JOB DESCRIPTION

ORGANISATION AND MANAGEMENT

1. Understand and provide nursing care in accordance with the organisation’s Vision and Mission Statements, Goals and Objectives, within the scope of Nursing Services.

2. Work shifts or perform duties as assigned by the Unit Manager, according to the unit’s operational hours.

3. Inform the Unit Manager of any changes in circumstances that may affect the standard of patient care.

4. Receive and provide patient handover reports, ensuring a thorough understanding of each patient's case, including:

• Patient's progress and current condition.
• Ensuring all doctors' orders are carried out before the end of the shift and upon taking over the case.
• Any incidents or problems encountered during the shift.

5. Conduct patient rounds with team members at the beginning of each shift to:

• Assess patients' conditions and compare findings with the handover reports.
• Re-plan nursing care based on patient assessments and evaluations.
• Determine nursing priorities and plan patient care according to individual needs and staff availability.

6. Provide individualised and holistic nursing care using the Nursing Process approach, ensuring proper, accurate and timely documentation in patients' medical records.

7. Report all abnormal findings and changes in patients' conditions to the relevant doctors or consultants.

8. Conduct regular nursing rounds on all patients in the ward to identify additional needs and provide emotional support through communication with patients and their family members.

9. Accompany doctors and consultants during ward rounds and assist with medical procedures when required.

10. Carry out doctors' and consultants' orders relating to patient care and delegate tasks to other team members according to their respective responsibilities.

11. Liaise and discuss patient care matters with the relevant doctors and consultants in the unit or ward.

12. Establish and maintain effective communication with all healthcare disciplines, patients and their relatives to achieve optimal patient satisfaction.

13. Attend and actively participate in unit meetings, dialogue sessions and hospital activities.

14. Participate in providing health education to patients and their families in the ward.

15. Assist the Unit Manager in the administration and management of the unit or ward when assigned as the Nurse in Charge (Shift).

16. Act on behalf of the Unit Manager in establishing and maintaining standards and expectations for quality patient care.

17. Carry out the duties and responsibilities of the Unit Manager in their absence, as directed.

18. Ensure all equipment and consumable items used are correctly charged to patients' accounts and check that all charges are complete.

19. Check and document the supply of sterile packs received from the Central Sterile Supply Services (CSSS), including weekly checks on packaging integrity.

20. Monitor, maintain and document adequate stock levels of unit supplies.

21. Carry out assignments scheduled by the Unit Manager and provide feedback as required.

EDUCATION

- Registered with the Nursing Board of Malaysia and possess a valid licence to practise as a Registered Nurse.

SKILLS AND COMPETENCIES

- Possess valid certifications in Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS) and Paediatric Advanced Life Support (PALS).

SPECIAL SKILLS REQUIRED

• Proficient in written and spoken English and Bahasa Malaysia.
• Computer literate, particularly in Microsoft Office applications.