MA CHRISTINE WALSH

- Rostered In-charge on shifts, mostly in the afternoon and on some weekends.

- Allocate patients to the junior staff base on their level of experience and competency.

-Supervise and ensure that the shift runs smoothly as possible.

-Completes pharmacy order to ensure that enough medications are always available to use.

-Relay pathology results to physician for prompt management and treatment of all affected patients.

- Ensures that all renal staffs' hand hygiene compliance are satisfactory. This is done by conducting hand hygiene audits in the unit and presenting identified issues to the leadership team to discuss and work on a plan to address the identified problem.

- Assess renal staff on their Aseptic-Non Touch Techniques when cannulating patients' AVF/AVG as well as de-accessing tc-H-cicc.

-Provides clinical advice and recommendations to colleagues when presented with situations requiring a safe and best practice solution.

- Advocates for respectful and professional work environment.

-Conducted thorough patient assessments to identify changes in dialysis patients' condition, promptly notifying physicians and initiating appropriate interventions as necessary.

-Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care that is evidence-based.

-Participated in ongoing professional development opportunities to stay current on best practices in nursing care specifically in renal nursing.

- Rostered as 'On-call 'nurse for a maximum of Three-Four days a month.

-Conducts education with dialysis patient as needed regarding their fluid intakes and diets.

-Prepares blood tubes and blood requests forms per protocol.

- Monitors dialysis patients' VRE/MRSA status every six months as part of my portfolio.

-Performs physical, cognitive and behavioural assessments with the use of a range of evidence-based assessment techniques to collect relevant and accurate data.

-Identify consumers’ subjective cues to come up with a nursing diagnosis.

-Refer abnormal findings, objective and subjective symptoms to the attending physicians though emails, fax and telephone.

-Plans patient-centred care based on the presenting symptoms in consultation with the residents and their families.

-Administration of both regular and dangerous drugs medication, and Insulins.

-Wound dressing.

-Provide measures to prevent pressure injuries.

- Enforce falls prevention techniques.

- Responds to unexpected and rapidly changing rasidents' condition.

-Check Blood Glucose Level.

-Collaborates care with enrolled nurses in providing and assisting residents’ with their personal activities of daily living such as showering, toileting, and feeding safely, timely and efficiently.

-Use computer system to document data.

- Utilized critical thinking skills to prioritize nursing interventions based on the residents' individual needs.

- Administered medications safely especially Scheduled 4 and Schedule 8 drugs according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.

- Supervised Enrolled Nurses and Care Assistants.

- Skillfully managed challenging residents using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.

- Provided support to residents' families during difficult medical decisions or end-of-life care, serving as a liaison between the healthcare team and loved ones.

- Prepared and administered drugs through Syringe Drivers as charted.

- Attended residents wound assessment and care.

- Monitored and Assessed residents following falls incident and referred them to external agencies and doctors and/or transferred them to the hospital as required.

- Implemented evidence-based fall prevention strategies, resulting in a significant decrease in patient falls within the facility.

- Observed and documented residents factors such as diets, physical activity levels, and behaviours to understand conditions and effectively modify treatment plans.

Key responsibilities

- Assessment

- Admits patient.

- Establishes rapport, observes confidentiality concerning patient’s identity and status of care.

- Obtains nursing history.

- Performs physical assessment.

- Identifies subjective and objective problems of patients.

- Detects abnormalities from the assessment and results of diagnostic examinations and reports.

- Establishes nursing diagnosis.

- Planning

- Prioritises needs/ problems of patient.

- Defines objectives of nursing care and develops alternatives.

- Implementation

- Carries out plan of care.

- Assists physicians when examining patients.

- Rechecks unstable vital signs.

- Administers prescribed medication.

- Administers prescribed treatment.

- Performs irrigation, catheterisation.

- Assists patient in moving, maintaining proper alignment of patient’s body & utilising good body mechanics.

- Gives health teachings to patients.

- Provides social, emotional, psychological and spiritual support.

- Maintains a therapeutic environment.

- Evaluation

- Evaluates effects of nursing.

- Notifies immediate superiors of unusual, untoward, difficultly situations/conditions.

- Revises plan of care as necessary.

- Recording

- Records assessment, interventions and evaluation of nursing care.

- Charts accurately medications and treatments given.

- Discharges patients.

- Acts as Charge Nurse when so delegated.

- Receives and endorses ward equipment and supplies.

- Teaches and directs non-professional nursing personnel.

- Maintains good relationship with other hospital personnel.

- Interprets hospital policies and procedures.