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The Pre-Assessment Clinic (PAC) is a nurse led unit where patients are assessed pre – operatively to ensure they are optimally fit for their surgery by carrying out systematic systems review to include documenting an accurate clinical history, medication review, physical examination including but inclusive of Vital Signs, Height, Weight, ECG and the ordering of relevant laboratory/ microbiology/cardiology tests as determined by the pre-assessment history. The role is responsible for the provision of quality service in line with standards of nursing practice. As a key member of the frontline team, the general registered nurse will demonstrate strong clinical skills and facilitate effective communication with colleagues in the hospital. The position requires a collaborative and supportive approach to the development of services and structures, embracing continuous quality improvement and the implementation of changes necessary to achieve organisational objectives.
Job Responsibility
Utilising assessment skills and techniques to determine patient needs on admission
Carry out comprehensive and accurate nursing assessment of patients, plan and implement care and evaluate the achievement of identified outcomes
Use a structured approach in the process of assessment and collection of data regarding the health and functional status of the patient
Analyse and interpret data accurately
Collaborate with the patient and family/carers in identifying expected health care outcomes and patient needs
Update the written or computerised care plan as indicated
Develop appropriate and individualised patient education and discharge planning and utilise available ward resources for same
Formulate a patients plan of care, outcomes including timeframes for achievement, and continuity in collaboration with other health professionals and the patient
Develop and plan discharge criteria from time of pre assessment in PAC and admission to DOSA
Plan work to allow time for training, meetings etc
Provide safe, comprehensive nursing based on current standards and research, perform procedures according to established policy and procedures
Administer the developed care plan in a consistent and flexible manner
Fulfil prescribed orders completely and accurately
Provide care with minimal supervision in a timely accurate and safe manner
Maintain a safe environment for patients, visitors and colleagues
Advocate as necessary for the patients, respecting their dignity and confidentiality
Function effectively in an emergency situation
Adapt to changing workloads
Know and practice within legal requirements including those set down by NMBI
Evaluate and update care plans appropriately
Evaluate personal nursing practice as compared to standards of care and know own ability and competence
Participate in quality assurance by assisting to identify recurrent nursing problems and co-operate in data collection and problem solving
You must comply with all hospital policies in relation to Infection Prevention and Control
Work as a member of the nursing team on day duty and perform duties as allocated by the Clinical Nurse Manager 1and/or 2
Ensure that controlled drug records are kept in accordance with standard recognised legal and professional practice
Ensure safe practice is adhered to in the storage and administration of all drugs in accordance with local policy and Department of Health / NMBI guidelines, keeping patient and staff safety a priority
Be aware of the multifaceted needs of emergency, medical and surgical patients and provide a holistic support service for them and their families
Keep accurate, comprehensive, up-dated records and written reports as required and guided by NMBI recommendations
Ensure correct and economical use of unit stocks and material and the safe and correct use of all equipment
Ensure the safekeeping of patient’s belongings in accordance with hospital policy where necessary
Document all necessary care given on the Meditech Patient information system
Be willing to be deployed to other areas of the hospital if requested to do so
Document and report to the CNM, in a timely and comprehensive manner, any incidents, accidents, near misses or complaints and participate in any subsequent investigation as requested
Participate in staff meetings, team meetings and committees as required
Requirements
Be registered in the general division of the Register of Nurses maintained by NMBI
Have at least two years recent relevant post-registration nursing experience (full-time or equivalent hours part-time) in an acute hospital setting, with one year in a surgical setting