ROLES AND RESPONSIBILITIES:

 A. Direct patient care:

·       Report to the Supervisor/In-charge 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 doctor’s rounds & follow the orders.

·       Follow specific PICU/NICU policies & guidelines.

·       Get clean the equipment’s 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 criteria’s.

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

·       Monitor patient’s 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 co-operation.

·       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 detail-oriented 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 Patient’s IV Line frequently to prevent extravasations/ infiltration etc.

·       To strictly adhere to implementation of buddle care check during the care such as  CLABSI, 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 of  medical equipment used in the PICU/ NICU  such as: ventilators, High Flow Oxygen, Incubators  Resuscitation equipment for the new-born at birth  Photo therapy unit  Pulse oximeter  C-PAP 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 to undergo specific courses on NALS & PALS

D. Medication Management

·       Indent the medication as per the written order.

·       Check patient’s 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 chart immediately 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.