REF/MCPSB/351/2022

Duties and Responsibilities

•  Monitor detailed reports and records of the critical care patients.


• Monitor and record symptoms and changes in patients’ conditions and report the information to the physician.


• Order, interpret and evaluate diagnostics tests to identify and assess the patient’s condition.


• Carefully observe and document patient medical information and vital signs.


• Document patients’ medical histories and assessment findings, patients’ treatment plans, interventions, outcomes, or plan revisions.


• Consult and coordinate with health care team members about whole patient care plans.


• Modify patient treatment plans as indicated by patient’s response and conditions.


• Monitor the critical patients for changes in status and indications of conditions such as sepsis or shock and institute appropriate interventions.


• Administering intravenous fluids and medications as per doctor’s order.


• Monitor patients’ fluid intake and output to detect emerging problems such as fluid and electrolyte imbalances.


• Monitor all aspects of patient care, including diet and physical activity.


• Identify patients who are at risk of complications due to nutritional status.


• Direct and supervise less-skilled nursing/health care personnel, or supervise a particular unit on one shift to patient’s response and conditions.


• Assist physicians with procedures such as bronchoscopy, endoscopy, endotracheal intubation, and elective cardioversion.


• Ensuring that ventilators, monitors, and other types of medical equipment function properly, and are properly stored after use.


• Collaborating with fellow members of the critical care team.


• Responding to life-saving situations, using nursing standards and protocols for treatment.


• Care for pre-and post-operative patients when those patients require ICU care.


• Give critical information in critical care policy formulations besides performing some administrative duties.


• Prioritize nursing care for assigned critically ill patients based on assessment data and identified needs.


• Assess family adaptation levels and coping skills to determine whether intervention is needed.


• Acting as a patient advocate, and provide education and support to patient families.


• Be able to draw ABG Blood and interpret the report correctly.

Requirement for the Appointment

For the appointment to this grade, an officer must have;

• KCSE Mean Grade C, C in English or Kiswahili, and Biological Sciences, C- in any one of the following: – Chemistry, Physics/Physical Sciences, and Mathematics.


• Served in the grade of registered nurse III for a minimum period of two (2) years.


• Diploma in any of the following disciplines; Kenya Registered Community Health Nursing, Kenya Registered Nursing, Kenya Registered / Midwifery or Kenya Registered Nursing/Mental Health and Psychiatry from a recognised institution.


• Registration certificate issued by the Nursing Council of Kenya


• Valid Practicing Licence from Nursing Council of Kenya


• Certificate in Computer application skills from a recognised institution; and


• Shown merit and ability as reflected in work performance and results.