State Registered Nurse, Surgical Ward

GENERAL DESCRIPTION

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.

JOB DESCRIPTION

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 detail:

5.     Progress of the patient.

6.     Ensures all doctors’ orders are carried out before shift change and on taking

over case.

7.     Any incident or problems encountered.

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

9.     Assess condition of patient, compare with report.

10.  Re-plan nursing care according to assessment or evaluation

11.  Determines nursing priorities and plans patient care according to patient’s

needs and staff availability

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

13.  Reports any abnormal findings and progress of patients to the relevant doctors

/ consultants.

14.  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.

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

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

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

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

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

activities.

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

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

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

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

24.Ensure charges of equipment/consumable items into patient’s charges

accordingly and checked for completeness.

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

26.Maintains and documents adequate supply of unit stock.

27.To assist the Unit Manager in collecting raw data for performance indicators, patient safety goals and surveillance data for infection control.

28.Carries out assignments scheduled by Unit Manager and provide feedback.

JOB REQUIREMENT

Education:

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

Skills & Competencies:

·       Possess certifications in BLS and ALS.

Special skills are required.

·       Proficient in writing and conversing in English and Bahasa Malaysia.

·       Microsoft office literacy