JAMES FLOR

• Received morning huddle and afternoon handover to identify patients who need an urgent cannula.
• Performed PIVC aseptically once, a D.R.I.P. Criteria is identified.
• Responded to PIVC jobs appropriately based on the urgency, time requested and clinically intended using the CARPS system.
• Avoided PIVC insertion at the ante-cubital fossa or any area of flexion, as there is a higher risk of infection.
• Escalated DIVA patients to DIVA/CN once attempt is unsuccessful.
• Performed ultrasound guidance for difficult cannulation if RN is competent and referred to DIVA/CN if available.
• Followed the escalation process on referral: RN, CN, CNS, unless urgent and unforeseeable crisis happened.
• Provided patient education and support regarding vascular access devices, such as the signs and symptoms of infection/complications, and when to alert staff.
• Performed dressing changes on vascular access sites to maintain patency and reduce the risk of infection.
• Ensured proper documentation in the medical record related to vascular access device management.
• Developed policies and procedures for optimal care of vascular access devices.
• Collaborated with interdisciplinary team members to develop plans of care for patients receiving therapy through a vascular access device.
• Provided guidance on infection control practices while managing VADs.
• Identified potential risks associated with long-term use of VADs and developed strategies for prevention and minimisation.
• Implemented evidence based practice guidelines related to care of VADs.

• Administered first aid treatment and life support to care for sick or injured individuals.
• Utilized hospital beds and wheelchairs to transport patients throughout hospital.
• Monitored patients' comfort and safety during examinations and tests to alert physicians of abnormalities and changes in patient response.
• Assessed extent and nature of injury or illness to prioritize and establish medical procedures.
• Provided direct patient care, stabilized patients and determined next course of action.
• Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.
• Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.

• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
• Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
• Provided direct patient care, stabilized patients and determined next course of action.
• Administered medications via oral, IV and intramuscular injections and monitored responses.
• Managed care from admission to discharge.
• Updated patient charts with data such as medications to keep records current and support accurate treatments.
• Organized and managed care of patients undergoing various therapies and procedures.

Job Description：（ACCIDENT AND EMERGENCY）

• Triage/sorts patients according to their health needs.
• Gathered patient health data through interviews and observation, documenting all data in electronic records.
• Assists doctors in performing emergency procedures (intubation, chest tube insertion, wound suturing) and other procedures like catheterization, cast application and bladder washout.
• Performed various nursing interventions such as wound dressing, vital sign monitoring and specimen collection.
• Coordinate with different healthcare disciplines for optimum patient care.
• Provide privacy and confidentiality.
• Promoting, improving and maintaining patients' good health by providing appropriate health education prior discharge.
• Assists and participate in ambulance conduction.
• Provide accurate documentation of significant events happened.
• Prepare patient scheduled for stat operation/ procedure.
• Administer medications as legally ordered by physician.
• Communicate with different departments (Laboratory Department, Radiology Department, Physiotherapist, Pharmacy, Dietitian, Business/ Admission Office) for patients care and welfare.
• Assessing, monitoring and render appropriate interventions for all patients.
• Providing appropriate health education for patients for discharge.
• Accurate documentation of significant events happened.
• Supported patients and family members with confident, soothing approach upon handled medical crises.
• Assisted physicians in minor surgeries by keeping instruments sterilized and maintaining inventory.
• Administered medications via oral, IV and intramuscular injections and monitored responses.
• Assessed physical, psychological, physiologic and cognitive status of patients.
• Job Description:(AMBULANCE OFFICER)
• Assessed ambulance for cleanliness and properly stocked with first aid and medical supplies.
• Transported patients to assigned medical facilities, enabling secure delivery to appropriate departments.
• Administered first aid such as bandaging, splinting and oxygen support.
• Maintained flexible availability to accommodate on-call hours.
• Completed mechanical checklist prior to each shift, monitoring functionality of ambulance.
• Accepted daily patient transport assignments and drove ambulance with medical personnel to patient location.
• Removed and replaced soiled linens and equipment to maintain sanitary conditions.
• Delivered exceptional level of service to each customer by listening to concerns and answering questions.
• Used critical thinking to break down problems, evaluate solutions and make decisions.
• Demonstrated respect, friendliness and willingness to help wherever needed.

Job Description：（EMERGENCY ROOM）

• Receives endorsement from outgoing shift.
• Checks emergency cart (E-Cart) which includes medications, IVF, apparatus and other special equipment.
• Checks on patient's complaint and symptoms to be referred immediately to Resident on Duty (ROD) or Intern on Duty (IOD) especially upon admission with vital signs.
• Identifies and prepares patients who will undergo special treatment procedures, surgery and /or ECG.
• Assists ROD and IOD on duty during physical exam.
• Carries out doctor's orders like laboratory, x-ray and ultrasound request(s).
• Requests medicines needed for care of patient and checks medicines sent by pharmacy.
• Does IVF insertion and sets correctly intravenous calibrations.
• Administers drugs to patients (oral, intravenous, topical, intramuscular, subcutaneous, sublingual, suppositories).
• Assist in securing consent of patient's family for treatment and surgery to be done.
• Prepares materials for special procedures done at E.R.
• Does Foley catheter insertion and NGT insertion.
• Assists in minor operative procedure.
• Monitors pre-operative patients.
• Endorses complete charting and medication to floor or to next shift.
• Helps maintain cleanliness and orderliness of working area.
• Supervises students if clinical instructor is not available.
• Orients volunteer nurses.
• Attends meetings, seminars and trainings.
• Performs other functions as may be assigned by superior.

Job Description：（MEDICAL-SURGICAL-ORTHOPEDIC UNIT ）

1. Receives endorsement from outgoing shift.

• Identifies, assesses and sets priorities during shift.

• Identify and prepare patients who will undergo special treatments, procedures and surgery.

• Checks on patients and other special equipment.

• Checks on patients with unusual complaints and usual symptoms to be referred immediately

2. Makes Nursing rounds.

• Checks patient's condition, level of consciousness.

• Checks neuro vital signs

• Checks IV fluid, IV site and other attachments

• Gives special instructions to patients/watchers.

• Maintain patency of NGT, Foley Catheter and Endotracheal tubes.

3. Checks on the accuracy and completeness of the medication cards on the kardex.

• Segregates the medication cards of the patients who are nothing per orem (NPO) or who will undergo special treatments and procedures

• Identifies food and drug allergies of patients

• Follow up the drugs which had been skin tested and not yet started.

• Administer the drugs to the patients (oral, intravenous and topical).

• Refers and follows-up the intravenous solutions, and for the incorporation of intravenous additives and correct intravenous calibrations.

• Requests for medicines needed for the care of patient and checks the medicines sent by the pharmacy.

• Checks on treatment that are to continued, discontinued or on hold.

• Checks on accurate and complete charting of medications and treatment administered to the patient.

• Administers emergency drugs.

4. Assists the physicians during the rounds.

• Secures patients and family consent for the treatment and surgery to be done to the patient.

• Prepares materials for special procedures done at bedside.

• Assists in dressing.

• Monitors condition of pre and post-operative patients.

5. Carries out doctor's orders on the kardex and makes sure that it is carried out.

• Follows up laboratory exams and results.

• Scan chart to request medicines.

• Encodes request to the computer for laboratory/ISD procedures.

• Makes medication cards and writes entries on the medication sheet.

• Prepares and follow up IV fluids.

6. Responsible for accurate and complete charting and endorsement to the next shift.

7. Gives assignments to nursing attendants for dressings and other treatments.

8. Monitor completion of delegated tasks.

9. Coordinated with dietary department regarding patient's diet.

10. Facilitates transfer of patients from station to other special areas for treatment and diagnostic examinations.

11. Makes referrals to the doctors and consultants.

12. Gives Naso-Gastric Tube feedings.

13. Performs IV insertion if intern on duty/resident is not available.

14. Ensures proper turning and positioning of patients.

15. Checks completeness of emergency cart.

16. Assists in bed making if nursing aides are busy. Checks and follows-up change of linens.

17. Mans the computer in computation of patient's bills. Prepares and checks charges of patients for OR and special procedures.

18. Orients newly admitted patients and significant others to physical set up of the station, all system, double lock doors, and remote control for TV, visiting time, equipment in the room and other facilities and support services.

19. Coordinates with auxiliaries for oxygen replacement, lifting and positioning of patients to wheelchair and stretchers for transfer to other areas.

20. Answer phone calls and inquiries from patients, family and other health care providers.

21. Returns unused medicines and supplies.

22. Gets the intravenous drugs in the pharmacy.

23. Gives going home instructions to patients for discharge.

24. Prepares census and tallies with the supervisor.

25. Prepares temporary death certificate and facilitates transfer of cadaver to morgue.

26. Attends in-service trainings, unit meetings and nursing service meetings.

27. Maintain Cleanliness of the station and patients room.

28. Coordinates with the clinical instructor as to students, patient's assignment and procedures to be performed. Follows up/supervises students in the absence of Clinical Instructor.

29. Performs other duties that maybe assigned by the superior.