Staff Nurse - OT & ICU

Role & responsibilities

Key responsibilities (all grades) Patient assessment and monitoring • Receive critically ill patients from ER, OT, wards or other hospitals; complete admission assessment and set up the bedside. • Monitor continuously: ECG, SpO2, invasive and non-invasive BP, CVP, EtCO2, temperature, GCS and pupils, hourly intakeoutput. • Interpret monitor trends, ABG results and alarms; recognise deterioration and escalate immediately to the intensivist. • Perform head-to-toe assessment each shift and record sedation, pain, delirium and early warning scores. Life support and procedures • Care for ventilated patients: circuit checks, ETT/tracheostomy care, closed suctioning, cuff pressure, prone positioning as directed. • Assist in intubation, central line and arterial line insertion, bronchoscopy, chest drain insertion and bedside procedures. • Manage arterial lines, central lines, chest drains, Ryle's tube, catheters and wound drains. • Operate infusion and syringe pumps, defibrillator, ventilator, CRRT/dialysis machines and other ICU equipment as per competency. • Respond to Code Blue; perform BLS/ACLS as part of the resuscitation team. Medication and fluids • Prepare and administer high-alert drugs: inotropes, vasopressors, sedatives, insulin, heparin, electrolytes, with independent double-checks. • Titrate infusions within protocol and doctor's orders; maintain accurate drug calculations. • Administer blood and blood products and monitor for reactions. Documentation and communication • Maintain the ICU flow sheet, care bundles and nursing notes in the HIS/EMR. • Give structured bedside handover (ISBAR) every shift. • Update families regularly within nursing scope; support them during end-of-life care. • Coordinate safe transfers to CT/MRI, OT and wards with a transport checklist. Safety and infection control • Follow VAP, CLABSI, CAUTI and pressure-injury prevention bundles. • Maintain strict hand hygiene, isolation precautions and biomedical waste segregation. • Follow patient-identification, restraint, fall-prevention and alarm-management policies. • Report incidents, near-misses, adverse drug events and device-related injuries. • Check crash cart, ventilators, suction and oxygen supply every shift; maintain narcotic registers.