Yinka Omoniyi

WARD 2A: General Medicine, Amputee / Trauma and Acute Care of the Elderly

• Performed daily assessments to evaluate patient condition and implemented necessary interventions.
• Facilitated communication between patients, family members and other healthcare professionals.
• Collaborated with interdisciplinary team members to develop individualized patient plans of care.
• Provided direct patient care in an general medical care setting, including assessment of patient status, administering medications and treatments, and monitoring vital signs.
• Identified any potential safety issues or risks that could affect the well being of the patient.
• Administered intravenous fluids (including PICC and CVS lines)and medications as prescribed by doctors orders.
• Iron and Blood transfusion.
• Assessing and management and administration of IV and per oral medication to hyper/ hypokalaemic, hypo/hypertensive, hypo/hyperglycaemic, hypo/hypertensive, Septic patients according to FSH policy and doctors orders.
• Daily Wound care including Complex wounds
• Falls Prevention and post fall observation and documentation according to FSH policy. Ordering low low bed and FRAMP update
• Managed multiple tasks simultaneously while maintaining attention to detail using effective time management and prioritizing patient care
• Care of the palliative patient including comfort care. Emotional support to family and ensuring the appropriate health professionals are involved. PI Care and prevention.
• Provided emotional support for patients during difficult times.
• Adhered strictly to infection control guidelines at all times.
• Oxygen administration as required and charted
• Documented all aspects of nursing care according to established policies and procedures.
• Mentoring Student Nurses as allocated
• Providing efficient ISBAR handover to next nurse and documenting a holistic body system based nursing note for each allocated patient

WARD B: Acquired Brain Injury (6 Month Rotation)

• Assessed and monitored patient health conditions, including vital signs such as temperature, pulse rate and blood pressure.
• Provided nursing care for patients with various acquired brain Injury medical diagnoses and treatments.
• Care of aggressive, confused and behavioral brain injury patients.
• Administered medications and treatments in accordance with doctors orders.
• Liaison with doctors regarding deteriorating patients, patient of concern and clarification on newly charted medication.
• Updating Shift Coordinator on significant health changes or Care of allocated patients
• ADLs and Care of Incontinent Patients. Care of Indwelling Catheter. Care of Patient with Stoma Bag
• Pressure Care prevention, PI wound care and documentation
• Initiated and attended MET Call for deteriorating patient with low GCS
• Initiated some referrals and collaborated with Allied health professionals such as OT, Physiotherapy , dietitian and speech therapist to update, develop and provide individualized care plan for patient.
• Ensured that all documentation such as Care Plan, FBC, Bowel Chart, Wound Care was accurate and up-to-date according to established guidelines.
• Efficient Patient Handover - Phone and face to face
• New Admission and Discharge of patient as required
• Attended patients with spinal, neuro, seizure precautions
• Aspen Collar, Leg Brace/Boots Care, donning and doffing including hygiene care
• Mentoring Student Nurses as allocated
• Providing efficient ISBAR handover to next nurse and documenting a holistic body system based nursing note for each allocated patient

• Worked as a Graduate Registered Nurse posted in the Fremantle Eye Clinic
• Eye toileting and surgical wound care post surgical procedures
• Visual Acuity Test for all presenting outpatients
• Tonometry test for outpatients and recording eye pressure for opthalmology review.
• Outpatient nursing care for patients presenting with opthalmology issues including glaucoma and cataract.
• Patient education on eye care post surgery

• First contact with patients - triage, taking and recording Clinical Observation using Best Practice Program.
• Writing Care Plans for Doctors endorsement for patients with chronic conditions
• Immunisation and Vaccines administration - e.g. Covid/ Childhood/ Vitamins for babies and teens including elderly patients. Conversant with the Western Australian Immunisation schedule and liaison with the Government body on new Australian Immigrant Immunisation status.
• Performed ECGs on Cardiac Patients patients presenting with Cardiac issues
• Performed Spirometry and Ear syringing regularly as required
• General education on BSL checks for diabetes patients and teaching patients how to use their insulin pen correctly
• Administered Iron infusion with doctors support adhering to regular vitals check for signs and symptoms of reaction.
• Wound care including post plastic surgery wound care management.
• Other Clinical and administrative duties as required.

• Built relationships with pre- and post-surgical patients with compassion and positive attitude.
• Maintained aseptic environment to prevent patient infections or other unwanted outcomes.
• Conducted full neurological observation and maintained neuro injury cautions on neurological patients.
• Assisted in tracheostomy care per
• Care of PEG tubes and administering PEG feeds as required
• Bladder washout monitoring, documentation and handover
• Wound care, management and patient education
• Attending to hygiene care of the immobile patients nursed in Bed.
• Documentation of progress notes using systems method.

• Responded quickly to deteriorating patients and coordinated efficient and skilled care.
• Maintained open and clear communication with doctors to coordinate effective patient care.
• Administered critical IV medications to stabilize patients for assessment and treatment.
• Coordinated care with doctors and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care.
• Liaised with multi-disciplinary professionals in fast-paced situation
• Conducted rapid A - E patient assessments and diagnostic tests to provide doctor with important patient health information.
• Monitored and recorded patient condition, vital signs, recovery progress and medication side effects.
• Handover of patient to ambulance team as required
• Answered patient questions and provided take-home materials for further information.
• Independently attended to incoming patients levels 4 and 5s from arrival to discharge

• Documented observations, interventions, and concerns in patient charts and electronic systems, sustaining continuum of care from admission through to discharge.
• Conducted 15-minute and unscheduled checks on patients, immediately responding to hazardous incidents or crises to maintain safety
• 15, 30 and 60 minute visual observations as required
• Attended Family meetings and Treatment Team Meetings to provide information update on Nursing care and support person for MH patient
• Monitoring Escorted Ground Access and Unescorted Ground access for MH patients including sign in and out.
• Vital signs check and report on abnormalities and medication side effects such as Hypotension, Mood changes, Appetite changes
• Administered psychotropic drugs and other medications, adhering to medication schedules and making adjustments commensurate with patients' condition and response.
• Conducted shift routine risk assessment interviews with assigned patients for self-directed violence, analyzing risk factors, protective factors, mental status and current triggers.
• Ensuring Mother and Baby are safe and cared for.
• Provided client assessments upon admission and discharge.
• Conducted Admission and discharge procedures for MH patients

• Collected and documented patient vital signs.
• Patient education e.g. Wound Care, Early diagnosis of Diabetes and Hypertension
• Conducted Ear Test with Automated System, Ear Syringing and referral to Ear specialist Centres
• Patient Recalls for follow up appointment with GP
• Completed Patient Care Plans
• IM administration including Ventrogluteal Technique
• Built rapport with patients' family members and support system.
• Assisted practice nurse and GP with medical procedures.
• Collaborated with health care team members in delivery of holistic care to patients.
• Obtained laboratory specimens such as Urine, Throat and Nose swabs for viral and bacterial infections.
• Conducted ECGs and Spirometry on patients for GP review and treatment
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• Documented patient medical histories, current symptoms and vitals.
• Addressed patient care needs, collected vitals, dressed wounds and managed catheters.
• Communicated effectively with patients and loved ones to explain diagnoses, treatment options and procedures.
• Sterilized equipment and supplies using germicides and autoclaves to protect patients and staff from infection.

• Monitored and maintained, removed catheters, IVs, Surgical Wounds and bandages.
• Preparation of Pre Operation checklist and prepping patients for surgery
• Ensuring pre surgery protocol is adhered by e.g. NBM, Surgical baths with Chlohexidine and change into surgical gowns
• Handover to Surgical Nurses
• Handover post Surgery
• Post Operation vital signs monitoring and A to E assessment
• Monitoring and documenting Bladder Washout and Vacuum drains
• Performed Vacuum drain dressings under strict supervision of preceptor
• Monitoring and nursing care of the deteriorating patient
• Medication administration and documentation such as Oral, IM, SC, IVABs, IV Push Topical
• Built relationships with pre- and post-surgical patients with compassion and positive attitude.
• Maintained aseptic environment to prevent patient infections or other unwanted outcomes.
• Assisted with patient surgery preparation by administering proper medication, monitoring patients' conditions and charting abnormalities.
• Accessed patient medical history, current medications and pre-procedure instructions to confirm adherence and respond to questions.
• Monitoring nasogastric tubes, ileostomies, colostomy bags, peg tubes and tracheostomy tubes to facilitate patient care.

• Maintained safe and comfortable environment for each patient.
• Operated under direction of licensed nursing professionals and pursued opportunities to learn new skills.
• Phone handover of new patients from Ward to Transit Lounge, and from Transit Lounge to other Hospitals or nursing home using the ISBAR formality.
• Monitored patient status and reported update to senior medical staff.
• Maintained a professional documentation of Patient care e.g. progress notes on BOSSNET and Clinical Manager, assessment and vital signs documentation
• Delivered meals and snacks, helped patients feed themselves and documented intake for medical records.
• Cared directly for patients by assisting with daily living activities and mobility needs.
• Established immediate and long-term care goals and worked with interdisciplinary team to create plans to achieve goals.
• Managed patient transfers between unit and facility locations and moved patients to procedure and surgical rooms.
• Delivered culturally sensitive care to unit patients for optimal outcomes.

• Assigned and cared for 50% patient caseload with preceptor supervision, initiating an hourly planner as care plan guide for assigned patients.
• Administered medications as charted using the rights of medication administration including right documentation and reason.
• performed IV infusions, IV push including care, assessment, removal of intravenous Cannula and documentation.
• administered Insulin, Intramuscular, subcutaneous injections and under strict supervision, with approval performed butterfly subcutaneous medication administration for palliative patient.
• Successfully performed female catheterisation on two occasions
• Performed primary and secondary assessments including ECGs, GCS, urinalysis and BGLs
• Performed neurological, neurovascular, abdominal and respiratory assessments
• Initiate MET call appropriately for severely hypotensive deteriorated patient. Cared for deteriorating patients in acute setting - hypotension, hypoglycaemic, Acute Pneumonia
• performed wound management including sutures and staples removal, gauze packing of open surgical wound, compression therapy/bandaging as management for varicose veins and ulcer healing. Appropriate documentation using TIME format.
• Obtained wound swabs for laboratory investigation
• Care for constipated patient including administration of aperients, fleet enema.
• Stoma fistula care and observation of Stoma nurse changing the stoma fistula pouch
• Provided end of life care for palliative patients and post death nursing care and preparations
• conducted admission interviews, forms, assessments and initiate file for new patients
• conducted discharge paperwork - patient transfer from regional to metro hospital including phone handover.
• Initiated Oxygen therapy via nasal prongs as charted for patient with COPD
• Progress notes documentation using A -E format
• End of shift handover of patients using ISBAR
• Built rapport with patients' family members and support system.
• Helped patients feed themselves and documented intake for medical records.

At York Health service I gained experience through learning opportunities across Emergency & Acute Care, Aged Care and Wound Clinic.

• Maintained safe and comfortable environment for each patient.
• Operated under direction of licensed nursing professionals and pursued opportunities to learn new skills.
• Spent a full day weekly in Wound Clinic managing and dressing simple and complex wounds such as Diabetic Wounds, surgical wounds, lacerations and burns then completing wound management plan and appropriate patient education for same.
• Monitored patient status and reported update to preceptor and senior nurse as appropriate.
• Supported activities of daily living and mobility including personal hygiene needs of patients and completed documentation as appropriate. Use of mobility aids such as Sara Steady, Four wheel walker and Hoists.
• Reviewed patient files including goal of care, bowel charts, falls risk, comorbidities and existing care plan details to develop an appropriate care plan for each shift.
• Completed clinical work in different units to achieve degree standards and build nursing knowledge.
• Documented information about patient care, vitals and condition markers.