Registered Nurse
1. Clinical and Technical Skills
- Patient Assessment: Evaluate vital signs, organ function, lab results, and perform physical exams, ECG.
- Drain and Tube Management: Manage and assess JP drains, chest tubes, and other drainage systems, ensuring functionality and preventing complications.
- Graft Monitoring: Detect signs of rejection or complications (e.g., bile leakage, reduced urine output).
Medication Management: Administer medications (oral, IV, subcutaneous, intramuscular), including immunosuppressants, insulin and coagulants, while managing side effects and balancing fluids/electrolytes.
- Wound Care: Perform dressing changes, clean wounds, and monitor for signs of infection or delayed healing.
- Infection Control: Maintain aseptic techniques and handle patients under contact, droplet, and airborne precautions.
- Monitor unstable patients: Monitored and provided care for unstable post-surgical patients requiring ECG monitoring.
- Urine Catheter: Insert catheter (with supervision), manage monitor and assess UC.
- Bladder scan: check for bladder residual.
2. Critical Thinking and Problem-Solving
- Recognize and respond to complications (e.g., infection, rejection, hemorrhage).
- Prioritize tasks effectively and make decisions under pressure.
3. Communication and Patient Education
- Educate patients and families on surgical procedures, post-surgical care (e.g., drain management, blood glucose monitoring), and long-term lifestyle changes.
- Provide emotional and psychosocial support, fostering a therapeutic nurse-patient relationship.
- Communicate effectively with interdisciplinary teams to coordinate care plans (social worker, physiotherapy, dietitian, etc.).
4. Organizational Skills
- Manage care for 6–10 patients per shift, ensuring accurate documentation in electronic health records (EHR).
- Organize preoperative and postoperative patient workflows efficiently.
5. Specialized Knowledge
- Hepatobiliary and Transplant Expertise: Provide care to patients with pancreatic diseases, post-pancreatectomy recovery, and transplant cases (kidney/liver), as well as biliary diseases.
- Preoperative Care: Review patient history, educate on procedures, and address psychological concerns.
- Postoperative Care: Monitor vital signs, manage graft function, administer pain relief, and prevent complications like DVT or infection.
- Long-Term Care: Educate patients on recognizing graft rejection signs and maintaining a healthy lifestyle post-transplant.
6. Additional Skills
- Nutrition and Hydration Management:Monitor intake/output, collaborate on tailored diets, and administer enteral/parenteral nutrition.
- Basic Life Support (BLS): attended a hospital training as part work requirements.
- Mobility and Safety: Assist with patient positioning, ambulation, and injury prevention.
- Basic Diagnostic Skills: Collect specimens and perform basic tests (e.g., blood glucose monitoring, rectal swab, urine and stool specimens).