GEMMALYN A. DANCALAN

Hospital Description

KFSH&RC-J is a 385 bed tertiary care specialist hospital serving the needs of the community in the Western Region of Saudi Arabia. The mission of KFSH&RC-J is to be committed as a leader in promoting health, research, and education for the well-being of patients, staff, and the community.

KFSH&RC-J provides tertiary services to the eligible dependents and their families. KFSH&RC-J opened in 2000 and was accredited by the Joint Commission International (JCI) in 2002, with the most recent successful accreditation in 2021. KFSH&RC-J was accredited for their achievement of Magnet Recognition by the American Nurses Credentialing Center in 2013, and re-accredited in April 2018. KFSH&RC-J was also re-accredited by the Central Board for Accreditation of Healthcare Institutions in February 2022. Baby Friendly Hospital Accreditation in 2021.

Unit Description

The NICU unit is registered for 15 beds, delivering care for Level I up to Level V patient acuity. Patient profile include premature and term neonates from Labor & Delivery and patients that are referred from surrounding hospitals in the western region in the Kingdom of Saudi Arabia for cardiac and general surgery.

Working hours is a number of 44 hours per week, as required.

Job Description

• Provided total patient care as assigned according to the core standards of patient care and established policies and evidence-based practices.
• Assumed accountability for assessing, planning, implementing, and evaluating care as well as discharge planning for each patient.
• Contributed to decreasing length of stay/waiting time as per unit specific goal. Worked in collaboration with Case Management to achieve goals.
• Documented all relevant information correctly, appropriately, and in a timely manner.
• Reported equipment failures, safety, and security issues, and/or reduction of supply inventory to Head Nurse or designee.
• Demonstrated collaborative multi-disciplinary partnerships working towards the achievement of constant improvement in quality patient care.
• Acted as an advocate for patients and families.
• Identified ideas that will improve the quality of patient care and issues that will negatively affect patient care outcomes, using the professional practice framework.
• Promoted a safe environment and safe practice care by embracing a safety culture and identifying areas of risk to Head Nurse or designee. Complied with policies for personal and patient safety and for the prevention of healthcare associated infections.
• Contributed to the achievement of cost efficiency savings on unit. Maintained an awareness of resource utilization, exercised care in ordering and use of staff, equipment, and materials.
• Contributed to the achievement of clinical quality outcome indicators and patient satisfaction. Led unit-based Performance Improvement activities as assigned.
• Participated in new staff/nursing student orientation aimed at developing competence and performance. Assisted in maintaining a suitable learning environment and served as a preceptor/mentor in the supervision and teaching of nursing students and new staff to develop their competence.
• Demonstrated transcultural principles in nursing practice.
• Contributed to special projects/assignments linked to nursing strategic priorities and professional practice model as assigned.
• Assisted in promoting and sharing knowledge via mentorship in line with relevant research and evidence-based practice.
• Participated in self and other's education, training, and development, as applicable.
• Performed other related duties as assigned.

Hospital Description

• Prince Sultan Military Medical City (PSMMC) formerly known as Riyadh Military Hospital is located in Riyadh City, the capital of Saudi Arabia, considered as one of the most advanced center in the Middle East. It is the flagship of the PSMMC Program and the Medical Services Department (MSD) of the Ministry of Defense and Aviation (MODA). PSMMC was officially inaugurated in 1978 and since then, it has grown tremendously with a capacity of about 1500 beds.

Unit Description

• The Neonatal Intensive Care Unit is a tertiary center for babies at the edge of viability. It is composed of 91 beds and subdivided into 3 areas, Intensive Care Unit (Level III) 32 beds, High Dependency Unit 1 (Level II) 25 beds, High Dependency Unit 2 (Level II) 34 beds. It is a very busy and progressively advancing center which provides neonatal care to eligible patients at the Prince Sultan Military Medical City. It also accepts referrals from other hospitals for specialized management from other hospitals. Average admission is about 1000 babies annually.

Job Description

The NICU nurse is responsible for the provision of nursing care that meets competency standards including individual accountability for actions within the scope practices and framework. The NICU Level III nurse handles complex neonatal medical problems.

• Delivered holistic care for infants less than 29 weeks and below 1000 grams.
• Attended high risk deliveries and other emergencies as an autonomous Neonatal Resuscitation Program (NRP) certified, ensuring neonates receive quality, safe, and effective advanced resuscitation.
• Delivered excellent nursing care, monitor and maintain standards of care for neonates with invasive and non-invasive ventilatory support (High Frequency Oscillatory Ventilation, Mechanical Ventilation, Nitric Oxide Therapy, and CPAP).
• Performed nursing care including calculating, administering, documenting and evaluating the effects of drug and fluid therapies in accordance with the policies and procedures.
• Initiated blood transfusions and volume expanders as clinically indicated and ordered.
• Assisted in insertion/withdrawal of umbilical catheters, which require suturing, sampling from indwelling umbilical catheters.
• Assisted in complex clinical procedures such as, Blood Exchange Transfusion, Chest Tube Insertion, Intubation, PICC line insertion, Lumbar Puncture.
• Monitored patients requiring major emergency or elective surgeries for pre-operative and post-operative period.
• Identified and acted on changes in patient condition, making safe and timely decisions.

• Attended to newly admitted neonates and makes initial care plan.
• Responsible for the intermediate and special care of newborns and infants.
• Analyzed and evaluated the effectiveness of care given to infants.
• Ensure that accurate documentation and administrative records are kept.
• Created a welcoming, caring and safe environment for neonates and their families.
• Assisted physicians in administering treatment and in the performance of highly complicated procedures, medical examinations and diagnostic tests.
• Identified the needs and problems of neonates through clinical observation and physical assessment.
• Provided hygiene; rendered baby bath and physical comfort measures.
• Administered medication, carries out treatment and procedures.
• Provided special care like supplemental oxygen, specialized feeding, and phototherapy.
• Protected patients and employees by adhering to infection-control policies and protocols, medication administration, and storage procedures, and controlled substance regulations.
• Administered drugs and blood products competently as per doctor’s order.
• Reported adverse reactions to medications and other treatments.
• Provided nutritional assessment and specialized feedings both enteral and intravenous.
• Monitored vital signs and initiate corrective action whenever the patients display adverse symptoms, communicate patient’s condition to care team.

• Focused on medical needs of infants, children and young adults.
• Performed administrative duties including keeping file records about each patient, medical history, prescriptions, order and maintain supplies, keep inventory for medicine and medical equipment.
• Performed medical tests and collect samples to send for further tests.
• Carried out medical treatments and procedures.
• Administered vaccines, injections, fluid therapy, and first aid.
• Administered medication via different routes and skills per provider's requests.
• Cleaned and sterilized medical equipment.
• Worked closely with providers and other staff members, professional and non-professional and also ancillary staff within the hospital.