Clinical Nurse - PICU/ Quality

Job Summary:

The Clinical Nurse is responsible for competently providing safe and effective direct care. The Clinical Nurse assesses care needs, plans, implements and evaluates programs of care to include patients and families.  The Clinical Nurse is responsible for ensuring that all duties are carried out to the highest possible standard, aligned to Sidra Standards of Practice.
The Clinical Nurse participates in the supervision, orientation and training of staff and is responsible for education of patients, families and students.  The Clinical Nurse is professionally accountable to the Chief Nursing Officer.

Population Summary:

Population: Neonate, infant, toddler, pre-school age, school age, adolescent, young adults

Care environment: Comprehensive Care and management of assigned population with a variety of medical diagnoses in an acute care environment.

QUALIFICATIONS, EXPERIENCE AND SKILLS – SELECTION CRITERIA

Education:

Essential:

• Bachelor Degree in Nursing (4 years) 
• Registered Nurse

 PREFERRED:  Post graduate certificate in specialty if applicable in country of origin

Experience:

2+ years of recent clinical nursing experience within the relevant specialty from a highly esteemed healthcare institution

Certification And Licensure:

Essential:

• Valid professional Nursing license in country of origin 
• Meets licensing requirements of the State of Qatar

Key Competencies:

Competencies to be assessed in the Pediatric ICU/CICU, these competencies include but are not limited to:

• Growth and development, birth - adult 
• Head-to-toe assessment
• Recognition of the unwell child
• Cardiorespiratory monitoring
• Hemodynamic monitoring
• IV fluid management
• Specimen collection
• Care planning
• Medication preparation and administration
• Nutritional requirements and enteral feeding, including parenteral nutrition
• Pain assessment and management
• Risk screening and management
• Wound assessment and management
• Management of central venous access devices
• Airway management, including Tracheostomies and Endotracheal tubes
• Non-Invasive ventilation support
• Low flow Oxygen therapy
• High flow oxygen therapy
• CPAP
• BiPAP
• Invasive mechanical ventilation
• Vasoactive medication preparation and administration
• Management of chest drains
• Care and transport of a mechanically ventilated patient, including internal transfers and via ambulance
• Capillary blood sampling
• Care of the post-operative surgical patient

Quality & Patient Safety:

• Participates in audits and tracer activities related to divisional and organizational patient safety priorities, aggregates and disseminates data related to these audits.
• Participates in activities related to the culture of safety survey including but not limited to pre-survey preparation, survey execution and post-survey action planning.
• Assures continual accreditation readiness across the service through the pro-active assessment and monitoring, ensuring follow up and closure of outstanding issues.
• Participates in Environment of Care rounds ensures follow up and closure of issues within remit.
• Maintains knowledge of other regulatory standards including JCI and MOPH.
• Supports and encourages submission of patient safety learning reports from frontline staff.
• Works in collaboration with the Quality and Patient Safety Department to coordinate cause analyses of patient safety events and assures implementation of resulting actions plans.
• Facilitates improvement initiatives as identified by leadership, tracks and trends departmental data
• Actively participates in department KPI’s.
• Has a deep understanding of NDNQI and leads projects related to improving NSI’s 
• Performs other duties as assigned

The PICU/CICU CN will be expected to work toward achieving the following advanced competencies:

• Care of the hemodynamically unstable patient
• Care of the patient with DKA
• Care of the patient with an external ventricular drain and intracranial pressure monitoring
• Care of the patient with temporary epicardial pacing wires and external pacing
• Cardiac surgery, pre- and post-operative intensive care, including adult congenital cardiac defect
• Care of the patient receiving inhaled Nitric Oxide
• Care of the patient with raised intracranial pressure
• Care of the acute trauma patient
• Care of the patient with an open chest, including emergency chest open procedures. 
• Care of the patient receiving: CRRT, peritoneal dialysis, ECMO

Job Specific Skills And Abilities:

• Effective communication skills
• Excellent team player
• Motivated and enthusiastic
• Proficiency with Microsoft Office suite
• Fluency in written and spoken English

Key Role Accountabilities:

Professionalism and Ethical Practice

• Practices within the DHP Scope of Practice according to licensure within the State of Qatar
• Provides total individualized patient care and assumes responsibility and accountability for assessing, planning, implementing and evaluating care, discharge planning for each patient.
• Ensures timely documentation of care, discharge planning and family education aligned to Sidra standards of documentation
• Demonstrates critical thinking skills by problem solving appropriately during patient care
• Independently initiates escalation of issues following the chain of command, utilizing resources as needed 
• Independently maintains licensure and regulatory requirements (e.g. life support certifications and CPD requirements)
• Meets requirements of organizational, profession and departmental/role specific orientation competencies
• Role model’s appearance and behaviors that promote a positive image of nursing 
• Adheres to time and attendance requirements
• Participates in new staff/student orientation, assists in maintaining a suitable learning environment and acts as a preceptor/mentor in the supervision and teaching of new staff/students to develop their competence.
• Actively participates and/or contributes the Shared Leadership structure to promote and embed Shared Leadership 
• Assumes responsibility for own professional development through lifelong learning to ensure continued competence and performance improvement

Patient and Family Centered Care

• Provides holistic, patient and family centered care based on evidence and best practice
• Anticipates and responds to patient and family care requirements
• Evaluates learning needs of patient and/or family and provides patient and family education
• Maintains confidentiality at all times

Teamwork And Collaboration

• Treats colleagues, patients, and visitors with dignity and respect at all times 
• Promotes and maintains effective communication and teamwork
• Demonstrates collaborative and respectful behavior 
• Contributes to a positive work environment

Evidence Based Practice

• Adheres to Sidra’s Nursing and Midwifery Standards of Practice
• Ensures care is based on best evidence 
• Incorporates credible critically appraised evidence into nursing practice and when initiating change

Quality Improvement

• Identify ways to improve services through quality improvement initiatives
• Participates in quality improvement initiatives and measure outcomes
• Contributes effective use of resources and identifies any opportunities for efficiency

Safety

• Acknowledges own limitations in knowledge, judgment and/or skills, and functions within those limitations.
• Seeks resolution in knowledge and competency gaps to ensure patient safety is maintained at all times
• Demonstrates consistent and reliable use of technology and standardized practices that support safety and quality 
• Communicates observations or concerns related to hazards and errors to patients, families and the healthcare team
• Uses organizational error reporting systems for near miss and event reporting
• Demonstrates effective use of strategies to reduce risk of harm to self or others
• Assumes responsibility and accountability for own clinical decision, delegation and provides supervision to team members according to their  competence and scope of practice

Informatics

• Accurately, concisely and appropriately documents care, interventions and outcomes in a timely manner
• Practices contemporaneous documentation, ensuring entries into the medical record are recorded and signed in real time
• Utilizes data from the patient record to make decisions and responds appropriately to clinical decision-making supports and alerts
• Protects confidentiality of protected health information in electronic health records
• Follows all Hospital related policies and procedures. 
• Performs other related duties as assigned.
• Adheres to Sidra’s standards as they appear in the Code of Conduct and Conflict of Interest policies
• Adheres to and promotes Sidra’s Values

This job description forms the basis of the requirements for the role. The incumbent may be required to undertake specific assigned tasks relevant to their area of work and are additionally required to demonstrate competencies specific to the post as outlined in the Job Description Addendum.

Sidra Medicine a healthy population is essential to a strong, prosperous society, and throughout 2020, Sidra continued to provide uninterrupted comprehensive specialist healthcare services for children and young people; and exceptional maternity, gynecology, and reproductive medical services for women, previously unavailable in Qatar and the region.” – H.H Sheikha Moza bint Nasser, Chairperson of Qatar Foundation  Sidra Medicine represents the vision of Her Highness Sheikha Moza bint Nasser who serves as its Chairperson. This high-tech facility is home to world-class patient care, scientific expertise, and educational resources.