Subi John

To assess, plan, implement and evaluate care of patients, incorporating the standards and philosophy of the ward and evidence
based research.
⯑ Organize method of care delivery within the ward/department, allocating, prioritizing and delegating effectively. This includes
responding to capacity and patient dependency requirements.
⯑ To act as a resource person to others providing information to junior staff,
multidisciplinary team (MDT) members, patients and relatives.
⯑ To maintain accurate and comprehensive records of patient care.
⯑ To participate in setting/monitoring/auditing agreed standards of care within the ward.
⯑ To ensure that patients/relatives individual needs are met in a courteous, helpful and compassionate way.
⯑ To maintain positive relationships with other nursing units and hospital departments.
⯑ To organize and prioritize own workload, identifying and responding to the changing
prioritize within the clinical environment.
⯑ To demonstrate a professional approach to leadership and management of staff.
⯑ To provide clinical support and advice to junior members of staff.
⯑ To participate in the development of research based practice.
⯑ To act as a facilitator for change within the ward environment.
⯑ To work closely with medical colleagues, providing them with professional nursing expertise and input.
⯑ To ensure the maintenance of the control of drugs and that health and safety legislation is adhered to.
⯑ To demonstrate personal and professional continuous development of knowledge and skills.
⯑ To promote and maintain good working relationships within the ward and demonstrate effective communication.
⯑ To be responsible for the day to day running of the ward in the absence of the ward manager.
⯑ Promote effective communication within the nursing team, to patients, carers, visitors, members of the multi-disciplinary team and
external agencies. Receiving and reporting sensitive information, as appropriate taking into account rules of confidentiality
⯑ Using professional judgement ensure optimal bed usage/patient through put at all times, facilitating timely admission and
discharge of patients.
⯑ Manage a defined group of patients, frequently taking overall responsibility for management and co-ordination of the ward.
⯑ Supervise junior staff throughout a shift, prioritising and delegating as appropriate
⯑ Use reflective practice to enhance development of self and others.
⯑ To assist and support all grades of staff with their professional and personal
development by helping to set and monitor objectives.
⯑ To act as an assessor/mentor in the evaluation of the practical and clinical work of
learners.
⯑ To have site of the mandatory training and appraisal rates for the ward team and assist the ward manager in maintaining those
rates above 90%.
⯑ To attend all required mandatory training and remain up to date.

• Provide a high standard of individualised care to all patients, maintaining their privacy and dignity at all times.
• Adhere to the NMC Code of Professional Conduct and comply with Trust policies, procedures, and guidelines.
• Communicate effectively and work collaboratively as part of a multidisciplinary team with other healthcare providers.
• Support the Senior Sister/Charge Nurse in maintaining and developing high standards of patient care.
• Manage a designated group of patients and take charge of the ward/clinical area when required.
• Be accountable for personal practice and the delegation of care to junior colleagues, support workers, and students.
• Maintain infection prevention and control practices at all times.
• Undertake mandatory training and ensure all relevant clinical and professional updates are completed.
• Actively participate in professional development and learning opportunities to enhance skills and knowledge.

• Provide a high standard of individualised care to all patients, maintaining their privacy, dignity, and confidentiality at all times.
• Work in accordance with the NMC Code of Professional Conduct, and comply with all Trust policies, procedures, and guidelines.
• Communicate effectively and work collaboratively as part of a multidisciplinary healthcare team.
• Support the Senior Sister/Charge Nurse in maintaining and developing high standards of patient care.
• Take responsibility for the management of a group of patients and act as nurse-in-charge of the ward/clinical area when required.
• Be accountable for own professional practice, including the delegation of care to junior colleagues, healthcare support workers, and students.
• Ensure strict compliance with infection prevention and control practices in all clinical activities.
• Undertake mandatory training and keep up to date with relevant professional development requirements.
• Actively engage in continuing professional development (CPD) and take advantage of opportunities for learning and skill enhancement.

Continuing Education & Training:

• Conduct comprehensive head-to-toe physical assessments and social assessments of patients upon admission.
• Initiate and manage cardiac monitoring, oxygen therapy (invasive and non-invasive), blood pressure monitoring (invasive and non-invasive), and pulse oximetry.
• Evaluate and manage invasive lines and drainage systems; assist in the insertion of invasive lines and drains, ensuring their ongoing care.
• Handle and administer narcotics and medications safely, with accurate dose calculations and up-to-date pharmacological knowledge.
• Provide routine patient care, including bed baths, regular repositioning, oral and eye care (every 2 hours), and tracheal suctioning of intubated/tracheostomised patients using aseptic techniques.
• Perform arterial and central line blood collection; obtain and interpret readings from pulmonary catheters (both wedged and non-wedged); interpret monitor trends.
• Competent in the use of critical care equipment including:
  Ventilators, NIV machines, cardiac monitors, infusion pumps, syringe pumps, feeding pumps, CRRT, ABG machine, IABP, ECMO, temporary pacemaker, suction apparatus, glucometer, warming/cooling blankets, nebuliser, incentive spirometer, and defibrillator.
• Interpretation of arterial blood gases (ABGs).
• Follow strict infection prevention and control protocols, including use of PPE, aseptic technique, and proper disposal of contaminated waste.
• Respond rapidly and effectively to emergency and disaster situations, in accordance with the hospital disaster plan.
• Provide compassionate care to end-of-life patients.
• Prepare unit for incoming post-operative cases, emergency admissions, and routine transfers.
• Manage admission and discharge procedures according to hospital protocols.
• Escort patients for intra-hospital and inter-hospital transfers.
• Participate in resuscitation efforts (Code Blue) following ACLS protocols.
• Maintain accurate, timely, and complete documentation in the Electronic Patient Record (EPR).
• Demonstrate professional conduct and maintain positive working relationships with healthcare team members, management, and physicians.
• Continuously monitor and reassess patient condition; escalate concerns appropriately.
• Support the orientation and mentorship of new ICU staff and provide learning opportunities for nursing students.
• Regularly attend mandatory staff meetings and ongoing in-service education programs.
• Proactively engage in continuous professional development (CPD) related to critical care nursing.
• Advanced Cardiac Life Support (ACLS) – AHA certified, Sultan Qaboos University Hospital
• Basic Life Support (BLS) – AHA certified, Sultan Qaboos University Hospital
• Additional Courses Completed:
  Intravenous (IV) Therapy
  Drug Calculation
  Wound Care
  ECG Interpretation
  Pain Management
  Chemotherapy Administration
  (All courses conducted by the training department at Sultan Qaboos University Hospital)
• Participant in:
  International Nursing Conference
  Oman Anaesthesia and Critical Care Conference

• Assess, plan, implement, and evaluate nursing care for medical, surgical, renal, neurological patients and emergency (casualty) admissions in ICU/CCU settings.
• Provide post-operative care including ventilator support and skilled use of a wide range of critical care equipment.
• Collaborate with multidisciplinary teams—including doctors and allied health professionals—to develop and deliver individualised patient care plans.
• Continuously monitor and report patient symptoms and clinical progress to attending physicians and specialists.
• Perform continuous monitoring of vital signs, administer IV fluids, blood, and blood products, and ensure timely delivery of emergency medications.
• Perform electrocardiograms (ECG), report laboratory investigations, and regularly assess patients’ neurological status using the Glasgow Coma Scale (GCS).
• Monitor and interpret arterial blood gas (ABG) values; manage electrolyte correction as required.
• Accurately document patient observations, care delivered, and progress, ensuring clear communication with the clinical team.
• Assist physicians during critical procedures including:
  Intubation
  Central venous catheter (CVC) insertion
  Quinton catheter insertion
  Insertion of intercostal drains (ICD)
  Tracheostomy procedures
  Arterial line insertion
  Pleural tapping
• Respond to medical emergencies by initiating CPR, administering chest compressions, and using defibrillation equipment in line with ACLS protocols.
• Deliver expert wound care, including management of surgical incisions, wound dressings, and drain care.
• Manage nutritional support, including total parenteral nutrition (TPN) and nasogastric (NG) feeding.
• Initiate and monitor Continuous Venovenous Hemodiafiltration (CVVHD) in critically ill patients requiring renal replacement therapy.
• Ensure patient safety at all times by adhering to hospital infection control practices and safety protocols.
• Provide emotional support, health education, and guidance to patients’ families to aid in recovery and coping.
• Attend regular clinical training programmes including:
  Advanced Cardiac Life Support (ACLS)
  Basic Life Support (BLS)
  Intravenous (IV) Therapy
  Fire Safety
  Patient Safety and Infection Control
  Other ongoing professional development sessions