STATE REGISTERED NURSE, ENDOSCOPY-2

GENERAL DESCRIPTION

• Responsible for providing professional nursing care to patients while ensuring that all activities in the assigned unit are properly supervised and coordinated in accordance with the policies and procedures of Nursing Services. Keeps the Operation Manager informed of any incidents or reportable situations that require operational involvement. They deliver nursing care as part of an individualized, holistic patient care plan directed by the medical staff, following the Centre’s policies and procedures as well as generally accepted nursing principles and standards. 

JOB DESCRIPTION 

ORGANIZATION AND MANAGEMENT 

• 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. 

• Works shift duties or as assigned by Operation Manager according to Unit’s Operational Hours.  

• Informs Operation Manager when change occurs in circumstances which affect standards of care. 

• Receives and handover report of patient, knows the case in detail: 

•  Progress of the patient. 

•  Ensures all doctors’ orders are carried out before shift change and on taking over case. 

•  Any incident or problems encountered. 

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

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

• 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. 

• Assists doctors in doing procedures when required. 

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

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

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

• Attends and participates in unit meetings, dialogue sessions and the Centre’s activities. 

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

• Assists Operation Manager in the administration of the unit when assigned.  

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

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

• Maintains and documents adequate supply of unit stock 

• Carries out assignments scheduled by Nurse Manager and provide feedback. 

HUMAN RESOURCE AND MANAGEMENT 

• 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 and orientation of new members of staff to the ward routine. 

• Involves in the supervision of staff: 

• State Registered Nurse. 

• Assistant nurses & Care Assistant. 

• Student nurses who are posted to the unit for their clinical experience and assist them to achieve their objectives of that clinical attachment. 

• Student nurses who are posted to the unit for their clinical experience and assist them to achieve their objectives of that clinical attachment. 

• Assists the Operation Manager in appraising the job performance of the lower categories of unit staff by giving accurate feedback with no malice or prejudice. 

• Participates in the development and maintenance of the nursing process when providing patient care as well as nursing documentation 

• Supports and assists the Operation Manager in effective and efficient utilization of staff, supplies and services. 

POLICIES AND PROCEDURE 

• Contributes suggestions in periodic revision and upgrading of Nursing Policies and Procedures and relevant work instructions.  

• Checks DDA drugs with the off-staff of the previous shift when in-charge of the present shift. 

• Participates in the care, custody and administration of medications in accordance with the Centre’s Policies and Procedures.  

• Checks daily and audits resuscitation trolley periodically as scheduled. 

• Ensure all staff complies with Prevention and Control of Infection including implementation of surveillance activity in the unit and evidence of involvement. 

• Maintain confidentiality of patient’s personal and medical history. 

FACILITIES AND EQUIPMENT 

• Operates / maintains specialized equipment assigned to the unit and provides assistance / guidance to new staff in their use.  

• Assists the Operation Manager in keeping accurate records of equipment, medical supplies and drugs in the unit / ward. 

• Checks that all equipment in the unit are functioning well and service according to PPM schedule. 

• Report to Bio Medical personnel if any faulty and takes necessary action accordingly. 

• Assists in maintenance of instruments and equipment by proper cleaning, handling, disinfect and utilizing as directed 

SAFETY AND QUALITY IMPROVEMENT ACTIVITIES 

• Fully receptive and supportive in the activities that contribute towards continuous improvement of nursing service e.g. Quality Assurance, Infection Control and Fire and Safety Program.  

• Conduct investigation and root cause analysis in any incident in the services, takes appropriate action and ensure completion of incident reports within stipulated time frame. 

• Carries out duties as an employee as stipulated in Occupational Safety and Health Act and Regulations 1994:- 

• To take reasonable care at work for the safety of yourself and other persons; 

• To co-operate with your employer or any other person in the discharge of any duty; 

• To wear or use any protective equipment or clothing provided by the employer. 

• To comply with any instruction or measure on occupational safety and health. 

• Ensures compliance of patient safety goals as safety improvement measures recommended by World Alliance for Patient Safety. 

• Ensures the policies on Patient and Family’s Rights are addressed at all times. 

• Participates in 5S activities and comply with the specified requirements. 

• Ensures all staff adheres to Standard People Practice (SPP) at all times. 

ADDITIONAL DUTIES AND RESPONSIBILITIES IN THE SPECIFIC AREA 

• Attending ambulance cases of transfer in and transfer out of patient safely to/from other healthcare services when required. 

• Assist Operation Manager to overseeing the smooth running of A&E Services 

• Conduct initial assessment or triaging of patient before assigning patient to the appropriate zone. 

• Knows the cases in detail. 

• Complete the triage form. 

• Inform Medical Officer on duty for any cases come for treatment at Accident & Emergency Services. 

• Conduct top to toe examination, identify abnormal finding, records in the triage form and inform to doctor regarding abnormality. 

• Determine priority and plan care according to patient records. 

• Identifying and manage life threatening condition together other team members and doctor. 

• Liaises on and discusses with relevant doctors/consultants with regards to care of patients in A&E Services. 

• Perform phlebotomy and set up intravenous infusion for adult and minor patient as necessary and as ordered by the medical officer/consultants. 

• Serve or administer medications safely and timely for A&E patients as prescribed by doctors/consultants. 

• Perform dressing or assist doctors/consultants in simple surgical procedure in A&E procedure room. 

• Receives and hand over report of every patient in A&E services. 

• Know the case in detail. 

• Progress of the patient. 

• Ensures all orders before he /her shift has been carried to take over. 

• Any accident or problem encounter. 

• Transfer and transport patient safely to other services or wards when required 

• Maintain and ensure medical equipment is working and functioning correctly at all times 

• Assist with admission procedures and discharged of patient including making appointment with specialist clinic if necessary. 

• Handle death cases and ensure safe transfer of the body to the mortuary.  

• Any other duties as ordered by the Operation Manager:- 

• This job description of medical assistance is subject to periodic review and maybe changed at any time in consultation with the employee. 

• Performs any other job-related duties not specified in this job description when assigned by immediate supervisor example outside event (Health Screening). 

• Performs extra duties when called upon especially in an emergency. 

JOB REQUIREMENTS

Education: 

• Diploma/Certificate in Nursing 

Knowledge and Experiences: 

• Registered with Nursing Board of Malaysia with a valid license to practice as a Registered Nurse. 

• Able to write and communicate fluently in Bahasa Malaysia and English language. 

Skills & Competencies:- 

Special skills required 

• Has good communication, counseling and interpersonal skills. 

• Able to guide nursing staff, student nurse and non-nursing staff. 

• Has the ability to improve knowledge and skill in teaching and supervision in the clinical areas. 

Personal attributes  

• Possess the attitude to make the patient care the primary concern, treating every patient compassionately, demonstrating and an aspiration to altruism. 

• Strive to provide high quality nursing care; maintain patient’s dignity, privacy, autonomy and confidentiality. 

• Prepared to work as a team member in the best possible manner.