Responsibilities:
Complete assessment and re-assessment of patients to identify their care needs
Develop written care plans based on patients changing needs, monitor and evaluate effectiveness of interventions
Initiate cardiac monitoring both room and central, be able to interpret monitor trends and communicate critical changes to the physician and Nurse manager
Carry out other hemodynamic monitoring to include CVP, UVCs, lab, radiological and ABG evaluations
Document all assessment data, investigation results, care given, discussions with the multidisciplinary team, family/patient interactions in an accurate, comprehensive and timely manner
Prepare for and assist the physician in emergency procedures necessary for prompt control of patient’s condition e.g. intubation, insertion of invasive lines, drains and administration of surfactant.
Initiate mechanical ventilation (invasive and non-invasive) based on physician orders,
Assess patient’s readiness for weaning and implement the weaning and extubation protocols
Maintain adequate airway management to include oxygen therapy, nebulization and suctioning
Perform pain assessment and initiate analgesia as per protocol
Be able to perform peritoneal dialysis and care for a patient on the same as instructed.
Accurately administer all medication as per the treatment order sheet and in line with MMU guidelines
Identify patient and family education needs and implement appropriate teaching
Be able to commence enteral, oral and gastric feeds as prescribed, assess absorption and elimination and give feedback as appropriate
Be able to recognize a patient in a pre- arrest or arrest states, and to activate Emergency Response
Team and actively participate in the resuscitation of the patient
Provide safe environment for patients through adherence to infection control practices and other
safety policies, and perform timely safety checks on incubators, IV pumps, oxygen source, ventilators and cardiac monitors
Be able to care for children undergoing exchange transfusion
Be accountable for judicious and efficient use of resources i.e. accurate and timely billing of ward stock drugs and consumables
Care for equipment through proper cleaning, storage, per shift check of the inventory and timely
reporting and follow up of non-functional equipment to the nurse manager
Participate in unit based nursing education, quality improvement (QI) projects, audits, spot checks and skill checks
Assist in other related Paediatrics Units in time of low census
Any other assignment that is deemed appropriate for this level.
Requirements:
RN from a recognized school of nursing or University
Current licensure with the Nursing Council of Kenya
Certification in Basic Life Support (BLS)
European Paediatrics Life Support (EPLS)
Demonstrate evidence based knowledge of current practices in Medical-Surgical nursing
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