Pediatric Intensive Care Nurse

ROLES AND RESPONSIBILITIES:

A. Direct patient care:

Report to the Supervisor/Incharge on duty.

Be punctual for the duties.

Complete special assignments like Inventory checking dressing trolley maintenance crash cart inventory etc.

Take handover from the previous shift check and take over the instruments and equipment.

Attend doctors rounds & follow the orders.

Follow specific PICU/NICU policies & guidelines.

Get clean the equipments as per hospital policy.

Up on admission / Transfer in of patients ensure readiness of unit receive the patient and make him / her comfortable.

Nurses should know the protocol on admission / discharge criterias.

Pediatric nurse must have the knowledge & skill on Initial assessment / re assessment policies.

Monitor patients vitals such as blood pressure heart rate and breathing and initiative action on an immediate basis.

Meet the personal hygiene of the patients including bathing care of mouth back nails hair etc.

Ensure effective communicate with doctors & other team members.

Nurses should have the knowledge on types of pediatric medications dosage calculation etc.

Pediatric nurse are expected to have a thorough knowledge about nonverbal signs of pain and recognizing its intensity by using appropriate pain assessment tools.

Provide calming influence to children.

Ensure close observation and individualized care based on the assessment & implement the care.

Ensure Care of pressures points as needed

Ensure to use appropriate diversionary therapy be friendly to eliminate fear & to get better cooperation.

Ensure Critical Thinking: Nurses must rely on critical thinking skills to quickly assess situations involving newborns.

Ensure to respond immediately to emergencies and deteriorating situations. Nurses must remain ever vigilant observant and detailoriented to offer the best care to their tiny patients.

Be Empathetic and Understanding to patients and relatives.

Respond quickly to emergencies codes.

All staff should know about all emergency codes & policies.

B. Infection control Practices

Ensure the cleanliness of unit & patient premises at all times.

Infection control protocols to be carried out like Proper Hand hygiene wearing PPE appropriately Use of hand sanitizer before & after touching the patients & proper biomedical waste segregation standards restricted entries to the sterile areas of NICU/ PICU.

Attend HIC training sessions & update the knowledge.

Mention date and time of insertion of tubes & catheters.

Assess Patients IV Line frequently to prevent extravasations/ infiltration etc.

To strictly adhere to implementation of buddle care check during the care such asCLABSI CAUTI VAP etc.

C. Training & Development :

Attend 6 10 hours of CNE training sessions every month.

Attend departmental hands on training.

Attend specialize training session on Child abduction policy (Code pink) and all other emergency codes.

Ensure to attend training on age specific competency and skills.

Nurses should have knowledge & skill on usage of all types ofmedical equipment used in the PICU/ NICUsuch as:ventilators High Flow Oxygen Incubators Resuscitation equipment for the newborn at birth Photo therapy unit Pulse oximeter CPAP device Infant Warmer Cyclometer etc.

Ensure to attend NICU/ PICU specialization trainings as per the schedule.

Be proactive to clarify doubts to senior nurses supervisors Nurse educator etc. if there is any clarification required about the doctors orders procedures medication orders etc.

Take initiative to do case study presentations as per the assignment given by the educator.

Attend regular workshops/ CNE sessions related to IV Cannulations of paediatrics & Neonates.

Nurses should undergo IV calculation training for Pediatric / Newborn babies.

Pediatric nurses should know about immunization standards.

Need toundergo specificcourses on NALS & PALS

D.Medication Management

Indent the medication as per the written order.

Check patients case file and give medication

Right drug

Right dose

Right patient

Right time

Right route

Right to refuse

Right assessment

Right Education

Right Evaluation

Right drug documentation

Enter in the medication chartimmediately after administering the drug and observe for any reaction

Telephonic orders can be taken only at the time of emergency & it must be confirmed by another staff nurse or duty doctor and documented in the verbal order form and get it signed by consultant within 24hrs.

Blood & blood products to have double check before transfusion.

GENERAL COMPETENCIES

Job competence.

Critical thinking.

Job knowledge job skills and quality and safety consciousness.

Commitment & initiative Empathy.

Initiative punctuality & learning adherence to work ethics.

Interpersonal relations. Team work effective communication positive & empathetic attitude.