistant Nurse titles.

Licensure & Registration

• Must hold a valid License/Registration to practice in their home country and/or country of last employment where applicable.

Professional Experience

• Minimum of two (2) years of recent post-graduate experience in the Emergency Room.
• Knowledge of and ability to render care and services based on age, appropriateness, and developmental needs of patients.
• Skills in assessment of patient and family's physical and psychological needs.
• Skills in coordination and planning of care and prioritizing care based on individual needs.

Required Certifications

• Valid Basic Life Support (BLS) Certification or others according to the scope of practice.
• Basic Cardiac Life Support (BCLS) Certification.
• Pediatric Advanced Life Support (PALS) Certification.
• Advanced Cardiac Life Support (ACLS) Certification, must be attained within 6 months of employment through the American Hospital Dubai's course.

Preferred Certifications

• Trauma Nursing Core Course (TNCC) Certification.
• Canadian Triage and Acuity Scale (CTAS) Certification.