Senior Nurse Clinician

Senior Nurse Clinician - Critical Care**Job Code**:
30001719

**Basic Function**:
Provides wide range of direct and complex nursing care to Critical Care requiring advanced nursing skills. Functions as a preceptor and role model for new hires and other identified staff. Provides clinical assistance to nurses, practical nurses, patient care assistants and nursing interns in the execution of their responsibilities and gives clinical resource support to the charge nurse. Acts as back up charge nurse when oriented.

**Scope**:
Working within Johns Hopkins Aramco Healthcare Nursing & Clinical Services Department in Dhahran, Al Hasa,Udhailiyah, Ras Tanura, and Abqaiq.

The Sr. Nurse Clinician provides complex professional nursing care to the patient using independent nursing judgment within defined programs, protocols, policies, procedures and standing orders. Receives supervision and direction from the Charge Nurse and unit manager. Work is performed on any shift, as required, in the Critical Care Section of the Johns Hopkins Aramco Healthcare (JHAH) facilities.

Work hours are assigned to meet operational needs. Hours may include on call and scheduled overtime.

Direction is through the unit manager.

**Principal Contacts**:
Ongoing with patients and their families home caregivers for assessing, planning, implementing and evaluating the nursing plan of care; with new hire and newly assigned nursing staff for orientation and integration into the nursing unit; routinely with clinicians for carrying out clinician orders, assisting with medical procedures, and reporting changes in the patient's condition and/or needs. ; Ongoing with Charge Nurse for collaborating and reporting.

Occasional public and community contact through communicating policy changes, revisions, and/or introduction of new work rules.

Occasional with other JHAH and outside services.

**Principal Duties**:
1) ASSESSMENT:

- Acts as resource to other staff members during the assessment of complex patient/family needs.
- Assists other staff members in improving their knowledge and skills, giving input when needs are identified.
- Assesses the need for suitable staff development program/s in the assigned clinical area to ensure effective patient care.

2) PLANNING:
Serves as direct care clinical resource in developing, coordinating, and reviewing the patient’s plan of care.

3) IMPLEMENTATION/INTERVENTIONS:

- Provides total, direct nursing care to patients requiring advanced, skilled or complex care.
- Completes specific critical care competencies as identified by supervisor.
- Sets up, monitors and adjusts specialized equipment used on patients such as cardiac monitors, infusion pumps, Continuous Renal Replacement Therapy (CRRT) machines, oxygen delivery devices, mechanical ventilators and Intra-Aortic Balloon Pump (IABP).
- Analyzes, interprets and records electronic displays, such as intracranial pressures, central venous pressures, pulmonary artery pressures, and cardiac rhythms from cardiac monitors, respirators, ventilators, etc.
- Assists clinicians with procedures such as Central line insertions, bronchoscopy, endoscopy, endotracheal intubation, and elective cardioversion.
- Responds to life-saving situations based upon nursing standards and protocol and initiates ACLS protocols.
- Monitors patients for changes in status and indications of conditions such as sepsis or shock and institute appropriate interventions.
- Prioritizes nursing care for assigned critically ill patients based on assessment data and identified needs and plan of care.
- Represents unit or department on committees, special interest groups, and task forces.
- Treats customers (guests, patients, nurses, physicians and other employees) with courtesy, respect and caring behaviors.
- Always answers a patient’s call light/bell even if it is not an assigned patient and always takes the initiative to assist the patient.
- Presents a positive image of JHAH through professional appearance and behavior.
- Maintains confidentiality by choosing the appropriate persons, time and place for patient related discussions.
- Immediately brings abnormal findings to the attention of the Charge Nurse.
- Supports unit culture of quality and safety.
- Assures patient comfort and dignity measures during transport, without exception.
- Frequently checks for and reads all communication/minutes.
- Precepts new hires and nursing interns and mentors nursing staff with identified needs.
- Assists clinicians with the more complex diagnostic and therapeutic procedures.
- Performs procedures requiring advanced competency skills or training in the expanded nursing roles.

**Principal Duties (cont'd)**:
4) EVALUATION:

- Acts as resource to other staff members during the evaluation of complex patient care.
- Evaluates the progress of new hires, nursing interns, and other identified staff and gives input to the charge nurse, supervisor, and/or nursing intern coordinator.

5) PROFESSIONAL EXPECTATIONS: