1 Nursing Times Vol 5, No 1 Nursing Times VOL. 5, NO. 1 MAR 2024 RafflesMedGrp RafflesHospital
2 Nursing Times Vol 5, No 1 TABLE OF CONTENT BEHIND-THE-SCENES’ STORIES Transitional Care Facilities 04 Singapore Health Quality Service Awards 2024 08 Raffles Hospital Inpatient Operations Bowling Tournament 2024 11 NURSING EDUCATION Student Nurses’ Learning Journey Experience 15 CLINICAL UPDATES Raffles Dialysis Centre Clinical Indicators 20 ON THE RADAR New Nursing Leaders and Nurses 22 COMPLIMENTS FOR OUR NURSES 24 NURSES’ BANK New Year Resolution 31 6 Simple Mental Health Care Tips for Nurses 38 CONTRIBUTING WRITERS Associate Director Catherine Soo Chief Nurse Lilian Yew SM Than Sook Ling NE Dira Haridas SNC Lai Kwok Fern EDITORIAL TEAM Chief Editor: Lilian Yew, Chief Nurse MEMBERS Lai Kwok Fern, Senior Nurse Clinician II Wong Siew Fong, Nurse Clinician II Derek Tham, Acting ANC Rathigka Subramaniam, Acting ANC PRODUCED BY RMG Corporate Communications FOR NURSES BY NURSES Join the Singapore Nurses Association (SNA) All SNA Members receive: • Special rates for SNA and Chapter talks and seminars • Discounted registration fees for SNA hosted and partner conferences • Three issues of Singapore Nursing Journal (E-copy); Three issues of newsletter; SNA Connect (E-copy) • Lifestyle benefits (Please find out more at http://www.sna.org.sg/lifestylebenefits) SCAN FOR MORE DETAILS If you would like to submit an article or share a nursing story, please contact thu_khinemyat@rafflesmedical.com
3 Nursing Times Vol 5, No 1 Chief Editor’s Note Raffles Nursing Times is a quarterly e-newsletter published by the Raffles Hospital, which serves as a unique platform for our nurses to stay connected. It highlights updates from our nurses and student nurses, and with these exciting contributions, we keep abreast of clinical practices, new technologies and arm ourselves with the latest and greatest from the nursing world. This quarter we feature the Raffles Medical Group’s Transitional Care Facilities, Singapore Health Quality Service Awardees, and our inaugural Inpatient Operations Bowling Tournament. Additionally, we have a group of student nurses who shared about their learning journey experience and how clinical indicators has helped the Raffles Dialysis Centre in achieving excellent patient care. The next issue of Raffles Nursing Times will be published in June 2024. If you have stories to share, please submit them before 1 May 2024. Mark your calendars and anticipate our next issue! Sincerely, Lilian Yew (Ms) Chief Editor “So, NEVER LOSE AN OPPORTUNITY OF URGING A PRACTICAL BEGINNING, however small, for it is wonderful how often in such matters the mustard-seed germinates and roots itself.“ ~ Florence Nightingale Through Raffles Nursing Times, we also hope to interact with Raffles nurses and stay in touch with our nursing friends from all walks of the field. This is an exclusive e-publication for nurses prepared by Raffles nurses.
4 Nursing Times Vol 5, No 1 Behind-the-scenes RMG Transitional Care Facility ‘BEHIND-THE-SCENES’ STORIES Labour Ward The Transitional Care Facility (TCF) plays a crucial role in the healthcare system by providing a bridge between hospital care and long-term care for stable, chronic long-stayers. Besides helping to free up beds in the public hospitals, it aims to improve the overall quality of life for patients by offering comprehensive and compassionate care in a comfortable and safe environment while preparing them for the next step in their care journey. The TCF at Raffles Hospital spans across levels 11 to 13 and offers a capacity of 176 beds, while TCF EXPO, Hall 9 has a capacity of 220 beds. Meals are provided three times daily, with the option for specific diets based on recommendations from dietitians and speech therapists. Ward 11 Transitional Care Facilities Nursing Staff Written by: Catherine Soo, Associate Director
5 Nursing Times Vol 5, No 1 ‘BEHIND-THE-SCENES’ STORIES Transitional Care Facility Goals and Objectives The goals and objectives of the TCF include reducing the number of stable chronic long-stayers in the wards, collaborating with other healthcare providers and community organisations, and continuously evaluating and improving the facility’s operations, services, and staff development. Admission Criteria Patients who are admitted to a TCF include those who are medically stable, have a clear discharge plan, and may benefit from monitoring of chronic medical issues and maintenance rehabilitation. Services Offered at the TCF The TCF at both EXPO and Raffles Hospital offer a range of services and facilities. They include a medical team consisting of doctors and nurses providing 24-hour care. Physiotherapists and occupational therapists who provide patients with daily maintenance rehabilitation. Allied health professionals assist with identifying patients who may benefit from communitybased services (e.g Home Nursing Foundation or applying for subsidised mobility and assistive devices through the Senior Mobility Fund). The administrative team is the main point of contact between the TCF medical team and patients’ next of kin in arranging for caregiver training sessions, home leave, and discharges. They also help to keep track of patient medical appointments, ensure that patients have transportation, and are accompanied to their appointments. A Day in the Life of a TCF Staff In the morning, staff will get patients ready and prepare them for the day. This includes assisting patients in getting up, helping them in showering and getting dressed. When patients are ready, they will be served and assisted to eat breakfast bearing in mind that some of them will require more encouragement to eat than others, and some patients will need to be fed. Another crucial morning step is administering patients with the appropriate medication at that time of day and with food. Throughout the day, responsibilities mainly involve direct care and attention to patients in terms of toileting, personal hygiene, and assisting them in looking after their hair, nails, teeth, and skin. Regularly assessing patients’ medication and needs is important especially for those with specific ailments, illnesses, and disabilities. In the afternoon, it is the perfect time to attend to the needs of the patients. For many of them, this is the time when they would require assistance with managing their personal matters such as keeping in touch with their families, and providing them with regular updates on the well-being of their loved ones. On any particular afternoon, the TCF is usually bustling with activities. Some patients who are on home leave will prepare for a trip to nearby malls, while others get ready for their follow up appointments at the public hospitals. Those patients who do not require to leave the TCF also require assistance too. Some patients need assistance with shopping, while others require help with general errands such as buying newspapers. It is heart-warming to see staff members providing care and attention to all the patients, and ensuring that they are well taken care of. In the evening, even though it may seem to be a time to start winding down, the duties of a TCF staff never stops. As evening approaches, staff members are required to serve patients with their meals, and feed those who require help with eating. Nurses perform another round of needs assessment and medication requirements for each patient, and administer the correct medication at mealtime or take note of any medication that a patient must consume before sleeping. Staff will also need to help patients wash up, shower, and undress to change into clean hospital clothes before helping them go to bed at night.
6 Nursing Times Vol 5, No 1 Differences Between TCF at Expo and Raffles Hospital TCF EXPO is built within an empty exhibition hall whereas TCF Raffles Hospital is essentially a hospital setting. Both of these settings provide different levels of care and support for patients, and each has its own unique features. Primarily, the TCF at EXPO in an open hall setting is a long-term care facility that is designed to provide assistance and support for individuals with non-acute medical conditions, but require help in their daily living, such as bathing, dressing, and grooming. This facility is set up in a communal, nursing home-like environment where patients can interact with one another and participate in social activities and events. The open hall setting allows for a more communal and relaxed atmosphere, promoting social interaction and a sense of community among patients while treating their specific medical conditions and providing round-the-clock medical care. On the other hand, the hospital setting is designed to provide medical care and treatment for individuals who are in need of acute or specialised care. It focuses primarily on medical treatment and recovery. The environment in a hospital is more clinical and sterile. ‘BEHIND-THE-SCENES’ STORIES Transitional Care Facility While patients at both TCFs have access to round-the-clock medical attention, those who stay at TCF Raffles Hospital have access to comprehensive medical care, including diagnostic testing and specialised medical treatments to address specific medical conditions. An Interesting Patient Story When X was first admitted to our facility, it was clear that he was unwilling to stay. He longed to go back home and refused to cooperate with our medical staff. His strong demeanour and adamant stance made it clear that he was not going to make things easy for us. But as we delved deeper into X’s medical history, we discovered that he was suffering from dementia. This revelation helped us understood his behaviour better and allowed us to approach his care with a newfound empathy and compassion. We decided to refer to him as our “50 first dates” patient, drawing similarities to the movie where the actress had temporary memory loss. Just like her, X wakes up every day with little recollection of the previous interactions he had. In fact, his memory lasts only for a short 30 minutes, creating a unique challenge for our team. He would repeatedly request for our staff to call his family and ask for his friend, unaware that he had just spoken to them moments ago. It broke our hearts to see him going through this cycle repeatedly.
7 Nursing Times Vol 5, No 1 Determined to find a way to ease his confusion and provide him with a sense of comfort, we sought the permission of his friends and family to document his interactions with them. We took photographs, recorded videos, and collected mementos of these precious moments. Each day, we would gather around X and show him those visual reminders, gently reminding him of that those activities that had taken place during the day. At first, we were uncertain whether this approach would have any effect on X’s memory. But to our joy and astonishment, we noticed a significant change in his demeanour. As he looked at the photographs and watched the videos, a spark of recognition would light up his eyes. He started to smile as his face radiated with a sense of familiarity, even if it was only momentary. It was in these small triumphs that we realised the power of thinking outside the box and going beyond what our nursing school had taught us. We had learnt the essential skills to provide medical care, but nothing had prepared us for the complex world of a patient’s mind. It was through our unwavering commitment in understanding and connecting with X on a personal level that we were able to make a difference in his life. As the weeks passed, we noticed a subtle change in X’s behaviour. He still had moments of confusion and frustration, but the frequency and intensity had decreased. It was clear that our efforts were making a difference, and the journey began to feel less daunting. X taught us an invaluable lesson, and that is even in the face of a debilitating condition like dementia there is always a way to connect, engage, and offer compassion. While it might require unconventional methods, it is our duty as healthcare professionals to adapt, learn, and evolve alongside our patients. Every day, as we continued to piece together the puzzle of X’s memories, we also unravelled the depths of our own capabilities. We realised that while medical interventions can facilitate healing, at times, it is the simplest act of kindness that makes the greatest impact. X may not remember us or the conversations we had, but we will forever carry his spirit in our hearts. He has taught us the importance of embracing every new day as an opportunity to make a difference, just as he approached each day with childlike wonder. In the end, our journey with X reminded us of the profound impact we can have on each other’s lives. It reinforced our commitment to think out of the box, stay compassionate, and constantly seek new ways to connect with those in our care. Overall, the TCF is an essential component of the healthcare system in providing vital care and support for patients who are transitioning from hospital care to long-term care. It serves as a critical link in the continuum of care, ensuring that patients receive the assistance they need to manage their chronic medical issues and activities of daily living, while preparing for their next phase of care in nursing homes or their community. ‘BEHIND-THE-SCENES’ STORIES Transitional Care Facility
8 Nursing Times Vol 5, No 1 At the recent Hospital Management Asia Awards 2023 (HMA Awards) held on 6 September 2023, at Shangri-La Kuala Lumpur in Malaysia, Raffles Hospital (RH) was recognised with these two awards: Chief Nurse of the Year Award (Gold Winner) – Ms Lilian Yew, Chief Nurse Behind-the-scenes Singapore Health Quality Service Awards 2024 We are proud and happy to share that 14 of our nursing colleagues from Raffles Hospital (RH) were recognised at the Singapore Health Quality Service Awards (SHQSA) 2024, which was held on Tuesday, 23 January 2024. We achieved three Star Awards, eight Gold Awards, and three Silver Awards. ‘BEHIND-THE-SCENES’ STORIES Singapore Health Quality Service Awards 2024 Dr Tan Hsiang Lung, General Manager of RH, together with the three Star Winners and colleagues from RH, went on stage to receive the plaque from Dr Janil Puthucheary, Senior Minister of State, Ministry of Communications and Information & Ministry of Health. “Congratulations to our 14 winners who have provided excellent services and for going the extra mile for our patients.”
9 Nursing Times Vol 5, No 1 I am deeply honoured and filled with gratitude to receive the Singapore Health Quality Service Star Award. This recognition holds profound significance for me, and I am genuinely thankful for the acknowledgement of the dedication I’ve invested in delivering quality service. It serves as a powerful motivation to persist in my pursuit of excellence in patient care. I wish to express my heartfelt appreciation for the unwavering ‘BEHIND-THE-SCENES’ STORIES Singapore Health Quality Service Awards 2024 Star Award Winners: Thoughts and feelings on receiving the award First and foremost, I extend my gratitude to the Almighty for blessing me with this remarkable opportunity. It is with deep honour that I accept the Star Award presented by SHQSA 2024. I am immensely thankful to be selected as a recipient, and I extend my heartfelt appreciation to my nursing leaders from Ward 9 for their nomination. My nursing journey in the last 14 years has been filled with challenges and unexpected trials. However, it has also provided me with the chance to reaffirm my commitment to the core values of nursing: delivering holistic care that extends beyond the patient to their loved ones. Nursing demands resilience and perseverance, qualities that I have cultivated with the unwavering encouragement, guidance, and support of my nursing leaders and colleagues. Their belief in me has empowered me to navigate through difficult times with strength and determination. This award serves as a profound motivation for me to continue striving for excellence in nursing care. I am inspired to double my efforts in providing compassionate and comprehensive care to my patients each and every day. SN De La Cruz Jomar Ramos (Ward 9) support and encouragement extended to me by my colleagues and Raffles Hospital. Their collective efforts have contributed significantly to this achievement. This award is not just a personal milestone but also a reflection of the collaborative spirit that thrives within our healthcare community. Once again, I extend my sincere thanks for this meaningful recognition. It inspires me to continue making a positive difference in the lives of those we serve. EN Allera Eric Ababon (Ward 13)
10 Nursing Times Vol 5, No 1 ‘BEHIND-THE-SCENES’ STORIES Singapore Health Quality Service Awards 2024 Receiving the Star Award is truly an honour beyond words. It is not just about the recognition of my efforts but a validation of the work I do is valued and appreciated. This acknowledgment fills me with a deep sense of humility and encourages me to strive for improvement in every aspect of my work. Regardless of the path my journey takes, whether it be within Raffles Hospital or elsewhere, my sincere commitment remains to serve as a positive example for fellow nurses. I firmly believe that being a nurse encompasses more than just providing medical care. It is also about embodying empathy, compassion, and genuine support for every patient we encounter. I hope that this award serves as inspiration for others to pursue excellence in their own endeavours. Together, let’s continue to make a difference and contribute to the betterment of healthcare. Thank you once again for this incredible honour. SSN Lopez Carmel Bautisa (Ward 13) Three SHQSA Star Award winners with Chief Nurse Lilian Yew and their Head of Department nursing leaders
11 Nursing Times Vol 5, No 1 ‘BEHIND-THE-SCENES’ STORIES Challenge Bowling Tournament 2024 Behind-the-scenes Raffles Hospital Inpatient Operations Bowling Tournament 2024 On 28 January 2024, a total of 11 nursing teams from Inpatient competed for our inaugural Inpatient Operations Bowling Tournament held at the Tessensohn Clubhouse Planet Bowl. A hearty congratulations to the following nursing teams who scored their best shot! We are pleased to see how each team enjoyed themselves and had fun together. Here are our top three winners.
12 Nursing Times Vol 5, No 1 ‘BEHIND-THE-SCENES’ STORIES Challenge Bowling Tournament 2024 Team Championship Rojak Power Team led by SNC Lai Kwok Fern. Team members: DD Yasmine Poh, SM Than Sook Ling, and Helen Chen 1st Runner Up Grapes ECC Team led by Nornikman Razak. Team members: Maelany Fairny, Juniati, and Hanz 2nd Runner Up Orange ECC Team lled by Angelo Cusap. Team members: Jewel Bondad, Clea Mae Porras, and Allera Eric
13 Nursing Times Vol 5, No 1 Empower your future with a Curtin University Health Sciences degree in Singapore. Part-time course offerings • Bachelor of Science (Nursing) Conversion Program for Registered Nurses (Top-up) • Graduate Certificate in Clinical Leadership • Graduate Certificate in Wound, Ostomy and Continence Practice • Master of Advanced Practice, specialisation in Clinical Leadership To find out more about Curtin Singapore course information, visit us at curtin.edu.sg and contact us at info@curtin.edu.sg or 6593 8000. Curtin Singapore is a trademark of Curtin University. CRICOS Provider Code 00301J. Curtin Education Centre ERF No: 200804822R (20-05-2022 to 19-05-2026) Make tomorrow better. Curtin University is ranked in the top 1% of universities worldwide by ARWU 2023 Ranked top 100 in the World for Nursing by the QS World University Rankings by Subject in 2023 Curtin achieved QS Five Stars Plus rating, the highest available for a tertiary institution
14 Nursing Times Vol 5, No 1 As of date, we are the only hospital in Singapore to receive Accreditation with Distinction for Nursing Continuing Professional Development (NCPD) from the American Nurses Credentialing Center (ANCC). In 2022, we have also received the NCPD Premier Award, the highest recognition awarded by ANCC. ANCC NCPD Accreditation with Distinction is awarded to organizations that demonstrate exemplary and innovative practices that go above and beyond the ANCC NCPD requirements. The ANCC formally recognizes organizations that provide high-quality nursing continuing professional development and ensures educational activities are designed using evidence-based criteria. By participating in NCPD learning provided by an ANCC accredited organization, registered nurses maintain continued competence in a rapidly changing health care environment. Organizations that achieve ANCC NCPD Accreditation with Distinction are committed to quality learning and are invested in your future. RAFFLES HOSPITAL IS COMMITTED TO LIFELONG LEARNING OF NURSES. (From left to right) Clinical Educator Nur Shida, Acting Nurse Educator Jai Vaishnavi, Senior Executive Khine Myat Thu, Chief Nurse Ms Lilian Yew, Senior Nurse Educator Wang Hongwei, Nurse Educator Dira, Clinical Educator Ten Hui Wen. Learn more about Raffles Hospital at www.rafflesmedicalgroup.com or ANCC NCPD Accreditation at nursingworld.org/accreditation
15 Nursing Times Vol 5, No 1 NURSING EDUCATION NED Updates: Student Intern NED Updates Sharing of Student Nurses’ Learning Journey Experience in Raffles Hospital To our dear graduating students, as you embark on your nursing careers, I urge you to always remember the essence of our profession and to see beyond the illness or injury, and embrace the humanity of every individual who crosses your path. - NE Dira D/O Haridas
16 Nursing Times Vol 5, No 1 My PRCP internship at Raffles Hospital in ward 9C was a transformative journey filled with learning, overcoming challenges, and professional growth. I have worked on diverse projects, expanded my skills, and stepped out of my comfort zone. The collaborative environment not only improved my problem-solving skills but also showed me the power of teamwork in achieving common goals. Throughout my internship, I had the opportunity to expand my skill set and contribute to enhancing the lives of several patients. The environment fostered a culture of collaboration where my ideas were not only welcomed but encouraged. I have grown to appreciate different cultural practices, and contribute to culturally competent patient care. Connecting with colleagues from diverse backgrounds in nursing has enhanced my skills, improved patient care, and created a more inclusive healthcare environment. I appreciate Raffles for providing me the chance to learn and grow, along with the consistent guidance and support from a great team and colleagues! A big thank you to my preceptor, SN Leian, SN Katherine, CI Vaish, my peers, and other ward staff! NURSING EDUCATION NED Updates: Student Intern Nur Farisha Binte Zulifli Nanyang Polytechnic PRCP Nursing Student A quote that helps summarises our PRCP experience in RH is none other than quoting Van Gogh. “If I cease searching, then, woe is me, I am lost. That is how I look at it – keep going, keep going come what may.” - Van Gogh The unknowns of a new environment will surely bring uncertainty. But with the right guidance and right examples set by our preceptors and CI Dira, we continue striving for excellence in patient care and continuous learning for professional growth. Hernandez Ashley Princess Galang Nanyang Polytechnic PRCP Nursing Student It is not easy working with a person whose method of getting things done differs from yours. Since my ability to adapt in strong, I thought that it would be a breeze. However, the process of adapting was a lot harder than I thought. Similarly, all my peers also tried getting used to their respective preceptors. One of them attempted to take on three cases in the second week. Another was slowly learning how to take on more load and cases as they slowly gain their preceptors’ trust. And the last one, although quite soft spoken, had also started managing cases with little supervision under the preceptor’s guidance. As time passed, we eventually learnt how to manage cases independently to a certain extent. Thank you to nursing staff from Ward 10B for the patience and guidance you have shown to us. We know that it wasn’t easy managing us and the patients at the same time, hence we are all the more thankful for the effort you have put into nurturing us. Last but not least, thank you CI Shida for checking up on us to ensure that we are healthy. Pang Kin Hong Zachary Jeremiah Nanyang Polytechnic PRCP Nursing Student
17 Nursing Times Vol 5, No 1 NURSING EDUCATION NED Updates: Student Intern My education experience at Raffles has been both fulfilling and enriching. The growth in my confidence to provide care for patients is attributed to the invaluable support and knowledge shared by the nurses who served as my preceptors. Regular encounters with patients presenting a variety of conditions have provided numerous opportunities to refine my critical thinking abilities. Before joining Raffles, the notion of caring for patients holistically seemed beyond reach for me and my fellow Ngee Ann Polytechnic peers. However, Raffles has created a nurturing environment where we not only learn from our mistakes but also grow confidently into our future roles as nurses. Chao Yue Ting Ngee Ann Polytechnic PRCP Nursing Student The Nursing Education Department from Raffles Hospital hosted a PRCP closing ceremony for 19 students from Nanyang Polytechnic and Ngee Ann Polytechnic on 15 February 2024. On 11 December 2023, these students started their 10-week nursing training that is filled with excitement and hope. The path towards attaining the confidence and knowledge as a full-fledged staff nurse over a period of 10 weeks was not easy. With hard work and perseverance, our student nurses emerged as competent and confident nurses, under the care and guidance of a team of dedicated preceptors and Chief Nurse Lilian Yew, Nursing Educator Department team, and Year 3 PRCP Final Year NYP & NP Nursing Students nurse educators.
18 Nursing Times Vol 5, No 1 NURSING EDUCATION NED Updates: Student Intern As we gather here today, I am brimming with mixed emotions. On one hand, there’s a sense of accomplishment and pride for everything that we have achieved during our time together. On the other, there’s an abundance of sadness as we bid farewell to this chapter of our journey, and which opens the door to the next chapter of our lives. Over the past 10 weeks, we’ve had an incredible opportunity to be part of Raffles Hospital’s Ward 9 team. Each day brought new challenges, new experiences, and new lessons to be learnt. And I’m glad that we overcame all the challenges together. I want to take a moment to express my heartfelt gratitude to our preceptors, clinical instructor, and all those who have guided us along the way. Such as Acting Nurse Educator Vaish and our preceptors. Although you gave us an earful for our mistakes and troubles, we understood the care and concern displayed, and for that we are truly appreciative of your efforts to guide us. Roshni D/O Athali Muthu Raja Ward 9C Nanyang Polytechnic PRCP Nursing Student Zhao Yuru Ward 10B Nanyang Polytechnic PRCP Nursing Student I would like to thank everyone, CI Nur Shida and my friends for supporting me throughout my PRCP journey. Even though it has been a long 10 weeks, the nurses in Raffles Hospital were kind and patient during my journey. It was quite difficult for me to step out of my comfort zone to express myself initially. However as time went by, with the help of my peers, I slowly got used to it and managed to open up and communicate better with everyone Student representatives from their respective clinical areas gave their speeches during the closing ceremony.
19 Nursing Times Vol 5, No 1 NURSING EDUCATION NED Updates: Student Intern On behalf of all of us from Ward 10D, I extend my sincere gratitude to Ms Dira and our preceptors. Your unwavering patience, dedication, and guidance have been the cornerstone of our journey throughout the final stage of nursing school. These past 10 weeks have been transformative. We entered as eager students, and under your mentorship, we have emerged as more confident, capable soon-to-be staff nurses. From navigating delicate patient interactions to the work that we do, every experience has shaped us profoundly. Thank you once again, for believing in us, for guiding us and for shaping us into the nurses we aspire to be. Eleanor Voon Zhi Qi Ward 10D Nanyang Polytechnic PRCP Nursing Student Lim Yu Han Ward 13 Ngee Ann Polytechnic PRCP Nursing Student Over the past 10 weeks, my journey at Raffles Hospital as a PRCP student has been a profound period of growth and transformation. Under the guidance of my preceptor and CI, Hong Wei, I have not only expanded my clinical knowledge and skills but have also cultivated a deeper understanding of the compassionate art of nursing. My ward buddies have been pillars of support, providing encouragement as we navigated the challenges of patient care together. The staff in Ward 13 have been instrumental in shaping my journey; offering invaluable insights, mentorship, and unwavering support. As I reflect on this transformative experience, I am filled with gratitude for each person who has contributed to my growth and learning during my time at Raffles Hospital. Thank you for believing in me, challenging me, and inspiring me to become the best nurse I can be. On their last day of their PRCP attachment, a total of 19 nursing students recited the Singapore Nursing Board nurses’ pledge to reaffirm their commitment and dedication to their patients and profession.
20 Nursing Times Vol 5, No 1 CLINICAL UPDATES Raffles Dialysis Centre Clinical Indicators Raffles Dialysis Centre Clinical Indicators Raffles Dialysis Centre (RDC), which is spearheaded by a group of professional dialysis nurses, upholds the intent to provide comprehensive renal care for dialysis patients. The centre emphasises on patient wellbeing and treatment efficacies. As such, Key Performance Indicators (KPIs) play a pivotal role in measuring the quality and effectiveness of the dialysis services provided by RDC. Read on to learn how more about the imperative KPIs that drive the success of RDC. Leveraging advanced technology, coupled with a team of highly skilled professional dialysis nurses, the metric is formulated to measure the total number of early termination of haemodialysis cases across the whole haemodialysis population in RDC. Chief Nurse Lilian Yew and Senior Manager Than Sook Ling together with RDC’s nursing team
21 Nursing Times Vol 5, No 1 KPI 1: Premature Termination of Haemodialysis Session Clinical Indicator The monitoring of this KPI allows dialysis nurses to better establish patients’ haemodynamic paradigm and prevent similar occurrence to maximise their haemodialysis treatments. Chronic early termination of haemodialysis treatments is known to have an undesirable impact on patients’ general well-being, which could in turn affect their quality of life and longevity. Therefore, it is of paramount importance that this group of patients receive the stipulated treatment hours to augment their quality and outlook on life because long-term haemodialysis is an arduous journey that is not easily understood by onlookers. Reasons for monitoring this clinical indicator • Premature termination of haemodialysis monitoring has started since 2015. • It serves as a guide for professionals to communicate patient safety to improve care for patients during dialysis. • They are outcome focused, allowing for documentation by exception through variance recording and in turn enabling variance analysis. The variance analysis provides data that can assist in continuous quality improvement activities. Analysis Based on the data collected from Q1 2022 to Q4 2023, 5,568 haemodialysis sessions were performed on patients, in which 10 per cent are inpatient cases and 90 per cent are outpatient cases. Zero case was reported early termination in Q3 and Q4 2023. Quarter Total No. of Sessions that had pre-matured termination of HD Reason Remarks Q1-Q4 2022 15 sessions (0.38 %) • Hypotensive • AVF extravasation • Catheter Issue • Reschedule the dialysis session next day • Ultrasound guidance cannulation • Change of catheter Q1 2023 2 session (0.05%) Catheter Issue • Catheter was changed • Reschedule the dialysis session to next day Q2 2023 1 session (0.02%) Dialysis Chamber clotted due to heparin free Action Taken The HOD / Nurse Clinician to continue with monitoring and educating ground nurses to be vigilant on the care of patients undergone dialysis. HOD of the dialysis centre shared the result with the team. KPI 2: Peritonitis Rates for Inpatient Peritoneal Dialysis Clinical Indicator Raffles Hospital started peritoneal dialysis (PD) services since May 2022. Hence, another vital KPI measured by RDC will be the peritonitis rates in PD patients in an inpatient setting. Peritonitis, though common, should not be taken lightly. Therefore, RDC meticulously monitors peritonitis rates as a critical aspect of patient care. Collection of data on peritonitis rates enables dialysis nurses to not only track the frequency and incidences, but it also provides them with insights to infection control measures practised and deployed by both the patient and nurses. The most common cause of peritonitis is the introduction of bacteria, which strongly suggests poor hygiene and or aseptic technique during the exchange procedure. If treatment is delayed, peritonitis can be life threatening when the infection spreads throughout the body. Regular surveillance enables early detection of trends and patterns, allowing timely medical intervention where necessary. Concurrently, it also allows us to identify practice lapses, as well as presence of knowledge deficit, if any. As the saying goes, “Prevention is better than cure.” Therefore, it is important that nurses are equipped with the necessary skills and knowledge to assist our patients to achieve a good quality of life. Reasons for monitoring this clinical indicator • To reduce hospitalisation and mortality rates contributed by peritonitis. • To eliminate the possibility of peritonitis-related peritoneal dialysis failure. • Evaluating the causes of infection. Cases that fulfill the exclusion criteria will not be captured in the data collection. • To reduce hospitalisation and mortality rates contributed by peritonitis. • To eliminate the possibility of peritonitis-related peritoneal dialysis failure. • Evaluating the causes of infection. 4 8 6 1 2 0 1 0 0 0 0 0 0 1 0 1 2 3 4 5 6 7 8 9 10 Q2 2022 Q3 2022 Q4 2022 Q1 2023 Q2 2023 Q3 2023 Q4 2023 Total PD Session (Inpatient) Total Peritonitis Episode Analysis Based on the data collection from Q2 2022 to Q4 2023, a total of 22 sessions of peritoneal dialysis were performed in an inpatient setting. No cases of peritonitis were reported. Action Taken The HOD / Nurse Clinician to continue with monitoring and educating ground nurses to be vigilant on the care of patients undergone dialysis. HOD of the dialysis centre shared the result with the team.
22 Nursing Times Vol 5, No 1 ON THE RADAR On the Radar Let us welcome our nursing leader and new nurses for this issue! I have 20 years of experience working in the delivery suite as a midwife, and have helped parents cope with their labour process. I also provide antenatal care and advice, including valuable advice and assistance in post natal care for both mother and baby. As a nurse clinician, I provide preceptorship, guidance, and clinical leadership to nurses, ensuring quality care is provided to patients. SNC Veron Loh Siew Yoong Ward 8 OG I joined Raffles Hospital as an Acting Assistant Nurse Clinician in the Neonatal Intensive Care Unit / Nursery. I have worked in a restructured hospital for eight years in the NICU and I hope to contribute my vast working experience here. My passion is in neonatal nursing. It brings me immense joy to see babies get better and discharge with their parents. During my free time, I like to dance! AANC Sheena Ng NICU & Nursery Stepping out of my specialisation as an accident and emergency department nurse into obstetrics and gynaecology was not an easy decision to make. I was out of my comfort zone. Therefore, I would like to take this opportunity to thank my colleagues, seniors, and supervisors for their guidance and support at work and my family for giving me their full support with the decision I made. With everyone’s support, I was able take another step forward in my nursing career as an Acting Assistant Nurse Clinician and I am proud to share that I am a certified as an International Board-Certified Lactation Consultant. AANC Cindy Khor Ward 8
23 Nursing Times Vol 5, No 1 ON THE RADAR Mendaros Ann Lindsey Tinoco Ward 8B Staff Nurse I Geeta Bhatia Operating Theatre Senior Staff Nurse II Loganathan Mallika Raffles24 Acute & Critical Care Staff Nurse II Suzanna Marie Gumm Intensive Care Unit Staff Nurse I Amy Lee Dennis Intensive Care Unit Staff Nurse I Vicky Chan Gui Fang Surgery Centre Staff Nurse II Samantha Vun Shu Xian Operating Theatre Staff Nurse I Bhatia Geeta Operating Theatre Senior Staff Nurse II Nur Afiqah Binte Hamzah Raffles Tampines One Women & Children Clinic Enrolled Nurse I Lau Mei Yuen Operating Theatre Senior Staff Nurse I Navarro Christine Cabulusan Ward 10 Staff Nurse II Aye Taing Htay Ward 9C Senior Staff Nurse II Dizon Darly Azela Po Ward 10 Staff Nurse II Tan Neil Benedict So Ward 13 Staff Nurse II Galvan Crizaldy John Dacuyasan Ward 8B Senior Staff Nurse II Asokan Darshini Priya Ward 13 Enrolled Nurse II Let’s welcome our new nurse joinees for the month of January - March 2024
24 Nursing Times Vol 5, No 1 Bouquets for our nurses! Each nurse is a service ambassador in RMG, and they play an important role in shaping the Raffles Experience by delivering excellent service. Our service standards are based on Service with an I-M-P-A-C-T. We are pleased to share some of our patients’ heartfelt gratitude towards our nurses who have gone the extra mile to provide outstanding and seamless service.
25 Nursing Times Vol 5, No 1 Ria from the fertility clinic was really very helpful and understanding. When she knew of my special request from her colleague, she was able to empathise and helped to arrange an appointment within the next day for me. Thank you, Ria! Caballes Ma Ria Karlyn Lai Raffles Fertility Centre Bee Sze has been a wonderful staff nurse at Raffles Women’s Centre. She provided me with professional and good experience in my appointment bookings as well as liaising between the Business Centre, my company, and insurances companies. A great shout out to Bee Sze for exceeding my expectation in customer service! I would love to send compliments to the excellent service and compassion displayed by EN Eric who served me throughout my stay. He was kind and understanding and went the extra mile to check on me. All without missing a smile on his face. His tireless endeavours in Raffles Hospital must not be forgotten. Thank you, Mr Eric for your service to the hospital. Karen Look Norazlina Binte Hassan Inpatient - Ward 13 On behalf of my mum and myself, we would like to thank the team of nurses in charge. Special mention goes out to Karen Look and Norazlina. Both of them have gone above and beyond their duties caring for not just only my mother, but also towards every patient warded under their care to ensure they were feeling comfortable and at ease. Especially Karen who seemed to be new to nursing and was seen to be willing to learn patiently from her other colleagues. A big thank you to them for their hard work and effort. Nurse Karen helped me with the appointment setting. She was patient and listened to my concerns and needs. She responded quickly over email to secure appointment date / time and would get back to me promptly when there were earlier open slots. Karen Chong Raffles Women’s Centre Allera Eric Ababon Inpatient - Ward 13 I wish to express my gratitude for the exceptional service provided by a member of your staff, Daphne, at level 13, Surgery Centre during my recent experience. Her dedication and commitment have made a lasting impact on me, and I wish to convey my heartfelt appreciation. During my visit to your hospital, Daphne’s professionalism, compassion, and attention to detail were truly remarkable. I believe that the quality of care and service at a hospital reflects the leadership and values upheld by its management. Your hospital’s commitment to excellence is evident through the dedication of staff like the one who assisted me, and I commend you for fostering an environment where such high standards are maintained. Thanks. Chua Bee Sze Raffles Women’s Centre Daphne Cassandra Ng Raffles Surgery Centre I am incredibly satisfied with the exceptional care provided by the nurses Thian, Kiranjit, Wang Libo, Nicole, Aminah, and Doctor Jazlan during my delivery. Their expertise, professionalism, and genuine concern for my well-being made the entire experience truly remarkable. The nurses were attentive, compassionate, and went above and beyond to ensure my comfort and safety throughout the process. Their support and encouragement gave me the strength and confidence I needed during this special moment. Doctor Jazlan’s expertise and calm demeanour were truly reassuring, and I felt that I was in the best hands under their care. I am immensely grateful for their dedication, skill, and the personalised attention they provided. Thank you for making the birth of my child a positive and memorable experience. Thian Jan Kian, Kiranjit Kaur Jangir Singh, Wang Libo, Nicole Chloe Thomas, and Aminah Binte Ramli Inpatient - Ward 8 (Labour Ward)
26 Nursing Times Vol 5, No 1 Siti Rohaiza Binte Rosman Raffles ENT Centre I came to ENT centre with my child and received a lot of support from your colleagues, particularly Rosman. She has been very attentive, sensitive, and encouraging to my child throughout the entire process. Thanks to her, my child had a smooth session and overcame his fear with the prick test. Great to have someone like her to help children overcome fear of uncertainty. Cheers! Algarme Michelle Turingan Raffles Eye Centre Another staff I wish to compliment is Ms Michelle from the eye clinic. She was patient, helpful, very friendly, and experienced. She explained things detailly that allowed me to know what to expect. This is very important from a patient’s perspective. I am very thankful to her. My overall experience with Raffles Hospital was good! Thank you very much! Staff Idrina Ismail explained the post procedure discharge clearly and ensured that I understood the important things to note. My experience this time round was much better than before. Overall a good experience during the day surgery procedure. Idrina Binte Ismail Inpatient - Day Surgery Opon Rose Mae Barino Inpatient - Ward 10 Nurse Rose is a very caring and responsible. She followed the instructions carefully when using eye drops, which needed an interval of at least three to five minutes apart. This is just one of my observations, she also took good care of me, very patiently talked to me, pushed me from the clinic and back to my room after my review at the eye clinic. She meticulously handled everything at the clinic. In short, she is caring and made me feel at ease. Simon from ICU is a very passionate staff. He is very caring and explained the procedures very patiently and clearly to me. He deserves an excellent grading. Thanks to ICU and staff from the operating ward too. Thong Jun Wen (Simon) Inpatient - ICU Staff Ng Bee Ling was very caring and attended to all my needs. I told her I would like to hold on to my handphone and she kindly changed the pedestal next to my bed with lock so that I could lock it when I am out at the OT. She even apologised to me for wetting my hair during the procedure when it was clearly not her doing. After I woke up, she served me warm water immediately and some hot fish porridge and milo. Ng Bee Ling Inpatient - Day Surgery Mr Leo and Ms Moe were wonderful, always smiling and accommodating. When I pressed the nurse call, they would immediately rush to my room and were always friendly and helpful. They were also very helpful in mediating my communication with the admin to make the process smooth when I was discharged from the hospital. Overall, I am grateful for the short waiting time during my hospital stay, and for the accurate treatment and support for my recovery. Thank you very much. Moe Moe Aye Garcia Leo Bundoc Inpatient - Ward 13
27 Nursing Times Vol 5, No 1 Nurse Christiana was very patient, professional, and understanding. She patiently explained what the CT scan will entail and the need for it even though the doctor already explained to me earlier. When I phoned her to change appointment date, she cheerily replied that she would call me back and let me have a few dates to choose from. She patiently accepted the change of appointment without any hint of impatience. Overall experience with Christiana was nothing but positive. Thank you! She is an asset to the clinic. Christiana Liu Raffles Internal Medicine Centre Leonila helped me with my checkup (blood draw). She was professional and friendly. I didn’t feel any pain with the blood draw and it was swift unlike past experiences when doing the procedure. Thanks Leonila! Appreciate it very much. She was extremely helpful and nice, and made sure I fully understood the care instructions. She went above and beyond explaining again and again. I truly appreciate her service. Javier Diane Caccam Raffles Medical - Ang Mo Kio Diane is consistently professional and kind. It’s my second visit, and even though I could tell that she has had a long day, she continued to serve patients with patience and empathy, and with a smile on her face and cheerful demeanour. I have seen her and Haidee going out of their way to ensure that patients get the help they needed. They have made the visit better. The Raffles Medical clinic at Ang Mo Kio has always been my preferred choice to seek medical help with Diane’s service. Friendly and good service rendered by staff. Due to my worsening eczema condition, I called the clinic to see Dr Foo. I was told by the staff that Dr Foo’s schedule was full for the next two weeks. I explained to her about my condition and asked whether she could try to squeeze in an appointment for me. She tried her very best and managed to get me an appointment. I am really appreciate for her effort in helping a patient. Thank you. Good service. Nor Syahirah Binte Shafie Raffles Skin & Aesthetics Modiyil Skariah Gracy Kutty Inpatient - Ward 8 (Paediatrics) Friendly and good service rendered by staff. Due to my worsening eczema condition, I called the clinic to see Dr Foo. I was told by the staff that Dr Foo’s schedule was full for the next two weeks. I explained to her about my condition and asked whether she could try to squeeze in an appointment for me. She tried her very best and managed to get me an appointment. I am really appreciate for her effort in helping a patient. Thank you. Good service. Gonzales Leonila Diamante Raffles Medical - Shaw Centre Mok Yi Ting Raffles Skin & Aesthetics Johnston is very proactive and capable. He was very fast to act on medical queries and very competent in blood taking with little discomfort. We are very appreciative. Johnston Yap Zu Zhi Inpatient - Ward 13 I would like to commend the hospital staff nurses, Ricalyn, Pei Chin, Cindy, Pyone Cho, Anna, Lim Chia Shing of Ward 8D for their excellent service. During my short stay at the hospital, I have witnessed their dedication, compassion, and professionalism in providing care to patients. The team’s positive attitude and willingness to go the extra mile made a significant impact on the overall experience. They consistently displayed a genuine desire to help. Thanks to the unwavering professionalism of Nurse Cindy, the stress and disappointment caused by the poor service gradually dissipated. Overall, the hospital staff nurses deserve recognition for their outstanding service. Their commitment to providing high-quality care, professionalism, and compassionate nature are remarkable. KCindy Khor, Ricalyn, Yong Pei Chin, Ma Nan Pyone Cho, Agatep Anna May Brillantes, and Lim Chia Shing Inpatient - Ward 8 (O&G)
28 Nursing Times Vol 5, No 1 The nurses were very attentive and helpful. They let me lie down on the bed while they got Dr Chan to see me. I was subsequently given a jab to reduce my nausea and dizzy spells. One of the nurses even accompanied me to wait for my Grab car, and she only left after I got into the car. Their service is professional and highly attentive. Jenelyn Liban Junco Raffles ENT Centre I am writing to express my sincere gratitude and appreciation for the exceptional service I received from Cassandra. I visited 13th floor to check on my appointment. To my surprise, I discovered the colonoscopy appointment was missing from the system. This caused significant concern, considering the month was ending and the holiday season approaching. Fortunately, I met Cassandra. Witnessing my distress, she went above and beyond to rectify the situation. With remarkable dedication and efficiency, she immediately began arranging for me to see the doctor and undergo the OGD and colonoscopy on the same day. This had fulfilled my urgent request to complete the procedure within the month. I observed Cassandra diligently making phone calls, checking the schedules, and coordinating various aspects of my care. Her tireless efforts and unwavering determination ultimately yielded success. She secured an appointment with the doctor and ensured the colonoscopy could be performed that very day. Cassandra’s professionalism, combined with her genuine desire to help, truly impressed me. Her proactive approach and commitment to patient care were outstanding. Without Cassandra’s intervention, I would not have been able to complete the procedure as planned. Her exceptional service significantly reduced my stress and anxiety, leaving me feeling grateful and well-taken care of. Daphne Cassandra Ng Raffles Surgery Centre I would like to compliment to Diane for being accommodating and explaining in great detail for those medications that I needed to take. Aside from this, I truly appreciate how she communicated with her patients. The queue happened to be very long that day and I appreciate how Diane informed me and apologised for the longer waiting time. Javier Diane Caccam Raffles Medical - Ang Mo Kio I was attended to by Nurse Karen Chong at Raffles Women’s Centre. She was extremely meticulous and gentle while taking the blood test. Also, she was very caring towards patients and made us feel more assured. Thank you, Karen for making my experience here feel more positive! Karen Chong Raffles Women’s Centre Salleha Bte Surani Diagnostic Radiology I want to thank Salleha who explained the PET scan procedure in great detail. I was very nervous about it, but she assured me that everything would be fine. After that, I felt more relaxed. Thank you very much, Salleha. My family would like to express our sincerest gratitude towards the nurses at Raffles Hospital Dialysis Centre for their timely care of my mum who was receiving her dialysis treatment. The team of nurses, spearheaded by Jess Foo were professional. Their dedication and service shown towards my mother and the rest of the dialysis patients were admirable and truly commendable. They ensure that my mother felt safe and comfortable throughout her treatment. We are also grateful to Jess for her kindness and compassion that radiated positivity, which has helped my mother to be more positive in getting her dialysis treatment. Thank you to Jess and her team! Jess Foo Raffles Dialysis Centre
29 Nursing Times Vol 5, No 1 My family and I would like to thank Dr Andrew Fong and the dedicated team of nurses at Ward 10C for their kindness, patience, and care to ensure our son’s stay was comfortable at Raffles Hospital. They monitored his condition closely, while providing excellent medical attention. The team took care to co-ordinate the timing of a medical test on the day of his discharge to ensure that the result would be available for the doctor to review before our son left the hospital. We are thankful for Jun Xia and Bao Chang; both promising and dedicated nurses who ensured that all were in order. Sim Jun Xia and Bao Chang Inpatient - Ward 9 (Medical / Surgery) I want to thank Ms Gonzales Leonila Diamante at Shaw Centre for being very professional and patient when withdrawing my blood because I have fine and thin blood vessels. I am always scared to have my blood drawn, but she made me feel relaxed and completed the process quickly. I love her professionalism. She is a gem and many patients will need such healthcare professionals to help patients feel at ease. Gonzales Leonila Diamante Raffles Medical - Shaw Centre Nurse Bee Ling’s exceptional dedication ensured my comfort throughout my stay. Her remarkable kindness, unwavering compassion, and dedication were truly inspiring. She sets a shining example for all, embodying the essence of exceptional care and professionalism. Ng Bee Ling Inpatient - Day Surgery Nurliyana Binte Shukor Raffles Diabetes and Endocrine Centre Nurse liyana was always quick to serve patients in a professional demeanour. I have interacted with her on multiple occasions and she was one of the most pleasant nurses I have engaged with. She would put patients’ queries and needs first. She has put me at ease throughout my medical journey and I sincerely thank her, as well as Raffles for employing the best team in the industry. They are young, beautiful, caring, and patient in taking care of their patients. They will come and ask you what you need as soon as you call them. I love you Leian and Mercy. Every morning, they would come calling me ‘Ah Ma’ and I am so touched by their liveliness. To my dearest nurses, I wish you good health, peace, success, and good luck. I love you all. Baura Mercy Mae Falcon Gonzales Leian Custan Inpatient - Ward 9 Janet Guimayen Francisco and Fiona Leng Raffles Women’s Centre (Tampines 1) Both Janet and Fiona at the Raffles Women’s Centre were amazing. I have been to the clinic since my pregnancy in 2020. They have showed an immaculate level of professionalism, care, and concern. I always love visiting the clinic to see them. Thank you for all your hard work and care over the past few years. I will always remember you. Soji does not sugar coat her words. I felt like my favourite aunt was beside me and would always be taking care of me no matter what. She is so patient and kind. Soji George Raffles Heart Centre
30 Nursing Times Vol 5, No 1 I appreciate the warmth and calmness displayed by Diane. I went to the clinic for my annual health screening and was feeling a bit nervous about needles and getting my blood drawn. However, Diane was very professional, polite, and warm in calming me down. She also got the blood sample from me painlessly. My wife also felt the same vibes from Diane when she visited the same clinic to receive her treatment. Javier Diane Caccam Raffles Medical - Ang Mo Kio To Haidee and Diane, thank you for your excellent service and putting your patients’ well-being at the forefront of your work! I was really impressed when you offered to hand my father his medication when you noticed he had difficulty walking. Thank you! Javier Diane Caccam Siscar Haidee Mirasol Delallana Raffles Medical - Ang Mo Kio I would like to give a special shoutout to Sister Aminah. She was the first familiar face I saw when I went into labour because she was the one who was conducting the antenatal class that I attended back in July. Her infectious smile gave me the reassurance that everything would be okay while I was pushing the baby out in the delivery room and wheeling me into our room after I delivered the baby. She was also the nurse who handed my baby to me once I got stitched up by Dr Han, which I found very touching and even took our first family photo. Ibanez Kindy Desiree Conducto Anthony Samson De Chavez Raffles24 Acute & Critical Care
31 Nursing Times Vol 5, No 1 NURSES’ BANK NEW YEAR RESOLUTIONS New Year Resolutions To successfully launch the Lactation Consultant service on Raffles Connect! AANC Cindy Khor Ward 8 O&G To successfully launch the baby massage course. SNC Veron Loh Ward 8 To be prosperous in the year of the Dragon • Eat healthier • Exercise more • Prosperity for Level 8 AANC Sheena Ng Ward 8
32 Nursing Times Vol 5, No 1 For the year of 2024, my resolution has three main priorities. To focus on happiness, sleep, and work. In a day, I have to ensure these priorities are met. Find happiness by embracing meaningful connections with friends and family, and engage in activities that I love like entertainment. This adds a layer of happiness to my life. Prioritising having sufficient sleep, which is crucial for overall well-being with an aim for a consistent and restful sleep routine. Establishing a boundary between work and personal life. Finish tasks in the office, allowing home to be a sanctuary for relaxation and personal time. With that, I look forward to entering 2024! Let’s go! AANC Hafizah Binte Hassan Ward 10 I have 2 resolutions this year. 1. Focus on myself Take time to prioritise self-care, personal growth, and pursuing my own passion and interests. It can lead to a better understanding of myself and a stronger sense of fulfilment. 2. Creating a healthy work environment that begins with myself Be a good example to my colleagues and co-workers and start the change with myself. Build a positive work environment and inspire my vcolleagues. I will stay positive at work, which will give me more energy and confidence to face the challenges in the nursing practice. (E.g spread a simple smile to patients and colleagues to inspire them to smile back. NC Kavitha Majunar Ward 10 NURSES’ BANK NEW YEAR RESOLUTIONS
33 Nursing Times Vol 5, No 1 I am Wu Xiaopei from China and currently serving as an EN at Raffles Hospital. I consider myself an ordinary individual with aspirations to methodically achieve my goals. As the new year unfolds, I embrace the opportunity for resolutions. Mentally, I crafted formidable lists of ‘dos’ and ‘don’ts’ to guide my journey forward. 1. Maintain unwavering focus during work hours, ensuring the safety and comfort of my patients by attentively providing care to them. Vigilantly observe and report any abnormal signs or symptoms to the Registered Nurse. 2. Expand my nursing knowledge by actively learning new care techniques during shifts and through online resources, dedicating time each day to understand at least one disease affecting my patients. 3. Enhance my pharmacological knowledge by delving into the functions, nursing considerations, and side effects of medications daily through online research. 4. Achieve mastery in all my EN competencies, ensuring a comprehensive understanding and execution of required skills. 5. Dedicate two hours daily to enhance my English proficiency in listening, reading, writing, and speaking; consistently striving for improvement. 6. Successfully complete and excel in all eight subjects of my university course, demonstrating academic excellence. 7. Lay the groundwork for transitioning to role of a Registered Nurse by diligently preparing throughout the year with the goal of making the transition by year end. EN Wu Xiaopei Ward 9 May this new year bring you boundless opportunities, inspiring adventures, and cherished moments with loved ones. May you embrace each day with optimism and courage, and dreams that soar to new heights. Here’s to a year filled with joy, prosperity, and fulfilment. SN Esther Ng ICU NURSES’ BANK NEW YEAR RESOLUTIONS
34 Nursing Times Vol 5, No 1 New year resolutions signify personal commitments we make to enrich our daily lives. • For instance, I aspire to cultivate punctuality, recognising its value in enhancing efficiency and organisation in my routine. • Achieving a harmonious work-life balance is another goal; aiming for a more fulfilling and sustainable lifestyle. • I am eager to acquire new skills, fostering continuous personal and professional growth. • Reconnecting with old friends and family members is a priority, fostering meaningful relationships that bring joy and support. • Learning from the past, I am determined not to repeat previous mistakes. I am dedicated to reshaping my habits, giving my best to those who place their trust in me, and committing wholeheartedly to these resolutions. EN Veera Venkata Durga Ward 9 My foremost resolution is to quit drinking, which is a longstanding desire that has been challenging due to personal reasons. Recognising its critical impact on both my physical and mental well-being, I am determined to make this positive change. My second commitment is aiming to engage in regular exercise by working out four times a week. To ensure consistency and motivation, I plan to enlist the support of a personal trainer who will guide me on this fitness journey. Lastly, I aspire to indulge my passion for travel more extensively this year. Despite my fear of solo travelling, I am resolved to confront this apprehension and embark on solo adventures around the world, embracing the opportunities for personal growth and discovery that lie beyond my comfort zone. SN Maelanny Fairny Anak Harmon Ward 9 NURSES’ BANK NEW YEAR RESOLUTIONS
35 Nursing Times Vol 5, No 1 The past year had been both a nerve-wrecking experience and an exciting period for me. The first day when I stepped into the ward with my nursing uniform, I knew that it was the start of embarking on a career that I am passionate about. However, being a probation nurse was not easy. Initially, I sometimes found it difficult getting used to different preceptors’ working styles. Occasionally, I felt discouraged by remarks made by them. On days when I had to work AP, I found myself feeling a little burnout by the end of the shift. Additionally, I was overwhelmed with the workload, blunders, and unfamiliarity with nursing procedures that I was supposed to do. There were also days when I had bad experiences with some doctors and patients. All these instances made me feel like dragging myself to work. But there were happy moments too that I enjoyed during the probation period. That included having meals with my colleagues who were fun and positive during break times. Meeting new staff like myself at orientation workshops, who were just as anxious as me at work, also made me felt I was not alone. Sometimes, my preceptors and ward supervisors said encouraging words to me when I did well or not so well at my job. Even non-healthcare staff whom I met at ward would check on me to ensure that I had my breaks and meals between work. At random times, when I least expect, I received positive feedback and gifts from patients I took care of. These precious moments made me feel more motivated to doing well at work. As my probation period comes to an end this new year, I aim to have a mindset of a Raffles Service Ambassador. Having this mindset would help me be more competent in handling service challenges and providing service excellence to our patients. Also, I aim to find areas to value-add to our workplace. Research has been my passion and I hope to integrate my knowledge in evidencebased practice at clinical work. Most importantly, I will always remind myself to never stop learning, be humble, and play a part in bringing a positive work culture in the healthcare team. As my probation period is coming to an end in this new year, I aim to have a mindset of a Raffles Service Ambassador. Having this mindset would help me to be more competent in handling service challenges and providing service excellence to our patient. Also, I aim to find areas to value-add to our workplace. Research has been my passion and I hope to integrate my knowledge in evidencebased practice at clinical work. Most importantly, I will always remind myself to never stop learning, be humble and play a part in bringing a positive work culture in the healthcare team. SN Paul Tang Lian Kwang Ward 10 NURSES’ BANK NEW YEAR RESOLUTIONS
36 Nursing Times Vol 5, No 1 Wishing you a year filled with laughter, love, and unforgettable memories. May you find success in all your endeavours and overcome challenges with resilience and determination. May each day be a new beginning, brimming with hope and positivity, leading you to a brighter and more fulfilling future. SSN Chng Huai Ci ICU Happy New Year! May the coming year be a journey of growth, discovery, and personal transformation. May you find peace amidst life’s chaos, and may your heart be filled with gratitude and kindness. Here’s to a year of endless possibilities and meaningful connections. Cheers to new beginnings! SSN Cho Hui Zen ICU My notion for 2024 is “Your success and happiness lie in you”. Resolve to keep happiness and joy, and you shall form an invincible host against difficulties. May the year 2024 be a canvas of dreams waiting to be painted with positive vibes. My new year resolution revolves around a comprehensive commitment to well-being and self-improvement. Primarily, I aim to prioritise my health by incorporating regular exercise and maintaining a balanced diet. Simultaneously, I’m dedicated to personal development, focusing on cultivating positive habits, fostering emotional resilience and enhancing my skills. By intertwining physical health and personal growth, my resolution seeks to create a harmonious and resilient foundation for a more fulfilling life in the upcoming year. NE Dira D/O Haridas Clinical Educator II Ten Hui Wen Clinical Educator NURSES’ BANK NEW YEAR RESOLUTIONS
37 Nursing Times Vol 5, No 1 My main new year resolution for 2024 is to try my best to avoid all negativity and only welcome positivity. Show nothing but love to anyone with a smile. I shall break any kind of deadlock by being the first to create the positive vibe among everyone at any circumstance. Khine Myat Thu Senior Executive Nursing Education Department My aspiration for 2024 is for a year free from falls and medication errors, with a notable increase in compliments received, and a focus on fostering positive experiences for our patients. ANC Elhannah Ho Ward 13 There might be aspects of your life where you’re eager for progress or attainment. While waiting can be challenging, remember that patience often yields rewards beyond your imagination. Stay hopeful for the time will come when your prayers will be answered, and what you’ve longed for will be yours. SN De La Cruz Steffi Laurence Dejasco Ward 13 My resolution for this year is to prioritise my health and wellbeing, striving for a balanced work life with reduced stress. I aim to enhance patient safety, uphold excellent practices, and confidently tackle any challenge that may arise. Additionally, I aspire to further develop my skills, advance in my career, and achieve financial growth. SN Hothaimalar Balakrishnan Ward 13 NURSES’ BANK NEW YEAR RESOLUTIONS
38 Nursing Times Vol 5, No 1 6 Simple Mental Health Care Tips for Nurses Written By: SNC Lai Kwok Fern NURSES’ BANK MENTAL HEALTH CARE TIPS
39 Nursing Times Vol 5, No 1 01 02 03 04 05 06 When you are overworked, feeling tired and stressed, it is easy to forget about the little things in life. Sometimes, you will realise that by being positive, you can influence your patients, your colleagues, and even your own behaviour and attitude. My Advice: Show gratitude to the people around you, even if they criticise you. You will soon notice how a simple ‘thank you’ will solve the problems. Nurses working rotating shifts find it difficult to obtain optimal amount of sleep. Especially night shift workers, they get one to four hours less sleep on days they work. Lack of sleep can impair your ability to make decisions, take initiative, and process information. This can be detrimental to patient care, satisfaction, and outcomes. My Advice: Normal adults need seven to nine hours of sleep per night. Different individuals have different sleep patterns, nurses need to avoid stimulating activities like watching dramas on phone or playing mobile games prior to bedtime because it will keep you awake. Stay Positive Get Proper Rest Take a Break Nothing beats a small disconnection from work, like my boss used to say, “You can never finish your work.” Utilise your well-deserved annual leave and go on a getaway. My Advice: Turn on your leave notification in the emails and switch off your work phone (maybe your personal hand phone too!). Practice Mindfulness Mindfulness is essential in maintaining an awareness of moment-by-moment of thoughts, feelings, bodily sensations, and the surrounding environment. It is closely related to meditation and can be practised almost anywhere. My Advice: At the end of the day, find a quiet corner, sit down, and sort out your feelings (usually the negative ones). Do not bring negative emotions with you to work on the next day. Working in the service line has never been easy, especially in the healthcare settings because patients’ expectations have increased. Patients are becoming more well-informed through social media and they like to challenge medical and nursing advice given to them. Healthcare workers, especially nurses, are often victims of verbal abuse when a malpractice is being suspected. My Advice: This is especially important in Singapore’s context because majority of healthcare workers are foreigners. They need to understand the culture differences and diversity of our community. I noticed some patients have a love-hate relationship towards foreign nurses. Some patients like to pick on foreign nurses when they have the chance to, and they will use name-calling to demean and insult them. Nurses need to have strong mental resilience to understand the social context in order to make sense of the hostility they received from patients, so that they will not take it to heart. Be Resilient Seek Help Asking for help is not a sign of weakness. It shows that you are in tune with your mind, body, and spirit. Knowing when to seek help is important. My Advice: Speak to your nurse clinician. However, if you do not feel comfortable to do so due to some sensitive issues, try speaking with a HR manager. You could also consider calling the community helpline, seek help from a professional counsellor. Practising ways to improve mental health is important to all nurses. You must keep your mental health cup full in order to pour from it and help others.
40 Nursing Times Vol 5, No 1 Embarking on Global Talent: Our Journey in Overseas Nurse Exploration Check out the photos below and also our social media to see if you were snapped! We are dedicated to support our partner The PeopleSolve outsourcing team was awarded to support Raffles Medical Group to set up the operations and assist in the recruitment of Community Care Facility and Community Treatment Facility during the circuit breaker period. Do you know? We averagely fill 100 per cent and directly engage with nurses and healthcare professional. We hired 125 clinical nurses within 6 weeks! Curious about our approach? Our initiative serves as a gateway for nurses and healthcare professionals, offering them a plethora of job opportunities customised to match their unique skills, preferences, and aspirations. Nevertheless, flexibility! Partnering our nurses for growth Anushiya Rajendran, Registered Nurse from PeopleSolve, weighs in: “I am committed and compassionate about my work at TCF Expo. We work as a team and I have the privilege of providing nursing services to our patients during their critical transition periods. My time at TCF has been highly rewarding. I’m proud to be able to engage my patients and provide holistic care for them. I’m excited to continue contributing to patient well-being and upholding excellence in transitional care. I appreciate how the PeopleSolve team connected me with this journey, enabling me to make a meaningful contribution to society. The experience has been truly fulfilling, and I’m enthusiastic about recommending them to others.” We do not limit our gateway! By breaking free from the limitations of location, nurses now have the chance to venture into roles that go beyond their local confines. This not only broadens their horizons but also enriches their professional journey, giving them the chance to excel in new and exciting positions. PeopleSolve, we are a member of the Raffles Medical Group. Join the ever-growing community of nurses and healthcare facilities that trust PeopleSolve to bridge their success. Your next chapter starts here. Referring someone who is interested? +65 9645 7147 careers@peoplesolve.com.sg www.careers-page.com/peoplesolve Bangalore, India Bangalore, India Kuala Lumpur, Malaysia EMPOWERING HEALTHCARE HORIZONS: THE PEOPLESOLVE ODYSSEY At PeopleSolve, we are passionate about the future of healthcare. We assist healthcare organisations to look for nurses and healthcare professionals, and match all our clients with the best available healthcare talents by tapping on our established healthcare professional’s talent bank of dedicated healthcare talents from eight countries. Since our modest inception in August 2021, PeopleSolve team has consistently achieved success. In an astonishing span of 18 months, over 8,000 nurses and healthcare professionals find their stage through us, dazzling in both full-time and part-time roles across diverse healthcare facilities in Singapore. A member of Raffles Medical Group
41 Nursing Times Vol 5, No 1 “The most important practical lesson than can be given to nurses is to teach them what to observe” -Florence Nightingale WHAT IS NURSING? Nursing can be described as both an art and a science; a heart and a mind. Nursing is more than a career. It is a calling. NURSING @ RAFFLES The nursing team at Raffles is closely-knitted. Our nurses come together to care for our patients. Our nurses are given opportunities to develop and build on specialised areas of interests, and are encouraged to pursue lifelong learning. A NURSING CAREER WITH RAFFLES Find out more about the career development track and opportunities.