John Efraim David, MSN, RN, CRRN

• Delivers safe and appropriate care to patients, according to the nursing skills inventory and the age and needs of the patient/population served.
• Coordinates the planning for the delivery of nursing care with an interdisciplinary team and administers appropriate clinical decisions in the delivery of patient care.
• Collaborates with, directs, and may delegate to the healthcare team in the attainment of positive outcomes based on data, research, evidence, and professional standards of care.
• Coordinates treatment plans; develops/implements discharge and/or transfer plans.
• Participates in a systemic, interdisciplinary, and ongoing evaluation of programs, process improvement and desired client-centered outcomes.
• Considers the diverse needs of each patient through the entire continuum of care, providing and ensuring the highest level of service according to established service standards, optimizing the patient experience.
• Completes other duties as assigned.
• Adheres to all regulatory and Texas Board of Nursing standards.
• Performs other duties as assigned, within scope of practice and clinical competency.
• Ensure safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards, being a good steward of resources, including time management, supply management, productivity and quality of service.
• Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; serves as preceptor, mentor and resource to less experienced staff.
• Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.

• Supervised patient care and treatments, conducted patient assessments and developed customized care plans to address specific concerns.
• Established meaningful connections with patients by displaying empathy, actively listening to their personal stories, and assessing their physical, mental, and emotional requirements
• Monitored and recorded patient progress as a result of team's daily efforts, fostering rewarding relationships during stays lasting up to four weeks.
• Provided daily assistance to individuals in their journey towards regaining control of their lives, with the ultimate aim of being discharged from the hospital and reintegrating into their community, families, and friends.
• Provided relief for Charge Nurse role.

• Assesses, plans, implements and evaluates the nursing care of each client in accordance with client’s individuality, abilities, culture and choices
• Promotes an environment which maximizes client safety by utilizing infection control practices and implementing the standards of clients’ safety programs
• Practices comprehensive nursing care in accordance with professional values and moral principles and maintains confidentiality as appropriate
• Positioning, transferring and turning of patients
• Assist patient on their ADLs
• Care of pre- operative and post-operative neurosurgery case patients
• Administer therapeutic interventions to neurosurgery patients
• Medication Administration, Pain Assessment and Management and Wound Care and Management
• Prepare the patient for various procedures and investigations (MRI, CT Scan, Xray)
• Utilizes and ensures maintenance of equipment and instruments as appropriate
• Documents the nursing care of each client from admission to discharge in accordance with the general principles and legal requirements for documentation
• Prioritizes client’s needs and delegates aspects of nursing care to other nursing personnel within his/her scope of professional responsibility.

• Prepare the unit and admission of the patient
• Evaluation and recording of patient's conditions
• Assist in various emergency/urgent procedures
• Provide bed side nursing care
• Prepare the patient for various investigations like X-ray, ECG, Ultrasound
• Monitor vital signs and report to the physician
• Administer medication and treatments as prescribed by the physician
• Collect samples, evaluate and record the results
• Provide psychological support to the patient and relatives
• Maintain barrier nursing techniques and prevent cross infection
• Follow medical and surgical asepsis
• Participate emergency nurse certification trainings and other health service activities
• Set up and maintain the hospital ambulance
• Do referral to other hospitals.

• Render quality nursing care to patients utilizing the nursing process
• Prepare equipment and supports physician during treatments and examinations of patients
• Carry- out doctor’s orders
• Help doctors during examinations and treatments
• Administer medications as per doctor’s order
• Developing plan of care based on assessment through the use of nursing process
• Directing and coordinating patient care and documents relevant and significant data accurately
• In charge of the camp and site clinics and was head of the Health Concern Department for nurses
• Render first- aid treatments/ basic life support to workers especially during emergency cases until medical attention can be obtained
• Ensure that injuries are treated properly accordingly
• Record-keeping/ documenting of work and medical- related illnesses
• Monitor any heart hazard, communicable and non-communicable disease, occupational poisoning to report to the management.

• Render professional nursing care to patients of varied conditions complimentary to the medical regimen pursuant to the goals and objectives of patient care
• Perform nursing modalities/techniques for the comfort and well-being of the patient
• Prepare equipment and supports physician during treatments and examinations of patients
• Administer prescribed medications orally and by injections; provides treatments using therapeutic equipment; observes progress of intravenous infusions and subcutaneous infiltrations; changes or assists physician in changing dressing and cleaning wounds; takes temperature, pulse, respiration rate, blood pressure and heartbeat to detect deviation from normal and gauge progress of patients, following physician’s order and approved nursing care plan
• Observe, record, and report to supervisor or physician patient’s condition and reaction to drugs, treatments, and significant incidents
• Record nursing needs of patient’s nursing care plan to assure continuity of care
• Observe emotional stability of patients; expresses interest in their progress and prepares them for continuing care after discharge; explains procedures and treatments ordered to gain patient’s cooperation and allay apprehension
• Assist in planning, supervising and instructing nursing attendants and students
• Demonstrates nursing techniques and procedures, and assists non-professional nursing care personnel in rendering nursing care in a unit
• Perform other professional nursing activities as delegated by the nursing service administration
• Developing plan of care based on assessment through the use of nursing process
• Care of pre-operative and post-operative patients
• Proper / comprehensive endorsement of patient to ensure continuous care of the patient.

· Supervises and assists student nurses during their hospital duty through:

- Recording, assessing and observing progress, reactions and symptoms in patients.

- Carrying- out doctor’s orders.

- Helping doctors during examinations and treatments.

- Monitoring vital signs and makes referral of any observed problems of patient.

- Administering medications as per doctor’s order.

- Developing plan of care based on assessment through the use of nursing process

- Directing and coordinating patient care and documents relevant and significant data accurately.

- Providing health teachings.

- Evaluating and reviewing effectiveness of plan.

- Proper / comprehensive endorsement of patient to ensure continuous care of the patient