LORELIE DELA CRUZ

MAIN DUTIES AND RESPONSIBILITIES :

• Provide total direct nursing care in accordance with the plan of care and needs of the patients with respect for the patient’s privacy, dignity, personal preference and culture.
• Prepare, administer and document the administration of all prescribed medication by the physician, managing intravenous lines, observing and monitoring and recording patient’s conditions, maintaining records and communicating with all healthcare providers.
• Maintain knowledge and resources for therapeutic effects, usual dosages, contraindications, side effects and adverse reactions for all drugs and parental fluids administered.
• Maintain accountability for narcotics and controlled drugs.

Escalate any adverse events/ reactions as per policy.

• Perform an age specific, systematic and holistic initial assessment of the patient health status,and refer to appropriate specialty if necessary and as applicable. Assess patient/ family educational needs and readiness to learn utilizing appropriate resources. Assess patient/ family discharge planning needs utilizing appropriate resources.
• Document all assessments, interventions and other relevant information in the patient’s health care records an ongoing basis.
• Collaborate with the patient/ family and other members of the health care team to develop and update a plan of care that consistent with the medical diagnosis and based on the patient’s changing physical, psychosocial and age related requirements. Establish realistic and measurable goals that are culturally sensitive and identifies nursing interventions to achieve goals. Evaluate on an ongoing basis the patient’s progress and the appropriateness of the plan of care involving the patient /family and other health team members, and update the plan as needed. Recognize when patient care needs extend beyond the limits of personal ability and consult appropriate resources.
• Provide quality of care that is evidence based by adhering to hospital and nursing divisions philosophies and standards of care, guidelines, policies and procedures. Measure health outcomes against patient care goals and key performance indicators. Identify significant trends or changes in patient’s status and escalate and follow-up as required to prevent the patient’s condition from deteriorating.
• Maintain a safe and clean working environment by complying with the organizational policies and procedures in collaboration with infection prevention and control department, patient safety department and other support personnel. Ensure adequate supplies and readiness of equipment are available at all times and report maintenance and issues, broken or damaged instruments and equipment.
• Practice within the established hospital and department standards, policies and procedures. Demonstrates required skills and knowledge of basic principles, strategies, tools of Quality improvement to maintain privileging in the area of assignment. Meet the standards of care elements as approved for each nursing specialty.
• Protect patient’s privacy and dignity at all times and maintain strict confidentiality in conformance to the organizations policy of ethics. Advocate for patient/family rights at all times.
• Comply with area specific duties with precise policies which will be provided in the addendum by the supervisor when hired/assigned for special units which must be signed by the employee and filed in that employee’s personal file in addition to this job description.
• ·Perform other job related duties.

FUNCTIONAL PROFILE:

Relationships and Communications :

• Work-stream leads, subordinates, other nursing, clinical, technical, support staff and physicians; all involved internal disciplines (clinical and non).
• Ongoing and direct contact with patients, their families and visitors

Decisions and Judgments :

• Work with minimum supervision, reporting to line manager when required.
• Use critical-thinking skills to reach objective conclusions

Mental Demands :

• Provide all aspects of patient care including emergencies and bereavement situations.
• High paced multi-cultural environment; high responsibility role
• Dealing with patients and their families

Physical Demands :

• Ability to work hours as assigned

Coverage during emergencies/ other unplanned unprecedented occasions

• Training in safe practices related to work environment
• Must be in and maintain good physical health; psychological strains

• Worked closely with fellow nurses, doctors and clinicians for consistent communication and continued best care practices.
• Monitored and recorded patient condition, carrying out and reporting regular observations.
• Maintained accurate, up-to-date patient records, maximising data accuracy.
• Assessed, planned and implemented treatments with precision and care, prioritising patient wellbeing.
• Used oral, topical and IV medications to manage patient symptoms.
• Quickly responded to medical emergencies, working calmly and professionally under pressure.
• Delivered life support with updated first aid and CPR training.
• Dressed surgical wounds, monitored healing and replaced bandages to prevent infections.
• Worked with clinical team to carry out prescribed treatments addressing individual patient needs.
• Assessed and evaluated patient needs, supporting accurate diagnosis and care planning.
• Conducted informative handovers at shift end through concise and accurate reporting and communication.
• Administered medication with meticulous attention to detail.
• Supported physicians and consultants with tests and procedures.
• Assisted with routine medical tests and evaluations, documenting findings to aid care planning.

• Worked closely with fellow nurses, doctors and clinicians for consistent communication and continued best care practices.
• Monitored and recorded patient condition, carrying out and reporting regular observations.
• Maintained accurate, up-to-date patient records, maximising data accuracy.
• Assessed, planned and implemented treatments with precision and care, prioritising patient wellbeing.
• Conducted informative handovers at shift end through concise and accurate reporting and communication.
• Administered medication with meticulous attention to detail.
• Managed patient discharges, providing relevant follow-up care advice with required prescriptions and medication.
• Administered medication in line with stringent drug regulations.
• Supported physicians and consultants with tests and procedures.
• Educated patients on good health, providing leaflets and verbal guidance on improved wellbeing measures.
• Implemented and updated treatment plans in collaboration with doctors.
• Quickly responded to medical emergencies, working calmly and professionally under pressure.
• Delivered life support with updated first aid and CPR training.