STATE REGISTERED NURSE, MEDICAL WARD (SRI DELIMA)

AND; Kuala Lumpur; On-site; MYR 42,000 - 66,000; Full time

Job summary

Sri Delima hospital is seeking a State Registered Nurse for the Medical Ward. The role involves delivering holistic nursing care, taking handover reports, and ensuring orders are carried out accurately. You will participate in round duties, patient assessments, and collaborative care with doctors and the care team.

Responsibilities include supervising shifts, maintaining nursing documentation, and contributing to quality and safety initiatives within the ward.

Qualifications

• Provides nursing care aligned with hospital vision and mission.
• Assist in unit shift duties as per Unit Manager.

Responsibilities

• Visit every patient in the unit with the team during handover. This includes assessing condition and re-planning care.
• Carry out doctors' orders and ensure documentation and reporting of progress.
• Conduct regular nursing rounds to identify additional needs and provide emotional support to patients and families.
• Assist doctors during ward rounds and procedures when required.
• Maintain equipment and supplies, and ensure accurate stock and documentation.

Skills

Clinical nursing care

Ward nursing

Patient assessment

Communication with team

Education

Diploma in Nursing

Job description

STATE REGISTERED NURSE, MEDICAL WARD (SRI DELIMA)

1. Understands and carries out the nursing care in line with Vision and Mission Statements,GoalsandObjectivesthatsuitthescopeoftheNursingServices.

2. WorksshiftdutiesorasassignedbyUnitManageraccordingtoUnit'sOperational Hours.

3. InformsUnitManagerwhenchangeoccursincircumstanceswhichaffect standards of care.

4. Receivesandhandoverreportofpatient,knowsthecaseindetail:

Progressofthepatient.

Ensures all doctors' orders are carried out before shift change and ontaking over case.

Anyincidentorproblemsencountered.

5. Visitseverypatientintheunittogetherwiththeteammembersontakingover of duties to:

Assessconditionofpatient,comparewithreport.

Re-plannursingcareaccordingtoassessmentorevaluation

Determinesnursingprioritiesandplanspatientcareaccordingtopatient's needs and staff availability

6. Provides individualized holistic care to patients using the Nursing Process approach with proper nursing documentation in patients' files and that it iscontemporaneous.

7. Reportsallabnormalfindingsandprogressofpatientstotherelevantdoctors/consultants.

8. 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.

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

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

11. Liaisesanddiscusseswiththerelevantdoctors/consultantswithregardsto careofpatientsintheunit/ward.

12. Establishesanddevelopseffectivecommunicationwithalldisciplines,patients and relatives, to achieve optimal patient' satisfaction.

13. Attends and participates in unit meetings, dialogue sessions and hospital'sactivities.

14. Participatesinthehealtheducationofpatientsandtheirfamiliesintheward.

15. AssiststheUnitManagerintheadministrationoftheunit/wardswhen assigned as shift nurse in charge.

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

17. Carries out duties and responsibilities of the Unit Manager in her absence asdirected.

18. Ensurechargesofequipment/consumableitemsintopatient'scharges accordingly and checked for completeness.

19. ResponsibleforcheckinganddocumentingsupplyofsterilepacksfromCSSS and weekly checking for integrity of packaging.

20. Maintainsanddocumentsadequatesupplyofunitstock

21. CarriesoutassignmentsscheduledbyUnitManagerandprovidefeedback.

HUMANRESOURCEANDDEVELOPMENT

1. Takespersonalresponsibilityforownprofessionaldevelopmentandkeepsup to date with professional change and growth by maintaining mandatory learning hours.

2. Participates in the teaching program of the unit / ward and orientation of new members of staff to the ward routine.

3. Involvesinthesupervisionofthelowercategoriesofstaff:

Studentnurseswhoarepostedtotheunitfortheirclinicalexperience andassistthemtoachievetheirobjectivesofthatclinicalattachment.

Assists the Unit Manager in appraising the job performance of the lower categories of unit staff by giving accurate feedback with no malice orprejudice.

Participatesinthedevelopmentandmaintenanceofthenursingprocess when providing patient care as well as nursing documentation

4. Supports and assists the Unit Manager in effective and efficient utilization of staff, supplies and services.

POLICIESANDPROCEDURES

1. ContributessuggestionsinperiodicrevisionandupgradingofNursingPolicies and Procedures and relevant work instructions.

2. Checks DDA drugs with the off-going Nurse In-charge of the previous shiftwhen in-charge of the present shift.

3. Participatesinthecare,custody,andadministrationofmedicationsin accordance with Hospital Policies and Procedures.

4. Checksdailyandauditsresuscitationtrolleyperiodicallyasscheduled.

5. Ensure all staff complies with Prevention and Control of Infection includingimplementationofsurveillanceactivityintheunitandevidenceofinvolvement.

6. Maintainconfidentialityofpatient'spersonalandmedicalhistory.

FACILITIESANDEQUIPMENT

1. Assistthequalifiedstaffinthefollowing:

• Oversees the storage and condition of biomedical equipment within the unit,inspectingitregularlytoensureitmeetsthePPMschedule,reports any faulty equipment, and is ready for use.

Overseeing the linen and medical supply store by ensuring adequate stock and linen supply according to par level, monitoring stock movement and tallying after charging, coordinating monthly internal stockcounts,andmaintainingaccuraterecordsofequipment,medical supplies, consumable items, and laboratory items for specimencollections.

2. Participateindoingastockcountwiththefinanceteamquarterly.

SAFETYANDQUALITYIMPROVEMENTACTIVTIES

1. Promoteactivitiesthatcontributetowardscontinuousimprovementofthenursing service, e.g., Quality Assurance, Infection Control, Fire and Safety program.

AdviseandfacilitatequalityinitiativesandimprovementactivitiesintheFacility.2. Monitorstaffstoensureadherencetopoliciesandproceduresofthequalityandsafety systems, Baby Friendly Hospital Initiatives, Standard People Practice.

3. AdoptandpromotethePatientSafetyGoalsassafetyimprovementmeasuresrecommended by World Alliance for Patient Safety (2008).

4. Monitor incident reporting, investigation, and root cause analysis are being carried out and corrective/preventive actions initiated.

5. Carry out duties as an employee as stipulated in Occupational Safety and Health Act (Amendments) 2022 and Other Regulations: -

Totakereasonablecareatworkforthesafetyofyourselfandotherpersons;

Toco-operatewithyouremployeroranyotherpersoninthedischargeofanyduty;

Towearoruseanyprotectiveequipmentorclothingprovidedbytheemployer.

Tocomplywithanyinstructionormeasureonoccupationalsafetyandhealth.