Health City Cayman Island invited suitable and qualified Caymanians, RERC holders or legal residents for the role of Registered Nurse
ORGANIZATIONAL STRUCTURE
REPORT TO : Nursing Manager / Nurse In Charge Liaises With : Doctors/ Nursing Team/ Allied Health Professional Billing Team/ Support Services/ Patients & Family Job Purpose The Registered Nurse provides comprehensive, evidence-based, and patient-centered nursing care across multiple clinical departments in a multispecialty hospital setting. The role involves delivering high-quality clinical care, supporting departmental workflows, ensuring accurate documentation, maintaining patient safety, and collaborating effectively within multidisciplinary teams in a culturally diverse healthcare environment. Deployment across departments will be based on competency, experience, and organizational requirements.
DUTIES AND RESPONSIBILITIES
SCOPE OF PRACTICE & DEPARTMENTAL DEPLOYMENT
The Registered Nurse may be assigned to one or more of the following areas:
Outpatient Department (OPD)
Inpatient Wards (Medical & Surgical)
Emergency Department
Intensive Care Unit (ICU)
Operation Theatre (OT)
Maternity Services
Neonatal Unit / NICU
Dialysis
Chemo
Post Anesthesia care unit
Day care
The nurse is expected to adapt quickly to departmental protocols, clinical workflows, and patient acuity levels.
KEY DUTIES AND RESPONSIBILITIES
General Clinical Nursing Responsibilities
Deliver safe, effective, and compassionate nursing care in accordance with hospital policies, clinical guidelines, and professional standards
Conduct comprehensive patient assessments and ongoing evaluations
Monitor and document vital signs, clinical observations, and patient progress
Administer medications, IV therapy, blood products, and treatments as prescribed
Assist medical practitioners during examinations, procedures, and interventions
Recognize, respond to, and escalate patient deterioration promptly
Maintain accurate, timely, and legally compliant clinical documentation in HIS/EHR systems.
Conduct daily department inventory checks and ensure adequate stock availability.
Raise and process pharmacy indents for medicines and surgical supplies as per patient requirements and unit protocols
Ensure proper handling, safe usage, and maintenance of medical equipment; promptly report any malfunction.
Assist patients with mobilization, transfers, and transportation while ensuring safety and comfort.
Maintain strict confidentiality of patient health information in compliance with hospital policy and ethical standards.
Adhere to established Nursing Department policies, procedures, and clinical protocols.
Follow the defined reporting structure and chain of command; promptly escalate patient care concerns, procedural deviations, and adverse events to the Head of Department or immediate supervisor.
Attend and actively participate in ward/unit meetings, training sessions, and departmental briefings.
Ensure compliance with unit-based quality indicators and contribute to continuous quality improvement initiatives.
Perform accurate service ordering (CPT-based) and ensure timely processing and coordination of all requested services in accordance with established protocols.
Demonstrate awareness of fire safety, patient safety, infection control and the other necessary precautions
as per hospital policy
Ensuring adherence to strict hygiene, health and safety policies of the organization.
Nurse patient Ratio
ICU/NICU Ventilated 1:1 Non ventilated 1:2
Wards 1:4
HDU 1;3
Emergency 1:4
Dialysis 1:3
Post anesthesia room 1;4
Maternity 1:3
Please note that the allocation may be subject to change depending on operational requirements and any medical emergencies that may arise.
Intensive Care Unit (ICU) Nursing Responsibilities
Provide Level 2 and Level 3 critical care nursing to adult and pediatric patients
Manage patients requiring mechanical ventilation, hemodynamic support, and advanced monitoring
Administer high-risk medications including inotropes, sedation, and analgesia
Perform systematic assessments and individualized care planning
Participate in end-of-life care and family support when required
Operation Theatre (OT) Nursing Responsibilities
Prepare patients for surgical procedures
Assist during intra-operative procedures as scrub or circulating nurse (as trained)
Ensure adherence to sterile technique and infection control practices
Support post-operative recovery and patient transfer
Maintain OT equipment readiness and documentation
Emergency Department Nursing Responsibilities
Perform rapid triage assessments using CTAS or equivalent triage systems
Provide emergency care to adult and pediatric patients
Initiate emergency protocols and standing orders within scope of practice
Assist in trauma care, resuscitation, and stabilization
Monitor waiting patients and escalate deterioration
Ensure accurate and timely documentation of emergency care
Inpatient Ward Nursing Responsibilities
Provide holistic nursing care for medical and surgical patients
Support admission, transfer, and discharge planning
Deliver pre-operative and post-operative nursing care
Perform wound assessments, surgical dressings, and pain management
Participate in ward rounds, handovers, and multidisciplinary meetings
Maternity Nursing Responsibilities
Provide antenatal, intrapartum, and postnatal nursing care
Monitor maternal and fetal wellbeing using appropriate tools
Assist during normal and operative deliveries
Provide newborn care, breastfeeding support, and postnatal education
Support women and families with emotional and psychological care
Neonatal Nursing Responsibilities
Deliver specialized care to neonates requiring Level 2 and Level 3 support
Provide respiratory, nutritional, developmental, and thermoregulation care
Support neonatal resuscitation and emergency interventions
Administer weight-based medications and nutritional support
Deliver family-centered neonatal care and discharge education
Dialysis Nurse
Assess patients pre-, intra-, and post-dialysis
Prepare and operate dialysis machines safely
Cannulate AV fistula/graft and manage dialysis catheters
Monitor vital signs, fluid balance, and complications
Administer prescribed medications and anticoagulation
Maintain accurate dialysis documentation
Educate patients on fluid, diet, access care, and treatment adherence
Adhere to infection prevention and water quality standards
Outpatient Department (OPD) Responsibilities
Coordinate patient flow, appointment schedules, and room readiness
Prepare patients for consultations, procedures, and investigations
Perform phlebotomy, injections, wound care, and minor procedures
Support diagnostic coordination including radiology and laboratory services
Liaise with front office and billing teams regarding scheduling, charges, and follow-ups
Provide patient education, instructions, and discharge advice
Perform venipuncture and capillary blood sampling safely
Ensure correct patient identification, specimen labeling, and transport
Support diagnostic imaging procedures (X-ray, CT, MRI, Ultrasound)
Ensure patient safety, comfort, and infection control during procedures
Chemotherapy Nurse
Assess patients before, during, and after chemotherapy
Prepare and administer chemotherapy as per protocol
Monitor for adverse reactions and manage emergencies
Maintain safe handling and disposal of cytotoxic drugs
Provide patient and family education
Ensure accurate oncology documentation
Support palliative and psychosocial care needs
MEDICAL EQUIPMENT KNOWLEDGE & COMPETENCE
Demonstrate safe and competent use of medical equipment, including: - Vital signs and patient monitoring systems - Infusion pumps and syringe drivers - Oxygen delivery and suction equipment - ECG and cardiac monitoring devices - Ventilators, CPAP, and high-flow oxygen systems - Neonatal and maternity-specific equipment
Responsibilities include: - Performing routine safety checks - Reporting faults promptly - Maintaining competency through training and assessment
COMMUNICATION & CUSTOMER CARE
Communicate clearly, respectfully, and empathetically with patients and families
Act as a patient advocate and first point of contact when required
Address patient concerns and escalate issues appropriately
Maintain professionalism in a multicultural environment
QUALITY, SAFETY & COMPLIANCE
Adhere to infection prevention and control policies
Comply with patient safety, safeguarding, and fire safety protocols
Participate in clinical audits, incident reporting, and quality improvement initiatives
Maintain valid CPR/BLS/ACLS certification as required
PROFESSIONAL DEVELOPMENT
Participate in mandatory training, clinical drills, and competency assessments
Engage in continuous professional development and learning activities
Contribute to nursing education, mentorship, and service improvement initiatives
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QUALIFICATIONS & EXPERIENCE
GNM / Bachelor’s / master’s degree in nursing from an accredited institution
Valid Registered Nurse license (Cayman Islands or eligible for registration)
BLS/ACLS certification (preferred)
Minimum 3–5 years of clinical experience in a multispecialty hospital setting
SKILLS & COMPETENCIES
Ability to adapt to multi-department deployment
Strong clinical judgment and assessment skills
Proficiency in Hospital Information Systems (ATHMA or equivalent)
Excellent communication and interpersonal skills
Cultural sensitivity and teamwork
Organized, punctual, and patient-focused
Job Location: East End and Camana Bay
Please ensure current contact details are included in the cover letter or resume
