MAHADI ABDUJABR ISSA (BSN,MSN, Ph.D.)

Medication Administration.

• Follow the '5 rights': right patient, medication, dose, route, and time.
• Use the electronic medication administration record (eMAR) system with barcode scanning.
• Perform medication reconciliation during transitions of care.
• Complete the morning medication pass (6:00 AM - 12:00 PM) and the afternoon pass (12:00 PM - 6:00 PM).
• Document in real time at the point of care using IPAD OR LAPTOP.
• Record vital signs as required before administering certain medications.
• Note: Refused medications with appropriate reason codes.
• Document PRN medication effectiveness.
• Utilize electronic alerts for allergies, interactions, and timing-critical medications.
• Access medication administration history for trending.

TPN (Total Parenteral Nutrition)

• Assess the central line/PICC site daily for signs of infection.
• Monitor glucose levels regularly.
• Use aseptic technique during. connections/disconnections
• Verify the formula against the physician's orders.
• Monitor for complications: hyperglycemia, electrolyte imbalances.
• Document intake and output accurately.

G-Tube Feeding.

• Verify tube placement before each feeding.
• Measure residual volumes per protocol.
• Flush the tube before and after medications and feedings.
• Position the patient at a 30-45° elevation during and after feeding.
• Monitor for complications: aspiration, diarrhea, and tube displacement.
• Provide site care to prevent infection and skin breakdown.

Respiratory Care

Oxygen Administration

• Select the appropriate delivery device based on patient needs.
• Set the prescribed flow rate, and monitor effectiveness.
• Monitor oxygen saturation levels
• Document delivery method, flow rate, and patient response.
• Assess the skin under the device to prevent pressure injuries.

Suctioning

• Assess need based on lung sounds, secretions, SpO2
• Pre-oxygenate patient before procedure
• Use aseptic technique
• Monitor vital signs during procedure
• Limit suction duration to 10-15 seconds
• Document amount, color, consistency of secretions

Tracheostomy Care

• Perform inner cannula cleaning/replacement per protocol
• Change tracheostomy ties/securing device safely
• Clean stoma site with prescribed solution
• Ensure emergency equipment availability
• Provide humidification to prevent mucus plugging
• Document stoma condition and patient tolerance

IV Administration

• Program pump according to ordered rate and volume
• Monitor IV site for infiltration, phlebitis, or infection
• Change tubing and dressings per protocol
• Document fluid intake
• Manage pump alarms and troubleshoot equipment issues

Wound Care

• Assess wound characteristics (size, depth, tissue type, exudate)
• Clean wounds using appropriate techniques
• Apply dressings according to wound type and orders
• Document appearance and healing progress
• Coordinate with wound specialists as needed

Monitoring and Assessment

Vital Sign Monitoring

• Measure temperature, pulse, respiration, BP, oxygen saturation
• Establish patient baseline and recognize significant deviations
• Adjust frequency based on patient condition
• Document trends, not just individual readings
• Recognize patterns indicating early deterioration

Patient Monitoring

• Perform ongoing assessments appropriate to condition
• Identify changes requiring intervention
• Implement nursing interventions as needed
• Escalate concerns based on patient acuity
• Participate in interdisciplinary planning

Laboratory Collection

• Verify patient identity using two identifiers
• Select appropriate collection tubes and equipment
• Follow proper order of draw for multiple samples
• Maintain sterile technique
• Label specimens at bedside immediately.
• Document collections and any difficulties

Communication and Care Coordination

• Use SBAR format when reporting to providers
• Document all communications with healthcare team
• Prepare handoff reports for transitions
• Organize patient records for transfer when needed
• Communicate with receiving facilities
• Accompany patient during transport if needed
• Follow up to ensure continuity of care

Documentation and Education

• Complete comprehensive assessments
• Document all nursing care and interventions
• Conduct discharge planning and education
• Assess patient learning needs and readiness
• Provide education on disease processes, self-management
• Teach medication administration techniques
• Evaluate understanding through teach-back method
• Document educational interventions

• Developed educational materials for staff and patients regarding disease prevention, treatment options, and lifestyle modifications.
• Administered medications, treatments, and immunizations as prescribed by physicians.
• Performed diagnostic tests such as X-rays, electrocardiograms, CT scans, and ultrasounds, as ordered by physicians.
• Maintained accurate records of patient care services in accordance with legal regulations.
• Educated families about home healthcare needs and available resources.
• Monitored vital signs such as blood pressure, temperature, heart rate and respiration rate.
• Conducted follow-up calls with discharged patients to ensure recovery progress.
• Implemented infection control procedures designed to reduce the risk of transmission of infectious diseases in the facility environment.
• Identified potential safety hazards within clinical settings.
• Responded quickly to life-threatening situations by initiating appropriate emergency measures.
• Assessed patients' health condition and medical history to develop a care plan.
• Provided emotional support and comforted patients during visits.
• Consulted with physicians to discuss changes in patient management plans or medication regimens.
• Attended continuing education classes to stay current on best practices in nursing care.
• Collaborated with other healthcare professionals to coordinate patient care.
• Reported any unusual incidents or complaints from patients and families to supervisor promptly.
• Evaluated the effectiveness of nursing interventions and modified plans according to patient responses.
• Participated in quality assurance activities including chart audits and data collection.
• Instructed patients on proper self-care techniques at home or in a clinical setting.
• Administered medications and treatments, monitoring patients for reactions and side effects.
• Adhered to infection control procedures to facilitate safe, clean patient environment.
• Acted as patient advocate and implemented total patient care through team nursing process.
• Administered medications, tracked dosages, and documented patient conditions.
• Assessed and prepared patients for procedures, performing initial and ongoing patient assessments.
• Oversaw patient admission and discharge processes to coordinate related paperwork.
• Recorded patient condition, vital signs, recovery progress and medication side effects.
• Created effective business plans to focus strategic decisions on long-term objectives.
• Delegated work to staff, setting priorities and goals.
• Conducted specified laboratory tests to help detect conditions and determine diagnosis.
• Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
• Administered oral, IV and intra-muscular medications and monitored patient reactions.
• Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
• Advocated for patients by supporting and respecting basic rights, values, and beliefs.
• Assessed patient needs, prioritized treatment, maintained patient flows and assisted physicians with non-invasive procedures.
• Conducted intake assessments with patients and relatives to gather case history.
• Collected lab specimens, ordering and interpreting diagnostic tests and lab results.
• Monitored and managed various treatment and care interventions.
• Evaluated patients, recognized and addressed complications and coordinated treatment with other members of critical care team.
• Observed strict safety measures, including checking medication dosages before administration to patients.

Healthcare Leadership and Administration

• Provided technical leadership to department heads, ensuring quality performance in maternal and child health, outpatient services, TB/HIV programs, laboratory, and pharmaceutical services.
• Examined and approved strategic and annual facility plans.
• Managed and monitored overall health center activities.
• Reviewed and approved facility activity reports.
• Devised mechanisms to enhance resource mobilization.
• Oversaw primary healthcare service coordination to achieve operational objectives.
• Managed budgeting and financial oversight within constraints.
• Authorized day-to-day clinic expenditures.
• Identified human resource requirements in alignment with strategic plans.
• Supported recruitment activities and staff development.

Clinical Practice.

• Conducted consultations in Pediatric, Adult Outpatient, and Maternal departments.
• Provided comprehensive maternal and child healthcare, including antenatal care, postnatal care, family planning, and delivery assistance.
• Administered immunization programs for children.
• Performed patient assessments, diagnoses, and treatment plans for acute and chronic conditions.
• Prescribed medications, and performed advanced procedures.
• Conducted physical examinations and diagnostic tests.
• Monitored inpatient and outpatient care.
• Provided short- and long-term family planning services.
• Interpreted and implemented care plans.

Health Information Management.

• Coordinated Health Management Information System (HMIS) implementation, following regional health bureau training.
• Collaborated with Tulane University on health information initiatives.
• Trained health staff on proper patient information reporting protocols.
• Developed systems for effective patient information management.
• Maintained accurate, detailed medical records, and reporting.

Team Leadership.

• Supervise junior staff.
• Collaborated with multidisciplinary medical teams.
• Supported staff participation in community meetings and outreach.

Patient Care.

• Provided direct patient care and support.
• Educated patients on health conditions and treatments.
• Assisted patients with daily tasks, as needed.
• Monitored and recorded patient behaviors and symptoms.

• Educated communities on TB and HIV transmission, prevention, and their interconnection, enhancing public health awareness, and reducing stigma.
• Conducted comprehensive consultations for both adults and children with TB/HIV, developing tailored treatment plans and medication regimens.
• Screened outpatients for TB and HIV, particularly focusing on high-risk patients presenting with a persistent cough (>14 days), weight loss, and night sweats.
• Coordinated with social workers and community health workers to establish effective referral pathways for TB/HIV-suspected cases to appropriate health facilities.
• Implemented strategic TB case-finding initiatives in high HIV prevalence regions, significantly improving early detection rates.
• Initiated treatment regimens for TB and HIV-positive patients, following WHO guidelines, ensuring evidence-based care protocols.
• Delivered specialized care and treatment protocols for tuberculosis patients, monitoring treatment adherence, and outcomes.
• Provided inpatient care including IV therapy for patients with dehydration and severe symptoms requiring hospitalization
• Administered antiretroviral therapy to eligible patients, managing medication regimens, and monitoring for adverse effects.
• Implemented isolation protocols for TB-positive patients during the critical initial two-month treatment phase to prevent transmission.
• Provided comprehensive care services for people living with HIV/AIDS (PLWHA), including ongoing assessment, treatment support, and health maintenance.
• Administered isoniazid preventive therapy to PLWHA and their families, effectively reducing TB incidence among high-risk populations
• Developed and implemented efficient referral systems between HIV/AIDS departments and TB clinics, ensuring continuity of care
• Enhanced HIV care interventions for TB/HIV co-infected patients, including testing, counseling, opportunistic infection management, and antiretroviral therapy.
• Built staff capacity across clinical settings to deliver integrated TB/HIV care, training personnel in comprehensive treatment approaches for dual-infection management.