Staff Registered Nurse

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Responsibilities:Utilizes the nursing process and physical assessment skills while providing direct patient care
Adopts a caring approach and responsible for the direct patient care by adhering to Standard Operational Procedures, Work Instructions and Policies
Maintains patient's privacy and confidentiality of information and records at all times.
Provides hands-on care to patients according to plan of care/policies and procedure and standard of care:
Performs physical care and treatment activities safely and in a cost-effective manner
Makes nursing rounds according to patient needs
Administers medication and manages intravenous lines as per policy
Observes and monitors patients' conditions, maintains records and communicates patient care needs to doctors as necessary
Executes doctor's orders for all assigned patients, safely and properly administer medications and treatments
Recognizes and documents patient's response to plan of care and nursing interventions
Assesses the quality and effectiveness of nursing care as an ongoing process and takes appropriate action
Provides education and counselling to patients and families according to their level of understanding
Instant medical care in emergencies
Monitors patient's condition and assessing their needs to provide the best possible care and advice
Performs routine procedures (blood pressure measurements, administering injections, etc.)
and fill in patient's charts
Observes and interprets patient's symptoms and communicating them to doctors
Develops, documents and updates a nursing plan of care involving patient/family and members of the team
Follows doctors/consultant's ward/unit round and assists them in performing procedures
Communication:Collaborates with doctors and nurses to devise individualized care plans for patients
Communicates and confers with team members throughout shift to ensure optimal care.
Foster an environment where communication is encouraged and welcome
Communicates with doctors and documents patient status/condition changes or a deviation from baseline
Ensures all doctors' orders are carried out before shift change
Receives report from Registered Nurses from previous shift; delivers report to Registered Nurses coming on duty for next shift
Maintains effective communication which includes public relationship skills and interacts with other healthcare professionals to provide best multidisciplinary care to patients
Leadership/Delegation:Understands and carries out the nursing care in line with Vision and Mission Statements, Goals and Objectives that suit the scope of the Nursing Service
Demonstrates ability to delegate, articulate patient care needs and expectations to team members
Supervises team members providing direct patient care
Participates in new employee orientation of new nurses as assigned, seeking out learning opportunities for orientees, serves as role model for new employees
Participates in ward and interdisciplinary team meetings, reads minutes of meeting and initials those along with communication books/in-services/policies and procedures
Identifies and intervenes in any unsafe practices that may pose a threat to patient, caregiver or other individuals
Provides leadership in the unit through appropriate patient assignment and ongoing prioritization of patient need, acuity, and clinical expertise of the team member
Assists the Unit Manager in administration of the unit when assigned as shift nurse in charge.
Carries out duties and responsibilities of the Unit Manager in her absence as directed
Professional Development:Takes personal responsibility for own professional development and keeps up-to-date with professional change and growth by maintaining mandatory learning hours
Participates in the teaching program of the unit/ward and orientation of the new members of staff to the department routine
Attends and completes mandatory education
Attends in-service training programs, including but not limited to infection control, patient safety, quality improvement, Safety Data Sheet and OSH standards
Expands knowledge and capabilities by attending education workshops, conferences, etc.
Participates in performance improvement activities
Involves in the supervision of the other categories of staff
Patient Care Assistants
Facilities and Equipment:Operates/maintains specialized equipment assigned to the unit and provides assistance/guidance to new staff in their use
Assists the UM in keeping accurate records of equipment, medical supplies and drugs in the unit
Maintains and documents adequate supply of unit stock
Ensures that all equipment in the unit is functioning well and service according to scheduled maintenance plan
Faulty equipment is removed from point of use immediately and reported to Biomedical personnel and appropriate remedial action has been taken accordingly
Instrument and equipment are maintained by proper handling, cleaning, disinfection and utilized as directed
Patient Safety/Work Practices/Quality Improvement Activities:Responsible for abiding by safety and health work practices
Complies with organization-wide and department specific policies and procedures, safety and health standards, rules and regulations
Wears/uses personal protective equipment or clothing when appropriate
Identifies, documents and reports to the Unit Manager, CNO or COO any unsafe patient and other occurrences which do not meet standards of care
Reports all accidents, near misses, injuries, work-related illnesses, special occurrences, and other emergencies that the employee is involved in immediately to the appropriate supervisor
Reports malfunctioning equipment/supplies to Unit Manager and removes from point of use as per policy
Maintains personal appearance and personal hygiene as stated in per HSB policy (Dress Code), and applicable department policy while on duty.
Maintains these standards when serving in any capacity while representing HSB
Inspects the facilities and acts to maintain excellent hygiene and safety (decontaminating equipment, sanitizing surfaces, preparing beds, etc.)
Fully receptive, supportive and participates in the activities that contribute towards continuous improvement of patient care, e.g., Quality Assurance, Infection Control, Malaysian Patient Safety Goals, Fire and Safety Program, etc.
Carries out assignments scheduled by Unit Manager and provides feedback
Complies with the Baby Friendly Hospital Initiative Breastfeeding Policy, fully supports and promotes Baby Friendly Hospital activities
Work Schedule Compliance:Recognizes that employment is offered based on compliance with work schedule, which are the responsibility of the employee to follow
Maintains attendance standards by complying with Human Resource Policy
Demonstrates punctuality by being ready and available for work at start of assigned shift and in accordance with departmental policy
Works scheduled hours in accordance with departmental lunch/break time
Ensures the overall activities are carried out professionally, ethically and in a timely manner
Performs other duties or activities as assigned by Superior and/or Management as and when required
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