Jia-Yi Wong

Patient Care

• Provide continuous, high-level monitoring and treatment for critically ill patients with life-threatening conditions.
• Administer and titrate medications, including sedation, complex analgesia techniques, inotropes, and vasoactive drugs.
• Manage advanced medical equipment such as ventilators, hemodialysis machines, and invasive monitoring devices.
• Support organ function, including respiratory, cardiac, renal, and neurological systems.
• Deliver holistic care, addressing physical, psychological, and emotional needs of patients and families.

Clinical Responsibilities

• Perform and document regular patient assessments (vital signs, neurological status, hemodynamic monitoring).
• Assist with and carry out complex clinical procedures (intubation support, central line care, arterial lines, tracheostomy care).
• Respond rapidly to emergencies, including cardiac arrests, sepsis, and deteriorating patients.
• Work closely with the multidisciplinary team (doctors, physiotherapists, pharmacists, dietitians, etc.) to deliver evidence-based care plans.

Communication and Teamwork

• Provide clear, compassionate communication to patients (where possible) and their families, including updates and support during critical decision-making.
• Participate in daily ward rounds, contributing to clinical decision-making.
• Hand over effectively between shifts to maintain continuity of care.

Safety and Governance

• Maintain infection prevention and control standards.
• Ensure accurate and timely documentation of care delivered.
• Comply with NHS policies, procedures, and guidelines, including safeguarding and patient confidentiality.
• Report and escalate concerns, incidents, or deterioration promptly.

Professional Development

• Keep skills and knowledge up to date through mandatory training and continued professional development.
• Participate in audits, teaching, and quality improvement initiatives to enhance patient outcomes.
• Support and mentor junior staff and students working in ICU.

1. Flexible Coverage Across the Trust

• Work across various clinical areas and departments as needed, such as ward settings, community units, and mental health services, to support staffing needs trustwide.

2. Clinical Assessment and Nursing Care

• Independently assess, plan, implement, and evaluate patient care, following established policies, protocols, and the NMC Code.
• Carry out comprehensive, person-centred assessments and care plans, particularly in mental health settings.
• Expertise in assessment tools like NEWS2, ABCDE, and SBAR.

3. Medication Management

• Safely order, administer, monitor, and record medications in line with Trust policies, NMC standards, Misuse of Drugs Act, and any relevant mental health legislation where applicable.

4. Coordination and Discharge Planning

• Liaise and collaborate with multidisciplinary teams to coordinate services and plan timely discharges or transfers of care.

5. Accountability and Professional Standards

• Adhere fully to the Nursing and Midwifery Council (NMC) Code of Professional Conduct, ensuring high clinical standards, accountability, and safe practice.

6. Supervision, Teaching & Leadership

• Provide leadership by supervising and guiding healthcare assistants, students, and junior staff, and acting as a practice supervisor or mentor as required.
• May assume responsibility for clinical areas and support quality improvement initiatives.

7. Training, Continuous Professional Development & Governance

• Maintain mandatory and statutory training, attend inductions, and support revalidation and professional appraisals.
• Engage in governance through incident reporting, audits, clinical standards setting, and quality improvement initiatives.

8. Risk Management & Safe Practice

• Promote patient safety by recognising and escalating deterioration, safeguarding concerns, and risk assessment, especially in mental health contexts.

1. Patient Care

• Provide evidence-based, individualised nursing care to critically ill post-cardiac surgery patients.
• Manage patients requiring complex interventions, such as mechanical ventilation, intra-aortic balloon pumps, nitric oxide, haemodialysis, etc.
• Administer medications, including intravenous infusions, under strict safety protocols.
• Perform accurate patient assessments, including monitoring vital signs, cardiac rhythms, and clinical progress.
• Respond quickly and effectively to deteriorating patients, ensuring the delivery of life-saving interventions.
• Bedside nursing care and assisting the patient in regaining their ADLs.
• Advocate and provide emotional support for patients.

2. Professional Practice

• Maintain accurate and timely documentation of patient care.
• Collaborate with MDTs.
• Act as a patient advocate, ensuring dignity, privacy, and ethical standards are upheld at all times.
• Deliver patient and family education regarding condition management and post-treatment care.

3. Teamwork and Leadership

• Provide guidance and mentorship to junior staff, nursing students, and newly qualified nurses.
• Actively contribute to improving ward standards and participating in audits and quality improvement initiatives.
• Taking the role of a Deputy Nurse-In-Charge in CICU.
• Working among the team efficiently and supporting staff as needed.

4. Clinical Skills and Competence

• Specialised in advanced cardiac nursing skills, including basic ECG interpretation, invasive lines management, intra-balloon pump, PA
• catheters, haemodialysis management, nitric oxide, pacing wires management, etc.
• Manage specialised equipment such as cardiac monitors, ventilators, infusion pumps, pacing box settings, etc.
• Participate in training and maintain competency in advanced life support and other relevant certifications.
• Completed Postgraduate Certificate in Critical Care (Level 7).

5. Compliance and Development

• Adhere to Trust policies, including health and safety, infection prevention, and safeguarding protocols.
• Engage in CPD through training and attending educational sessions.
• Stay updated with advances in cardiac care, research, and evidence-based practices, e.g. Corelation of potassium ranges in atrial
• fibrillation study.

1. Direct involvement in patient care

• Assisting patients with daily living activities.
• Monitoring patients' comfort and overall well-being, addressing their psychological, physiological, and sociological needs, while ensuring they feel supported.
• Providing emotional support to patients and their families.

2. Clinical assistance

• Measuring and recording vital signs and escalating according to the situation.
• Supporting nurses and other healthcare professionals in patient management.
• Assisting in basic wound care, performing venepuncture, ECG, blood sugar monitoring, risk assessment, involvement in emergency resuscitation, etc.
• Preparing and maintaining clinical equipment. Making sure all the types of equipment are up-to-date for maintenance.
• Mentoring and supervising new joiners, nursing, and medical students.

3. Hygiene and cleanliness audit criteria.

• Adhering to infection control policies and procedures.
• Maintaining a clean and safe environment, including cleaning equipment and clinical areas. Always ensure the workspace is within the

4. Documentation

• Accurately documenting care provided, including changes in a patient’s condition and escalation.
• Reporting concerns or observations to the nursing staff promptly.

5. Teamwork

• Collaborating with multi-disciplinary teams to ensure coordinated patient care.
• Ensuring good work delegation to avoid burnout.
• Ensuring good communication among the team.

6. Training and education

• Actively participate in training for continuous professional development.