GEORGE ADUSEI WEREKO

• Triaging and assessment of patients with emergency health problems using the ABC approach and giving emergency interventions as needed.
• Assisting in performing various procedures including Endotracheal intubation, Chest tube insertion, central line insertion, Tracheostomy, Lumbar Puncture, Reduction of Fractures and Dislocation, Application of cast/plaster, etc.
• Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
• Performing procedures such as NG tube, Urethral catheterization for both males and females, peripheral Iv access, Blood and blood product transfusion, Performing and interpretation of ECG results, both from a 12 lead and Cardiac monitor, Administration of medication (Intravenous, Intramuscular, oral, and Subcutaneous, etc.) and Management of Intravenous fluids, Oxygen administration, etc.
• Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
• Preparation of patient for investigative procedures such as CT scans, MRI, X-Rays, Ultrasound, etc. and preparation patient for emergency surgical procedures in the Operating Theater.
• Routine nursing activities including bed bath, oralcare, caring for patient elimination needs, etc.
• Managing client complaints and re-establishing confidence in the services provided.
• Providing accurate information to the shift-in-charge and Charge Nurse, nurses of the subsequent shift, and accurate documentation of all nursing activities in the respective patient's Records (EMR).

EQUIPMENT USED

• Nebulizer
• Cardiac Monitor.
• Infusion & syringe pumps.
• Fluid Warmer
• Manual Defibrillator and Automated External Defibrillator (AED)
• Electrocardiograph
• Airway equipment such as LMA, oropharyngeal, nasopharyngeal, Supraglottic Airway and Endotracheal tube, Laryngoscope with blades, etc.
• Mechanical Ventilator
• Suction Machine.
• Blood Gas Analyzer
• Bag-valve Mask, Chest drains equipment, etc.

CASES CARED FOR.

• Acute Exacerbations of Asthma and COPD.
• Traumas of head and neck, spine, Chest, Abdomen, Pelvis, and Limbs.
• Burns (Chemical, Electric, Fire, hot liquid, etc.)
• Hypertensive Emergencies and Shock.
• Bleeding per vagina in pregnancy, Ectopic Pregnancies
• Hyper/Hypoglycemia and Diabetic Ketoacidosis (DKA).
• Myocardial Infarction, Congestive Cardiac Failure (CCF) and other cardiac emergencies.
• Mental Health Emergencies.
• Cardiac Arrest and/or Respiratory arrest.
• Cerebrovascular accidents.
• Renal Failure.
• Meningitis.
• Acute Abdomen.

• Patient Care:

Provides a clear focus for clinical leadership and takes responsibility for ensuring the provision of a high standard of holistic, patient-centered care in all nursing departments by leading, coordinating and supervising nursing practice. Ensuring that all patients have their needs assessed, that plans of care are developed to meet these needs and are delivered in accordance with hospital policies and procedures.

• Human Resource Management:

Assess, monitor and manage staff numbers and attendance and ensuring coverage of hospital at all times by allocating staff, based on workload and level of competence to ensuring optimal staff usage and maintaining the safe nurse/patient ratio.

• Operational and Administrative Management - Clinical and Quality Outcomes:

Ensure awareness, compliance and adherence to the relevant acts applicable within the environment. Maintain a safe, clean and hygienic environment for all the staff, patients and visitors ensuring that the staff are aware and informed of safety procedures. Oversee controlled drugs as per local guidelines. Perform checks on Dangerous drug totals and drug register, ensure that procedures and recording are adhered to. Bed/patient status per nursing department with number of theatre cases (done and still in operating room), labour room patients, seriously ill patients, VIP patients, staff admitted as patients, and any pending issues or incidents. Assist medical practitioners with all enquiries, possible admissions and related issues during the night duty period.

• Financial Resource Management:

Responds to changes in the business which may affect the ability to achieve the budget goals. Evaluate, select, and implement systems which improve efficiency of night work operations. Control, monitor, and analyze pharmaceutical and surgical stock held in the nursing departments. Make recommendations for changes in stocks used in the department. Oversees Inventory management in all departments to ensure the correctness of items from Medical and Surgical Store and Liaise with the Billing team prior to patient discharge from units for out of hours discharges.

• Customer Relations Management including External and Internal Stakeholders:

Maintains patient relations by facilitating open channel of communication with patients, their families, other departments, physicians, and ancillary personnel resolving patient and visitor complaints and/or channeling them to appropriate department for solution. Assumes accountability for customer satisfaction, process indicators, quality improvement plans and outcomes in work unit.

• Other responsibilities include:

Emergency and Disaster Plan, Medicolegal Safety, Health and Safety Obligations, Clinical Governance and Risk Management, Performance Management, etc.

• Assessed incoming trauma victims quickly in collaboration with other healthcare providers for immediate life-saving measures.
• Delivered compassionate care to patients of diverse ages, backgrounds, and medical needs in the fast-paced emergency department setting.
• Administered medications and treatments as prescribed by physicians.
• Educated families about medication management at home following hospitalization or discharge instructions postprocedure.
• Reduced wait times for patients by effectively prioritizing cases and allocating resources.
• Responded effectively to rapidly changing situations by adapting treatment plans as necessary for optimal patient outcomes.
• Improved patient outcomes by efficiently assessing, triaging, and treating emergency room patients.
• Assisted physicians with bedside procedures such as intubations, central line placements, and lumbar punctures to ensure optimal patient care.
• Collaborated with interdisciplinary teams to develop comprehensive care plans for complex patients.
• Closely monitored critical patients requiring continuous observation or frequent intervention due to unstable conditions.
• Provided on-going education to patients regarding their medical conditions, diagnostic tests, procedures, medications, and preventive measures.
• Performed thorough physical assessments on each patient upon arrival to the emergency department, identifying urgent medical concerns and initiating appropriate interventions.
• Served as a preceptor for new nursing staff, providing guidance and support during their orientation period.
• Administered medications accurately according to established protocols while monitoring for potential adverse reactions or side effects.
• Maintained accurate documentation of patient assessments, treatments, interventions, responses, and dispositions using electronic health records systems.

• Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
• Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
• Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
• Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
• Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
• Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.
• Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
• Promoted a culture of safety within the healthcare facility by participating in quality improvement initiatives, identifying potential hazards, and advocating for best practices in nursing care delivery.

• Developed strong rapport with patients and families by demonstrating empathy, active listening skills, and cultural sensitivity during interactions.
• Improved patient outcomes by providing high-quality nursing care and implementing evidence-based practices.
• Promoted patient safety by conducting thorough assessments, identifying potential risks, and implementing appropriate interventions.
• Implemented infection control measures within the clinical setting to minimize the risk of cross-contamination and maintain a safe environment for both patients and staff members.
• Increased patient satisfaction scores by providing compassionate care and addressing concerns in a timely manner.