Vacancies at St. Lukes Orthopaedics & Trauma Hospital

Job Purpose

The Renal/Nephrology Nurse will provide comprehensive specialized nursing care to patients with acute kidney injury (AKI), chronic kidney disease (CKD), and end stage renal disease (ESRD). The successful candidate will safely administer and monitor extracorporeal therapies, specifically  hemodialysis, manage vascular accesses, deliver holistic patient education, and support the clinical team within the hospital’s Renal Unit to maintain high safety and quality nursing standards. 

Key Duties and Responsibilities  

• Initiate, monitor, and terminate hemodialysis treatments for acute and chronic renal patients in accordance with established clinical protocols.  
• Assess patients pre-, intra-, and post-dialysis, including checking vital signs, fluid balance status,  weight, and laboratory values.  
• Cannulate and manage arteriovenous (AV) fistulas, grafts, and central venous dialysis catheters using strict aseptic techniques.  
• Promptly recognize and effectively manage intra-dialytic complications such as hypotension, muscle  cramps, chest pain, and air embolisms.  
• Operate, program, troubleshoot, and perform routine disinfection and maintenance checks on hemodialysis machines and water treatment systems.  
• Administer specialized renal medications, including erythropoietin, iron infusions, anticoagulants (heparin), and intravenous therapies as prescribed.  
• Provide comprehensive patient and family education regarding renal diet restrictions (fluid, potassium, phosphorus, sodium), medication adherence, and home-care protocols.  
• Collaborate with Nephrologists, Medical Officers, and Nutritionists during multidisciplinary ward rounds and patient care planning.  
• Maintain meticulous and timely nursing documentation, including treatment flow sheets, patient responses, care plans, and incident reports.  
• Adhere strictly to infection prevention and control policies, ensuring appropriate containment of blood-borne pathogens.  
• Participate actively in clinical audits, quality improvement initiatives, and Continuing Medical Education (CME) programs within the renal department.  
• Respond effectively to medical emergencies within the unit and participate in the renal department’s shift roster and on-call coverage.  
• Undertake any other nursing duties assigned by the Unit Manager or hospital administration

Qualifications and Experience  

• Diploma in Kenya Registered Community Health Nursing (KRCHN) or a Bachelor of Science in  
• Nursing (BScN) from a recognized institution.  
• Higher Diploma in Nephrology Nursing / Renal Nursing from an institution recognized in Kenya.  
• Active registration and a valid Annual Practising Licence from the Nursing Council of Kenya  (NCK).  
• Minimum of two (2) to three (3) years of clinical experience in a busy, dedicated Renal/Dialysis unit within a Level 4, Level 5, or Level 6 hospital.  
• Valid certification in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) is  highly desirable.  
• Demonstrated competence in operating modern hemodialysis machinery and interpreting basic renal panel laboratory profiles

Competency  

• Advanced clinical and specialized technical skills in nephrology care and extracorporeal therapies.  
• Strong critical thinking, rapid decision-making, and problem-solving abilities during intra-dialytic crises.  
• Excellent communication and interpersonal skills, with the ability to offer empathetic care to chronically ill patients.  
• High ethical standards, professional integrity, and meticulous attention to infection control.  
• Ability to work effectively under pressure within a fast-paced clinical environment.  
• Strong documentation, computing, and organizational skills.  

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Job Purpose

The Neonatal Intensive Care Unit (NICU) Nurse will provide comprehensive, high quality, and specialized nursing care to critically ill, premature, or low-birth-weight neonates. The successful candidate will ensure safe, evidence-based clinical practices, provide immediate lifesaving interventions, support neonatologists and pediatricians in multidisciplinary teams, and deliver compassionate, family-centered care across the continuum of neonatal health.

Key Duties and Responsibilities

• Provide advanced, specialized nursing care to critically ill, premature, or low-birth-weight neonates in the NICU. 
• Continuously monitor and assess neonatal vital signs, cardiac rhythms, respiratory status, and neurological parameters. 
• Manage, titrate, and troubleshoot specialized NICU equipment including incubators, mechanical ventilators, CPAP machines, phototherapy units, and infusion pumps. 
• Administer specialized neonatal medications, intravenous fluids, total parenteral nutrition (TPN), and blood products accurately in accordance with prescribed protocols. 
• Assist neonatologists and pediatricians with advanced clinical procedures, including endotracheal intubations, umbilical line insertions, lumbar punctures, and surfactant administration. 
• Coordinate and conduct immediate resuscitation and stabilization of neonates experiencing acute distress or life-threatening emergencies. 
• Perform routine and emergency nursing interventions such as non-invasive ventilation maintenance, oxygen therapy, gastric tube feeding, and meticulous skin and umbilical care. 
• Provide supportive, empathetic family-centered care, educating parents on neonatal health, breastfeeding, kangaroo mother care (KMC), and safe home-discharge guidelines. 
• Interpret diagnostic investigations including neonatal arterial blood gas (ABG) panels, laboratory values, and bedside radiological findings to initiate timely nursing actions. 
• Maintain precise, up-to-date, and confidential clinical documentation, nursing care plans, and comprehensive handover records. 
• Participate in multidisciplinary ward rounds, clinical audits, neonatal mortality reviews, and departmental quality improvement projects. 
• Mentor, supervise, and orient junior nurses, nursing interns, and student attachments rotating through the neonatal unit. 
• Promote and enforce strict infection prevention and control (IPC) standards, aseptic techniques, and patient safety protocols within the sterile NICU environment. 
• Participate actively in the hospital’s nursing shift schedules, emergency response protocols, and on-call rosters. 
• Undertake any other clinical duties assigned by the Nursing Officer in Charge or hospital management.

Qualifications and Experience

• Diploma or Bachelor of Science in Nursing (KRCHN / BScN) from a recognized institution.
• Higher Diploma in Neonatal Nursing or Critical Care Nursing (specializing in Neonatal Care) from a recognized training institution. 
• Valid registration and current Annual Practising Licence from the Nursing Council of Kenya (NCK). 
• Minimum of three (3) years’ post specialization clinical experience working in a busy NICU within a Level 4, Level 5, or Level 6 hospital environment. 
• Valid certifications in Neonatal Resuscitation Program (NRP) and Pediatric Advanced Life Support (PALS) will be a highly distinct advantag. 
• Certification in Basic Life Support (BLS) is required.

Competency

• Excellent clinical and technical nursing skills specifically tailored for high-acuity neonatal intensive care and resuscitation. 
• Profound decision-making and rapid problem-solving abilities during acute neonatal emergencies and critical status changes. 
• Strong situational leadership, interpersonal capability, and multidisciplinary team collaborative skills. 
• Outstanding communication skills, demonstrated by the ability to explain complex clinical conditions compassionately to anxious families. 
• High standards of medical ethics, professionalism, and strict adherence to nursing practice standards. 
• A patient-centered, highly compassionate, and empathetic approach to neonatal nursing and family care. 
• Proven resilience and ability to work efficiently under pressure while managing high-stress emergency environments. 
• Meticulous organization, with accurate documentation, clinical report writing, and data collection habits. 
• Unwavering commitment to continuous professional development (CPD) and evidence-based clinical quality improvement.