MARGARET MWANGI

• Ensuring safety of service users using sound clinical skills and effective risk assessments like therapeutic engagements to make sure patients are put in correct level of observation.
• Doing general observation like BP, Pulse ,saturation ,respiration, temperature to help assess general physical health of patients and to gain clues of possible deterioration in well being
• Administering medication and monitoring patients for side effects.
• Acting as nurse in charge, allocating staffs to patients, ensuring adequate staffing levels and coordinating shift.
• Deescalating incidences as they occur, detecting clues of possible elevation of anger or aggression and attempting destruction techniques and also using root cause analysis to identify patients triggers to anger.
• Performing ECG, medical device checks to make sure they are working perfectly and they are clean.
• Ensuring infection control is maintained to prevent hospital acquired infections.
• Having 1:1 engagements with patients aiming to promote therapeutic relationship based on mutual trust and respect.
• Respecting cultural difference by being self-aware and making sure.
• Ensuring seclusion is used as last resort when patient is posing risk to others .
• Ensuring patients using our services have good experience by respecting, empowering and working in partnership with them throughout care planning process.
• Safeguarding patients by identifying and responding when they are at risk of abuse and escalating concerns as per hospital policy to prevent and minimize harm.
• Supervising and guiding nursing students undergoing their placements in
• ward.
• Reflecting on everyday practice to identify areas where improvements in safety or quality can be made by conducting daily safety huddles with
• multidisciplinary team.
• Working with others as
• team to create culture of continuous and improvement of care.
• Maintaining accurate, legible and comprehensive records to maintain proper documentation.
• Maintaining compliance with their mandatory training requirements like Physical management of anger and aggression, break away, medical competencies, manual handling and others.
• Working with patients and families in all stages of care planning process to ensure.
• Acting as patient advocates in multi-disciplinary team and overseeing work of others to ensure that they are also responding to needs of patients and providing clinically effective care.
• Conducting ward round.
• Reporting incidences as they occur as way of learning and identifying gaps to offering top notch services.
• Liaising with care coordinators in community preparing patient for discharge to ensure continuity of care upon discharge.

List of Clinical Conditions

Substance use disorder, Delirium, OCD, Substance/drug induced psychosis, Suicide ideations, Phobias, Schizophrenia, schizo affective disorder , Anxiety disorders, Antisocial personality disorder, Bipolar disorder , Bipolar affective disorder ,ADHD, PTSD, Major Depression.

• Ensuring good infection prevention and control measures are maintained to prevent acquiring and spread of nosocomial infections.
• Administering medication in all forms, oral, IV, IM, SQ and monitoring their effectiveness.
• Writing patients care plan, ensuring patients involvements to make sure it meets individual needs.
• Monitoring patient’s vital signs and escalating any abnormalities to the health care provider.
• Advocating for patients in the multidisciplinary meetings, with their family to promote speedy recovery.
• Teaching patients about their diagnosis as a way of promoting awareness and minimize anxiety during procedures.
• Monitoring and recording response to treatment, while reporting adverse events as per hospital Policies.
• Providing patient health education, guidance and support on health promotion and illness
• Prevention.
• Preparing patients for examinations and assisting physicians in carrying out the actual procedures.
• Removing old dressing, assessing, measuring, irrigating, cleaning and dressing wounds and pressure ulcers, while adhering to aseptic techniques and nursing protocols.
• Performing diagnostic procedures like for example, collecting blood samples and sputum
• Recording and maintaining patients’ medical histories, signs and symptoms and response to care.
• Ensuring patient data is kept private and confidential.
• Providing pre-operative and post-operative nursing care to patients before and after surgery, like assessing for bleeding, change in mental status, pain, vital signs and escalating incidences appropriately.
• Preparing admission rooms, decontaminating and sterilizing equipment as needed to ensure infection prevention.
• Maintaining hygienic, clean, safe environment in accordance to health care policies.
• Assessing and managing pain with analgesics such as NSAIDS, opioids and evaluating for pain relief using appropriate pain scale.
• Maintaining nutrition status of patients; monitoring food and fluid intake and assisting in activities of daily living.
• Administering blood and blood products, oxygen at prescribed flow rates and other treatments.

Some Clinical Conditions handled in the ward.

Medical Conditions:

• Hypothyroidism, gastritis, migraine, pneumonia, upper respiratory infections. Diabetes, hypertension, burns, copd, ascites, renal failure, HIV/AIDS, meningitis.

SURGICAL Conditions:

TURP, cholelithiasis, laparotomy, arthroscopy, laminectomy, colostomy, intestinal obstruction, appendicitis, managing tractions.

• Ensuring environment in theatre is clean, staff wear appropriate wear, shoe and hair cover and masks.
• Conducting medical checks to ensure machines are operating well like diathermy, head lights ,oxygen cylinders.
• Sterilizing some theatre equipment’s using
• Doing gauze, instruments and needles count before and after procedure ,ensuring time out is done.
• Assisting surgeon throughout procedure with various tasks like retraction ,passing instruments, dressings.
• Ensuring patient is stable enough to be taken to recovery room.
• Ensuring less turnaround time.
• PROCEDURES SCRUBBED:
• Laparoscopic surgeries like arthroscopy, hysterectomy, caesarean section, total knee replacement, laparotomy, liposuction, myomectomy, ,hypospadias and epispadia, transurethral resection procedure.
• Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention
• Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans
• Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary
• Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills
• Managed care from admission to discharge
• Contributed to interdisciplinary team meetings by presenting relevant clinical data about patients'' progress toward reaching established goals of care
• Audited charts and reviewed clinical documents to verify accuracy
• Managed quality care for patients with heart failure, end-stage renal disease and coronary artery disease

• While working as maternity nurse was able to conduct at least 2 deliveries ever day some days more than two.
• Doing physical assessment on pregnant women and babies and escalating abnormalities to health care provider.
• -Monitoring mothers and babies pre and postpartum to detect any warning signs and complications like sepsis, respiratory distress.
• -Monitoring labour process, conducting normal deliveries and ensuring proper documentation on pantograph.
• Administering medication and monitoring for side effects.
• Ensuring infection prevention control measures are maintained.
• Preparing pregnant women for caesarean section and offering postoperative care, like monitoring bleeding, pain, early ambition.
• Teaching mothers on proper attachment during breastfeeding.
• Performing cord care and teaching mothers how to do it to prevent infection.
• Complete orders assigned by health care provider.
• Ensure patient safety before and after delivery.
• Respond to emergency situations with speed to prevent further complication .example in case of pulmonary embolism, post-partum haemorrhage.
• Collecting blood sample for grouping and cross matching
• Administered scheduled medications and therapies intravenously, rectally, orally, subcutaneously and via intramuscular injections while overseeing pain management plans
• Maintained adequate unit supplies to meet expected patient demands
• Counselled patients and caregivers, providing emotional, psychological and spiritual support
• Took vital signs of new-borns
• Implemented medication and IV administration, catheter insertion, and airway management