From Aug 2008 to October 2011, Registered nurse level 1 - in NICU (neonatal intensive care unit) at King Faisal specialist hospital & research centre, Riyadh, Saudi Arabia.
Brief description of hospital:
No. of hospital beds: 894. This is a major teaching, referral, research centre and a tertiary hospital in the country. It has earned a reputation as an international centre of excellence in patient care. Ongoing works to achieve as one of the magnet hospital. It provides hospital, community and home based services including alcohol/drugs services covering their population and serves in- service educational programmes for hospital staffs.
Description of the unit:
No. of unit beds: 29. NICU 19 beds for high acquity level 3 babies and 10 beds for Step down babies. NICU can provide respiratory support with ventilator to19 actually ill babies. Population varies from extreme premature 23 weeks of gestations weighing 350 grams to term babies requiring numerous life support care. It provides Nitric oxide and High Frequency ventilation/HFOV through a highly trained staffs.
Duties / Responsibilities: Full time work 44 hours per week. Responsible for provision of comprehensive individualize care, nurse - patient ratio in NICU 1:2 on ventilator & Step down 1: 3 involves assessment, decision making, planning, implementation and evaluation. Maintaining patient safety at all times within legislation guidelines and policies, giving in-service education on relevant topics, attending neonatal resuscitation in high-risk labor and deliveries, caesarean section and a member of the clinical quality outcome indicators.
Assist with all the procedures in regard to e.g insertion of chest tubes, central venous line, UAC, UVC, radial artery, Exchange blood transfusion, Intubation and extubation, Lumbar puncture and ascites taps.
Care of babies with ventilation and High frequency oscillation/ventilation with nitric oxide and with tracheotomy. Care of chest / thoracotomy tubes, central lines UAC and UVC. Blood sampling from Central lines, UAC, UVC, Venus puncture and capillary heel prick. Inserting and maintaining peripheral intravenous cannulation.
Medication administration via Central lines UAC, UVC and peripheral lines. Administration of blood and blood products, insulin drip, Narcotic drip e.g morphine, fentanyl and prostaglandin E1 drip, Digoxin, Dopamine, dobutamine drip and intravenous nutritional fluid/TPN.
Assessment of nutritional fluid and calories requirement, system assessment like cardiac, respiratory, neurological, renal, gastrointestinal, Integumentary and physical findings. Minimal handling techniques, in bed scale insertion of oral/naso gastric tubes, gastrostomy tube feed and care, care of colostomy/ileostomy. Practice of advanced life support Neonatal Resuscitation as indicated and parent teaching if appropriate.
Cases Handled:
Respiratory problems: Respiratory distress syndrome, Birth asphyxia, Meconeum aspiration, diaphragmatic hernia, Transient Tachypnea, Pneumothorax, hydrops fetalis, pulmonary interstitial emphysema, Very low birth weight and low for gestational age 24-26 weeks infant, Intra uterine growth retardation, Tracheoesophageal fistula, Traceomalacia, Choanal atresia, apnea of prematurity, Pierre robin syndrome, down syndrome and with tracheotomy.
Cardiac problems: Multiple Congenital cardiac anomalies, ASD, VSD, pulmonary atresia, Patent ductal arteriosus. Pre and Post cardiac catheterization, Transposition of great vessels, Coarctation of the aorta, Truncus arteriosus, hypo plastic left heart syndrome, cyanotic heart disease, Persistent pulmonary hypertension, heart block, complex heart disease, bradycardia.
Gastro intestinal problems: Necrotizing enterocolitis, Hirshprung disease, Colostomy or ileostomy, pre and postoperative omphalocele/gastrochisis.
Hematology problems: Rh/ABO incompatibilities, Rh isoimmunisation with intra uterine transfusion, Hyperbilirubinemia, non immune hydrops fetalis, Cholestatic Jaundice, and thrombocytopenia.
Neurological problems: Perinatal asphyxia, Neonatal seizures, Hydrocephalus and post VP shunt, metabolic problems e.g hypo/hyperglycemia, Infants of diabetic mothers, inborn error of metabolism, hyperkalemia, meningomyelocel and imperforated anus.
Metabolic problems: Pyruvit cycle deficiency, Methyl syrup uric acid deficiency, Very long chain fatty acid deficiency, Lactic acid deficiency.
Genetic Problems: Trisomy 13 and 18
Orthopedic problems: Casts, Rickets.
Oncology problems: Cystic hygroma.
Other problems: Sepsis, fetal macrosomia, ascites, ambigus genitalia, cleft pallet/cleft lips
Duration of position:
- Job role:
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Medical, Healthcare, and Nursing