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Job Details

SIDRA4934 - Clinical Nurse Specialist -Rheumatology

Department: Rheumatology Div
Division: Medical Services Dept
Contract Type: Full Time
Closing Date: 01-Sep-2019
Organizational Profile:

Sidra Medicine is a state of the art academic medical center that will function to the level of the highest international standards. Its clinical focus is on the specialty care of women and children.

Sidra’s Vision is: “Sidra Medicine will be a beacon of learning, discovery and exceptional care, ranked among the top medical centers in the world”.

Achieving this vision will encompass three essential activities:

World Class: Patient and Family Centered Care Health Education Biomedical Discovery

DEPARTMENT/SERVICE PROFILE:

Our family centered-friendly environment is a 399 bed state of the art facility serving Qatari, non-Qatari and international women and children and their families. Sidra Medicine is committed to providing the best possible healthcare service for Qatar, and is therefore committed to building an expert workforce to provide the highest quality of evidenced based care.

Our interprofessional teams work collaboratively to secure wellness optimizing patient/family outcomes to contribute to Sidra’s reputation as a high reliability organization. Clinical research focused on education, quality improvements and a culture of patient and family safety are used to inform and guide best practice standards.

JOB SUMMARY: The Clinical Nurse Specialist - Rheumatology is a trained and experienced nurse who is an integral member of the Pediatric Rheumatology multidisciplinary team and clinical practice, and who will be contribute to state of the art patient care delivery.  The incumbent coordinates and develops patient care, and educates families with children who have chronic rheumatic diseases requiring long-term medication and care.  The incumbent will serve as a focal point for the patients to help facilitate all their care needs across the Sidra medical system and outside the medical system. S/he is a clinician who has high level critical thinking, team player and works independently to synthesize current principles and concepts in pediatric rheumatology to solve complex problems.
KEY ROLE ACCOUNTABILITIES:
    • Makes recommendations to the Division Chief regarding decisions that have a unit/service impact

    • Makes day to day decisions regarding unit operations that impact staff

    • Makes recommendations for strategies to improve the nurturing environment for staff

    • Makes decisions about care pathways and service provision to ensure the highest clinical outcomes for patients  

    • High level supervision of clinic flow and smooth operation of clinics in coordination with the CNL, nursing staff and scheduling staff regarding urgent new patient add-ons, ED consults and follow up patients

    • Provides patient and family teaching related to clinical diagnosis, medications use and adherence in the outpatient setting

    • In office teaching of subcutaneous injections to be done at home, common side effects, and individual care plan making to include: when to hold medications and call physician/nurse, what to do for fevers in an immunosuppressed patient etc.  Injection teaching of Methotrexate, Etanercept, Adalimumab, Abatacept, Anakinra, Canakinumab etc.

    • Follow-up phone calls with patients regarding medication adherence, adverse effects and trouble shooting.

    • Takes patient phone calls regarding concerns about illnesses, medications side effects, refills, etc.

    • Follow up calls for lab and diagnostic results, simple to complex diagnosis discussions and education based on experience and needed supervision determined by physician

    • Responds to patient and family inquiries regarding changes in the patient condition from parent phone calls regarding inpatient, emergency and outpatient visits.    Follow up with the attending physician

    • Initiates and coordinates assessments, responds to patient, family and health care member’s inquiries, providing anticipatory guidance, and liaises with other support diagnostic/health services in coordinating patient referrals

    • Communicates with allied health professionals (social worker, PT, OT and dieticians) to provide background and facilitate care

    • Provides patient/family support by ensuring they receive information regarding appropriate and available community health and educational resources

    • Initiates the development of patient friendly resources

    • Collaborates with the health care team and patient/family in developing the plan of care

    • Alert and update the physicians with any concerns

    • Communicates with infusion (OPIC) nurses about patient no shows, medication renewals and new medications in discussion with physician

    • Communicates with capacity/bed management and patient on elective inpatient admissions

    • Assists with in clinic procedure preparation of medications, syringes, needles and specimens for joint injections in non-sedated patients done in the clinic.  Education on care post procedure and anticipation of potential problems

    • Demonstrates expert clinical knowledge and skills for the specialized patient group

    • Requires to be with the physicians and patients in the room to learn about patient and diagnosis

    • Requires to function as an advanced level practitioner for less complicated follow up cases such as patients with stable juvenile arthritis and stable auto inflammatory diseases

    • Participates in regular patient care conferences to facilitate more efficient use of resources, suggest best practices to reduce length of stay and provide greater patient and family satisfaction

    • Refers to other medical specialties when necessary for optimal patient and family care

    • Educates the patient/family and other members of the health care team regarding the diagnosis, care plan, and education provided to the patient and family

    • Liaises and works within an inter-professional practice team to ensure high quality, holistic, and safe family centered care

    • Empowers patients/families to make informed choices and attain self-management capabilities by providing them with information, support and directing to the relevant clinical services when appropriate

    • Documents all relevant information correctly, appropriately and in a timely manner

    Inpatient Duties

    • When assigned, rounds with inpatient Rheumatology team and meets with patient and families during inpatient admissions to facilitate care

    • Provides patient and family teaching related to clinical diagnosis, medications use and adherence in the outpatient setting

    • Assumes accountability for assessing, planning, implementing and evaluating patient/family needs along with guiding/assisting the Social Worker and patient care team with the discharge planning for identified patients

    • Evaluates the length of stay of the patient with the Rheumatology team and ensures appropriateness of services provided in order to effectively achieve safe and comprehensive discharge

    • Provides total individualized patient care according to the core standards of patient care, established policies and procedures and evidence based practices

    Schedule Injections with Sedation:

    • Assists with communications and orders between rheumatology physicians, anesthesiology, SPU and interventional radiology for outpatient joint injections that require sedation 

    Research and Quality

    • Participates with development and programmatic support to achieve division Quality Improvement goals and metrics

    • Collaborates and initiates projects with the multidisciplinary team on research-oriented opportunities

    • Collaborates to gather and utilize data to produce results / indicators to facilitate continual performance improvement, and service improvement activities by clinicians

    • Produces reports and data as required to document and monitor patient responses to interventions and education

    • Demonstrates an understanding of evidence-based healthcare methodology and its’ ability to positively impact patient outcomes

    • Evaluates and ensures that clinical documentation, nursing diagnoses and plans of care are integrated and effective in delivering an individual plan of care

    • Observes clinical care standards provided by staff and encourages self-reflection and peer supervision to improve patient outcomes

    • Utilizes a professional practice framework and evidence based care, by identifying improvements while minimizing risks to provide optimal care for our patients and families

    • Promotes an environment of safe patient care by identifying areas of risk and reporting them to the clinical team

    • Applies problem solving techniques and evidence based solutions to unit/clinic/service related issues. Evaluates and ensures appropriate escalation of issues to meet patient/family/staff needs and resolve conflicts

    • Ensures relevant clinical information is communicated to all staff effectively and efficiently

    • Consults with unit leadership to resolve issues relating to Rheumatology patients and communicates effectively to maintain positive working relationships and achieve desired outcomes

    • Promotes patient satisfaction as a team member by demonstration of extraordinary service

    • Participates in the continued development, implementation, and evaluation of Sidra Policy and Procedures to align with international best practices

    • Promotes and shares knowledge via mentorship/preceptorship programs in line with relevant research and evidence based practice aimed at developing competence and performance  

    • Actively participates in patient and nursing education programs

    • Develops and sustains (maintains) own knowledge, clinical skills (mandatory training) and professional (portfolio or profile) awareness and maintains a professional profile.  Provides documented evidence of performance and maintenance of skills consistent with position

    • Assists in maintaining a suitable learning environment and acts as a preceptor/mentor in for new staff in the Rheumatology clinics to develop their competence

    • Performs other related duties as assigned

    • Maintains confidentiality of patients at all times

    • Adheres to Sidra’s standards as they appear in the Code of Conduct and Conflict of Interest policies

    • Adheres to and promotes Sidra’s Values

    In view of the evolving needs and opportunities within Sidra, this position may be required to perform other duties as assigned and reporting relationships may vary.

    QUALIFICATIONS, EXPERIENCE AND SKILLS:

     

    ESSENTIAL

    PREFERRED

    Education

    • Master’s Degree in Nursing or equivalent
    • Registered Nurse


    Experience

    •  Master’s Degree in Nursing or equivalent
    • 4+years of recent clinical nursing experience including 2+ years of leadership experience in specialty area
               

     

     

    Certification and Licensure

    • Valid professional nursing license in country of origin           
    • Meets licensing requirements of the State of Qatar

    Job Specific Skills and Abilities

    • Effective problem solving skills

    • Demonstrated ability to develop effective relationships with internal stakeholders

    • Demonstrated ability to deescalate conflict situations

    • Leading on clinical practice and service quality.

    • Excellent organization and communication skills, both verbal and written

    • Bilingual Arabic and English

    • Proficiency with Microsoft Office suite

    Sidra’s Organizational Values:
    • Trust: Being competent; acting consistently, reliably and predictably; acting with honesty and integrity; respecting patient, employee and commercial confidentiality; delivering on commitments
    • Care: Acting with empathy, kindness and compassion; being humble; listening and responding; acting with cultural sensitivity; Caring for patients and staff
    • Teamwork: Sharing information and knowledge and learning from demonstrated expertise; being respectful, and thereby earning respect of others; acting with professionalism; leading and following; collaborating and being accessible
    • Transparency: Frequent and honest communication; open access to information for decision making; willingly acknowledge shortcomings; speaking up about concerns; publishing performance indicators
    • Innovation: Freedom to innovate; welcoming ideas and encouraging creativity; supporting talent; creating confidence; celebrating successes
    • Efficiency: Providing measurable value; using data to drive decision making; having and achieving clear goals; building processes that work; continuously improving outcomes in patient and family care
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