Registered Nurse

3 weeks ago

Petaling Jaya, Malaysia SRIM Global Consult Sdn. Bhd. Full time

**ACADEMIC QUALIFICATION**

Degree / Diploma in Nursing

**SKILLS & EXPERIENCE REQUIRED**

Minimum 2 years of working experience as Registered Nurse or Newly Graduated Registered Nurse (Health Care Assistant)

**ROLES AND RESPONSIBILITIES**

The Registered Nurse will assume the following roles and responsibilities:
1. Provider of Care As a provider of nursing care, the Registered Nurse uses the Clinical Nursing Process to formulate and maintain individualized nursing care plans by:
1.1. Assessing Patient

1.1.1 Collects and contributes to a database (physiological, emotional, sociological, cultural, psychological and spiritual needs) from available resources (e.g. patient, family, doctors’ notes and others).

1.1.2 Identifies and documents changes in health status which interferes with patient’s Activities of Daily Living (e.g. oxygen, nutrition, elimination, activity, safety, rest, sleep and psychological well-being).

1.2. Planning for Nursing Care

1.2.1 Establishes nursing goals and patient expected outcomes based on the list of problems with patient, family, and significant others.

1.2.2 Develops individualized nursing care plans based upon the problem list and plan intervention that follows established nursing protocols.

1.2.3 Identifies criteria for evaluation of individualized care plans.

1.3. Implementing the Care Plans

1.3.1 Carries out individualized plans of care according to priority of needs and established nursing protocols.

1.3.2 Participates in the prescribed medical regime by preparing, assisting, and providing follow-up care to patients undergoing diagnostic and / or therapeutic procedures.

1.3.3 Uses nursing knowledge and skills and protocols to assure an environment conducive to optimum restoration and maintenance of patient’s normal Activities of Daily Living (ADL).

1.3.4 Maintains and promotes respiratory function (e.g. 02 therapy, positioning, etc.)

1.3.5 Maintains and promotes nutritional status (e.g. Dietary regimes, supplementary therapy, I.V. infusions, etc.).

1.3.6 Maintains and promotes a balance of activity, rest and sleep (e.g. exercise, sensory stimuli, assist devices, etc.).

1.3.7 Maintains an environment which supports physiological functioning, comfort, and relief of pain.

1.3.8 Maintains and promotes all aspects of hygiene.

1.3.9 Maintains and promotes physical safety (e.g. implementation of medical and surgical aseptic Page 2 of 3 techniques etc.).

1.3.11 Measures basic physiological functions and report significant findings (e.g. vital signs, fluid intake and output, etc.).

1.3.12 Administers prescribed medication safely.

1.4. Intervene in situations when:
1.4.1 Basic life support systems are threatened (e.g. performing of CPR, obstructive airway manoeuvre, etc.).

1.4.2 Untoward physiological or psychological reactions are probable.

1.4.3 Changes in normal behaviour patterns have occurred.

1.4.4 Participates in established institutional emergency plan.

1.5. Evaluating Planned Care

1.5.1 Uses nursing process components for evaluation of individualized nursing care.

1.5.2 Participates with patients, families, significant others, and members of nursing team in the evaluation of established patient’s goals.

1.5.3 Identifies alternative methods of meeting patient’s needs, modifies plan of care as necessary and document changes.

2. Role as a Patient Educator As a teacher of a patient who, the Registered Nurse shall:
**Assess situations for need of information or support to maintain health.**

Develop short-range teaching plans based upon long and short-range goals for individual patient.

**Implement teaching plans that are specific to the patient’s level of development and knowledge.**

Support and reinforce the teaching plans of other health professionals.

**Evaluate the effectiveness of patient’s learning.**

**3. Role as a Communicator As a communicator, the Registered Nurse shall**:
**3.1 Assess verbal and non-verbal communication of patients, families and significant others based upon knowledge and techniques of interpersonal communication.**

**3.2 Use line of authority and communication channel within the work setting appropriately.**

**3.3 Use communication skills as a method of data collection, nursing intervention and evaluation of care.**

**3.4 Document and record assessment, nursing care plans, interventions and evaluation accurately and promptly.**

**3.5 Establish and maintain effective communication with patient’s, families, significant others and health team members.**

**3.6 Communicate patient’s needs through the appropriate use of referrals.**

**3.7 Evaluate effectiveness of one’s own communication with patients, colleagues and others.**

**4. Role as a Member within the Profession of Nursing As a member within the profession of Nursing, the Registered Nurse shall**:
**4.1 Be responsible for her / his nursing practice including APC.**

**4.2 Practice within the profession’s ethical and legal framework.**

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