ICU Nurse

Position Title: ICU Nurse
Department: Intensive Care Unit
Reports To: Nurse Unit Manager / Nursing Supervisor
Location: Naoero Medical Centre, Republic of Naoero

Position Purpose
To provide safe, evidence-based and compassionate nursing care to critically ill patients in the Intensive Care Unit. The ICU Nurse is responsible for continuous patient assessment, monitoring, clinical intervention, documentation and coordination of care in accordance with NMC policies, clinical protocols and professional standards.

Key Responsibilities
• Provide comprehensive nursing care to critically ill and unstable patients.
• Conduct and document regular patient assessments, including neurological, cardiovascular, respiratory and haemodynamic assessments.
• Continuously monitor vital signs, cardiac rhythms, oxygen saturation and other relevant clinical parameters.
• Recognise and promptly escalate deterioration or changes in patient condition.
• Administer medications, intravenous therapies, blood products and other treatments as prescribed.
• Safely manage IV lines, central lines, arterial lines, urinary catheters, drains and other invasive devices within scope of practice.
• Assist with airway management, intubation, ventilation and resuscitation procedures as required.
• Monitor patients receiving mechanical ventilation and promptly report abnormal findings.
• Maintain accurate and timely clinical documentation and nursing care plans.
• Participate in emergency response and Code Blue/resuscitation activities.
• Assist doctors and other clinical staff with procedures and interventions.
• Maintain strict infection prevention and control practices.
• Ensure ICU equipment is clean, functional and appropriately maintained.
• Check emergency equipment, medication stocks and resuscitation equipment as required.
• Provide education and support to patients and their families.
• Participate in multidisciplinary clinical handovers and case discussions.
• Participate in clinical audits, quality improvement and incident reporting.
• Support junior nurses and other staff through supervision and clinical guidance.
• Maintain professional competence through continuing education and mandatory training.
• Comply with NMC policies, Code of Conduct, confidentiality requirements and applicable professional standards.

Qualifications & Experience
• Registered Nurse with current professional registration/license.
• Relevant nursing qualification.
• Previous experience in ICU, critical care, emergency or high-acuity nursing preferred.
• Current Basic Life Support certification; Advanced Life Support certification preferred.
• Demonstrated ability to manage acutely deteriorating patients.

Key Competencies
• Critical thinking and clinical judgement.
• Emergency response.
• Patient assessment and monitoring.
• Medication and IV therapy management.
• Effective communication.
• Accurate documentation.
• Teamwork and multidisciplinary collaboration.
• Ability to remain calm under pressure.
• Patient-centred care.

Key Performance Indicators
• Compliance with ICU clinical protocols and documentation standards.
• Accurate and timely patient observations and escalation.
• Medication administration and safety compliance.
• Infection prevention compliance.
• Completion of mandatory clinical competencies.
• Participation in audits, training and quality improvement.
• Patient safety and incident reporting compliance.