Mark Wilson Siguenza
Granville,NSW
Summary
Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Care Manager
Ashfield Baptist Homes
Ashfield, NSW
11.2023 - 03.2024
- Effectively managing all operational aspects of the facility to ensure that accreditation is maintained.
- Leading, motivating, coaching and managing staff to be engaged, supportive and effective team members who are able to provide care in keeping with quality standards, policies and procedures, and the mission and values of the company.
- Ensuring residents are supported to maintain their identity and independence and to make informed choices about all aspects of their life so that they can live the life they choose.
- Ensure that safe, effective and quality care is delivered across all domains (including but not limited to skin integrity, nutrition, hydration pain management, medication management, infection control, palliative care), so that each resident’s health, well-being and quality of life is optimised.
- Ensure that assessments are undertaken, care plans are completed, reviewed and kept up to date as resident care needs change and ensure that residents are strongly encouraged and supported to be involved in care planning at all times so that they receive care and services in accordance with their needs, goals and preferences.
- Critically evaluate all aspects of care and clinical performance against targets/benchmarks/standards and implement appropriate corrective action where performance falls outside of agreed parameters.
- Ensure that behaviour support is provided in accordance with behaviour support plans.
- Ensure resources are managed soundly in accordance with funding requirements, organisational policies and within budget.
- Actively maintain and improve operations to ensure the facility continues to gain accreditation every 3 years.
- Ensure effective risk management practices, systems and procedures are in place to enable risks to be minimised.
- Lead, empower and coach staff to consistently provide high quality person-centred care, to be engaged, supportive and effective team members and to
embrace continuous improvement and change. - Monitor and manage the allocation of staffing resources to ensure the appropriate delivery of services based on staff skills and experience and residents’ needs, goals and preferences.
- Undertake performance development activities by providing staff with regular feedback on their performance, conducting performance and probation reviews, identifying learning needs and providing coaching, training or referral as deemed appropriate.
- Maintain personal competency consistent with the Nursing and Midwifery Board of Australia’s professional development standards and the competency requirements for this position, including participating in
competency assessments and professional development activities so that your professional knowledge remains up-to-date. - Ensure own work practices are consistent with Aged Care Quality Standardsand Code of Conduct.
- Comply with WHS legislation, policies, procedures and directions, and adopt safe work practices consistent with these.
- Take reasonable care of the health and safety of yourself and others by working in a safe manner, using equipment in a safe manner, and maintaining a safe work environment.
- Implement WHS policies, procedures and legislative requirements in your area of responsibility.
- Ensure that staff understand and comply with their WHS responsibilities, policies, procedures and legislative requirements.
- Actively promote and provide a healthy, safe and secure environment for staff, residents and visitors, and ensure safe work practices are used by staff.
Registered Nurse and IPC Lead
Ashfield Baptist Homes
06.2022 - 11.2023
- Ensure that each resident is treated with dignity and respect, is supported to maintain their identity and independence, and is given the opportunity to make informed choices about all aspects of their life so that they can live
the life they choose. - Provide safe, effective and quality care in accordance with each resident's care plan, professional and ethical nursing practices, organisation's policies and procedures, and the Aged Care Act to ensure that duty of care is exercised and that each resident's health, well‐being and quality of life is optimised.
- Conduct comprehensive assessments and evaluations of permanent and respite residents on admission and on a regular basis (or as soon as care needs change).
- Develop, review and implement resident care plans in consultation with residents, their significant others and other members of the care team, ensuring that residents are strongly encouraged and supported to be involved in this process at all times so that they receive care and services in
accordance with their needs, goals and preferences. - Ensure appropriate and timely communication of care plans to all relevant parties and coordinate care requirements with external health professionals.
- Monitor, measure and evaluate care plan outcomes using evidence based tools and revise care plan to ensure it reflects the resident's current status and continues to meet their needs.
- Identify and resolve issues relating to resident care utilising sound clinical judgement and evidence‐based approaches.
- Encourage and support residents to participate in their direct personal care and activities of daily living, as documented in their care plan.
- Coordinate staff to provide support for daily living in accordance with the social, emotional, psychological and spiritual needs, goals and preferences of each resident so that they can maintain their identity, and have meaning, purpose and connectedness in their life.
- Maintain a welcoming, safe and home‐like environment for residents which promotes their independence, function and enjoyment by:
- Being respectful of each residents' right to privacy and dignity
- Helping residents and their visitors to feel welcomed and comfortable in
their surroundings
- Maintaining security of the building
- Ensuring that common rooms are free of hazards
- Reporting building and equipment maintenance requirements - Ensure that all incidents relating to residents, e.g. falls, medication incidents, infections, wounds are documented, are communicated to Care Managers, doctors and relatives (as appropriate), and are managed in consultation with the Care Manager.
- Administer medications safely and correctly in accordance with regulatory requirements and organisation's policies and procedures.
- Monitor residents for reactions to medications, manage reactions within your scope of practice, and report and document any adverse reactions in accordance with policies and procedures.
- Ensure that all medication incidents are reported, documented, investigated, corrected and evaluated in a timely manner and in accordance with policies and procedures.
- Ensure that all S8 medication incidents are reported immediately to the Care Manager and ECM and are documented in accordance with policies and procedures.
- Review skin integrity of all residents for potential wounds and manage appropriately.
- Undertake wound management and associated documentation in line with procedures and industry standards.
- Refer for review wounds that appear infected, are slow to heal or fail to heal, or are deteriorating to the Care Manager.
- Support residents to understand their rights, to raise concerns, to provide ideas and feedback, and to make complaints in order to inform continuous improvement for individual residents and ABH.
- Report resident and family concerns, ideas, feedback and complaints in a timely manner and in accordance with organisation's policies and procedures.
- Assist to investigate and resolve complaints.
- Manage any deterioration or changes to a resident's health, cognitive or physical function, capacity or condition within your scope of practice; report immediately to the Care Manager, and document accordingly.
- Report any suspected harm, abuse or neglect of a resident immediately to the Care Manager, and document accordingly.
- Communicate in a manner which residents understand by adjusting communication strategies to suit the health status, cognitive or sensory ability, language and literacy of each resident.
- Develop and actively maintain effective partnerships, networks and relationships, including with local health and community service providers, in order to support the work of organisation, facilitate resident access to service provision and enhance the organization's relationship with the community.
- Lead and empower staff to consistently provide high quality person‐centred care, to be supportive and effective team members and to embrace continuous improvement and change.
- Provide advice and support to care staff and others in respect of resident care issues so that staff have the knowledge and information to safely and effectively support residents and improve the quality of life of residents.
- Assist with performance development activities by providing staff with regular feedback on their performance, conducting performance and probation reviews, identifying and resolving staff performance/conduct issues, identifying learning needs and providing coaching or referral as deemed appropriate.
- Complete competency skills assessments on staff to ensure the competency of the workforce.
- Liaise with and support others delivering internal or external services to residents (such as physio and activities team members) so that residents receive services in accordance with their care plan.
- Buddy up with new RNs as required and provide on‐the‐job support and guidance to new RNs so that they have the information and knowledge to fulfill their role.
- Complete all records, documentation and notes (manual or electronic) in an accurate, complete and timely manner, ensuring all documentation accurately reflects individual care delivery.
- Ensure that all personal information and documentation is kept private and confidential.
- Undertake data collection, benchmarking and other research and knowledge gathering activities as required to achieve and monitor best practice.
- Participate in Continuous Quality Improvement activities, including identifying opportunities for improvement or any potential risks arising from your duties or the duties of the staff you supervise.
- Participate in quality audits and take action to address any improvements required in consultation with the Care Manager.
- Assist in preparing for Accreditation by completing allocated tasks in a timely manner.
- Maintain personal competency consistent with the Nursing and Midwifery Board of Australia's professional development standards and the competency requirements for this position, including participating in competency assessments and professional development activities so that your professional knowledge remains up‐to‐date.
- Comply with organisation's policies and procedures and all legislation applicable to work role, including adhering to the legal requirements for elder abuse, medication management, documentation and infection control.
- Ensure own work practices are consistent with Aged Care Quality Standards.
- Comply with WHS legislation, policies, procedures and directions, and adopt safe work practices consistent with these.
- Identify and report hazards and risks and take corrective action as required.
- Provide evidence-based advice and expertise and act as a resource person to all staff on issues related to ICPAP standards, policies and procedures.
- Perform infection control competency assessments to ensure 100% of the workforce is competent in relation to these e.g. Hand washing, PPE.
- Develop, implement and evaluate policies and procedures in relation to infection surveillance, prevention and control as required to achieve and monitor best practice.
- Assess infection control practices, review results and implement necessary improvements to ensure best practice is achieved.
- Conduct quality improvement and risk management activities and comply with accreditation standards in areas relevant to infection prevention and control.
- Monitor outbreaks and provide accurate and timely reports to ECM, CE, OMT, PHU, SLHD and other bodies as required.
- Co-ordinate the management of patients under transmission-based precautions to minimise further transmission.
Roster Administrator
Ashfield Baptist Homes
04.2021 - 06.2022
- Publish and maintain the roster in Inerva two weeks in advance off the set master roster ensuring all shifts are covered by appropriately skilled and trained staff, staffing levels are maintained in line with budgets and client needs and preferences are met.
- Ensure staff are rostered in accordance with Enterprise Agreement and legislative requirements (such as visa/immigration considerations).
- Coordinate the replacement of staff for planned and unplanned leave in the most cost effective manner and ensure all vacant shifts are covered so that staffing levels are maintained and continuity of care exists.
- Assist to identify permanent shifts which may need to be filled/advertised to minimise the use of casuals.
- Complete the payroll preparation on a fortnightly basis (on the first Monday of the pay cycle), including all exports and associated paperwork.
- Follow up and promptly resolve any discrepancies in time and attendance.
- Verify and approve timesheets in a timely manner.
- Ensure staff availability and preferences are considered when compiling rosters so that, as far as practicable, preferences are balanced against organisation and client needs.
- Ensure enquiries regarding rosters are resolved promptly and in a customer focused and supportive manner.
Care Service Employee and Home Care Worker
Ashfield Baptist Homes
03.2019 - 04.2021
- Respect residents and ensure they are treated with dignity and respect and encouraged to make their own decisions.
- Ensure care plans are followed.
- Report changes in health and/or behaviour immediately to the RN or Clinical Manager.
- Follow direction from senior staff.
- Supports others involved in delivering care.
- Understands the legal implications of documentation.
- Documents relevant forms, charts and progress notes as required.
- Observe the health and well-being of residents and report changes to the RN and complete required documentation in the appropriate way.
- Participate in annual competency assessment.
- Provide input into the development and review of client service plans and encourage and support the involvement of clients in this process so that they receive care and services in accordance with their needs, goals and preferences.
- Provide safe, effective and quality personal care in accordance with each client’s service plan, and organisation’s policies and procedures so that each client’s health, well-being and quality of life is optimised. The provision of personal care includes toileting, bathing, personal hygiene, dressing, grooming, transferring, assistance with meals and drinks, and assisting and prompting clients to take medication from their Webster pack.
- Provide support for daily living in accordance with the social, emotional, psychological and spiritual needs, goals and preferences of each client so that they can maintain their identity, and have meaning, purpose and connectedness in their life.
- Provide domestic assistance and help to maintain a safe and comfortable home environment for clients which promotes their independence, function and enjoyment.
- Support clients to understand their rights, to raise concerns, to provide ideas and feedback, and to make complaints in order to inform continuous improvement for individual clients.
- Report any deterioration or changes to a client’s health, cognitive or physical function, capacity or condition immediately to the Home Care Case Manager, and document accordingly.
- Report any suspected harm, abuse or neglect of a client immediately to the Home Care Case Manager, and document accordingly.
- Communicate in a manner which clients understand by adjusting communication strategies to suit the health status, cognitive or sensory ability, language and literacy of each client.
- Take reasonable care of the health and safety of yourself and others by working in a safe manner, using equipment in a safe manner, and maintaining a safe work environment.
- Attend all mandatory training sessions.
Personal Care Assistant
Solutions Nursing Agency
03.2018 - 12.2018
- Ensuring condition is monitored and a full body assessment is performed daily, uncharacteristic conditions; skin issues; continence status and behaviours are reported.
- Assist with Activities of daily living routines and practices are followed at all times.
- Tasks are coordinated and carried out in co-operation with other members of the care team.
- Ensuring duty of care is practiced.
- Respond appropriately to requests from Agency to attend shift within a short time frame.
Nurse Manager
Makati Medical Center
03.2012 - 05.2017
- Creates strategies/ methodologies to ensures that all patient safety related policies and other relevant instruction / directives especially related to uniformity of care are consistently adhered to by all staff at all times.
- Continuously reviews clinical protocols for timely/ relevance and makes recommendation and improvement as necessary.
- Collaborates with Workforce Officer to ensure desired number of personnel is achieved daily, appropriate skills mix of work force in the nursing units is based on staff competency, patient acuity and available resources.
- Participates in the development of an operational plan for the department based on the strategic plan of the Nursing Services Division.
- Supports staff's professional advancement needs such as training programs and post graduate education course. Creates unit-based processes that promote work-life balance for all staff.
- Identifies nurses with good management or clinical potentials. Recommends programs or exposure to develop staff potential. Ensures compliance of staff to mandatory programs needed to achieve desired career pathway.
- Participates in assigned Hospital /Divisional /Departmental committee such as but not limited to as the Medical Records Committee, Quality Leaders, and Medication Safety Subcommittee.
- Ensures organizational effectiveness through regular reporting of patient safety related incidents, timely feed backing, escalation of urgent operational and patient safety related matters and collaborates with cross-functional groups via oral, written and electronic media.
- Demonstrates ability/skill in communicating within the organization in oral, written and other forms using English as medium.
- Identifies wastage in various processes and integrates quality tools to solve/ minimize wastes.
- Prepares and submits unit budget and monitors financial performance thru Profit and Loss report as needed.
- Provides a complete oversight on the equipment/ machines used for patient care and unit processes.
- Accounts for all machine/ equipment's functionality, completeness and maintenance every shift/ day.
- Ensures that the service attitude and standards are practiced consistently by the staff
- Initiates service recovery measures to address complaints and improve patient / customer satisfaction.
- Conducts a thorough investigation on patient and/or companion's complaint. Ensures prompt resolution of escalated patient's, companion and Physician's complaints.
- Conducts regular patient rounds to review patient care rendered by the nursing staff, anticipate needs and minimize/ address complaints.
- Conducts bedside learning session through formal lectures, case method and safety huddles, with the staff to ensure safe nursing practice and compliance to hospital protocols.
- Creates a buddy system to facilitate the learning of the new staff and ensure smooth professional transition.
- Identifies nurses with good management or clinical potentials. Recommends programs or exposure to develop staff potentials.
- Acts as resource person to the staff for any technical concerns, supply/ equipment concerns and patient care related concerns.
- Conducts regular performance appraisal of all nursing personnel. Recommends personnel for recognition/promotions.
- Demonstrate ability in identifying process improvement and in managing process improvement projects towards successful implementation.
- Actively participates in divisional and cross functional quality related management system and quality assurance activities of the hospital.
Charge Nurse
Makati Medical Center
06.2011 - 02.2012
- Ensures that: a. A comprehensive history and physical examination is completed for each patient. B. Assessment data are organized, accurate, complete, accessible and confidential.
- Results of diagnostic test or procedures are made available. Critical test results are relayed to the Physician within specified timeframe.
- Patient education is conducted by staff nurses as it may be required during patient care (such as but not limited to medication administration, procedure/ surgery preparation, home instruction, use of equipment etc.)
- Physician's orders are carried out correctly and accurately implemented by the staff.
- Implements timely and appropriate corrective actions in managing safety related incidents during the shift. Escalates issues/ concern that are beyond his/her capacity to the Headnurse or Shift Manager.
- Prepares staff assignment for the shift based on staff competency, patient acuity, geography and patient's preference/ request. Adjusts staff assignment as the need arises.
- Participates in the implementation of strategies t to institutionalize operational plan for the department based on the strategic plan of the Nursing Services Division.
- Monitors unit standing based on key performance indicators of the division. Recommends plan of action to exceed or meet performance targets.
- Establishes close coordination with different unit heads/ managers in the conduction of activities related to customer service, document & data management, information management, supplies and equipment related issues/ concern and resource allocation for patient care.
- Disseminates policies, regulations, circulars and programs among nurses and nursing support staff during the shift.
- Participates in budget planning and preparation.
- Initiates immediate and appropriate service recovery measures to address complaints and improve patient / customer satisfaction.
- Conducts a thorough investigation on patient and/or companion's complaint. Ensures prompt resolution of escalated patient's, companion and Physician's complaints.
- Conducts bedside learning session through formal lectures, case method and safety huddles, with the staff to ensure safe nursing practice and compliance to hospital protocols is ascertained during the shift.
- Ensures effective implementation of the buddy system to facilitate the learning of the new staff and ensure smooth professional transition.
- Acts as resource person to the staff for any technical concerns, supply/ equipment concerns and patient care related concerns.
- Demonstrate ability in identifying process improvement projects.
Staff Nurse
Makati Medical Center
12.2006 - 05.2011
- Obtains comprehensive data from the patient's health history and physical examination utilizing standards of assessment, use monitoring equipment and diagnostic results.
- Utilizes focused assessment skills during health history taking and physical examination of the elderly patient. Executes plan of care utilizing nursing standards and geriatric care protocols.
- Performs safe nursing practice in the care of the elderly: a. Anticipates for any need/equipment needed to care for the elderly b. Identifies sudden changes in the elderly patient's health condition, implements appropriate interventions and if needed, report to proper authority promptly. Modifies plan of care as indicated by paediatric patient's response and condition. c. Safely transfers the elderly patient.
- Administers ordered regular and high alert medications safely and correctly via the following route (PO, IM, Subcutaneous, Topical, Ophthalmic, Rectal, Sublingual, Aerosol).
- Responds to and provide appropriate nursing action for emergent situations. Demonstrates understanding of role in hospital emergencies, fire and disaster.
- Develops, executes and evaluates established plan of care for patients with pain and specific diseases/ patient such as but not limited to end of life care, care of the vulnerable and immunocompromised patient, care of patients with communicable diseases, care of patients on moderate sedation, care of the comatose patient, care of a patient on dialysis, care of patients with ostomies, pressure sore and wound.
- Demonstrates financial responsibility and accountability through the effective and efficient use of resources in daily procedures, practices and processes.
- Delegates to unlicensed assistive personnel in a manner appropriate to the assistive personnel's level of competency and training.
- Endorses all completed and contemplated procedures and all pertinent data of the patient to the incoming shift and whenever he/she goes out of the unit. Ensure continuity of care through the use of proper endorsement methods.
- Effectively utilizes communication techniques with patients, families, and members of the health team. Collaborates plan of care with other members of the health team.
- Maintains complete, accurate, concise, and updated documentation of patient care. Documents at the time of assessment or nursing interventions provided or as soon as possible afterwards. Observes nursing procedures and policies pertaining to any aspect of clinical charting and reporting.
- Identifies own learning needs, acknowledges limitations, and responds positively to recommendations for personal improvement. Takes initiative in acquiring and mastering skills required of the position by participating in and completing continuing education and training activities.
Clinical Instructor
St. Augustine School Of Nursing
06.2006 - 11.2006
- Supervised students when administering medications to maintain patient safety.
- Assigned students to patients based on students' learning objectives and patient needs.
- Provided immediate and constructive feedback to students individually and as group.
- Instructed students on how to perform head-to-toe assessments on patients and how to intervene in medical emergencies.
- Provided nursing skill demonstrations for medication administration, dressing changes and clinical logs.
- Conducted clinical simulations and provided feedback for each individual student.
- Provided educational lectures and facilitated discussions on weekly basis.
- Distributed course syllabus and communicated course standards and learning objectives to students.
- Improved student performance by defining clear goals and communicating performance metrics.
- Updated instructional materials, ordered equipment and supplies and utilized various learning modalities to enhance instruction.
Education
Master of Arts - Nursing Administration
University of Makati
Makati City, Philippines09.2016
Bachelor of Science - Nursing
Saint Louis University
Baguio City, Philippines05.2005
Skills
- Patient Care Assessment
- Infection Control
- Care Planning
- Resource Allocation
- Operational Standards
- Quality Improvement Plans
- Nursing Performance Assessment
Certification
- Registered Nurse (Division 1), AHPRA
- ACIPC Foundations of Infection Prevention and Control Course Certified , ACIPC
Affiliations
- Member: Australasian College for Infection Prevention and Control
- Member: New South Wales Nurses and Midwives' Association
Additional Information
National Police Check - Cleared
NDIS Worker Check - Cleared
Working with Children Check - Cleared
Timeline
Care Manager
Ashfield Baptist Homes
11.2023 - 03.2024
Registered Nurse and IPC Lead
Ashfield Baptist Homes
06.2022 - 11.2023
Roster Administrator
Ashfield Baptist Homes
04.2021 - 06.2022
Care Service Employee and Home Care Worker
Ashfield Baptist Homes
03.2019 - 04.2021
Personal Care Assistant
Solutions Nursing Agency
03.2018 - 12.2018
Nurse Manager
Makati Medical Center
03.2012 - 05.2017
Charge Nurse
Makati Medical Center
06.2011 - 02.2012
Staff Nurse
Makati Medical Center
12.2006 - 05.2011
Clinical Instructor
St. Augustine School Of Nursing
06.2006 - 11.2006
Master of Arts - Nursing Administration
University of Makati
Bachelor of Science - Nursing
Saint Louis University
- Registered Nurse (Division 1), AHPRA
- ACIPC Foundations of Infection Prevention and Control Course Certified , ACIPC
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