About this role
Job Description
- 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 Unit Manager according to Unit’s Operational Hours.
- Informs Unit 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.
- 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
- 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
Follows doctors / consultants ward round and assists them 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 / ward.
- 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 hospital’s activities.
- Participates in the health education of patients and their families in the ward.
- Assists the Unit Manager in the administration of the unit / wards when assigned as shift nurse in charge.
- Acts on behalf of the Unit Manager in setting standards and expectations in the quality of care.
- Carries out duties and responsibilities of the Unit Manager in her absence as directed.
- 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 Unit Manager and provide feedback.
HUMAN RESOURCE AND 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 new members of staff to the ward routine.
- Involves in the supervision of the lower categories of staff:
Assistant nurses, Midwives, 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.
Assists the Unit 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 Unit Manager in effective and efficient utilization of staff, supplies and services.
Job Requirement
Registered with Nursing Board of Malaysia with a valid license to practice as a Registered Nurse.
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