أغسطس 07, 2023900 معلومة متنوعة ومفيدة، حول التغذية الصحية

Job Description          Department: Nursing         Title: ER Head Nurse 

Reports To:

Area Supervisor, House supervisor.

Accountable to:

Area Supervisor, house supervisor, ACNO and CNO.

Job Summary :

Directs nursing service activities in the emergency room and triage room. Delegates responsibilities to auxiliary and emergency room staff nurses; and supervises preparation and maintenance of emergency room and equipments to insure high quality services.

Responsibilities and duties:

·       Insure attendance and the punctuality of nursing staff, according to (HOSPITAL NAME) policy.

·       Make nurses duties and assignments with proper ratio depending of staff knowledge and skills, and according to (HOSPITAL NAME) policy, to provide a high standard of nursing service within the hospital’s policy.

·       Insure Triage of patients in ER according to severity of illness or injury.

·       Delegate competent RN to prepare the triage area on every shift.

·       Supervise the preparation of the Triage Room.

·       Make sure the crash cart is checked on every shift and after each code blue.

·       Replenish medical supplies on the crash cart and Request needed supplies and equipments for unit, and ensure uploading of the supplies to insure effective, efficient use of equipment and materials.

·       Ensure safe protection of medications and narcotics according to (HOSPITAL NAME) policy. And reporting medication error

·       Make sure that all the staff follows the clinical pathways for management of specific emergency situations.

·       Ensure compliance with infection control policies especially regarding blood spillages and sharps.

·       Regulate the flow of staff and visitors in the triage area.

·       Receive, coordinate, and follow up all of orders, diagnostic procedure, science laboratory tests, and investigation needed for the patient, to insure prime quality of patient care and potency of services..

·       Supervise documentation of staff nurses, and insure accuracy of medical record 

·       Coordinate admission, transfers of the patient in and out of the ER  with other departments, to insure continuity of care.

·       Make sure that all examination rooms are kept clean and ready to receive patients.

·       Oversee the effective, efficient use of ER equipment and materials, by Accomplishment of  routine checks, and monitor maintenance of equipment in the ER by sending to  biomedical department

·        Demonstrate good nursing interpersonal relationship & leadership.

·       Make sure all equipment trolleys and stretchers are disinfected and ready for use, according to policy. (I.V. sands as well as examination lamps).

·       All CSSD trays are returned for sterilization on regular basis (used trays should be returned immediately).

·       Make sure that all relevant consent is obtained for Invasive Procedures and Suturing of minor wounds done in ER.

·       Inform relatives in case of emergency surgery and obtain consent from legal guardian in case of unconscious patient.

·       Monitor pain control and sedation protocols in collaboration with the ER medical team.

·       Keep accurate documentation of all clinical interventions and patient events that occur in ER.

·       Make sure ambulances are cleaned according to protocol.

·       Make sure ambulance calls are documented and ambulances are dispatched promptly with the paramedic team.

·       Collaborate with the Paramedic Team in ensuring that all ambulances are adequately stocked with supplies.

·       Participate in specific unit orientation of latest staff within the unit, and learn new clinical follows, to insure safe practice for all nursing staff.

·       Attend monthly leadership committees, and inform workers regarding new problems

·       Investigates and resolves complaints and counseling of staff and refers unusual problems to superior.

·       Conducting team of workers conferences on a month-to-month foundation and hold written minutes

·       Prepare monthly staff schedules, making certain staffing levels and skills combine meet patient care needs.

·       Do conditional and yearly performance appraisal of all workers with the collaboration of nursing education team.

·       Assess learning needs of staff, and planning continuous evaluation in collaboration of education department.

·       Monitor the maintenance program of all medical equipments.

·       Supervises all staff, including non-nursing staff assigned to the unit.

·       Provide guidance to her staff and counseling as required and document same in nursing corrective action form.

·       Assist in strategic designing by providing input particularly in resource planning.

Clinical Governance:

·       Ensure accurate documentation of all patient events and clinical interventions.

·       Audit patient documents prior to transferring patients to the floor or unit, to ensure compliance with clinical pathways.

·       Document and report all variances in expected clinical outcomes.

·       Keep statistics of all the cases seen in ER and review management protocols with the ER manager when necessary.

·       Monitor, investigate and document all sentinel /events as part of Risk Management and Patient Safety Indicators (PSI’s).

·       Have knowledge of the following policies / protocols:

1.    Infection control

2.    Disaster plan.

3.    Code Blue policy.

4.    Fire and safety (Evacuation plan).

Management Responsibilities:

·        Must know the objectives, vision and mission statement of (HOSPITAL NAME).

·       Must strive for excellence in health care delivery through realization of the objectives at unit level.

·       Know and respect the lines of authority according to the nursing organization structure.

·       Direct and supervise unit nurses effectively.

·       Has the authority to delegate her responsibilities to the AHN when not on duty

·       Liaise with clinical instructor in checking staff competencies.

·       Keep training records for all staff.

Qualification :

Professional Requirements:

·       Must be registered with the Egyptian Syndicate of Nurses or Nursing Council or Association in country of origin.

·       Must practice nursing within the scope of practice as determined by the Egyptian Syndicate and International Council o0f Nurses (ICN).

Education:

·       BSN, Technical Institute or Diploma Nurse

·       With 3-5 years experience

Experience:

·       At least 2-3  years experience as Head Nurse or assistant head nurse or charge nurse  in the same area of specialty.

Skills:

·       Good English skills are important.

·       Good communication skills and computer literacy.

·       Ability to liaise and co-ordinate effectively.

·       Critical thinking skills are necessary.

Training:

·       Must attend 50 hrs of mandatory in-service training in a contractual year.

·       Paramedic Certificate an advantage.

·       Must have BLS accreditation, adult and pediatric (ACLKS an advantage).

·       Membership with an organization of International Emergency Nurse Practitioners an advantage.

Communication and Interpersonal Skills:

·       Follow the correct channels of communication consistent with the department structure chart.

          ·       must be capable of speak successfully verbally and in writing.

        ·    Be able to intercede with different members of the Heath Care Team and support services for effective and economical patient care.

          ·       should be innovative and have important thinking skills.

          ·       Always promote good rapport in the unit to maintain teamwork.

          ·       Act as patient advocate and maintain patient confidentiality at all times

Uniform:

As per (HOSPITAL NAME) policy.

No #	Competencies (in addition to basic competencies)
1.	Vital Signs
2.	12 Leads ECG
3.	Narcotic Handling
4.	Blood Glucose Monitoring
5.	Blood Extraction
6.	Blood Transfusion
7.	Arterial Puncture
8.	Obtaining Blood Sample From C-V Line
9.	I.V Cannulation
10.	Central Venous Pressure Readings
11.	Insertion of Nasogastic Tube
12.	Enteral Feeding Via Nasogastic or Gastrostomy Tube
13.	Change Of Dressing
14.	Medication Administration
15.	Suction
16.	Collection of Urine Specimen From Catheter
17.	Leadership Competency

 

I have read and understood my Position Description. I understand that these responsibilities may be modified to meet arising needs in the health care facility. Signature: ___________________________ Date: _______________ Employee Name: ________________________ Employee