Neonatal Intensive Care (NICU) Nurse

Skills:
Neonatal Care, Patient Monitoring, NICU, Nursing, IV Cannulation, Medication Administration, Neonatal Assessment,

Position : Staff Nurse - NICU

Reports To : Ward Manager

• Job Purpose
• Provides care for children and adolescents with life threatening or high- acuity conditions that require constant monitoring.
• Responsible to deliver a professional, safe and quality patient care through the nursing process of assessment, planning, implementation and evaluation.
• Responsible for effective communication with patients, relatives and members of the health care team
• Responsible for patient and family satisfaction
• Adhere to all clinical and nursing protocol as per Hospital Policies of Sir H N Reliance Foundation
• Accountabilities
  
  

Key Responsibilities: Service

• Deliver safe and quality nursing care in conformance with the Sir HN RFH policies and processes.
• Ensure patient safety at all times according to hospital policies
• Ensure that patient privacy and confidentiality is duly protected at all times
• Treat patients and their family with courtesy, respect, and caring behavior
• Ensure effective patient care delivery and achievement of desired patient outcomes in collaborate with other professional disciplines
• Ensure nursing quality indicators are within the defined benchmark
• Take immediate action to resolve any issues / complaint / distress expressed in any way by the patient or family within her limits and escalate to higher level
• Receive the patient, check the identification & orient to the unit.
• Perform nursing assessment, identify patient needs and develop appropriate measureable individualized nursing care plan in consultation with Ward Manager
• Management of neonates with ventilator care, central lines, arterial blood gas interpretation, and analysis of lab results
• Respond to life-saving situations, using clinical guidelines and protocols for treatment under supervision of Ward Manager
• Ensure correct implementation of pediatric Drug calculation and Infusion protocol
• Ensure safety of patient by adhering to policies of patient identification, fall prevention, safe medication management and prevention of infection.
• Monitoring and management of patients with cardiac , inotropes and sedation medications, rhythm strip analysis, identifying arrhythmias
• Administers infusion therapy, including: IV fluids, antibiotics, antifungals, antivirals, electrolytes, lipids
• Use effective communication, written and verbal at all levels of staff including the multi-disciplinary team, patients and relatives.
• Monitor patients on regular basis to assess and reassess progress and trends that require interventions and inform Ward Manager
• Assist the Consultants on clinical rounds. Provide medication and nursing care as per the clinical orders
• Coordinate admission, transfer and discharge process ensuring adherence to stipulated timelines
• Ensure that the discharge planning and health education is given as per the protocol with respect to each patient
• Maintain and update accurate documentation in Hospital Information System with respect to assigned clinical responsibilities
• Provide a high tech children service area for critically ill, medically complex and post-surgical patients
• Ensures Infection control practices like Hand hygiene , safe Infusion practices, Care Bundles, proper waste segregation, isolation protocols etc.
• Demonstrate BLS, NRP & NALS skills.
• Monitor vigilantly and identify and report early warning signs
• Demonstrate clinical skills and knowledge in the delivery of patient care. Assists with the insertion or discontinuation of UVC,UAC catheters , and endotracheal tubes, procedures in NICU
• Understand life threatening arrhythmias and to act accordingly.
• Ensures ventilators, monitors and other types of medical equipments functions properly and demonstrate the skill of handling it.
• Administer intravenous fluids, inotropic infusions and other medications competently.
• Demonstrate knowledge of performing different diagnostic test as per physicians order.
• Assists patients in kangaroo mother care.
• Monitors and record patient vital signs and other necessary parameters as frequently as per patients condition.
• Notify any abnormal finding and early warning signs immediately to the physician.
• Document critical parameters and condition of patients in HIS.
• Identify unsafe care practices and contribute to corrective action.
• Adhere to evidence based practices in the clinical area
• Coordinate with support services / functions interdepartmental for investigations, etc
• Attend on call emergency care in case of need
• Participate as per the defined role during any internal / external disaster
• Any other responsibility as assigned by the HOD
• Identify unsafe care practices and contribute to corrective action.
• Actively participate in in service education programs according to the organizational policy
  
  

Key Responsibilities: Growth

• Ensure patient satisfaction is as per the parameters set by the hospital from time to time
• Engage in aligning with the processes, policy, vision & mission of the hospital
• Enhance Patient Care and Patient Relatives experience to make RFH the preferred choice
  
  

Key Responsibilities: Quality

• Ensure Nursing and infection control and other quality indicators are within the defined bench mark
• Actively participate in infection control and prevention activities, campaigns, awareness sessions etc.
• Actively participate and be accountable for implementation of all quality programs to ensure continuous quality improvement
  
  

Key Responsibilities : Finance

• Ensure optimal utilization of available resources ( drugs and consumable )
• Ensure proper utilization of ward stock items and maintain its appropriate charging or stock consumption record
• Ensure safe handling of biomedical equipments and prevent breakages
  
  

Key Responsibilities : People

• Attend all in service Nursing/hospital trainings
• Assist in orientation of new nursing staff and supervise them for safe patient care
• Supervise PCAs / PTAs and ensure patient care
• Ensure effective patient care delivery and achievement of desired patient outcomes in collaboration with other professional disciplines
• Engage in training and educational program for freshers and new joinees to impart the protocols and hospital policies
• Ensure effective communication with the health care team members by ensuring Hands off
  
  

Shift hands off

Interdepartmental transfer

Between the levels of care

Read back and verify Verbal /Telephonic orders/ critical alert reporting. No verbal order to be followed

Key Responsibilities: Innovations and Research

• Identify and suggest new ideas/ feedback to enhance departmental operations and patient care
• Plan and participate in clinical education, research, test medication and clinical tests to advance the practice of nursing as well as academic and teaching activities as required by the hospital.
• Competencies
• Core HNH Values
• Patient First
• Excellence
• Accountability
• Respect
• Teamwork
• Integrity
• Function-specific Competencies (Technical /Functional)
• Patient Orientation
• Effective Communication Skills
• Use of HIS
• Knowledge of organizational and infection control policies and procedures
• Knowledge about JCI and NABH standards
• BLS/ ACLS/ PALS
• Knowledge on Patient Safety Protocols
  
  

The above is a broad outline on competencies required for the role. The competency is/will be defined and assessed separately.

• Experience & Educational Requirements
  
  

Necessary :

EDUCATIONAL QUALIFICATIONS:

• SC Degree in Nursing from a recognized nursing institute.
  
  

Should have Maharashtra council registration

Desirable :

Certifications BLS/ ACLS

Necessary :

RELEVANT EXPERIENCE:

Minimum 1 to 2 years of clinical experience in the relevant area