STAFF NURSE 1/SHIFT IN CHARGE
KING FAHAD MEDICAL CITY
Total des années d'expérience :12 years, 1 Mois
SHIFT IN CHARGE
o Oversees and supervises nurses in the unit and ensures that sufficient care is provided to patients.
o Provides instruction/guidance of emergency nursing procedures and direct nursing care activities maintaining high standard of practice in the unit in accordance with Nursing policies and procedures.
o Encourages nurses to critically examine their practice, and participate in assessing, evaluating and developing emergency nursing standards of care and nursing departmental procedure.
o Facilitates plans for admission and patient care, including direct teaching for patient's family with complex and emergency nursing care, and coordinates effective discharge planning from the point of admission or when planning admissions for emergency patients.
o Applies optimal coordination of patient critical care with effective interdisciplinary and interdepartmental collaboration.
o Determines nursing priorities and plan patient care according to staff availability, and report to the Head Nurse when changes affecting standards of care occur.
o Minimizes risk and maintains safety in the workplace in line with policy and ensures that all accidents/incidents are reported to the Head Nurse and documented.
o Ensures an effective hand-over of all duties and required information at shift change.
o Prepares unit statistics, makes assignments for the ER nursing staff based on the skills of individual nurses and number of patients needing emergency treatments.
TRIAGE NURSE - using the Canadian Triage Acuity Scale (CTAS)
o Understands triage and prioritizes injuries based on medical needs
o Makes quick and accurate assessments about incoming patients, including both physical and mental health conditions.
o Identifies the medical problem
o Documents medical history
o Checks for any allergies and current medications
o Obtains height, weight, body temperature, heart rate and blood pressure
o Assess patients with the most acute symptoms and are responsible for getting patients in the worst condition access to care, triage patients so that cases are prioritized for the medical staff and cases requiring urgent care are seen first.
o Carries out all the administrative duties of accurate recordkeeping and monitoring.
CRITICAL CARE and TRAUMA NURSE
o Rapid response nurse in critical care area
o Responds to cardiac arrests and trauma activations
o Competent and ready to perform effective CPR
o Handle medical life threatening emergencies resulting from events such as strokes, cardiac arrest, car accidents, stabbings, head injuries, poison ingestion, drug overdose, sexual assaults and burns.
o Initiates difficult intravenous starts, troubleshoots peripherally inserted central catheter lines and other vascular access devices.
o Assists during conscious sedations, and serves as a clinical recourse to staff and administration.
o Serves in multiple roles when trauma activation is called, depend upon patient condition, staff availability, and intervention requirement during the resuscitation.
o Extra hand for everything, from running blood draws to the laboratory, setting up the rapid fluid equipment.
o Ensures the patient’s family is accompanied to a quiet room.
o Carries out and documents patient care and treatment of ventilated or critically ill patient.
o Understands the use of emergency drugs, can explain the rationale for their use, and aware of the dosages and of any significant problems and adverse effects likely to be encountered.
Coordinates total nursing care for patients and participates in patient/family teaching.
•Provides leadership by working cooperatively with nursing staff and other patient team personnel to maintain standards of professional nursing practice in the clinical setting.
•Responsible for providing competent and appropriate Outpatient/ER services when and where assigned. Assures the provision of Outpatient and ER services and functions by assisting and acting as back-up to other Nursing staff as needed, sharing extra duties and overtime as assigned.
•Triage all patients for basic vital signs, main complaints and purpose of visit and review charts for recent visits, chronic problems, recent and outstanding laboratory studies, and other information that would facilitate prompt and complete care.
•Work with medical providers to assure the smooth flow of patients through examination rooms, laboratory and x-ray testing, pharmacy, medical records and any other activities involved in the outpatient visit. This would include assistance in arranging referrals and follow-ups, location of test results, the placing of phone calls and the handling of clinical patient care correspondence as needed.