STATE REGISTERED NURSE, MEDICAL WARD

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.