Toni Cyryl De Guzman

ENT Department provides specialist care for patients not only with conditions of the ear, nose and throat, but also for others in the head and neck area. It is a very fast paced department which we provide a wide range of outpatient clinic matters relating to ENT conditions and many procedures and minor operations can be performed in the same "one-stop" visit. We treat patients who have been referred from their GP, Practice Nurse, A and E, Urgent care and hospital doctor. Our main duties are providing supervision and leadership to the nursing and admin team within ENT Outpatient. Acting as a chaperone and assisting the doctors during the clinics. Monitoring and maintaining stock levels of equipment and medications. Participating and managing the smooth running of clinics, communicating delays and information to patients and their relatives and working in proactive and problem solving way. Responsible for patient flow and assisting doctors as necessary with examination. Prepares equipment and aids doctors during treatment, examination, and procedures. Provides nursing care for ear, nurse and throat patients in accordance with established standards and policies.

• Determined and implemented nursing standards and structures for better patient care practices.
• Recruited and hired individuals to add depth, expertise and talent to healthcare team.
• Precepted new staff nurses to provide education on hospital policies and procedures.
• Led staff to improve patient care through valuable coaching, teaching and mentoring.
• Stayed up-to-date on the latest nursing developments to provide best patient care.
• Handled annual appraisals for employees and facilitated personal development plans in compliance with mandatory training.
• Resolved conflicts and negotiated mutually beneficial agreements between parties.

Centenary Wing and Chemotherapy Supportive Treatment Unit ( CSSTU) is a day case elective admissions for both Oncology & Haematology Chemotherapy for malignant disease are admitted to the Centenary Wing. The Centenary Unit is a dedicated cytotoxic chemotherapy unit with day case provision for supportive treatments being provided on the 'hub' unit, the Chemotherapy services Supportive Treatment Unit. As a Haematology/oncology nurse, your main duties are to support the patient throughout there care, to monitor them, to develop and implement treatment plans, administer medication, to advocate for the patient and educate patients and families on the diagnosis and treatments. To provide infusion therapy, which entails the administration of prescribed intravenous chemotherapy drugs, as well as pre- and post-treatment patient care. The oncology nurses operates the chemotherapy equipment and continually monitors the patient during treatment, typically working in a clinical setting under the supervision of a physician.

An ambulatory care nurse is a nursing professional that treats patients seek routine medical care for acute and chronic illnesses usually working with individuals on an outpatient basis only. You need to implement and maintain the highest standards of evidence based clinical care. Ensure all care is given in accordance with agreed protocols. Carry out diagnostic procedures such as ECG, swabs, blood test etc. Be proficient in cannulation and venesection as required. Ensure all patients are fully informed of the risk and benefits of proposed procedures.

• Administered oxygen and medication to achieve optimum health outcomes.
• Complied with quality healthcare standards to uphold hospital reputation.
• Worked closely with fellow nurses, doctors and clinicians for consistent communication and continued best care practices.
• Helped deliver stabilising and life-saving treatments during medical emergencies.
• Prioritised health problems to assist patients in complex, urgent or emergency situations.
• Established positive rapport with patients and families through active listening and compassionate care.
• Dealt with emergencies with calm and composure.
• Supported physicians and consultants with tests and procedures.
• Used oral, topical and IV medications to manage patient symptoms.
• Administered medication with meticulous attention to detail.
• Assessed, planned and implemented treatments with precision and care, prioritising patient wellbeing.
• Delivered life support with updated first aid and CPR training.

Registered nurses who work in a cardiac catheter laboratory assist physician s with patient assessments. Cardiac catheter lab nurses prepare patients for catheterisation procedures, angioplasties, pacemaker, implantation and other cardiac procedures. The nurse closely monitors the patient vital signs during the procedure. Patients maybe awake during the procedure, which requires the cardiac catheter lab nurse to help them calm and reassured. Registered nurse administer medication according to the physicians instructions before, during and after the procedures. In addition to scheduled procedures in the cardiac catheter lab, registered nurse must assist during emergencies and perform life saving procedures. Cath lab nurses monitor patients during recovery in the cardiac catheter lab, monitor the patients vital signs, administering medications and updating the patient’s chart

• Worked closely with fellow nurses, doctors and clinicians for consistent communication and continued best care practices.
• Helped deliver stabilising and life-saving treatments during medical emergencies.
• Prioritised health problems to assist patients in complex, urgent or emergency situations.
• Established positive rapport with patients and families through active listening and compassionate care.
• Delivered consistently high standards of individualised nursing care, best maintaining patients' health and wellbeing.
• Dealt with emergencies with calm and composure.
• Supported physicians and consultants with tests and procedures.
• Administered medication in line with stringent drug regulations.
• Used oral, topical and IV medications to manage patient symptoms.
• Administered medication with meticulous attention to detail.
• Maintained accurate, up-to-date patient records, maximising data accuracy.
• Delivered life support with updated first aid and CPR training.

As a staff nurse you renders/hands overwork from/to co-nurses in writing. Render good individualised nursing care to patients in accordance with the physician’s order and in conformity with established standards and administrative policies. Attends to physical needs and keeps patient clean and comfortable. Attends to patient’s complaints and refer them to physician. Maintain accurate and complete records of nursing observations and care rendered. Taking vital signs, performing catheterisation, administering enema and giving helpless patient a bed bath. Go with the doctors rounds and note down any verbal order. If such has been made, let the physician countersign the orders. Give more attention to stat orders. Check intravenous site, carries out treatment and procedure safely and effectively. Administers oral and parenteral medications to patient upon doctor’s order and supervision. Observe the 5R’s in giving medications (right patient, right drug, right dose, right route, right time). Making charting legible and concise

Turnfurlong Specialist Centre offers a range short stay, intermediate and respite care service for older people to enable them to return to their own home, await a move to live at a more appropriate community setting, and to provide a break for carers. As a charge nurse , you're a team leader. You delegate your work to your subordinates. You are responsible to maintain accurate and complete records of nursing observations and care rendered. Assist in transportation, lifting, moving patients. Assist in the patients education and rehabilitation including promotion of mental & physical health. Administering oral medication.

• Handled patients' hygiene needs in support of personal dignity and optimum wellness.
• Worked with clinical team to carry out prescribed treatments addressing individual patient needs.
• Improved service delivery by demonstrating clinical leadership and best practices.
• Established positive rapport with patients and families through active listening and compassionate care.
• Delivered consistently high standards of individualised nursing care, best maintaining patients' health and wellbeing.

Received /hands overwork from to co nurse in writing. Attends to physical needs and keeps patient clean and comfortable. Administer oral and parenteral medication. Changing wound dressing. Monthly updates of risk assessments. Attends to patients complaints and refer them to GP.

• Handled patients' hygiene needs in support of personal dignity and optimum wellness.
• Worked with clinical team to carry out prescribed treatments addressing individual patient needs.
• Delivered consistently high standards of individualised nursing care, best maintaining patients' health and wellbeing.

Received/hands overwork from/to co nurses in writing. Attends to physical needs and keeps patient clean and comfortable. Provide for assist s in transportation, lifting, moving patient. Attends to patient complaints and refer to GP. Administer oral and parenteral medication. Changing wound dressings.

• Managed and updated client records, ensuring accuracy for dependable health and wellbeing monitoring.
• Eased family anticipation by updating regularly on patient progress, developments and treatment changes.
• Created positive relationships with clients through practical support and companionship, improving overall quality of life.
• Delivered toileting support for clients with mobility issues.
• Worked with clinical team to carry out prescribed treatments addressing individual patient needs.

Medical-Surgical ward is a 28 bedded private ward for patient who have medical and surgical disorder. The ward provides individualised plans of care to manage patients diseases. The ratio of nurses in this area is 1:14 and is composed of a head nurse, charge nurse, medication nurse and a nursing attendant. Nurse responsibilities are render good individualised nursing care to patients with the physicians order and in conformity with established standards and administrative policies, attends to physical needs and keeps patient comfortable and clean, attends to patients complaints and refer to physician, maintain accurate and complete records of nursing observations and care rendered. Taking vital signs, performing catheterisation, administering enema, administer oral & parenteral medications, making charting legible and concise.

The medical and surgical ward is a 12 bedded ward for patient who have different medical and surgical case. In this area, it is composed of a charge nurse and medication nurse with the ration of 1:12. Nurse responsibilities are render good individualised nursing care to patients with the physician order in conformity with established standards and administrative policies, attends to physical needs and keeps patient clean and comfortable. Attends to patient complaints and refer to physician, maintain accurate and complete records of nursing observations and care rendered, taking vital signs, performing catheterisation, administering enema, administering oral and parenteral medications, make charting legible and concise