Preeja Prakash Nair

Function as Nurse-In-Charge for a 32-bed Acute Medical Unit, coordinating patient flow, staffing, and high-acuity care

• Manage a wide range of acute medical conditions including sepsis, cardiac arrest, respiratory distress, acute kidney injury, and delirium
• ALS certified; actively participate in resuscitation, crash calls, and early escalation using NEWS2 and SBAR frameworks
• Deliver expert care to frail and elderly patients, including those with cognitive impairment, falls risk, polypharmacy, and complex comorbidities
• Skilled in IV therapy, cannulation, catheterisation, ECG interpretation, wound management, pressure area care, syringe drivers, and NG/PEG feeding
• Manage CVC/PICC lines, administer blood products, and deliver oxygen therapy via various devices including venturi and non-rebreather masks
• Lead and mentor Band 5 nurses, international recruits, and students; provide clinical teaching and performance feedback
• Collaborate with multidisciplinary teams to ensure safe and timely discharges, particularly for high-risk frail patients needing community or social care input
• Actively contribute to audits, incident reporting, infection control practices, and clinical governance meetings
• Provide compassionate, person-centred care that respects dignity, cultural values, and family involvement in decision-making

Additional Clinical Experience (Bank Work):

• Emergency Department: Supported care delivery in resus and majors, gaining exposure to emergency presentations and fast-paced interventions
• Care of the Elderly: Delivered holistic care for frail patients with dementia, immobility, delirium, and complex discharge planning needs
• Facility Department: Adapted to different wards including surgical and rehab units, maintaining high care standards during short staffing

• Delivered haemodialysis care to patients with acute and chronic kidney disease in a busy tertiary care setting
• Independently managed dialysis procedures from preparation to post-session recovery, including machine priming, patient monitoring, and documentation
• Assessed vascular access sites (AV fistulas, AV grafts, and central lines) for patency and complications; responded to bleeding, infiltration, or access failure
• Proficient in handling dialysis machines (Fresenius, B. Braun), setting dialysate parameters, fluid removal goals, and anticoagulation protocols
• Monitored patient response throughout dialysis sessions, identifying hypotension, cramps, arrhythmias, and fluid/electrolyte imbalances
• Administered IV medications (e.g., erythropoietin, iron, antibiotics) and managed emergency medications including adrenaline and calcium gluconate
• Maintained strict infection control standards to prevent cross-contamination, including disinfection of dialysis machines and use of PPE
• Educated patients and families on renal diet, fluid restrictions, access care, and home care requirements
• Collaborated closely with nephrologists, renal dietitians, and social workers for holistic patient management
• Participated in audits and equipment maintenance schedules; ensured accurate patient records and adherence to treatment protocols