ممرض/ممرضة عناية مركزة

Provides direct and indirect age-specific care for assigned patients in the Intensive Care Unit per scheduled shifts. Responsible for professional performance and safe patient care. The role encompasses nursing assessment, diagnosis, planning, intervention, evaluation, and care coordination for patients across the healthcare continuum involving families. Abides by the Joint Commission International (JCI) requirements, including but not limited to International Patient Safety Goals, national and international standards.

Responsibilities

General:

• Provides age-specific patient-centered care utilizing the nursing process:
  • Performs patient assessment using appropriate, problem-focused, and age-specific assessment techniques.
  • Performs continual critical care assessment of patient and family's physical and psychological needs.
  • Involves the patient, significant others, and health care providers in the plan of care when appropriate.
  • Collaborates with a multi-disciplinary team to provide patient care.
  • Coordinates and plans critical care/clinical pathway, and prioritizes care, based on individual needs.
  • Revises the care plan as necessary.
  • Initiates appropriate transfer plan.
  • Recognizes subtle cues to anticipate potential problems.
  • Documents all relevant data in the medical record according to hospital/departmental standards.
  • Ensures availability and maintenance of supplies and equipment needed for the unit and patient care.
  • Performs clerical duties when needed.
  • Assumes responsibility for meeting Joint Commission International Accreditation (JCIA) required mandatory education (e.g. fire, safety, infection control and others).
  • Participates in staff meetings and unit committees/projects.
• Participates in developing and achieving unit goals.
• Maintains a safe environment for patients and staff.
• Performs safe handling and administrating of Narcotic/Controlled and Semi-Controlled Drugs and documentation as directed by policies and procedures.
• Ensures completion of unit competencies (i.e. pain management, and utilization of Emergency department devices).
• Maintains clinical and professional competency based on the latest research and established standards of practice.
• Completes yearly, the critical care nursing competencies (basic).
• Participates in unit-based Continuous Quality Improvement (CQI) activities (data collection, CQI teams, incident reporting, customer complaint reporting, medication error reporting etc.).
• Participates in ongoing educational activities.
• Maintains mandatory educational requirements.
• Performs additional duties when required.

Unit Specific:

• Performs Advanced Physical Assessment.
• Interprets Arterial Blood Gas (ABG).
• Interprets Basic ECG.
• Monitors Basic Hemodynamics, including:
  • Monitoring Arterial Pressure.
  • Monitoring Central Venous Pressure.
• Operates Bladder Scanner.
• Collects Blood Culture Samples.
• Cares for Implanted Venous Access Devices (IVAD), including:
  • Accessing Implanted Port.
  • Sampling Blood from Implanted Port.
  • Removing Non-Coring Needle from Implanted Port.
• Cares for Central Venous Access Devices (CVAD), including:
  • Sampling Blood from Central Venous Access Catheter.
  • Flushing and Locking Central Venous Access Catheter.
  • Changing Dressing on Central Venous Catheter.
  • Changing Needless Connector and Line Tubing on Central Venous Catheter.
• Prepares Chest Tubes, including:
  • Monitoring and Caring for Chest Tube Drainage System.
  • Setting up Chest Tube Drainage System.
• Provides Care for Dying Patients.
• Demonstrates competency in Epidural Management (Programming, Care, Discontinuation).
• Inserts Internal Fecal Containment Device.
• Monitors Intra-Abdominal Pressure.
• Insertion assistance, monitors, and cares for Intracranial Pressure Catheter.
• Uses Ketone Meter.
• Handles Mechanically Ventilated Patients, including:
  • Suctioning Trachea of Intubated Patients.
  • Removing Endotracheal Tubes.
  • Intubating with Direct Visualization.
  • Providing Positive Pressure Mechanical Ventilation.
  • Mobilizing Patients Receiving Mechanical Ventilation.
  • Monitoring and Caring for Long-Term Mechanical Ventilation.
  • Weaning Patients off Mechanical Ventilation.
  • Applying Non-invasive Positive Pressure Ventilation.
• Demonstrates competency in Patient-Controlled Analgesia (PCA) Pump Use.
• Performs Procedural Sedation for Non-Anesthesia Nurses.
• Provides Care for Tracheostomies, including:
  • Suctioning Tracheostomies.
  • Caring for Tracheostomy Cannula and Stoma.
  • Cleaning Tracheostomy Tube Outer Cannula and Stoma.
• Uses Defibrillator for:
  • Cardioversion
  • Defibrillation
  • Transcutaneous Pacing

Intermediate and Advanced:

• Performs Advanced Hemodynamic Monitoring Techniques, including:
  • Minimally Invasive Hemodynamic Monitoring (FlowTrac).
  • Monitoring Pulmonary Artery Pressure and Pulmonary Arterial Occlusion Pressure.
• Administers Ci-Ca (Calcium-Citrate Anticoagulation) CRRT.
• Performs Continuous Renal Replacement Therapy (CRRT).
• Implements Extracorporeal Membrane Oxygenation (ECMO).
• Assists in Intra-aortic Balloon Pump procedures, including:
  • Inserting of Intra-aortic Balloon (IABP).
  • Removing of Intra-aortic Balloon (IABP).
• Conducts Organ Donation and Brain Stem Testing.
• Pacemaker care.
• Performs Plasmapheresis.

Cross Training in PICU (when applicable):

• Performs Advanced Physical Assessment.
• Interprets Arterial Blood Gas (ABG) results.
• Interprets Basic ECG.
• Monitors Arterial Pressure.
• Monitors Central Venous Pressure.
• Operates Bladder Scanner.
• Collects Blood Culture and Samples.
• Cares for Implanted Venous Access Devices (IVAD) in Pediatrics:
  • Accessing Implanted Port.
  • Sampling Blood from Implanted Port.
  • Removing Non-Coring Needle from Implanted Port.
• Cares for Central Venous Access Devices (CVAD) in Pediatrics:
  • Sampling Blood from Central Venous Access Catheter.
  • Flushing and Locking Central Venous Access Catheter.
  • Changing the Dressing on the Central Venous Catheter.
  • Changing Needless Connector and Line Tubing on Central Venous Catheter.
• Prepares Chest Tubes in Pediatrics:
  • Monitors and Caring for the Chest Tube Drainage System.
  • Setting up Chest Tube Drainage System.
• Provides Care for Dying Patients.
• Administers Emergency Medications in Pediatrics.
• Demonstrates Competency in Epidural Management (Programming, Care, and Discontinuation).
• Performs Indwelling Catheterization in Pediatrics:
  • Inserting Foley Catheter in Assigned Female at Birth.
  • Inserting Foley Catheter in Assigned Male at Birth.
• Monitors Intra-Abdominal Pressure.
• Inserts, monitors, and cares for Intracranial Pressure Catheter.
• Uses Ketone Meter.
• Operates Mechanically Ventilated Patients in Pediatrics:
  • Performing Tracheal Suctioning on Intubated Patient.
  • Removing Endotracheal Tube.
  • Intubating with Direct Visualization.
  • Applying Positive Pressure Mechanical Ventilation.
  • Mobilizing Patient Progressively on Mechanical Ventilation.
  • Monitoring and Caring for Patients on Long-Term Mechanical Ventilation.
  • Weaning Patient off Mechanical Ventilation.
  • Utilizing Non-invasive Positive Pressure Ventilation.
• Demonstrates competency in Patient Controlled Analgesia (PCA Pump) in Pediatrics.
• Provides Procedural Sedation as a Non-Anesthesia Nurse.
• Provides Care for Tracheostomy in Pediatrics:
  • Performing Tracheostomy Suctioning.
  • Caring for Tracheostomy Cannula and Stoma.
  • Cleaning Tracheostomy Tube Outer Cannula and Stoma.
• Operates a Defibrillator for:
  • Cardioversion
  • Defibrillation
  • Transcutaneous Pacing

Intermediate and Advanced:

• Performs Advanced Hemodynamic Monitoring, including Minimally Invasive (FlowTrac).
• Implements Continuous Renal Replacement Therapy (CRRT).
• Conducts Organ Donation and Brain Stem Testing.
• Manages Pacemakers.
• Performs Plasmapheresis.

Preceptor's Responsibilities (when applicable):

• Completes the Preceptor workshop and meets the criteria indicators for the preceptor role on the unit.
• Plans, implements and evaluates the individualized competency-based orientation in collaboration with the orientee, nurse manager, and clinical resource nurse.
• Provides appropriate feedback on time to orientee and Nurse Manager.
• Provides objective documentation to the nurse manager utilizing the American Hospital Dubai's established standards of care (Competency List "Green Book and Blue Book").

Qualifications

• Bachelor's degree in nursing (minimum of three (3) years full-time course duration) or
• Degree in Nursing (minimum two (2) years course duration) and Registration as a Registered Nurse from Canada, USA, UK, Ireland, South Africa, New Zealand, and Australia.
• For UAE nationals graduates of UAE or non-UAE universities are exempted from the experience and clinical training requirements for the applied title. (UAE nationals must submit a copy of their birth certificate and the mother's family book).
• Non-UAE national graduates from UAE universities are required to successfully complete six (6) months of clinical training post-graduation in an APS health facility (except for Registered and assistant Nurse titles).
• Must hold a valid License/Registration to practice in their home country and/or country of last employment (where applicable).
• Must hold a minimum of a valid Basic Life Support (BLS) Certification or others according to the scope of practice.

PROFESSIONAL EXPERIENCE:

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