Staff Nurse, Tower D5- Medical Intensive Care Unit MICU

The Staff Nurse is accountable for the coordination of nursing care, including direct patient care, patient/family education and transitions of care. The Staff Nurse supports professional nursing practice across the continuum of care to meet the needs of the patient and family. The Staff Nurse will understand, support and promote the mission, vision and values of SSMC; provides age-appropriate patient care according to the Nursing Scope of Practice as defined by the regulatory body. The Staff Nurse will adhere to and promote the Professional Nurses Code of Conduct for Abu Dhabi and UAE.

• Demonstrates competence with the care, assessment and management of patients in multi-organ failure including the prevention of complications.
• Demonstrates competence with the care and assessment of patients in sepsis and septic shock, and multi-organ failure including the prevention of complications.
• Implements the sepsis pathway with the multidisciplinary team and demonstrates knowledge in the nurses' role within this pathway.
• Demonstrates knowledge and competence with the care and management of ventilated patients including the prevention of complications.
• Demonstrates knowledge on invasive hemodynamic monitoring.
• Demonstrates knowledge on the medications indications, contra-indications, effect and side effects, i:
  e inotropic support, vasopressors and sedation.
• Demonstrates knowledge and competence with the care and management of patients requiring CRRT including the prevention of complications.
• Demonstrates knowledge and competence of the prevention of Ventilator Associated Pneumonia (VAP) and is consistently compliant with VAP bundles.
• Demonstrates knowledge and competence of the prevention of Central Line Associated Blood Stream Infections (CLABSI) and is consistently compliant with CLABSI bundles.
• Demonstrates competence in administering intravenous fluids and medications as per Physicians order.
• Monitor patients' fluid intake and output to detect emerging problems such as fluid and electrolyte imbalances.
• Monitor all aspects of patient care, including diet, physical activity and wound care.
• Assist physicians with procedures such as bronchoscopy, endoscopy, endotracheal intubation, and elective cardioversion.
• Ensure that equipment or devices are properly disinfected and stored after use.
• Collaborating with the MDT critical care team.
• Assess patients' pain levels and sedation requirements.
• Prioritize nursing care for assigned critically ill patients based on assessment data and identified needs.
• Providing education and support to patient families.

Responsibilities

• Assessment and Diagnosis:
  Collects and analyzes assessment data to determine diagnosis/issues:
  
• Assesses comprehensive data including but not limited to physical, psychosocial, emotional, cognitive, and spiritual needs and interprets assessment information to derive the diagnosis or issues as defined by the patient's condition.
• Uses evidence-based assessment techniques and instruments in collecting data and validates the diagnosis or issue with the patient, family and healthcare team members as appropriate.
• Prioritizes the data and information collected based on patient's immediate condition or anticipated needs and identifies potential risks or barriers to the patient's health or safety.
• Documents the data and information collected in compliance with established guidelines and reflective of the needs of the patient.
• Planning and Outcomes Identification:
  Identifies expected outcomes and develops a plan that address health promotion, health restoration and health maintenance to attain expected outcomes.
• Involves patient, family and healthcare team members in formulating a culturally appropriate individualized plan of care.
• Applies evidence-based nursing practices in developing the individualized plan of care to attain expected outcomes and continuity of care.
• Modifies the individualized plan of care according to the ongoing assessment and reevaluation of the patient's response, status, and outcome indicators.
• Documents the expected outcomes as measurable goals in a manner that uses standardized language or recognized terminology.
• Implementation and Coordination of Care Delivery:
  
• Implements the plan of care in partnership with the patient, family and healthcare team members in a timely manner utilizing evidence-based interventions and treatments specific to the needs of the patient.
• Performs treatments and procedures according to established procedural guidelines and protocols.
• Administers medications according to organization policies and procedures.
• Ensures that all components of the individualized plan of care, including modifications, are documented in the patient's health record.
• Communicates relevant information across all levels of care and organizations.
• Demonstrates a working knowledge of resource consumption and practices within a cost-effective framework.
• Health teaching and health promotion:
  
• Utilizes teaching strategies appropriate to the individual patient's condition and learning needs.
• Uses health promotion to support patients and families in developing skills that promote, maintain, or restore healthy lifestyles and self-management support.
• Seeks opportunities for feedback and evaluation of the effectiveness of the strategies used, including teach back.
• Ensures that all components of the health education, relevant to the clinical condition, is documented in the patient health record.
• Evaluation:
  Evaluates progress toward attainment of outcomes.
• Evaluates the patient/family's understanding of and response to the plan of care.
• Utilizes systematic and ongoing assessment data to revise nursing diagnoses, outcomes, and the plan of care.
• Involves the patient, family and healthcare team members in the evaluation process.
• Provides a comprehensive clinical handover/report as required to ensure patient safety.
• Attends patient care rounds, communicates, and updates the attending healthcare provider on changes in the patient's condition.
• Communicates with the patient care team about ongoing changes in patient's plan of care and unit activity.
• Documents the reassessment of patient status; patient and family participation and understanding; and the rationale for any revision in the plan of care.
• Evidence-based Practice and Research:
  Integrates evidence and research findings into practice.
• Utilizes current evidence-based nursing knowledge, including research findings, to guide and evaluate practice.
• Participates in evidence-based and research activities at various levels appropriate to the nurse's level of education and position.
• Shares evidence-based and research findings with healthcare team members.
• Participates in performance improvement projects for the evaluation and improvement of clinical practice.
• Leadership:
  Demonstrates leadership behaviors in practice settings, across the profession, and in the community.
• Functions as a professional role model promotin.