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APPLICATION GUIDANCE FOR

7.00 PM – 12.00 MIDNIGHT SHIFT

AT THE EMERGENCY DEPARTMENT, RIPAS HOSPITAL

 

DOCTORS 

JOB DESCRIPTION

The Emergency Department (ED) at Raja Isteri Pengiran Anak Saleha Hospital sees a large proportion of Priority 3 (Minor/Green Zone) cases - approximately 75% of the total number of patient attendances to ED. Therefore the Doctor is needed to cover the Priority 3 (Minor/Green Zone) Consultation area of both the Adult and Children's Emergency section. The Green Zone also includes Triage and Trauma & Procedures (TP) Room 11. 

 

The primary responsibilities at Priority 3 include:

 

  1. Consulting Adult and Paediatric patients coming to the Emergency Department with any health issues;
  2. Providing clinical management and treatment to adult and paediatric patients – which may include ordering investigations and delivering necessary treatments or procedures;
  3. Deciding appropriate disposition and/or appropriate referral to appropriate Specialty and/or admission to Ward, if warranted;
  4. Provide patients and families on self-care health advice and disease prevention, whenever applicable in the Emergency setting;
  5. Able to recognize danger signs/red flags and up-triage appropriately depending on patient clinical condition and diagnosis. 
 PAYMENT RATES AND CLAIMS
  • Rate BND $200 Per Shift.
  • Must complete 5 HOURS = 7.00 pm until 12.00 midnight. There is no pro-rata.
  • Log Book record for verification signatures will be provided.
  • Clinical performance will be observed and monitored.
  • Feedback on performance from various grades of ED staff will be done.
  • All claims require final verification by the Head of Emergency Department before submission to the Chief Executive Officer (CEO) of RIPAS Hospital for final approval. 
  • Payment claims should be submitted not later than the 1st week of the next month. For example: worked 5 shifts in February, to submit no later than 1st week of March)
  • Payment claims will be submitted to the Allowance Unit, RIPAS Hospital who will process the payment voucher within 2-4 weeks.

GENERAL REQUIREMENTS
  • Male or Female.
  • Local or Expatriate.
  • Resident or currently residing in Brunei Darussalam.
  • Have good communication skills.
  • Good Informative Technology (IT) skills.
  • Support the core values of the Ministry of Health.
JOB REQUIREMENTS
  • Possess a Primary Medical Degree (MBBS or its equivalent) AND must have completed Pre-Registration Housemanship and a second post-graduate clinical job equivalent of Foundation training (FY 2).
  • Must be registered with Brunei Medical Board with a valid Practising Certificate.
  • Have clinical work experience in relevant Specialties for at least 3-5 years, although General Practice, Paediatrics and Emergency Medicine experience is much preferred.
  • Must NOT be On-Duty, on Standby, Medical Cover or On-Call while working the 7.00 pm until 12.00 midnight shift.
  • Must get official permission from his/her Head of Department prior to application. Approval must be obtained monthly.
  • Must be familiar with the use of Bru-HIMS (Electronic Patient Record System).
  • A valid Basic Life Support (BLS) certification is strongly recommended.
  • A valid Advanced Cardiac Life Support (ACLS) certification and/or Advanced Paediatric Life Support (APLS) certification is recommended.
OTHER EXPECTATIONS

Once the Applicant is successful:-

  • The Doctor must abide by the Good Medical and Dental Practice Guidelines set by the Brunei Medical Board. Any serious failure to follow this guidance will result in disciplinary action.
  • The Doctor must read and sign the "Emergency Department Induction Leaflet for Doctors"An induction/orientation session can be arranged prior to starting.
  • The Doctor should be familiar with the Emergency Department and the RIPAS Hospital system including existing Standard Operation Procedures (SOP).
  • The Doctor should behave in a way that upholds the reputation of the Emergency Department and RIPAS Hospital and avoid any actions that may damage it.
  • The Doctor must ensure that he/she is still able to achieve and maintain his/her main clinical responsibilities of his/her current position and workplace.

 


NURSES 

JOB DESCRIPTION

The Emergency Department (ED) at Raja Isteri Pengiran Anak Saleha Hospital sees a large proportion of Priority 3 (Minor/Green Zone) cases - approximately 75% of the total number of patient attendances to ED. Therefore the Nurse is needed to cover the Priority 3 (Minor/Green Zone) Consultation area of both the Adult and Children's Emergency section. The Green Zone also includes Triage and Trauma & Procedures (TP) Room 11.  The primary Nursing responsibilities at Priority 3 include:

 

A.      Working at the Triage Area

  1. Assist Triage Nurse with re-assessment of vital signs and other necessary investigations in Triage;
     

B.      Working at the P3 Adult and Children Emergency (CE) Consultation Area

  1. Assist P3 doctor to call in the patient into doctor's room;
  2. Re-assessment of patient's vital signs as required;
  3. Assist the doctor with any clinical examination throughout the consultation;
  4. Administration of prescribed medication ordered by the doctor to be given STAT;
  5. Able to perform blood-taking or other bedside investigations (ECG/dextrostix/urine) as ordered by the doctor;
  6. Assist any patient who may need up-triage to the P1 or P2 area as required;
  7. Assist patients by directing them to the Radiology department for X-rays, or to the ward for admission;
  8. Assist with explanation of follow-up at clinic, appointment procedures and other generic advice to patients during discharge  from ED.


C.      Working at the Trauma & Procedure Room 11 (Minor Injury Room)

  1. Assist TP doctor to call in the patient into TP room;
  2. Perform or assist TP Nurse with wound dressing of a patient;
  3. Assist TP Nurse with suturing of wound or Plaster of Paris (POP) backslab application;
  4. Assist the doctor with any clinical and/or wound examination throughout the consultation;
  5. Administration of prescribed medication ordered by the doctor to be given STAT;
  6. Able to perform blood-taking or other bedside investigations (ECG/dextrostix/urine) as ordered by the doctor;
  7. Assist any patient who may need up-triage to the P1 or P2 area as required;
  8. Assist patients by directing them to the Radiology department for X-rays, or to the ward for admission;
  9. Assist with explanation of follow-up at clinic, appointment procedures and other generic advice to patients during discharge from ED.

 

D.      Other duties

  1. Communicate relevant information to her colleague or ED Nurse In-Charge if a patient requires up-triage, admission or referral to other speciality;
  2. Communicate or report any issues/concerns encounter during his/her shift to the ED Nurse In-Charge. 
PAYMENT RATES AND CLAIMS
  • Rate BND $80 Per Shift.
  • Must complete 5 HOURS = 7.00 pm until 12.00 midnight. There is no pro-rata.
  • Log Book record for verification signatures will be provided.
  • Clinical performance will be observed and monitored.
  • Feedback on performance from various grades of ED staff will be done.
  • All claims require final verification by the Head of Emergency Department before submission to the Chief Executive Officer (CEO) of RIPAS Hospital for final approval.
  • Payment claims should be submitted not later than the 1st week of the next month. (For example: worked 5 shifts in February, to submit no later than 1st week of March)
  • Payment claims will be submitted to the Allowance Unit, RIPAS Hospital who will process the payment voucher within 2-4 weeks.

GENERAL REQUIREMENTS
  • Male or Female.
  • Local or Expatriate.
  • Resident or currently residing in Brunei Darussalam.
  • Have a good command of both English and Malay.
  • Support the core values of the Ministry of Health.
JOB REQUIREMENTS
  • Qualified Nurse from a recognized Organization or Institution.
  • Must be registered with Nursing Board Brunei Darussalam with a valid Practising Certificate.
  • Have a minimum of one (1) year clinical work experience in the ward and/or relevant Specialties. General Practice, Paediatric and Emergency Medicine experience is much preferred. However those with any other nursing background are welcome to apply.
  • Must NOT be On-Duty, on Standby, Medical Cover or On-Call while working the 7.00 pm until 12.00 midnight shift.
  • Must get official permission from his/her Head of Department prior to application. Approval must be obtained monthly.
  • Must be familiar with the use of Bru-HIMS (Electronic Patient Record System).
  • A valid Basic Life Support (BLS) certification is strongly recommended.
  • A valid Advanced Cardiac Life Support (ACLS) certification and/or Advanced Paediatric Life Support (APLS) certification is recommended.
OTHER EXPECTATIONS

Once the Applicant is successful:-

  • The Nurse must abide by the Code Of Ethics, Standard Of Practice For Registered Nurses and Midwives, Core Competency Standards, Code of Professional Conduct For Registered Nurses and Midwives set by the Nursing Board Brunei Darussalam. Any serious failure to follow this guidance will result in disciplinary action.
  • The Nurse must read and sign the "Emergency Department Induction Leaflet for Nurses". An induction/orientation session can be arranged prior to starting.
  • The Nurse should be familiar with the Emergency Department and the RIPAS Hospital system including existing Standard Operation Procedures (SOP).
  • The Nurse should behave in a way that upholds the reputation of the Emergency Department and RIPAS Hospital and avoid any actions that may damage it.
  • The Nurse must ensure that he/she is still able to achieve and maintain his/her main clinical responsibilities of his/her current position and workplace. 

 



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