UNIT MANAGER, INTENSIVE CARE UNIT (ICU)

GENERAL DESCRIPTION

• The Unit Manager is overall responsible for the direct management of the activities of the designated service. Monitoring and improving standards of care through supervision of nursing practice, clinical audit, teaching and research. Involves in total nursing management out of normal working hours in the hospital when required.

JOB DESCRIPTION

ORGANIZATION AND MANAGEMENT

• Ensure high standard of care is delivered in a safe, effective, efficient and caring manner and organizes, directs and coordinates with the other services in the Facility.
• The organization chart provides a clear representation of the structure.
• Vision and Mission Statements, Goals and Objectives suit the scope of the Nursing Services.
• Works closely with her nursing team, consultants / doctors, collaborates with other services / personnel in overseeing patient care is being delivered for optimal client satisfaction.
• Follows consultants’ ward round with the team leader and assists in procedures.
• Participates in the planning, development and evaluation of nursing facilities and services.
• Updates nursing statistics, performances, activities, improvements and achievements.
• Conducts nursing rounds on all patients in her unit to ensure patient-focused holistic cares are given and to ascertain for other additional needs.
• Holds regular staff meetings to discuss issues or matters pertaining to the operations of the Nursing Services.
• Participates in Head of Service (HOS) meeting chaired by CEO/GM/Operation Manager working towards achieving the same goal.
• Smooth workflow which produces quality nursing care.
• Reporting relationships between staff and organization is clearly delineated and accessible to all.
• They are written and consistent with professional nursing standards, guidelines and relevant legislation.
• The budget and resources are utilized effectively.
• Report submit to the CNO/NM or DCNO/DNM and Management before 5th of every month.
• Maintain standard of nursing care and good rapport with patients.
• Minutes of meeting are kept and accessible to all nursing staff.
• Planning, structured agenda, minutes and resolution are available.
• There is evidence of implementation of the resolution/outcomes from the meeting.
• Participates in hospital clinical committees/Hospital Committee.
• Checks patient’s charges for completeness and charged accordingly.
• Participates in the health education of patients and their families in the ward.
• Patient’s charges are correct and appropriate.

HUMAN RESOURCE AND DEVELOPMENT

• Participates in the recruitment, interviews and selection of staff for the services.
• Participates in structured orientation programmed where new nursing staff are briefed on their services and relevant aspects of the Facility to prepare them for their roles and responsibilities.
• Executes staff development programmed to provide the knowledge and skills required for staff to maintain competency and meet the organizational needs and pursue their personal and professional growth.
• Ensures written and dated job descriptions explained and given to all nursing staff.
• Conducts written evaluation of staff performance at the completion of the probationary period and annually.
• Establishes a mechanism for credentialing and the delineation of privileges for specific procedures for nurses in the respective services.
• Encourages staff to critically examine their nursing practices and continue to pursue education program.
• Coordinates with the In-service Education Unit for clinical training in the services.
• Abide to the requirement of selecting the right person for the right job based on the selection criteria.
• To sustain and maintain competency of the staffs and CPD points achieved for staff.
• Staff performance is monitored; identify strengths and weakness, areas for improvement, learning needs and career pathway.
• Yearly competency and 6 monthly KRA implemented.
• Clear direction of accountability, functions and responsibilities.
• Recommend for confirmation / promotion /post graduate program.
• Staff without specialization is privileged accordingly.
• Maintains record of staff sick leave, notes significant trends in sick leave and prepares sick leaves statistic monthly or annually as required.
• Guides the staff in solving complaints concerning patients, relatives and staff using the appropriate communication channels.
• Counsels staff that habitually violates Hospital Policies and Procedures or not complying with nursing standards and code of ethics before recommending appropriate disciplinary r Staff performance improved and effective manpower utilization.

POLICIES AND PROCEDURES

• Reviews policies and procedures periodically and 3 yearly to ensure they reflect current standards of nursing services and practice, relevant regulations, requirements of statutory authorities, and the purposes of the services.
• Ensures all staff comply to all policies and procedures of the quality and safety systems, e.g. MS ISO 9001:2008, ISO 14001, OHSAS 18001, Patient Safety Goals and National Nursing Audits, and any other quality system that the hospital subscribes to e.g. Malaysian Hospital Accreditation Standards, Joint Commission International Accreditation Standards, HACCP Netherlands, etc.
• Ensures all staffs comply with Prevention and Control of Infection including implementation of surveillance activity in the unit and evidence of involvement.
• Conducts regular checks on DDA and Psychotropic drugs management.
• Maintain high standard of quality care and accordance with accreditation and PHFA.
• Hospital infection rate is being monitored.
• Completeness of nursing documentation on legal aspect.
• Maintain adequate stock and comply with Dangerous Drug Act.

FACILITIES AND EQUIPMENT

• Ensures all staffs maintain records of equipment and inventory for medical supplies and drugs (with Pharmacist’s assistance) and kept in the proper places.
• Ensures emergency trolley is being checked as stipulated policy and audit at regular interval for compliance.
• Ensures all biomedical equipment are calibrated and serviced according to the service contract by working together with the Biomedical person in charge.
• Involves in the Service Budget including purchase of new items.
• Provides on the job training / guidance to new staff including cleaning of medical equipment.
• Adequate stocks of necessary items available in the units.
• Emergency trolley is complete and ready for use in emergency situation.
• Biomedical equipment are functioning well and service according to PPM schedule.
• Nursing services are provided with sufficient supplies and equipment at all times.
• Staff competence to use the equipment, instructions of cleaning are accessible to staff to prevent cross contamination.

SAFETY AND QUALITY IMPROVEMENT ACTIVTIES

• Fully receptive and supportive in the activities that contribute towards continuous improvement of nursing service e.g. Quality Assurance, Infection Control, Fire and Safety Programme.
• Monitors the quality of care / service in designated unit and subsequently initiates action and implementation of the corrective measures.
• Conducts investigation and root cause analysis in any incident in the services, takes appropriate action and ensures completion of incident reports within stipulated time frame.
• Promotes and complies with the Baby Friendly Hospital Initiative, Breastfeeding Policy, etc.
• Compliance to standard and continuous improvement programs of respective services.
• Evidence of systematic data collection, validation and analysis available and accessible to staff.
• Evidence of discussion with staff, corrective and preventive actions has taken place.
  Participates in 5S activities and comply with the specified requirements.
• Ensure all staff adheres to Standard People Practice (SPP) at all times.
• Adopt and practice the Patient Safety Goals as safety improvement measures recommended by World Alliance for Patient Safety (2008).
• Carries out duties as an employee as stipulated in Occupational Safety and Health Act and Regulations 1994:-
• a. To take reasonable care at work for the safety of yourself and other persons;
• b. To co-operate with your employer or any other person in the discharge of any duty;
• c. To wear or use any protective equipment or clothing provided by the employer.
• d. To comply with any instruction or measure on occupational safety and health.

ADDITIONAL DUTIES AND RESPONSIBILITIES IN THE SPECIFIC AREAS

• 1. Trained and certified for BLS/ ACLS.
• 2. Ensures good skill mix in the unit and sufficient number of staff to administer care.
• 3. Privileges all trained staff without post basic, performs core competency assessment yearly and repeat privileging every 3 years.
• 4. Coordinates with anesthetist and consultants for effective bed management.
• 5. Monitors and reports ICU departure from best practices.
• Effective management of Critical Care Services r Staff competence and knowledgeable in the respective area.
• Ensures staff are competent and able to deliver high standard of nursing practices in care of patients (adult, paediatric and neonate):
• Preventive measure has been implemented Mechanical ventilation, Continuous Positive Airway Pressure (CPAP) Intra Aortic Balloon Pump (IABP),
• Continuous Renal Replacement Therapy (CRRT) Pacemaker, Pulmonary Artery Catheter (PAC), Central Venous Line (CVL), Arterial Line Post head injury, open heart surgery, etc.
• Implements and monitor compliance to care bundles, to identify early sign and symptoms of infection.

QUALIFICATIONS REQUIRED

MINIMUM PREFERRED

• Minimum age 28 years and above.
• Registered with Nursing Board of Malaysia with a valid license to practice as a Registered Nurse.
• Post Basic qualification in related field – intensive/coronary care nursing.
• Bachelor of Nursing.

EXPERIENCE REQUIRED

MINIMUM PREFERRED

• Registered Nurse with at least 5 years current post registration experience in critical care nursing and diversity in clinical experience and teaching.
• Able to write and communicate fluently in Bahasa Malaysia and English Language.
• Strong interpersonal and communication skills.
• Willingness to do on-call duty work after office hours/weekends/public holidays when required.
• Microsoft office literacy.

PERSONAL CHARACTERISTICS

• Good leadership, good interpersonal and communication skills, teamwork, good time management and willing to work extra miles for company’s achievement.
• Knowledgeable and strong believer in quality improvement activities, OSH and infection control standards.
• Evidence of current and ongoing education (desirable).