Staff Nurse (NICU)

Ä Adherence to Nursing Clinical standards:

- Oriented to the NICU routine, equipment and type of neonates.

- Outstation Neonate Retrieval by Ambulance: provide nursing care through the retrieval, accompanies and assists.

- Complete the Nursing Assessment Guide within 15 minutes of neonate admission.

- Ensures the neonate is comfortable, implements safety measures for vulnerable neonates as per the policy.

- Ensures safety and security of neonates by following safety measures.

- Neonate condition updates to be shared twice a day with parents; change in condition to be informed immediately; provide comfort and emotional strength to parents.

- Review the doctors notes and the drug chart on admission and implement action as required.

- Prepares nursing care plans and render professional bedside nursing care.

- Ensure investigation slips are raised.

- Ensure all investigations are carried out as advised by the doctor, reports available on time for doctors perusal and further advice.

- Raise pharmacy indents, check on receipt, and stock in the bedside locker and medication trolley.

- Specific responsibility towards neonate physical needs:

- Feeding

- Position

- Medication dosage and calculation according to weight and body surface

- Monitor neonates on incubator and ventilator and inform abnormal findings.

- Responsible for checking and recording daily weight.

- Responsible for monitoring and maintaining normal oxygen saturation level.

- Administer on time medications and therapies.

- Check and record vital signs legibly and promptly.

- Assists the doctors in special procedures, dressings and rounds.

For the following procedures, ensure properly set procedure trolleys.

• Venopuncture
• Endotracheal intubation
• Catheterization of umbilical artery and vein
• Peripheral I.V. and arterial line insertion
• ICD insertion
• Lumbar puncture

- Assists the doctors in the management of the asphyxiated neonate, including resuscitation and stabilization.

- Coordinate procurement of blood and blood products for transfusion. Any reactions must be reported to treating consultant, IC & NS immediately.

- Completes the preoperative checklist before sending the neonate to operation theatre.

- Completes the transfer formalities as per the In-house Transfer Policy.

- Does not take verbal orders from Doctors except in emergency, to be followed by a written order before end of shift.

- Does not take verbal orders for diet unless urgent; to be followed up with written order.

- Knowledge on gestational age assessment, special problems of the premature, post-mature, small for gestational age, large for gestational age neonate.

- Follows universal precaution as per the unit protocol.

- Aware of the APGAR scoring performed.

- Trained in NALS & NRP.

- Handles with care and knowledge all gadgets used in neonate care.

- Have thorough knowledge on I.V. fluid and drug calculation.

- Administer drugs according to ‘Drug Administration Policy.’

- While administering high risk medicines, counter checked by a second nurse for the ’10 Medication Rights’ and complete documentation policy.

- Implement the policy for ‘Medications brought by patient’.

- Observe the neonate to ensure safe medication, no adverse reactions.

- Any errors in medication, adverse reaction or nursing intervention to be brought immediately to the notice of the In-Charge NICU and NS. In case of ADR, the respective form to be filled.

- To implement the following measures : Barrier Nursing, Neonate and Self Safety, Neonate Death protocol.

- Implement protocols of Infection control, hand washing, medications, narcotic policy, ICU, personal valuables, etc.

- Handle waste segregation and disposal as per the policy.

- Maintain personal, neonate and environmental hygiene.

- To be aware of NABH & NE standards and implement the same.

- Aware of neonate rights and preserve the same.

- Maintains confidentiality of neonate information: medical and personal; avoids any violation by ensuring no discussion of neonate identifiable information in non-secure areas.

- Provide health education to the mother and attendants on breastfeeding, additional feeding, safety measures, and effect of medication.

- To encourage, educate and assist mothers in breastfeeding.

- To prepare additional feed with strict aseptic technique as per the doctor’s written instruction.

- Ensure visitors follow Aseptic protocol when visiting NICU.

- Follow aseptic protocols when reporting for work in NICU; adhere to NICU attire policy.

- Maintains the medical and nursing records of neonates as per the institutional requirements.

- At discharge, obtain signature from the parents (father or mother) at the time of handing over baby.

- To carefully pack and hand over the body of the deceased; obtain signature from the parents (father or mother) at the time of handing over; assist with death certificate and other related documents.

Ä Fulfilling the Service Vision & Inter-department Coordination:

- Is well-groomed as per standard; maintains discipline and decorum.

- Responsible for the implementation of the Service Vision – ensures personalized care while delivering service.

- Coordinates with support departments to ensure patient and attendants are comfortable and services are as per standard.

- Maintains a cordial interpersonal relationship with all colleagues.

- Co-ordinates with IP coordinator, Billing team and related departments regarding timely admissions, discharges and billing activities of the patients.

Assists with the functioning of the NICU

Ä Adherence to Nursing Clinical standards:

- Oriented to the NICU routine, equipment and type of neonates.

- Outstation Neonate Retrieval by Ambulance: provide nursing care through the retrieval, accompanies and assists.

- Complete the Nursing Assessment Guide within 15 minutes of neonate admission.

- Ensures the neonate is comfortable, implements safety measures for vulnerable neonates as per the policy.

- Ensures safety and security of neonates by following safety measures.

- Neonate condition updates to be shared twice a day with parents; change in condition to be informed immediately; provide comfort and emotional strength to parents.

- Review the doctor’s notes and the drug chart on admission and implement action as required.

- Prepares nursing care plans and render professional bedside nursing care.

- Ensure investigation slips are raised.

- Ensure all investigations are carried out as advised by the doctor, reports available on time for doctor’s perusal and further advice.

- Raise pharmacy indents, check on receipt, and stock in the bedside locker and medication trolley.

- Specific responsibility towards neonate physical needs:

- Feeding

- Position

- Medication dosage and calculation according to weight and body surface

- Monitor neonates on incubator and ventilator and inform abnormal findings.

- Responsible for checking and recording daily weight.

- Responsible for monitoring and maintaining normal oxygen saturation level.

- Administer on time medications and therapies.

- Check and record vital signs legibly and promptly.

- Assists the doctors in special procedures, dressings and rounds.

For the following procedures, ensure properly set procedure trolleys.

• Venopuncture
• Endotracheal intubation
• Catheterization of umbilical artery and vein
• Peripheral I.V. and arterial line insertion
• ICD insertion
• Lumbar puncture

- Assists the doctors in the management of the asphyxiated neonate, including resuscitation and stabilization.

- Coordinate procurement of blood and blood products for transfusion. Any reactions must be reported to treating consultant, IC & NS immediately.

- Completes the preoperative checklist before sending the neonate to operation theatre.

- Completes the transfer formalities as per the In-house Transfer Policy.

- Does not take verbal orders from Doctors except in emergency, to be followed by a written order before end of shift.

- Does not take verbal orders for diet unless urgent; to be followed up with written order.

- Knowledge on gestational age assessment, special problems of the premature, post-mature, small for gestational age, large for gestational age neonate.

- Follows universal precaution as per the unit protocol.

- Aware of the APGAR scoring performed.

- Trained in NALS & NRP.

- Handles with care and knowledge all gadgets used in neonate care.

- Have thorough knowledge on I.V. fluid and drug calculation.

- Administer drugs according to ‘Drug Administration Policy.’

- While administering high risk medicines, counter checked by a second nurse for the ’10 Medication Rights’ and complete documentation policy.

- Implement the policy for ‘Medications brought by patient’.

- Observe the neonate to ensure safe medication, no adverse reactions.

- Any errors in medication, adverse reaction or nursing intervention to be brought immediately to the notice of the In-Charge NICU and NS. In case of ADR, the respective form to be filled.

- To implement the following measures : Barrier Nursing, Neonate and Self Safety, Neonate Death protocol.

- Implement protocols of Infection control, hand washing, medications, narcotic policy, ICU, personal valuables, etc.

- Handle waste segregation and disposal as per the policy.

- Maintain personal, neonate and environmental hygiene.

- To be aware of NABH & NE standards and implement the same.

- Aware of neonate rights and preserve the same.

- Maintains confidentiality of neonate information: medical and personal; avoids any violation by ensuring no discussion of neonate identifiable information in non-secure areas.

- Provide health education to the mother and attendants on breastfeeding, additional feeding, safety measures, and effect of medication.

- To encourage, educate and assist mothers in breastfeeding.

- To prepare additional feed with strict aseptic technique as per the doctor’s written instruction.

- Ensure visitors follow Aseptic protocol when visiting NICU.

- Follow aseptic protocols when reporting for work in NICU; adhere to NICU attire policy.

- Maintains the medical and nursing records of neonates as per the institutional requirements.

- At discharge, obtain signature from the parents (father or mother) at the time of handing over baby.

- To carefully pack and hand over the body of the deceased; obtain signature from the parents (father or mother) at the time of handing over; assist with death certificate and other related documents.

Ä Fulfilling the Service Vision & Inter-department Coordination:

- Is well-groomed as per standard; maintains discipline and decorum.

- Responsible for the implementation of the Service Vision – ensures personalized care while delivering service.

- Coordinates with support departments to ensure patient and attendants are comfortable and services are as per standard.

- Maintains a cordial interpersonal relationship with all colleagues.

- Co-ordinates with IP coordinator, Billing team and related departments regarding timely admissions, discharges and billing activities of the patients.

- Coordinates and works closely with LDR, OT, Wards Pharmacy & Lab.

Ä Ward Management:

- Ensures no misuse or wastage of material, contributes to cost control.

- Assists with Inventory management.

- Takes over and hands over accurately at change of shifts.

- Assists with accurate data collection for Quality Indicators.

- Willingly accepts additional tasks, deployment based on operational requirement.

Ä Personal Development:

- Attend in-service programs and trainings to enhance knowledge.

- Ensures is up to date with latest protocols and practices.