Ernie Jun Actub

Charge Nurse Duties (Night Shifts - Medically Optimised Patients Ward):

· Overseeing the unit’s operations during night shifts, ensuring safe staffing levels, and providing clinical leadership to junior staff.

· Monitoring the condition of patients throughout the night, identifying and addressing any acute changes in patient status, and coordinating necessary interventions.

· Managing patient admissions and discharges, ensuring all discharge criteria are met and appropriate documentation is completed.

· Serving as the primary point of contact for multidisciplinary teams and escalating concerns to senior management as needed.

Medication Administration: Administering prescribed medications, ensuring accurate documentation, monitoring for side effects, and assessing patient responses in accordance with hospital protocols.

Preventing Deconditioning: Implementing care plans to prevent physical and cognitive decline, encouraging mobility and engagement in daily activities to maintain functional ability.

Patient Assessment and Monitoring: Conducting regular assessments to confirm that patients are medically stable and fit for discharge, including monitoring vital signs and identifying potential risks for deterioration.

Rapid Response Management: Providing immediate interventions and initiating the rapid response protocol for patients who become acutely unwell, ensuring timely escalation of care.

Discharge Planning and Coordination: Collaborating with multidisciplinary teams to confirm that discharge criteria are met, including ensuring completion of discharge paperwork, medication reconciliation, and patient education.

Community Health Referrals: Coordinating referrals to community health teams and other support services for patients requiring ongoing care or monitoring post-discharge.

Patient Engagement and Education: Educating patients and their families on discharge instructions, medication management, follow-up appointments, and recognizing signs of potential complications.

Maintaining Patient Well-being: Implementing strategies to keep patients active and mentally engaged during their stay, reducing the risk of deconditioning and promoting recovery.

Charge Nurse Responsibilities (Night Shifts - Stroke Unit): Taking on the role of Charge Nurse during night shifts, overseeing the daily operations of the Acute Stroke Unit, ensuring safe staffing levels, managing patient flow, and supervising junior staff. Responsible for making clinical decisions and providing leadership during the night shifts, ensuring high-quality care is delivered to all patients.

Comprehensive Stroke Assessment: Conducting intensive assessments for stroke patients, including the use of the National Institutes of Health Stroke Scale (NIHSS) to evaluate the severity of stroke symptoms and guide treatment decisions.

Thrombolysis Monitoring and Support: Assisting in the preparation and administration of thrombolytic therapy for eligible stroke patients, monitoring vital signs, and assessing patient responses in accordance with stroke protocols.

Patient Care: Providing holistic care to stroke patients, managing their physical, emotional, and psychological needs.

Medication Administration: Administering prescribed medications in accordance with care protocols, including anticoagulants and thrombolytics.

Blood Administration: Administering blood products, including red blood cells and plasma, ensuring appropriate monitoring of patients during transfusions.

NG/PEG Tube Management and Food Administration: Inserting and managing Nasogastric (NG) and Percutaneous Endoscopic Gastrostomy (PEG) tubes for patients with feeding difficulties and ensuring safe food administration.

IV Cannulation and Blood Sampling: Performing IV cannulation, venepuncture, and collecting blood samples for laboratory investigations.

Blood Pressure and Fluid Management: Monitoring and managing blood pressure, maintaining fluid balance, and making adjustments in collaboration with the multidisciplinary team.

Multidisciplinary Collaboration: Working closely with doctors, physiotherapists, occupational therapists, and speech and language therapists to ensure optimal patient outcomes.

Emergency Response: Providing immediate care and responding to critical situations in stroke patients, including rapid interventions during the acute phase of stroke management.

Patient Education and Support: Offering education and support to patients and their families regarding stroke recovery, rehabilitation options, and lifestyle modifications.

• Performed nursing assessments of patients and documented findings in medical records.
• Provided emotional support to patients and families, offering comfort and information as needed.
• Developed individualized plans of care based upon assessment data obtained from the patient's medical record and physical examination findings.
• Administered oral, IV and intra-muscular medications and monitored patient reactions.

• Received fax from members and medical providers, and enter information in the database
• Assessed for urgency of pharmaceutical requests and forwards fax to corresponding departments
• Created prior authorization requests from members
• Contacted members via phone to verify pharmacy requests, inform eligibility, or provide options in cases of denied requests
• Contacted medical providers to remind prior authorization requests, and to connect them to appropriate individuals to hasten prior authorization requests if necessary
• Coordinated with the team to process pharmacy requests accurately
• Corrected errors and discrepancies related to member's prior authorization request, and redo requests if necessary

• Performed administrative duties such as filing, faxing, data entry. as necessary.
• Interpreted medical terminology and pharmacological information to translate information into coding system.
• Made corrections when needed to grammar, spelling, and syntax.
• Demonstrated strong knowledge of medical terminology and anatomy.
• Translated medical jargon and abbreviations into expanded forms to promote accuracy of patient and health care facility records.
• Identified mistakes in reports and checked with doctors to obtain correct information.
• Transcribed dictation for variety of medical reports.
• Created templates for frequently dictated reports in order to streamline workflow processes.
• Transferred transcribed materials into electronic health records system.
• Monitored incoming dictations for timely completion of assigned tasks.

• Performed administrative duties such as filing, faxing, data entry. as necessary.
• Interpreted medical terminology and pharmacological information to translate information into coding system.
• Made corrections when needed to grammar, spelling, and syntax.
• Demonstrated strong knowledge of medical terminology and anatomy.
• Translated medical jargon and abbreviations into expanded forms to promote accuracy of patient and health care facility records.
• Identified mistakes in reports and checked with doctors to obtain correct information.
• Transcribed dictation for variety of medical reports.
• Created templates for frequently dictated reports in order to streamline workflow processes.
• Transferred transcribed materials into electronic health records system.
• Monitored incoming dictations for timely completion of assigned tasks.