Clinical Nurse, Karen Executive Clinic at Aga Khan University Hospital

Responsibilities:

• Complete head to toe assessment and re-assessment of patients to identify their care needs.
• Asses and systematically collects any data related to patient health status and works in collaboration with the care team to develop the plan of care.
• Executes nursing interventions by collaborating with the multidisciplinary team incorporating appropriate standards of care, practice and patient outcomes.
• Provides care that is safe, ethical, patient- and family- centered, culturally congruent and evidence based.
• Evaluates patient’s responses to plan of care and works in collaboration with the multidisciplinary team to make any needed adjustment
• Utilizes data to continuously meet care coordination needs across settings in conjunction with the patient
• Document nursing assessment and interventions accurately and on timely basis to reflect comprehensive and integrated approach to patient care and patient experience
• Identifies learning needs of the patient and families and educates them by adapting to patient and family learning style utilizing the teach-back method.
• Acts as patient advocates, ensuring privacy, dignity and confidentiality are met
• Complete or be working towards any outreach nursing competency frameworks within a time frame agreed with the clinic team leader and with the support of a named preceptor
• Ensure all near-misses are monitored and documented.
• Develop written care plans based on patients’ needs, monitor and evaluate effectiveness of interventions.
• Carry out hemodynamic monitoring to include vital signs, neurological and fluid status; labs results interpretations.
• Document all assessment data, investigation results, care given, discussions with the multidisciplinary team, family/patient interactions in an accurate, comprehensive and timely manner.
• Administer medication safely, monitor patient responses to medication and report adverse reactions promptly.
• Dispose of clinical and non-clinical waste safely in accordance with Aga khan University Hospital Guidelines on waste management.
• Prepare for and assist physicians to perform various procedures in the clinic.
• Be able to perform EST and spirometry.
• Maintain adequate airway management to include oxygen therapy, nebulization and suctioning.
• Perform pain assessment and initiate analgesia as per protocol.
• Promptly report both clinical and non-clinical unusual findings/incidences to the Clinic in charge, Nurse Manager or Operations Manager.
• Identify patient and family education needs and implement appropriate teaching.  
• Provide safe environment for patients through adherence to infection control practices and other safety policies, and perform timely safety checks on restraints, examination coaches, oxygen source and other medical equipment in the clinic.
• Be accountable for judicious and efficient use of resources i.e. accurate and timely billing of clinic stock drugs and consumables.
• Care for equipment through proper cleaning, storage, per shift check of the inventory and timely reporting and follow up of non-functional equipment to the operations manager.
• Follow discharge procedure of the outpatients according to hospital protocol and ensure follow up appointments are made where needed.
• Ensure safe and prompt patient referral/transfer as per institution policy.
• Participate in clinic-based nursing education, quality improvement (QI) projects, audits, spot checks and skill checks.

Requirements:

• Registered Nurse from a recognized school of nursing or University
• Current licensure with the Nursing Council of Kenya
• Certification in Basic Life Support (BLS)
• Minimum requirement of 3 years’ continuous clinical experience in medical surgical Nursing.
• Demonstrate evidence-based knowledge of the current practices in general nursing in an outpatient set up
• Demonstrate leadership skills.