Unit Manager, Obstetrics & Gynaecology

1) SUMMARY OF DUTIES

The Unit Manager is overall responsible for the direct management of the activities of the designated service. Monitoring and improving standards of care through supervision of nursing practice, clinical audit, teaching and research. Involves in total nursing management out of normal working hours in the hospital when required. This post requires high level of knowledge in clinical, nursing and financial management to oversee the operation of the nursing services, able to make good decision in critical situation and ensure efficient and effective care is rendered at all level of the patients’ experience.

The decision may impact the quality and safety of the service rendered to the patients’ clinical outcome.

2) JOB DESCRIPTION

Organization and Management

• Ensure high standard of care is delivered in a safe, effective, efficient and caring manner; and organizes, directs and coordinates with the other services in the Facility.

• The organization chart provides a clear representation of the structure.

• Vision and Mission Statements, Goals and Objectives suit the scope of the Nursing Services.

• Works closely with her nursing team, consultants / doctors, collaborates with other departments / personnel in overseeing patient care is being delivered for optimal client satisfaction. Follows consultants’ ward round with the team leader and assists in procedures.

• Participates in the planning, development and evaluation of nursing facilities and services.

• Update nursing statistics, performances, activities, improvements and achievements.

• Conducts nursing rounds on all patients in her unit to ensure patient-focused holistic cares are given and to ascertain for other additional needs.

• Holds Regular staff meetings to discuss issues or matters pertaining to the operations of the Nursing Services.

• Participates in Head of Service (HOS) meeting chaired by CEO / GM/Operation Manager working towards achieving the same goal.

• Participates in hospital clinical committees /Hospital Committee.
• Checks patient’s charges for completeness and charged accordingly.
• Participates in the health education of  patients and their families in the ward.

Human Resource and Development

• Participates in the recruitment, interviews and selection of staff for the services.

• Participates in structured orientation programme where new nursing staff are briefed on their services and relevant aspects of the Facility to prepare them for their roles and responsibilities.

• Executes staff development programme to provide the knowledge and skills required for staff to maintain competency and meet the organizational needs and pursue their personal and professional growth.

• Ensures written and dated job descriptions explained and given to all nursing staff.

• Conducts written evaluation of staff performance at the completion of the probationary period and annually.

• Establishes a mechanism for credentialing and the delineation of privileges for specific procedures for nurses in the respective services.

• Encourages staff to critically examine their nursing practices and continue to pursue education program.

• Coordinates with the In-service Education Unit for clinical training in the services.

• Maintains record of staff sick leave, notes significant trends in sick leave and prepares sick leaves statistic monthly or annually as required.

• Guides the staff in solving complaints concerning patients, relatives and staff using the appropriate communication channels.
• Counsels staff that habitually violates Hospital Policies and Procedures or not complying with nursing standards and code of ethics before recommending appropriate disciplinary

Policies and Procedures

• Reviews policies and procedures periodically and 3 yearly to ensure they reflect current standards of nursing services and practice, relevant regulations, requirements of statutory authorities, and the purposes of the services.

• Ensures all staff comply to all policies and procedures of the quality and safety systems, e.g. MS ISO 9001:2008, ISO 14001, OHSAS 18001, Patient Safety Goals and National Nursing Audits, and any other quality system that the hospital subscribes to e.g. Malaysian Hospital Accreditation Standards, Joint Commission International Accreditation Standards, HACCP Netherlands, etc.

• Ensure all staffs comply with Prevention and Control of Infection including implementation of surveillance activity in the unit and evidence of involvement.
• Conducts regular checks on DDA and Psychotropic drugs management.

Facilities and Equipment

• Ensure all staffs maintain records of equipment and inventory for medical supplies and drugs (with Pharmacist’s assistance) and kept in the proper places.
• Ensures emergency trolley is being checked as stipulated policy and audit at regular interval for compliance.
• Ensures all biomedical equipment are calibrated and serviced according to the service contract by working together with the Biomedical person in charge.
• Involves in the Service Budget including purchase of new items.
• Provides on the job training / guidance to new staff including cleaning of medical equipment’s.

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, Fire and Safety Programme.

• Monitors the quality of care / service in designated unit and subsequently initiates action and implementation of the corrective measures.

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

• Promotes and complies with the Baby Friendly Hospital Initiatives, Breastfeeding Policy, etc.

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

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

• Adopt and practice the Patient Safety Goals as safety improvement measures recommended by World Alliance for Patient Safety (2008).

• 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.

• Ensure all policies and procedures of ISO 37001 Anti Bribery Management System (ABMS) are adhered to and responsible for integrity principles, practice and activities at hospitals & companies if and when these programs are implemented.

3) ADDITIONAL DUTIES AND RESPONSIBILITIES IN THE SPECIFIC AREAS

Unit Manager in Maternity/Delivery Suite

• Trained and certified in BLS/ACLS and Neonatal Resuscitation Program, Obstetric lifesaving skills.
• Ensures good skill mix in the unit and sufficient number of staff to administer care.
• Privileges all trained staff without post basic, performs core competency assessment yearly and repeat privileging every 3 years.
• Demonstrate high standard of nursing practices in ensuring staff competency in caring for ante/post natal patients, management of patients in labour and obstetric emergencies, etc.
• Skills in principles and practices of sterile techniques and controlling infection.
• Ensures staffs are skilled in obstetrics and have broad knowledge of labor, delivery and postpartum and nursery care.
• Coordinates obstetric drills at regular interval.
• Collaborates with Paediatricians and O&G consultants for effective and efficient patient and bed management.
• Responsible to coordinate with other personnel /services to plan and prepare for Code Blue and Fire drill in the unit.
• Active participation and involvement in accordance to Baby Friendly Hospital initiative certification such as exclusive breast feeding, skin to skin and rooming in.

4) JOB REQUIREMENT

• Bachelor of Nursing.
• State Registered Nurse with Post Basic  Midwifery Nursing qualification.
• Possesses certificate in neonatal resuscitation (desirable).
• Registered with Nursing and Midwifery Board of Malaysia with valid license to practice as a Registered Nurse and Midwife.
• Registered Nurse with at least 5 years current post registration experience (Midwifery Nursing) and diversity in clinical experience and teaching.
• Able to write and communicate fluently in  English language and Bahasa Malaysia.
• Strong interpersonal and communication skills.
• Willingness to do on-call duty and work after office hours/weekends/public holidays when required.
• Microsoft office literacy.
• Good leadership.
• Good interpersonal and communication skills.
• Team work, good time management and willing to work extra miles for company’s achievement.
• Knowledgeable and strong believer in quality improvement activities, OSH and infection control standards.

CONDITIONS:

• This Job Description of Unit Manager is subject to periodic review and maybe changed at any time in consultation with the employee.

• The duties and responsibilities are not exhaustive. Other duties maybe involved.