Duties include but are not limited to:
Clinical handover
- Do morning handover according to ISBAR procedure with Shift leader on opposite shift and may delegate handover to duty Sr according to allocation
- Ensure all reporting up to date for handover and all information checked when receiving handover
Administration and reporting
- Daily reporting to the NSM on any interventions during the shift
- Thorough reporting during shift change
- Follow up on new scripts and phone the pharmacy to arrange
- Follow up on DR’s appointments
- Follow up on all tests (blood, urnite) and receive results.
- Do adjustments to medicine and care plans on our internal system.
- Incident reporting
- Report IOD to HR and NSM
- Summary report / non charting auditing
Staff allocation and management
- Allocate staff on shift according to patient needs and operational requirements
- Ensure full complement of staff on duty
- Performance appraisals with staff
- Promote sound relationships and motivation in team members
- Assist with topic specific training
- Ensure only fully orientated and approved agency staff is on duty
Medication
- Manage medication administration to the residents as per allocation
- Monitoring of scheduled drugs
- Weekly drug checks
- Ensure all blister packaged medication is available on the trolley, checked and signed by 2 Registered Nurses.
- Manage any adverse effects by contacting Dr immediately for intervention and further treatment orders.
MDT and Interaction with Professionals
- Regular MDT meetings with in-house healthcare support team
- Regular meeting with outside healthcare professional and amend care plans and system upon their recommendation of specific resident
Resident admissions and Discharges
- Manage all admissions to the unit with the HCA and ensure all relevant requirements are in place and admission allocated to specific people
- Manage all documentation for admission, progress and discharge in sub-acute facility with HCA
- Assessment of patient upon admission
- Draw up person centered care plan
- Contact with medical doctors and families
- Organise medication for patients and follow up on scripts at discharge
- Manage discharge process with family and residents
Sub acute patients
- Ensure progress reports are sent to the medical aid where needed
- Assess and write an observation report on residents progress every shift, this will include the vital signs and other applicable functional data and progress
- Follow up with the MDT on patient progress
- Do referrals for patient
Clinical tasks
Responsible for all clinical functions as pre scope of Practice of a Registered Nurse, this includes but is not limited to:
- Wound care, pressure care, ostomy care
- Managing skin lesions
- Catheter care including flushing intervention
- Weighing patients on admission and according to care plan
- Do regular resident rounds to monitor that every resident is receiving the cre required and that quality care for all tasks is maintained
- Assess patients on specific areas of concern and adjust the care plan as needed
- Ensure that Dr’s prescriptions and physio recommendation are carried out and included into the nursing care plan
- Consult with the NSM re any clinical concerns or quality of care issues
Risk management
- Educate and manage staff on health and safety related issues
- Maintain effective infection control practices
- Manage the prevention and reporting of incidents
- Liaise with Housekeeper Supervisor on any housekeeping and laundry concerns
Emergency and deaths
- Follow policy in the case of panic button alerts
- Act according to patient’s living will in case of emergency or resuscitation
- Phone emergency services immediately for village emergencies
- Phone Dr of resident in case of emergency
- Phone family in the case of death to inform them in a calm and dignified manner
- In the case of a death, phone the undertaker
- Liaise with the family regarding the resident’s belongings and any other arrangements, including memorial at the HCC (if applicable)
Stock management
- Manage the overnight stock cupboard, ensure all used stock is charged to the resident account
- Overnight cupboard - assist the HCA to count stock daily on stock sheet
- Daily check of the emergency trolley, ensure it is securely locked and only to be used during a life threatening situation
Catering
- Check trays and diet list and approve
- Ensure that the Food Ambassador performs duties according to job description
- Confirm meal sheets, cancelations and new admissions are correctly added
- Handle all food related complaints and refer to the Food Services Manager
- Control cancellations
Requirements
Qualifications - SANC registered as a Registered Nurse. Up to date BLS.
Experience and Knowledge - Dementia care, frail care, relevant experience of taking charge of a shift, sub acute, palliative care, rehab, strokes, orthopedic, care for patients with IV therapy.
Skills - Strong interpersonal skills, professional communication, ability to work under pressure, managerial skills, making sound decisions, proactive, organisational skills, computer literate, professional, focussed, fluent in English.
Attributes - Well spoken, neat, compassionate, well presented, be able to converse with people on different levels - staff, families, MDT and other professionals coming into the facility. Assists the Nursing Manager in meeting regulations as well as company policies and procedures.
Working Hours - Normal working days are Monday to Sunday. You will be required to work 16.25 shifts per month. Night shifts are from 19h00 to 07h00.
Benefits:
- Salary on offer from R 30,000.00 Cost to Company per month.
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