Registered Nurse - Pediatric IP

Overview

Responsibilities

• Registered Nurse will:
• Be responsible for providing and coordinating patient care, educating patients and the public about various health conditions, and providing advice and emotional support to patients and their family members.
• Assess and identify patients' needs and implement and monitor the patient's medical plan and treatment. They will work with a team of physicians and other health care specialists or allied health in various settings.
• Perform systematic patient assessment, re-assessment and collect pertinent data about the patient’s health or situation.
• Understand and analyse the assessment information and data.
• Determine actual and potential nursing diagnoses, problems, and issues.
• Define the predicted and expected outcomes of the patient’s planned care.
• Create and evaluate patient care plans with the inter-professional team, in collaboration with the patient and patient's bystanders.
• Record vital signs, recognize, address and escalate all abnormalities.
• Maintain and update technical and clinical skills related to nursing practice.
• Employ strategies to promote patients’ health and a safe environment.
• Understand different diagnostic tests and laboratory examinations.
• Perform essential life support as per regulatory requirements and scope such as but not limited to Basic Life Support, Pediatric Advanced Life Support, Advanced Cardiac Life Support, Neonatal Resuscitation etc.
• Prepare patients for medical examination and treatment.
• Administer medications and monitor patients for any side effects and reactions.
• Administer treatments such as IV fluids or blood products and monitor patients for any reactions.
• Provide wound care management.
• Assist in medical procedures invasive or non-invasive as needed.
• Facilitate the process of safe patient`s admission, transfer and discharge.

Emergency Department-Specific Responsibilities

• Perform rapid triage and prioritization of patients based on Canadian Triage and Acuity Scale (CTAS) triage system
• Initiate emergency protocols and interventions for critical patients (e.g., Code blue management, MI Management, stroke management, trauma activation, sepsis protocol).
• Manage multiple patients simultaneously in a fast-paced, high-stress environment.
• Administer and monitor emergency medications, including high-alert drugs, according to protocols.
• Perform specialized emergency procedures such as wound suturing assistance, splinting, airway management support, and assisting with chest tube insertion.
• Recognize and manage life-threatening emergencies such as cardiac arrest, respiratory distress, sepsis, trauma, and stroke.
• Assess, prioritize, and manage paediatric emergencies, recognizing age-specific physiological and psychological differences; provide appropriate interventions such as paediatric airway management, fluid resuscitation, and medication dosing based on weight.
• Support and manage maternity emergencies, including triaging obstetric patients, recognizing signs of obstetric complications (e.g., eclampsia, preterm labor, postpartum haemorrhage), and assisting in emergency childbirth and neonatal resuscitation.
• Collaborate with EMS (Emergency Medical Services) during patient handovers and participate in ambulance offloads as needed.
• Prepare and maintain emergency carts and ensure all emergency equipment is functional and readily available.
• Ensure infection prevention practices are followed during high-risk procedures and during care of infectious patients.
• Provide emotional support and crisis intervention to patients and families in acute situations.
• Participate in disaster response drills and mass casualty incidents as per hospital emergency preparedness plans.
• Communicate effectively with multidisciplinary teams during emergencies using closed-loop communication.
• Plan and execute appropriate patient disposition from the Emergency Department, including admission, transfer, discharge, or referral according to patient condition and hospital policy.
• Conduct thorough and structured handover communication using standardized tools (e.g., SBAR – Situation, Background, Assessment, Recommendation) to ensure continuity of care when transferring patient responsibility.
• Safely shift patients from the Emergency Department to other departments, ensuring proper monitoring, documentation, and verbal/written communication during transitions of care.
• Provide patient and family education related to diagnosis, treatments, discharge instructions, follow-up care, and recognition of warning signs, ensuring understanding and encouraging patient engagement in their care.
• Document care promptly, accurately, and thoroughly in emergency settings.