Registered Nurse (Night Shift) - Faircape Group

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 is up to date for handover and all information is checked when receiving a 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 the in-house healthcare support team
• Regular meetings with outside healthcare professionals and amend care plans and systems upon their recommendation of a 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 
• Assessment of patient upon admission
• Draw up person-centred care plan 
• Contact medical doctors and families
• Organise medication for patients and follow up on scripts at discharge 
• Manage discharge process with family and residents 

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 care 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 Doctor’s prescriptions and physio recommendations are carried out and included in the nursing care plan
• Consult with the NSM regarding 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 the patient’s living will in case of emergency or resuscitation 
• Phone emergency services immediately for village emergencies 
• Phone Doctor 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 a 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 the 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 the job description
• Confirm meal sheets, cancellations 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, orthopaedic, 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, focused, 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.