Staff Nurse-OPD Surgical- ENT Clinic

Sheikh Shakhbout Medical City

Assessment and Diagnosis: Collects and analyzes assessment data to determine diagnosis/issues:

• Assesses comprehensive data including but not limited to physical, psychosocial, emotional, cognitive, and spiritual needs and interprets assessment information to derive the diagnosis or issues as defined by the patient's condition.
• Uses evidence-based assessment techniques and instruments in collecting data and validates the diagnosis or issue with the patient, family and healthcare team members as appropriate.
• Prioritizes the data and information collected based on patient's immediate condition or anticipated needs and identifies potential risks or barriers to the patient's health or safety.
• Documents the data and information collected in compliance with established guidelines and reflective of the needs of the patient.

Planning and Outcomes Identification: Identifies expected outcomes and develops a plan that address health promotion, health restoration and health maintenance to attain expected outcomes.

• Involves patient, family and healthcare team members in formulating a culturally appropriate individualized plan of care.
• Applies evidence-based nursing practices in developing the individualized plan of care to attain expected outcomes and continuity of care.
• Modifies the individualized plan of care according to the ongoing assessment and reevaluation of the patient's response, status, and outcome indicators.
• Documents the expected outcomes as measurable goals in a manner that uses standardized language or recognized terminology.

• Evaluates own nursing practice in relation to professional practice standards and guidelines, rules and regulations.
• Considers factors related to effectiveness, cost, environmental health, and impact on practice and organization.
• Utilizes current resources related to standards of care, policies and procedures, and patient needs.
• Navigates and utilizes electronic resources for information retrieval, communication, and documentation.
• Evaluates factors related to patient safety, effectiveness, availability, and cost when determining practice options.
• Promotes a practice environment that reduces environmental health risks for staff.
• Communicates environmental health risks and exposure reduction strategies to healthcare consumers, families, colleagues, and communities.
• Demonstrates a commitment to continuous learning and education for self and others and mentors healthcare team members for the advancement of nursing practices, the profession, and quality healthcare.
• Oversees and responds to all levels of emergencies according to the organizations policies and procedures.