STATE REGISTERED NURSE, OPERATION THEATRE

SUMMARY OF DUTIES

Responsible for rendering professional nursing care to patients within an assigned unit of the hospital. Such nursing care is an integral part of the individualized holistic patient care plan as directed by the Medical staff according to the Policies and Procedures of the hospital and in keeping with the generally accepted principles, policies and procedures of the Nursing Services.

MAIN DUTIES RESPONSIBILITIES

1.Understands and carries out the nursing care in line with Vision and Mission Statements, Goals and Objectives that suit the scope of the Nursing Services. 2.Works shift duties or as assigned by Unit Manager according to Unit’s Operational Hours.  

3. Informs Unit Manager when change occurs in circumstances which affect standards of care.

4.Receives and handover report of patient, knows the case in details

• Progress of the patient.
• Ensures all doctors’ orders are carried out before shift change and on taking over case.
• Any incident or problems encountered.

5.Visits every patient in the unit together with the team members on taking over of duties to:

• Assess condition of patient, compare with report.
• Re-plan nursing care according to assessment or evaluation
• Determines nursing priorities and plans patient care according to patient’s needs and staff availability.

6.Provides individualized holistic care to patients using the Nursing Process approach with proper nursing documentation in patients files and that it is contemporaneous.

7.Reports all abnormal findings and progress of patients to the relevant doctors / consultants.

8.Conducts regular nursing rounds on all patients in the ward to ascertain for other additional needs; talk to patient/family members as an integral part of providing emotional support.

9.Follows doctors / consultants ward round and assists them in doing procedures when required.

10.Carries out orders of doctors / consultants pertaining to care of patients and delegates to other team members according to their assignments.

11.Liaises and discusses with the relevant doctors / consultants with regards to care of patients in the unit / ward.

12.Establishes and develops effective communication with all disciplines, patients and relatives, to achieve optimal patient’ satisfaction.

13.Attends and participates in unit meetings, dialogue sessions and hospital’s activities.

14.Participates in the health education of patients and their families in the ward.

15.Assists the Unit Manager in the administration of the unit / wards when assigned as shift nurse in charge.

16.Acts on behalf of the Unit Manager in setting standards and expectations in the quality of care

17.Carries out duties and responsibilities of the Unit Manager in her absence as directed.

18.Ensure charges of equipment/consumable items into patient’s charges accordingly and checked for completeness.

19.Responsible for checking and documenting supply of sterile packs from CSSS and weekly checking for integrity of packaging.

20. Maintains and documents adequate supply of unit stock Carries out assignments scheduled by Unit Manager and provide feedback.

ADDITIONAL DUTIES AND RESPONSIBILITIES IN THE SPECIFIC AREAS

Registered Nurse In Operation Theatre

       Perioperative Nurse in general

1.Assists the Unit Manager in overseeing the smooth running of OT and CSSS daily.

2.Checks the following:

• Damp dusting has been done.
• Gas supply in the anaesthetic machine cylinder.

3.Prepares trolleys and standing by items to be used.

4.Arranges with wards to prepare patients to arrive into OT according to the scheduled time

5.Receives and greets patient, checks patient with ward staff from the ward in accordance to the checklist

6.Notes for any abnormalities, refers to the surgeon and anaesthetist if necessary.

7.Escorts patient into the Operating Rooms and ensures patient’s safety at all times.

8.Enters particulars of all cases in the Operation Theatre Record Book.

9.Ensures proper care and handling of all specimens after each case – properly labeled and recorded before they are sent to the laboratory or pathology department. If in doubt, always ask and confirm with the surgeon.

Anaesthesia Nurse:

1.Supervises and prepares anaesthetic equipment before anaesthesia and surgery

• Infection control: to maintain sterility of equipment and working environment
• Disinfection and cleanliness of the laryngoscopes, suction machine, masks, etc
• Cleanliness of the GA machine/ ventilator and circuits

2.Performs daily routine task, counter check:

• GA machine and ventilator;
• Adequate monitoring equipment and accessories in the GA trolley, e.g. syringes, endotracheal tubes, stoppers, etc.
• Paediatric difficult intubation set

3.Reviews patient’s information:

• Age and weight.
• Surgical procedure to be performed.
• Type of anesthesia.
• Allergic and other sensitive reactions.
• Site marking at surgical site as needed
• Notes any potential anaesthetic risks, hazards and complication.

4.Prepares and obtains the necessary drugs and accounts for the Dangerous and Psychotropic drugs used in the OT.

5.Remains with the patient prior to and during the induction of anesthesia.

6.Assists the anesthetist in monitoring the patient and as required throughout surgical procedure.

7.Maintains anaesthetisia records with complete accurate and legible documentation.

8.Observes safety measures in positioning the patient, paying particular attention to patient’s limitations. E.g.

• Positioning of limbs to facilitate adequate arterial and venous access and prevent nerve damage.
• Skin integrity and adequate protection of eyes and ears.
• Protection of patient’s airway.
• Secure cannula, catheters.
• Adequate co-ordination, communication and sufficient personnel to position patient.

9.Passes over the patient with relevant information to the Recovery Unit. 10.Maintains the cleanliness of the room, anaesthesia equipment and always ready for the use of next session

QUALIFICATIONS REQUIRED

• Diploma/Certificate in Nursing
• Post Basic qualification in related field – Peri-operative Nursing qualification
• Bachelor of Nursing

EXPERIENCE REQUIRED

• Registered with Nursing Board of Malaysia with a valid license to practice as a Registered Nurse.
• Registered Nurse with at least one year experience.
• Able to write and communicate in Bahasa Malaysia and English Language.
• Strong interpersonal and communication skills.
• Caring, honest and responsible worker.
• Willingness to work on scheduled hours, shift, and weekends, public holidays, on-call and anytime when called during emergency.
• Microsoft office literacy