General medical Registered Nurse responsibilities. This person is expected to provide medical nursing services to all Guests and Crewmembers who need it. The Nurse shall assist the Staff Captain, Senior Doctor,Doctor and Chief Nurse in all shipboard health-related matters including outbreak prevention, and illness reporting as required by international, national and Company policies. In order to consistently exceed guest expectations and provide the highest levels of product and services, additional duties and responsibilities may be assigned as needed. Required Documents upon Boarding Nurses must bring the following documents or their photocopies with them when they arrive to the ship: Nursing School Diploma, ACLS, PALS and professional license certificates that are valid for the entire lengths of their contract. It is the responsibility of the Nurse to take the courses and tests that are necessary to keep these licenses valid along with any necessary post graduate credits. Qualifications Current and in good standing Register Nurse licensing. Minimum of three (3) years post-graduate clinical training is required in the fields of Emergency Room, Intensive Care Unit, Cardiac Critical Care Unit, Surgery, Anesthesia or Trauma Unit. Intermediate to Advanced verbal and written level of English is required. Minimum of one year practical work experience in Advanced Cardiac Life Support is required. Minimum of one year experience working in the Emergency Department, Intensive Care or Coronary Care Unit is required. Minimum of one year experience performing Basic Life support until the physician arrives is required. Must provide a chronology of all medical activities since graduation from nursing school. Education. Bachelor of Science in Nursing or foreign equivalent is required. Valid nursing license from country or State/Province of origin is required. Current certification in Advanced Cardiac Life Support within one year of application, with renewal of Advanced Cardiac Life Support certification every two years from a recognized educational institution, is required. Responsibilities. The Nurse shall have an understanding of the Safety and Quality Management System (SQM) and carry out the policies and procedures appropriate for his/her position. Provide administrative assistance to the Doctor and Senior Doctor including completion of medical forms/reports and the medical inventory. Ensure confidentiality of medical information. Provide First-Aid instruction for crew members as directed by the Doctor, the Staff Captain and oversees the operation, good order and cleanliness of the Medical Center and Secondary Medical Space. Assist the Doctor in carrying out his professional responsibilities and duties. Provide nursing care for minor and major emergency situations for passengers and crew. The Nurses need to do a triage of every patient. It is the responsibility of the Nurse to immediately inform the Doctor when she finds or suspects that a patient has a life threatening condition or has any abnormality in the vital signs. In addition to assisting the Doctor with patient care, the Nurses have a variety of administrative responsibilities in relation to care of guests and crew and management of the Medical Facility and pharmacy. Generally, it is the responsibility of all Nurses to become fully versed with the policies and procedures of the ship as well as the particular requirements of the Doctor under whom the Nurse will serve. Each Nurse will serve at scheduled times on a medical "on call" roster each day. During this period, the Nurse will assist the Doctor on duty. When any member of the medical staff receives a telephone call or otherwise becomes aware of a potentially serious guest or crew medical issue outside established office hours, that contact or telephone call should be followed-up by an "in person" visit with the patient by a member of the medical staff, which should then be documented accordingly in medical records. The Nurse must participate in all lifeboat and emergency drills held on board unless excused by the Staff Captain. The Nurse will have responsibility for the preparation and maintenance of medical logs, crew medical records and reports. On each voyage, the Nurse must prepare for the Doctor's review and signature the following: - Daily Illness Log - Crew and guest Sick Lists; - Log of Shoreside Medical Referrals; - Infectious Disease and Diarrhea Log; - Narcotic Count Log; and, - Medical Supplies Usage/Consumption Report. The Nurse must also assist in maintaining a proper inventory level of pharmaceutical and medical supplies, and prepare requisitions as needed for the Doctor's signature. The inventory of pharmaceuticals aboard the ship must be conducted on a weekly basis as well as whenever there is a change in medical personnel aboard ship. Risk Management and the Director or Medical Operations should be advised of any substantial missing items or supplies. The Nurse must follow the Doctor's instruction with respect to inspection of equipment and supplies. He/she must follow the Doctor's orders for weekly inspection of diagnostic and life support equipment for proper working order and for emergency code kits at the emergency stations throughout the vessel to be certain the equipment is properly stocked, that medications are within current date and that oxygen bottles are full. The Nurse must ensure that all expired medications are removed from the shelves and are disposed of according to environmental policies or, if applicable, return them to the vendor in case that a medication has any refund value. The Doctor will require daily inspection and testing of all battery operated equipment in the Medical Facility including the EKG, defibrillation equipment, resuscitator and the like. The Nurse will be instructed to discharge the capacitors of the defibrillator on a daily basis to assure proper working order. The Nurse will maintain a log of all weekly and daily equipment inspections. Sample checklists are in Chapter 8. Test the water samples delivered to the medical facility for this purpose using the method designated by Public Health (such as Colisure) and maintain a log of test results. The Nurse must report any positive and negative findings immediately to the Doctor and the Staff Captain. While on duty, the Nurse must answer the telephone in the Medical Facility. Personnel should always answer the telephone politely: "Medical center, Nurse (name), speaking." During office hours, on Royal Caribbean ships, the Nurse must remain in the Medical Facility at all times except for: meals, official errands and emergency cabin calls. On Celebrity ships, two Nurses must be present at the medical facility during office hours. The Nurse should use the walkie-talkie, the beeper and taped phone messages when out of the office during duty hours. The Nurse is involved in the provision of medical care to crew members who are injured or ill while in service of the ship. The Nurse will request appointments for shoreside referrals via the Crew Medical Department, notify the pertinent department heads and prepare a list of referral appointments to forward to the Chief Purser and Customs Official. The Nurse will maintain a log of all shoreside medical referrals and file shoreside referral medical reports in each crew member's files after the Doctor has viewed them. Maintain current medical records for all crew members. Schedule appointments for the regular shipboard medical examinations of crew members, and notify the appropriate department head of the appointment date and time. Under circumstances where the Nurse learns of accidents involving guests or crew, report the matter to the Staff Captain immediately verbally and in writing. The Nurse's daily work schedule is determined by the Doctor. The duties may include the following: - Seeing patients (guests and crew) as necessary. - Conducting water tests throughout the ship on a rotational basis. - Ordering medication, supplies and stationery. - Checking and cleaning equipment. - Preparing daily, weekly and monthly logs, reports and forms as necessary. - Submitting necessary completed forms to shoreside. - Triage/Evaluate patients in order to help the Doctor to establish eventual emergencies needing immediate treatment during crowded office hours. Fill the nursing assessment/intervention part of the crew medical examination paper. Maintains Guest illness logs and medical notes. Completes all paperwork associated with various medical situations. Maintain Crewmember illness logs and Crewmember medical files. Such files shall accompany Crewmembers from ship to ship in accordance with company policy. Maintains injury logs and fill out accident reports. Maintains current Crewmember physical examinations. Maintains Acute Gastroenteritis log for U.S.P.H. or any port health authorities and reports as required. Prepares and maintains records of Medical Center charges. Executes Code Alpha / Star Code procedures regardless of being on duty or not. . Executes air and land evacuation procedures. Trains and leads stretcher teams in Fire and Lifeboat drills, and first-aid training for Crewmembers. Obtain and tests water samples and cultures for growth of Coliform organisms. Performs weekly checks of emergency equipment and maintenance of all Medical Center equipment. Sterilizes surgical instruments. Orders medical supplies and equipment. Maintains proper levels of inventory through us of the AMOS ordering system. Maintains current medications in lifeboat canisters once yearly. Provides first aid supplies for first aid boxes. Makes and distributes Medical Center on call schedules. Properly disposes of hazardous wastes and used sharps (needles, syringes). Oversees and maintains cleanliness of the Medical Center in a clean and orderly fashion. Actively participants in Crewmember education and training programs. Maintains records and narcotic counts. Ensures confidentiality of medical information. Properly fills out and distributes all forms associated with the medical department. Prepares and submits a list of accidents/injuries by department for the monthly Crew Safety and Environmental Committee meetings. The Nurse assists in mandatory random drug testing when required. Executes and has a good working knowledge of all paperwork associated with the operations of the Medical Center. Executes and has a good working knowledge of all paperwork associated with the operations of the Medical Center The Nurse needs to be available at all times in order to assist the Doctor or Senior Doctor with any medical cases. Performs other related duties as assigned or as directed. The omission of specific duties does not preclude the supervisor from assigning duties that are logically related to the position. Nurses respond to all codes even when they are off duty. Nurses will advise the Doctor when the patient waiting times are increasing or there are higher than usual patients waiting to be seen. She may decide to call another Doctor to help with the clinic. This will reduce patient waiting times and increase patient satisfaction. Dimensions Nurse needs to be available at all time in order to assist the Doctor or Senior Doctor with any medical cases. Nature and Scope The Nurse on duty will, at all times, carry a two-way communication device or a handphone, ready to respond to emergencies. The incumbent must be able to work in a multi-cultural environment; also, must be able to adjust to changes in schedules, assignments and deadlines. Attributes Lead the nursing team by example. Must maintain a positive behavior with Guests and Crewmembers. Must work well with Medical Center team members Passionate about hospitality and customer service driven Must have a professional appearance and good hygiene Respect for all co-workers and guests Impeccable behavior aboard the ship. Maintains decorum outside the medical center to the highest standards. Excessive alcohol intake is unacceptable. Pride in your work by creating positive energy, excitement and fun Able to work 7 days a week Demonstrate positive behaviors; smiling, being polite and courteous Able to develop a camaraderie with team members Ability to live in close quarters, share limited space with other cabin-mates

While performing the essential functions of this job, all team members are required to stand; walk long distances on the ship; use hands to touch, handle or feel; reach with hands and arms; talk, hear, taste and smell. All vessel positions require repetitive motion of bending, climbing, going up and down stairs and

being able to lift up to 50 pounds.

This job requires specific vision abilities to include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

All team members must be physically able to participate in emergency life saving procedures and drills. All vessel positions require full use and range of arms and legs as well as full visual, verbal and hearing abilities to receive and give instructions in the event of an emergency including the lowering of

lifeboats.

Work within different temperature changes—indoors to outdoors.

Able to pass basic safety course.

This is a minimal description of duties. Other work requirements may be necessary and assigned as business or maritime law dictates.