1 Nursing Times Vol 5, No 2 Nursing Times VOL. 5, NO. 2 JUN 2024 RafflesMedGrp RafflesHospital
2 Nursing Times Vol 5, No 2 TABLE OF CONTENT BEHIND-THE-SCENES’ STORIES Opening of Raffles Catheterisation Lab 04 NTUC May Day Award 2024 07 International Nurses Day Celebration at Raffles Hospital Beijing 10 NURSING EDUCATION NNA Accredited Preceptor Course 16 CLINICAL UPDATES Prevention of Hypothermia in Neonates 20 ON THE RADAR RMG Deputy Director & Training Centre Director 23 International Board-certified Lactation Consultants 25 COMPLIMENTS FOR OUR NURSES 27 NURSES’ BANK Fitness Tips 34 Good Eats in Bugis 36 CONTRIBUTING WRITERS Ms Lilian Yew Ms Loke Mei Choo NE Dira Haridas PLC Helen Cruz Espina ANC Soji George AANC Shenna Ng Tien Shu AANC Cindy Khor Hsin Lin EDITORIAL TEAM Chief Editor: Lilian Yew, Chief Nurse Assistant Editor: Rathigka Subramaniam, Acting ANC MEMBERS Lai Kwok Fern, Senior Nurse Clinician II Wong Siew Fong, Nurse Clinician II Derek Tham, Acting ANC Sheena Ng Tien Shu, Acting ANC Jai Vaishnavi Jayakumar, ANE 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 2 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. 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. This quarter we cast the spotlight on the opening of Raffles Catheterisation Lab and our nursing recipient at the NTUC May Day Award 2024. Also, find out how participants of our NNA Accredited Preceptor Course have benefited from it, and clinical updates on prevention of hypothermia in neonatal. Read about a personal career sharing by one of our long-serving nursing staff who have also pioneered the training initiatives within RMG. Last but not least, learn more about our very own team of International Boardcertified Lactation Consultants. The next issue of Raffles Nursing Times will be published in September 2024. If you have stories to share, please submit them before 1 August 2024. Mark your calendar and look forward to our next issue! Sincerely, Lilian Yew (Ms) Chief Editor “Live your life while you have it. Life is a splendid gift. There is nothing small in it. Far the greatest things grow by God’s law out of the smallest. But to live your life, you must discipline it.“ ~ 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 2 Behind-the-scenes Opening of Raffles Catheterisation Lab ‘BEHIND-THE-SCENES’ STORIES Labour Ward Written by: Soji George, Assistant Nurse Clinician I am ANC Soji George and I graduated as a nurse from India. To-date, I have a total of 22 years of nursing experience. Throughout my career, I have developed a strong interest in angiography, which I am currently in my 13th year in this field. Of my 13 years in angiography, I have spent five years in Raffles Hospital. ANC Soji George in her nursing uniform at the new catheterisation lab. Despite the challenging tasks in angiography, I find it rewarding and fruitful. I truly believe that I play an important role in making a big impact in patients’ lives. Every smile that I receive is the perfect motivation that keeps me going at what I do. What is your daily routine like at Raffles Heart Centre’s angiography suite? Our daily routine revolves around assisting doctors, be it at Raffles Heart Centre (RHC) or the angiography suite. If there are no angiography cases in the morning, I will be assisting in RHC’s operation. For any angiography procedure, I will work with my colleagues to prepare all the required items beforehand, assist the doctor throughout the procedure. What is the case load like at RHC and emergency calls? We handle all types of heart-related cases such as coronary angiogram, coronary angioplasty, pacemaker implantation, and thrombectomy, just to name a few. We are always on standby round-the-clock to attend to any cardiac-related emergency case.
5 Nursing Times Vol 5, No 2 ‘BEHIND-THE-SCENES’ STORIES Opening of Raffles Catheterisation Lab Share with us a memorable case that you have attended to. One of the most memorable cases that I assisted with was a transcatheter aortic valve implantation (TAVI) case. Transcatheter aortic valve implantation (TAVI) is the procedure of choice for aortic stenosis in high surgical risk patients, but it is not free from complications. A 74-year-old man was admitted to Raffles Hospital with severe aortic valve stenosis, along with comorbidities including diabetes mellitus, atrial fibrillation, adrenal insufficiency, and a history of stroke. After evaluation, he was determined as a high surgical risk patient due to his medical history. Therefore, it was decided that the most appropriate approach was a minimally invasive procedure known as Transcatheter Aortic Valve Implantation (TAVI) rather than open surgery. During the TAVI procedure, a Sapien 3, 26mm valve was successfully deployed using fluoroscopy and trans esophageal echocardiography guidance. The procedure went smoothly with good final results and no complications. The patient was monitored under sedation throughout the procedure, and a Sentinel Cerebral Protection System was used to reduce the risk of stroke. Following the procedure, the patient was started on anticoagulation treatment with Apixaban to prevent thromboembolic events. He recovered well and was discharged two days later. However, he returned to the clinic six months later due to giddiness and pauses in the ECG, leading to the decision to undergo permanent pacemaker implantation. Overall, the patient’s valve function remained normal during follow-up, indicating a successful outcome of the TAVI procedure. It was the first complex cardiac-related case performed at Raffles Hospital and we were thankful for the successful outcome. While handling this case, our team of cardiologists, cardiothoracic surgeons, anaesthesiologists, radiographers, nurses, perfusionists, cardiac technicians, and vendors learnt to work hand in hand towards ensuring the patient’s safety and optimising the best outcome for him. Is there any specific training or qualification required to work in the Raffles Heart Centre’s angiography suite? As an angiography nurse, we are expected to always be both physically and mentally prepared in handling any type of cardiac-related case at any point of time. We should also have the capability to handle and overcome stress that we may encounter on a daily basis. It is essential for angiography nurses to stay updated with the latest knowledge and skills that are relevant to angiography procedures and cardiac care. This may involve attending continuing education courses, participating in conferences or workshops, and keeping abreast of advancements in technology and procedures. Role Specialisation: There are typically two major roles for nurses in the angiography suite: circulatory nurse and scrub nurse. Circulatory nurses assist with patient care, monitoring vital signs, administering medications, and coordinating with the medical team. Scrub nurses assist doctors during procedures, ensuring a sterile environment, and passing instruments as needed. Nurses who wish to work in the angiography suite are required to undergo vigorous training and pass a competency test. ANC Soji George with her team fully prepared for a new case
6 Nursing Times Vol 5, No 2 How is the new Raffles Heart Centre’s angiography suite different from the previous one? Raffles Heart Centre’s angiography suite represents a significant advancement in cardiovascular care, offering improved capabilities and enhanced patient safety. Here’s a breakdown of the key features and how they differ from the old suite: Reduced radiation levels: One of the unique features is the implementation of a new C-arm with significantly reduced radiation levels. This is a major improvement in both patient safety, and for cardiologists who perform these procedures. The reduction in radiation exposure minimises potential health risks associated with prolonged exposure to radiation. Clear imaging and 3D-angiography: The new suite is equipped with advanced imaging technology that provides clearer and more detailed images, including the capability for 3D-angiography. This allows cardiologists to visualise complex vascular structures with greater precision, aiding in more accurate diagnosis and treatment planning. ‘BEHIND-THE-SCENES’ STORIES Opening of Raffles Catheterisation Lab Dedicated electrophysiology lab: The expansion of the space allows a dedicated Electrophysiology (EP) lab within the angiography suite. This specialised facility enables cardiologists to perform electrophysiological studies and catheter ablation procedures for cardiac arrhythmias. Having a dedicated EP lab enhances efficiency and workflow, while providing a controlled environment optimised for these complex procedures. Support for more invasive procedures: The increased space in the new suite facilitates the performance of more invasive procedures, such as Transcatheter Aortic Valve Implantation (TAVI). Ancillary equipment can be readily brought in to support these complex interventions that help to ensure patients receive comprehensive and specialised care that is tailored to their needs. A C-Arm machine is an advanced medical imaging device based on X-ray technology
7 Nursing Times Vol 5, No 2 ‘BEHIND-THE-SCENES’ STORIES NTUC May Day Award 2024 Behind-the-scenes NTUC May Day Awards 2024 At the NTUC May Day Awards this year, AANC Johnston Yap received the Model Worker Award in recognition of his dedication and contributions to the Labour Movement’s mission. This was backed by the strong nomination from the Healthcare Services Employees’ Union (HSEU). Starting as a Staff Nurse at Raffles Hospital in 2015, Johnston has demonstrated a commitment to both his profession and the well-being of his fellow workers. His voluntary role as an Acute Collaboration Care case coordinator showcases his proactive approach to patient care and his willingness to go above and beyond his regular duties. Through his dedication to continuous learning and upskilling efforts, Johnston has progressed in his career, earning promotions to Senior Staff Nurse and now Acting Assistant Nurse Clinician (AANC). In his current role, he plays a vital part in supervising clinical care, management, and coordination to ensure the smooth operation of patient-related activities. Johnston’s commitment to excellence and professionalism has allowed him to consistently exceed expectations and standards over the last three years. His exemplary performance serves as an inspiration to his colleagues and underscores his significant contributions to uplifting the wages, welfare, and work prospects of healthcare workers.
8 Nursing Times Vol 5, No 2 ‘BEHIND-THE-SCENES’ STORIES NTUC May Day Award 2024 In addition to his remarkable contributions in the healthcare sector, Johnston’s involvement in CP Music School Pte Ltd highlights his diverse interests and dedication to enriching the community through music education. Taking on a leadership role in 2022, Johnston’s focus on strategic direction, curriculum enhancement, and operational efficiency had demonstrated his commitment to ensuring the school’s continued success and growth. By providing a nurturing environment for children to learn music, he is fostering creativity and self-expression among the younger generation. In addition, Johnston’s engagement in community outreach initiatives and local partnerships accentuates his desire to make music education accessible to all. Through workshops and collaborative efforts, the school not only enriches the lives of young learners, but also fosters cultural cohesion within the community. Johnston is grateful to be recognised for his contributions. He shared: “It was surreal winning this award and I am deeply honoured to represent Raffles Hospital as the first recipient of the “Model Worker Award”. This award is a testament of the collective effort and support that I have received from my colleagues and mentors. I would like to extend my sincere gratitude to Ms Lilian Yew, Sister Jaslyn Yeo, and Dr Chee Shang Yao. Their continuous guidance, encouragement, and support has allowed me to conceptualise and successfully implement various projects, such as the collaboration with Ang Mo Kio Community Hospital. I am also grateful to my colleagues and peers for their teamwork and dedication, of which have been the key to our shared success. This award belongs to all of us. Thank you for your invaluable support in making Raffles Hospital a great place to work in. I eagerly anticipate our continued collaboration on other meaningful projects and contributing to our joint success.” Johnston’s outstanding achievements and dedication in what he has done is truly commendable. Congratulations, Johnston! AANC Johnston receiving his award from Mr Ng Chee Meng, Secretary-General of the National Trades Union Congress AANC Johnston and Chief Nurse Lilian Yew From Left to Right: Mr Simon Ong, General Secretary HSEU, Ms Thanaletchimi, President of NTUC, Ms Lilian Yew, CN, Brother Johnston, AANC, & Mr Steven Goh, Executive Secretary HSEU
9 Nursing Times Vol 5, No 2 Ranked top 100 in the World for Nursing by the QS World University Rankings by Subject in 2023 Curtin University is ranked in the top 1% of universities worldwide by ARWU 2023 Curtin achieved QS Five Stars Plus rating, the highest available for a tertiary institution 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) To find out more about Curtin Singapore course information, visit us at curtin.edu.sg and contact us atinfo@curtin.edu.sg or 6593 8000. Empower yourfuture 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
10 Nursing Times Vol 5, No 2 Behind-the-scenes International Nurses Day Celebration at Raffles Hospital Beijing ‘BEHIND-THE-SCENES’ STORIES International Nurses Day Celebration Beijing Nursing Team together with Dr Charles Poon, General Manager of Raffles Hospital Beijing, celebrating the International Nurses Day. Raffles Hospital Beijing held a joyful celebration for the 113th International Nurses Day on 10 May 2024. During the celebration, we reviewed our nursing team’s performance in the past year and recognised those who had made outstanding contributions. The doctors also took the opportunity to express their gratitude to the nurses, thanking them for their hard work. Written by Raffles Hospital Beijing
11 Nursing Times Vol 5, No 2 Representatives among the doctors came forward to express their gratitude to the nurses, while the other doctors sent their best wishes in the form of ‘Thank You’ cards. ‘BEHIND-THE-SCENES’ STORIES International Nurses Day Celebration Beijing Presentation by Dr Charles Poon, General Manager of Raffles Hospital Beijing Grace Su, Senior Nurse Manager, shared about last year’s performance and thanked the nursing team for their contributions. It’s Time to Say Thank You
12 Nursing Times Vol 5, No 2 ‘BEHIND-THE-SCENES’ STORIES International Nurses Day Celebration Beijing Award Ceremony Celebration Photos
13 Nursing Times Vol 5, No 2 1. https://the-awards.co.uk/2023/en/page/archive-2022 2. https://www.kaplan.com.sg/bachelors-degree/bachelor-of-science-nursing-top-up 3. SNB (2018a) Code for Nurses and Midwives. Singapore: SNB. 4. SNB (2018b) Core Competencies of Registered Nurse. Singapore: SNB 5. SNB (2019) Scope of Professional Nursing and Midwifery Practice. Singapore: SNB 6. https://www.healthprofessionals.gov.sg/snb/ accreditation-of-nursing-education-programmes/accredited-nursing-programmes/post-registration-programmes - Accreditations remain subject to accreditation providers. Kaplan Higher Education Academy is not responsible for any changes in accreditation requirements or loss of accreditation status not attributable to Kaplan Higher Education Academy. Kaplan Higher Education Academy | SSG/CPE Registration Number: 199409389H | Period of Registration: 20 May 2022 to 19 May 2026 Why Enrol in Our Programme Accredited by the SNB6 Broad range of assessments used across the curriculum such as assignments and projects Fully taught by qualified and registered nurses from Northumbria University Blended-learning delivery catered to nurses (2-weekend block teaching every 6 months) 8 Modules Relevant to Nursing in Singapore • Research as Evidence for Nursing Practice • Innovations in Healthcare • Teaching and Learning • Health Promotion • Healthcare Law and Ethics • Nursing Older People with Complex Needs • Health Assessment and Clinical Decision Making • Leading and Developing Practice Make A Difference. Find out more at nursing.kaplan.com.sg The Bachelor of Science Nursing (Top-up) Degree programme supports the ongoing development of Registered Nurses and incorporates the following Singapore Nursing Board (SNB) guidance and regulations: • Code for Nurses and Midwives (SNB, 2018a)3 • Core Competencies of Registered Nurse (SNB, 2018b)4 • Scope of Professional Nursing and Midwifery Practice (SNB, 2019a)5 The programme has unique modules that are particularly relevant to Nursing in Singapore such as Health Promotion, Innovations in Healthcare, Leading and Developing Practice, and Nursing Older People with Complex Needs. These are aimed at empowering nurses and cultivating the next generation of nursing care leaders through evidence-based practice and innovation to address the needs of the Singapore population and changing local demographics. Enjoy an Education Grant of S$2,1802 when you apply Nursing Degree Advance your career with a
14 Nursing Times Vol 5, No 2 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, Clinical Educator Ten Hui Wen, Chief Nurse Ms Lilian Yew, Senior Executive Khine Myat Thu, Acting Nurse Educator Jai Vaishnavi and Nurse Educator Dira, . Learn more about Raffles Hospital at www.rafflesmedicalgroup.com or ANCC NCPD Accreditation at www.nursingworld.org/accreditation
15 Nursing Times Vol 5, No 2 CARING FOR HER MOTHER FUELED HER PASSION FOR NURSING DISCOVER YOUR PATH TO NURSING EXCELLENCE WITH SIM – THE UNIVERSITY OF SYDNEY! Bachelor of Nursing (Post-Registration) Bachelor of Nursing (Honours) For more information, www.sim.edu.sg/ge/ study@sim.edu.sg 6248 9746 view our brochure: SIM Campus, 461 Clementi Road, Singapore 599491 Mon to Fri, 9.00am - 5.00pm and Sat, 9am - 1pm (Closed on public holidays and SIM shutdown days) Degrees are accredited by the Singapore Nursing Board (SNB) Ranked 13th globally for nursing education and research excellence (QS World University Rankings by Subject 2023) Ranked as a top 20 university in the world overall (QS World University Rankings 2024) Why choose a University of Sydney Nursing Programme? Part-Time Programmes Offered at SIM: When facing challenges, I remind myself that I am making progress, as climbing up the hill is harder than going down. (2024) “ Nguyen Ngo Hoang Yen ” Student, Bachelor of Nursing (Post-Registration) SIM – The University of Sydney Yen's journey is one of resilience and determination, shaped by early life challenges that fueled her ambition to pursue a career in nursing. Following her parents' separation, she relocated with her mother, confronting health issues and adapting to a new environment. Witnessing her mother's sacrifices, Yen recognised the transformative power of education and displayed resourcefulness and determination in her pursuit of knowledge. Inspired by caring for her mother, Yen embarked on a path in nursing, beginning with a diploma in nursing then advancing to the Bachelor of Nursing (Post-Registration) programme at SIM - The University of Sydney. Yen envisions a career in critical care and specialised nursing. Her journey exemplifies perseverance, earning her the SIM Chairman's Award for Resilience, and she shares a message of hope and determination for those facing difficulties, underscoring the importance of growth amidst challenges. Application for July 2024 Intake is Open!
16 Nursing Times Vol 5, No 2 NURSING EDUCATION NNA Accredited Preceptor Course NNA Accredited Clinical Preceptorship Course The National Nursing Academy (NNA) was announced in March 2019 to support continuing professional capability development for all nurses across healthcare institutions to meet the evolving healthcare needs of our population. The NNA recognises the importance of continuing workplace-based nursing education and in view of that, they developed standards for workplace-based nursing education for the purpose of accrediting courses delivered by Healthcare Institutions (HCIs). This allows the courses deemed to be of quality, integrity, and meet the healthcare needs of our populations. These standards are adapted from the Singapore Nursing Board’s (SNB) standards for nursing education (2019). Accredited programmes and courses will also be recognised nationally across healthcare institutions in Singapore. With that, the NNA and SNB developed the core curricula for the Clinical Preceptorship (CP) course in early 2023 and as an institution conducting the course, we had to align the CP course with the core curricula and submit to NNA for accreditation. Overall, the NNA’s efforts aim to elevate the standard of nursing education, enhance professional capability development, and ultimately contribute to improved patient care outcomes in Singapore’s healthcare system. Scan below for more information about Raffles Hospital Clinical Preceptorship Course Written by Dira D/O Haridas, Nurse Educator
17 Nursing Times Vol 5, No 2 NURSING EDUCATION NNA Accredited Preceptor Course After collaborating with the clinical instructor from the ward, clinical facilitator from the school and our nursing education team, I started my preparation work and collated evidence to prepare my submission of the CP course for the NNA accreditation. As it was the first time submitting for the NNA accreditation, I was a little worried and hoped that I had fulfilled all requirements that NNA needed. It was a huge relief when our Chief Nurse Lilian Yew informed us on 30 November 2023 that the NNA evaluation panel had approved the CP course for accreditation, which will be valid for three years. After receiving the good news, I started preparing my first revised curriculum for 2024 in February. We had a total of 12 participants registered for the course, including one external participant from Mount Alvernia Hospital. The slides were updated according to the core curriculum from NNA. E-learning material from school was uploaded. Bookmarks, logbooks, and handouts were prepared and placed in each participant’s file. Participant engagement: On the day of the course, there were plenty of group activities for participants to apply their knowledge, and case scenarios were incorporated to help them gain a deeper understanding of being a clinical preceptor. Some of these activities included “Plate Expectations” whereby participants were asked to draw on the inner surface of the plate to state their expectations of their preceptees’ learning and growth, while the external surface reflects what the preceptees’ expectations are of them as role models and mentors. This activity encourages mutual reflection on expectations and responsibilities in a preceptor-preceptee relationship. Thus, promoting a collaborative and effective learning experience. Another activity was using the VARK questionnaire, a popular tool to identify the learning preference for processing information in four ways. Participants were excited to find out about their own learning preferences during the course. A particular activity that participants loved the most was called “sandwich burger”. Participants had to practise using this sandwich technique to provide constructive feedback to their preceptees. By performing this activity, it helped them to provide feedback in a constructive manner that is specific, timely, and actionable. This activity aims to promote effective communication and professional growth. The participants of our first NNA accredited Clinical Preceptorship course. Participants from TCF penned down their expectations during the “Plate Expectation” activity. PInpatient nursing staff creatively applied their knowledge in one of the many engaging group activities.
18 Nursing Times Vol 5, No 2 NURSING EDUCATION NNA Accredited Preceptor Course Assessment and feedback: Each participant was given a scenario to conduct a session as part of skill practice in class, which was assessed using the logbook. All of them performed very well and were able to apply their knowledge and skills during the classroom session. All participants were informed that they would successfully meet the requirements of the course when they complete the preceptor self-evaluation in their respective clinical areas, and submit a reflective journal sharing about the experience of clinical preceptorship, including the gaps and challenges they have identified during the preceptorship, in their respective clinical areas. Challenges and growth opportunities: The role of a clinical preceptor can be challenging. It requires a combination of clinical expertise, teaching skills, patience, and adaptability. Balancing between patient care and providing guidance to students and newly hired staff adds another layer of complexity. Despite the difficulties, it is important to recognise the value of the role in shaping the future generation of healthcare professionals. One of the biggest challenges preceptors faced was finding the time and patience to teach their preceptees during busy periods, as it was much easier to complete the tasks on their own. However, they soon recognised the value of prioritising their preceptees’ learning experience, even in chaos. Impact and future directions: Providing this insightful training to the participants allowed them to feel empowered and competent in ensuring effective clinical supervision for the newly recruited nurses and pre-registration / pre-enrolment students. As an educator, I feel immensely proud and ecstatic to impart my knowledge and experience to the new batch of preceptors in carrying out their role confidently and effectively.
19 Nursing Times Vol 5, No 2 NURSING EDUCATION NNA Accredited Preceptor Course What participants say about the Clinical Preceptorship course? The course has significantly enhanced my professional development by providing me with advanced skills in mentoring and guiding new nurses. Through this course, I have gained a deeper understanding of effective communication techniques, learnt how to foster a supportive learning environment, and evaluate clinical competencies. The experience has not only improved my leadership abilities but also allowed me to contribute to the growth and confidence of new nurses, ultimately leading to better patient care and a more cohesive healthcare team. SN Kelly Lam Mount Alvernia Hospital It was well-balanced, dynamic, and informative, with a structured framework designed to empower preceptors to possess the right tools. During the course, it also teaches participants the proper approach in handling, mentoring, and mirroring the pathway of preceptees towards professional growth and alignment to the organisation’s quality standards. This course has helped me greatly to be sensitive to the needs of my preceptees and the positive impact I can have on their career progression despite of the differences in culture, background, passion, intelligence, among other factors. Finally, in all my past experiences as a preceptor dealing with new nurses and newly hired staffs, I can boldly claim that I am more equipped now, and the credit goes to the people behind the initiation of this integral course. SSN Keith Joy Poliquit ICU, Raffles Hospital I have benefited much from the Clinical Preceptorship course. It has given me more knowledge on how to deal with new staff and enhance my confidence in sharing my skills and knowledge with them. In addition, it has enhanced my personal experiences regarding supervising individuals and teams. This course provided a supportive and well-guided learning experience for preceptors to facilitate the novice nurses, allowing them to develop their clinical skills and put them into practice. SN Ani Florilyn Nizal TCF South (Ward 11), Raffles Hospital
20 Nursing Times Vol 5, No 2 CLINICAL UPDATES Prevention of Hypothermia in Neonatal Prevention of Hypothermia in Neonates Objectives: At Raffles Hospital, 22 per cent of newborns were noted to have neonatal hypothermia (<36.5°C) at birth and another 13 per cent during the first two hours of life. This project aims to evaluate the effectiveness of maintaining normothermia within the first two hours of life and to prevent neonatal hypothermia using ThermaCare. Members of this team are Deputy Director Yasmine Poh, AANC Sheena, SN Libo (Labour ward), SN Suni (Nursery), and SN Cheene (Nursery). Evaluating the Effectiveness of ThermaCare During the First Two Hours of Life in Newborns What is neonatal hypothermia? Neonatal hypothermia is characterised by a deviation from normal body temperature, with the newborn’s temperature falling below 36.5°C. This decline in body temperature over time can lead to various physiological challenges, including increasing risk of respiratory distress, reduced cardiac output, metabolic acidosis, and hypoglycemia. Written by Sheena Ng Tien Shu, Acting ANC
21 Nursing Times Vol 5, No 2 Intervention ThermaCare is an intervention bundle. It involves applying the following after birth – wearing a wool bonnet after drying the newborn, measuring rectal temperature at birth, pre-warming towels and contact surfaces, covering the newborn in transparent plastic wraps, placing the newborn under the radiant warmer, and monitoring their temperature closely in the event of a hypothermic episode. Wool bonnet 15 15 9 9 9 18 100 100 100 0 100 0 5 10 15 20 25 Q3 2023 Q4 2023 Q1 2024 Percentage No. of babies No. of babies with hypothermia at birth No. of babies with hypothermia within 2hrs of life Total Deliveries Baby wrapped with transparent plastic wrap Measuring rectal temperature Baby wrapped in pre-warming towel Radiant warmer Results In Q1 2024, there was an increase in hypothermia rates within two hours of life. This was mainly due to an increase in caesarean cases. With further reinforcement on the compliance of ThermaCare, the hypothermia rates within two hours of life decreased from 30 per cent to 22 per cent. Furthermore, there were gradual improvement in the rates of hypothermia at birth from 24 per cent to 5 per cent. Reinforcement of the intervention bundle and maintenance of normothermia in newborns were reinforced. The data is still being collected and analysed continuously. Evaluating the effectiveness of ThermaCare during the first 2 hours of life in newborns Analysis Out of 178 deliveries, incidence of hypothermia in newborns at birth were 24 per cent, 21 per cent, and 15 per cent in Q3 2023, Q4 2023, and Q1 2024 respectively. Immediate measures such as kangaroo mother care (KMC), drying of the newborn, placing dry warm towels on the newborn, wearing of bonnets, and warming the newborn under the warmer were performed. In Q1 2024, hypothermia at birth decreased to 15 per cent. However, hypothermia noted within two hours of life increased to 30 per cent despite 100 per cent compliance rate of ThermaCare. Refer to table below for further explanation. Qtr Continuous temperature monitoring within 2 hours after birth Clinical assessment of thermal status Adverse outcome associated with hypothermia Compliance of ThermaCare within 2 hours Compliance of ThermaCare after 2 hours Above 36.5°C Below 36.5°C Normal Abnormal • Skin color • Spo2 • Behaviour indicative of cold stress / hypothermia Yes No Q3 ‘23 86% 14% 100% 0% 100% 100% 100% Q4 ’23 87% 13% 100% 0% 100% 100% 100% Q1 ’24 70% 30% 100% 0% 100% 100% 100%
22 Nursing Times Vol 5, No 2 CLINICAL UPDATES Prevention of Hypothermia in Neonatal Analysis Immediate wearing of bonnets after drying the baby at birth was reinforced. • Q1 2024: Rectal temperature was done at birth to reduce the incidence of false hypothermia as a result of inaccurate measurement of axillary temperature, which could be due to multifactorial reasons such as incorrect placement of the thermometer and presence of vernix, amniotic fluid, or blood. • As there was a 30 per cent increase of babies with hypothermia within two hours of life in Q1 2024, we introduced the use of plastic wraps after drying the newborn, during KMC, and during transportation of the newborn to the nursery as part of the ThermaCare bundle in Q2 2024. The intervention was aimed at reducing evaporative heat loss in newborns. Preliminary data for the month of April showed a reduction in hypothermia rate at birth and within two hours of life at 5 per cent and 22 per cent respectively. • Our findings were shared with the Nursery / NICU team and reinforced the understanding of ThermaCare and the importance of maintaining normothermia for newborns. Conclusion • A marked reduction in the rates of neonatal hypothermia at birth by 66 per cent and within the two hours of life by 26 per cent were noted post interventions. • Simplified work process: It was effective at targeting the maintenance of normothermia and prevention of hypothermia in newborns. • Feasibility: All the interventions were easy to implement and effective at targeting the reduction of hypothermia in the newborns.
23 Nursing Times Vol 5, No 2 ON THE RADAR On the Radar Ms Loke Mei Choo is a Deputy Director at Raffles Medical Group (RMG) and a Training Centre Director with 36 years of nursing experience. Here is her personal sharing about her interesting career journey. My nursing journey consists of multifaceted roles shaping a diverse tapestry of experience. Since 1982, I have been privileged to be a State Registered Nurse, marking the onset of a fulfilling nursing journey. From a young age, I was already exposed to caregiving responsibilities as I stepped up to look after a chronically ill family member. Upon completing my GCE O-Level examination, I decided to pursue my education in nursing. I embarked on my career journey in the burns unit, followed by the neurosurgery department at Tan Tock Seng Hospital. Life took a turn when I followed my husband Ms Loke Mei Choo, Deputy Director at Raffles Medical Group and Director at Training centre to the United Kingdom where he pursued his postgraduate studies. I had the privilege to be part of the nursing team that provided care to the British physicist Professor Stephen Hawking at the University of Cambridge. After returning to Singapore, I joined RMG as a clinic coordinator. I was working closely with the company’s cofounders and their team in the expansion of RMG. As I progressed, I have also worked as the manager of Raffles Medical’s family medicine clinics at Changi Airport for about 10 years. Part of my responsibilities include supporting routine medical care and response to medical emergencies for the airport community. Throughout the years, I was committed to comprehensive patient care. This included challenging times for the healthcare industry during the SARS outbreak in 2003, influenza pandemic in 2009, and COVID-19 pandemic in 2020. Ms Loke Mei Choo with the registration and packages selection team Let’s hear from our Veteran RMG Deputy Director & Training Centre Director, Ms Loke Mei Choo for this issue!
24 Nursing Times Vol 5, No 2 ON THE RADAR As RMG continues to expand, I realised that there is a demand for inhouse training for our staff. Therefore, I seized the opportunity to upskill and obtained a Diploma in Training and Development and Diploma in Continuing Education (DACE, IAL). As a certified Basic Cardiac Life Support and Automated External Defibrillator (BCLS-AED) instructor, I pioneered the training initiatives within RMG. Along the way, these initiatives allowed me to spearhead my own department and team that offer a comprehensive range of Life Support courses to internal staff, corporate clients, and the public. Such courses include Theory and Practice of Phlebotomy, Swabbing, First Aid, and BCLS AED. Today, as a Deputy Director at RMG and a Training Centre Director, I continue to serve and lead my team to provide both training and health screening programmes to corporate clients of large companies. It has been a challenging but rewarding journey. I am grateful for every phase and I am honoured to serve all our patients and clients with my utmost compassion, commitment, excellence, team-based care, and value. Mei Choo and her at the clinic office conducting health screening for their staff. What advice will you give to all the novice nurses and nursing leaders? Nursing is a rewarding and fulfilling vocation. However, one must possess a caring attitude, patience, and a small ego to stay happy and sane!. Mei Choo and her team performing blood taking for their staff
25 Nursing Times Vol 5, No 2 ON THE RADAR Meet the Raffles Team of International Board-certified Lactation Consultants As an International Board-certified Lactation Consultant (IBCLC), one is required to pass an international certification examination and listed on the Public Registry of IBCLC. It is the highest level for an individual to provide lactation support. Our team of IBCLCs provides support, advice, and education for families about breastfeeding, and guides them till the completion of their breastfeeding journey. Being an IBLCLC, SSN Nicole shared: “As a mother who used to face challenges with breastfeeding my son, I am empathetic towards new mothers who feel lost and stressed. I want to help them by addressing their concerns through my personal experience.” As for Helen, she said: “Breastfeeding has immense benefits for both mother and baby. Becoming a lactation consultant allows me to play a supportive role and contribute to a family’s well-being.” “Breastfeeding creates a special bond in the family. With my three children, I was presented with different sets of challenges, which helped me realise how important a good support system is. I want to impart my experience and knowledge to help families in their journey,” shared Cindy. Antenatal patients who want to learn more or have concerns about breastfeeding before their baby arrives, new mothers who are just starting on their journey and are figuring out how to breastfeed their new-born, going back to work or even weaning mothers can seek us for support or advice. Mothers who may be experiencing challenges in breastfeeding, such as breast pain, engorgement or sore nipples may also seek help from us. They can book our service via our Raffles Connect. Our IBCLC team received certification from this link: https://ibclc-commission.org/publicregistry/.
26 Nursing Times Vol 5, No 2 ON THE RADAR Althea Auxtero Descallar Ward 13 Enrolled Nurse I Vasan Murugesan Rajeshwari 24 Acute & Critical Care Staff Nurse I Ruth Thangthakim Ward 8B Staff Nurse II Maity Ruma Ward 9B Enrolled Nurse II Liu Yang ICU Senior Staff Nurse Sharon Chan Sze Shien Labour & Delivery Staff Nurse Let’s welcome our new nurse joinees for the month of April - June 2024
27 Nursing Times Vol 5, No 2 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.
28 Nursing Times Vol 5, No 2 I wish to express my gratitude to the nursing care team, Chia Hui Nee and Liyana of Raffles Diabetes and Endocrine Centre (RDE). When I was first referred to RDE, I was recommended to install the Dexcom device to monitor on my diabetic condition. Both Hui Nee and Liyana demonstrated care, patience, and excellence service during my four months of recovery. There was an instance when the device came off due to worn out adhesive tape. They helped to secure it with additional tape. I applaud their professionalism and thank Raffles Hospital for having them in the frontline. Well done! Chia Hui Nee Nurliyana Binte Shukor Raffles Internal Medicine SN Mang explained and went through with me my mum’s condition in great detail. She also taught me how to prepare the medication to feed my mum. Since my Myanmar helper takes care of my mum, SN Mang went to great length to explain to my helper using her native language about the steps to prepare medication and how to check on my mum’s skin condition. SN Mang is a very professional, experience, and dedicated nurse. I would like to thank her and all the nurses in ward 9C. Zen Lam Mang Inpatient - Ward 9 Diane deserves the highest compliment! She is consistently professional, patient, courteous, caring, and efficient. I noticed that she would always wear a beautiful smile and speak in a very pleasant tone to all patients in the clinic. Diane can even speak some Mandarin, which is helpful for those patients who can’t understand English. Healthcare professionals often need to manage a long queue of patients. Some patients can be impatient, but Diane remained calm and assuring all the time! Thank you for your amazing service, Diane! Javier Diane Caccam Raffles Medical - Ang Mo Kio Evelyn was such a breath of fresh air as she administered to my needs at one of the key stations for blood tests, ECG, eye checks. As I am very afraid of needles, she calmed me down by engaging in small talks, jokes, and ensured I was distracted. She skilfully managed to get the blood work done in a jiffy with no pain or stress felt at all! Great personality, wonderful and professional service! Thank you, Evelyn! Sum Li Ting Raffles Health Screeners Leonila is amazing. She can draw blood skilfully. She’s the best nurse and will highly recommend her to my colleagues. Gonzales Leonila Diamante Raffles Medical - Shaw Centre Diane deserves the highest compliments for her consistent amazing service! I had the chance to be assisted by Diane on many occasions as well as watch her in action serving all patients. She always greets her patients cheerfully with her beautiful smile. She is also extremely patient and helpful, and professional in handling all matters. Diane is able to converse in Mandarin, which is a bonus to Chinese-speaking patients. Some of them can at times be long winded and impatient, but Diane would always keep her cool. This is highly commendable. Javier Diane Caccam Raffles Medical - Ang Mo Kio
29 Nursing Times Vol 5, No 2 My daughter was admitted after a bad bout of stomach flu. She is easily irritable and doesn’t like anyone touching her besides her parents. So a big kudos to the nurses of Ward 8B for your patience and dealing with her relentless screaming whenever anyone opens the door. Gracy and her colleagues have shown love and concern for Miara throughout her stay, which has reduced my burden significantly in handling my daughter alone during her stay. I really appreciate it and once again, thank you everyone for the effort. Keep up the good work. Modiyil Skariah Gracy Kutty Inpatient - Ward 8 (Paediatrics) The staff who assisted me during the process were Grace and Diane. Grace, who assisted me with my registration, was so kind and has good communication skills. Diane, who did the blood work, was very gentle and sweet. Talking to me was her way of alleviating anxiety to reduce my fear of the needles. Both staff were very polite and accommodating. I can tell that they are very dedicated in doing their job. Thumbs up to these two amazing staff. Javier Diane Caccam Samoy Grace Ann Valero Raffles Medical - Ang Mo Kio I would like to express my sincere and heartfelt thanks to the nurses at Ward 9D who made my hospital stay conducive and bearable. They were patient when taking care of me and did not fail to check on me when they noticed I was not eating well or when I was not in a great mood. I would like to give a shoutout to SSN Keith particularly because his service stood out most to me. He was professional and patient when it came to answering my queries. He was also able to make injections less painful and helped calm me down whenever he could sense that I was anxious. I felt at ease during my stay even though it was not an easy feat. This is all due to the warmth I felt from all of the nurses who took care of me. Thank you very much! Cabales Richard Keith Armero Inpatient - Ward 9 (Medical / Surgery) Diane and Haidee are very accommodating and welcoming with smiles. They explain clearly and precisely on how to take the prescribed medications. Both of them showed concern to their patients genuinely, making your clinic pleasant. For this, if possible, they deserve not just thumbs up but also a promotion. Javier Diane Caccam Siscar Haidee Mirasol Delallana Raffles Medical - Ang Mo Kio Nina and Hothaimalar were very patient and considerate. They really took care of me and my needs very well. They were also very polite and empathetic too. Regalado Nina Angela Pingol Hothaimalar Balakrishnan Inpatient - Ward 13
30 Nursing Times Vol 5, No 2 Chunyan, Li Bo, Nicole, and Kiran provided my wife in the maternity ward amazing care and support during her delivery of our son. They were very attentive, friendly, and supportive. They put myself and my wife at ease. Most importantly, through their professionalism, they managed to help my wife bring our son into the world quickly and smoothly. I can’t thank the team enough. Yu Chunyan Wang Li Bo Nicole Chloe Thomas Kiranjit Kaur Jangir Singh Inpatient - Ward 8 (Labour Ward) My family members and I have been visiting the Raffles Medical clinic for years. I have observed Raymond who works in this clinic during my visit. I am very impressed with his sharp and critical mind. Not only is he very experienced in managing the administrative work, he is also capable in handle nursing tasks. Kudos to Raffles for having such an excellent staff like him. Raymund Darius Gonzaga Socobos Raffles Medical - Bishan Carol Lee was so helpful when I needed to be vaccinated. She arranged the appointment for me and ensured that I do not forget about it. She has very welcoming and approachable demeanour that makes every visit to the clinic a pleasant one. Keep up the good work. Carol Lee Chyong Horng Raffles Medical - Tampines 1 I had my medical health screening, and both Diane and Grace were very friendly and reassuring. Diane managed my fear of needles and reassured me with her skilful blood drawing technique, which turned out to be quite painless. Thank you, Diane Javier Diane Caccam Raffles Medical - Ang Mo Kio Jomar was very professional and attentive towards my dad. His cheerfulness made my dad’s stay brighter. He also volunteered to be my “patient” while I learnt how to use the blood sugar test tool. He even remembered my dad, as he was also the nurse who attended to him during his previous stay. Thank you Jomar for all your effort in taking care of my dad. Rose was very professional and patient towards my dad. She is attentive in listening to his requests. She would ensure that his needs were met and that his stay at the hospital was satisfactory. Rose also taught me how to perform insulin injection on my dad while patiently explaining to me what to take note of during the injection. Rose was also very detailed in explaining his medical conditions and thorough with managing his medication. Thank you, Rose for all your effort in taking care of my dad. In general, we are grateful to have them for taking good care of my dad during his stay in Raffles Hospital. I wish to express my thanks to the rest of the nursing team, intern, kitchen staff, and admin business centre staff who helped us in one way or another. De La Cruz Jomar Ramos Bambao Rose Ann Benedict De Leon Inpatient - Ward 9
31 Nursing Times Vol 5, No 2 It is amazing to know that Flordeliza has worked in Raffles for over 21 years. This is a testament to Raffles being a great employer, empowering her to be such a helpful, kind, and extremely knowledgeable nurse. Floraliza has absolutely helped me feel at ease and was great at sharing her knowledge about the various kinds of checks because it was the first time I have had a health check in six years. I am very grateful to her, and to all the nurses and doctors at Raffles. Flordeliza Navasques Ardenio Raffles Health Screeners The quality of care and service rendered by Eric, Siva, and Angelo are above my expectations, and exemplary of what nursing care should be. They were patient yet efficient in attending to my needs and requests. I had difficulties moving around as I was non-ambulant, owing to my left knee injury. I was impressed by the attention they have provided to me, and the way they treat other patients in the ward. Thanks very much for their care, kind attention, and assistance. Allera Eric Ababon Elipe Siva Nagu Cusap Angelo Mercado Inpatient - Ward 13 I noticed that you have a very capable nurse who managed the reception and cashier counter, and was also doing blood test, ECG, etc, while keeping a very friendly and patient posture. I would like to compliment Nur Atika for doing a great job, especially while fasting during Ramadan. Nur Atika Bte Andaria Raffles Medical - Compass One Rachelle served with passion and was very thoughtful. It was my first time going to the toilet after my operation. She helped me to the bathroom and even adjusted the water pressure of the bidet. She let the tap run while I tried to pee. Such a thoughtful act. Rico Maria Rachelle Catrina Vasquez Inpatient - Ward 8 (O&G) Eric was very helpful, cheerful, and lively. His positive energy and singing lifted the mood of the dull and gloomy ward. Thank you, Eric, for making my stay wonderful. Keep it up! Allera Eric Ababon Inpatient - Ward 13
32 Nursing Times Vol 5, No 2 Joyce is a super wonderful healthcare professional. She managed to slot me in for an appointment within short notice, and was polite in her reply. She clarified my health concerns and made my visit a pleasant experience. Thanks to Joyce. I would happily recommend anyone with regular migraines to Raffles Neuroscience Centre and Joyce’s care. Joyce Lim Raffles Neuroscience Centre Deng Yi was very kind, focused on what I needed, and had very good bedside manners. I would also like to compliment all the staff here. You have all done a great job in looking after me and making my stay a comfortable one. Deng Yi Inpatient - Ward 10 I want to compliment both Inah and Lainamol for their care and attention during my stay. They would even check on my wife, who was accompanying me, from time to time if she needed any help. They gave my wife a great sense of confidence and relief that I was well taken care of by people who genuinely care. The hospital must be proud to have nurses like them. They are truly angels. Diang Janine Inah Bigornia Mathew Lainumolh Inpatient - Ward 9 Aiko was absolutely wonderful with my very sick toddler. He was completely at ease with her and I was always grateful whenever she was the nurse entering the room. Thank you for making a very stressful time a little bit better, Aiko! Lariosa Aiko Inpatient - Ward 8 (Paediatrics) I was well-taken care of by the nursing team. They were efficient in processing the forms filled and took an interest in me as a person. They showed me genuine empathy and care throughout my stay, from the time I was admitted for my procedure. The nurses helped me to feel at ease and was quick to explain the various required steps along the way. Grace Lee Nang Win Yee Aye Inpatient - Day Surgery
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34 Nursing Times Vol 5, No 2 NURSES’ BANK FITNESS TIPS Fitness Tips Consistency Matters: Make practising a regular part of your routine, even if it is just a short time frame every day. Embrace Imperfection: Don’t strive for perfection; focus on progress and growth at your own pace. Listen to Your Body: Respect your body’s limits and modify poses as needed to avoid injury. Self-care: Take care of yourself physically, mentally, and emotionally to support your journey. AANC Arine Gao (Ward 10)
35 Nursing Times Vol 5, No 2 Fitness is a state of health and well-being, encompassing the ability to perform various sports, occupations, and daily activities. Physical fitness is typically achieved through proper nutrition, moderate to vigorous physical exercise, and sufficient rest. By prioritising these factors, we can attain a good quality of life. Remember: Dream + Dedication = Success Here are some fitness tips to help you get started: Hard Work: There is no substitute for hard work. Always remain humble and hungry for success. Determination: Wake up determined and go to bed satisfied. Focus and Effort: Success in any endeavour ultimately boils down to focus and effort, which are within our control. Goal Setting: Fitness is not about outperforming others, it is about surpassing your past self. Discipline: Remember what you want most, not just what you want now. SN Lacaba King Joseph Guleng (Ward 10) In today’s world, there is a widespread obsession with achieving a perfect body, whether it is working hard at a gym or adopting an intermittent fasting routine. However, many people find themselves disappointed when their desired results are not met. The key lies in self-discipline and setting realistic goals. Exercise isn’t just about keeping fit, but it is also a good way to relieve stress and regulate emotions. Personally, I don’t adhere to a strict exercise routine due to the demands of my job, often ending shifts late. Nonetheless, I make a point to exercise at least twice a week without fail, typically with simple weightlifting exercises at home. Equally important is maintaining a balanced diet, focusing on consuming adequate fibre and protein while moderating carbohydrate intake. I allow myself a cheat day, especially during family gatherings, as a form of reward. Moreover, staying hydrated and getting enough sleep are paramount. Balancing my schedule and prioritising exercise are crucial for staying active and healthy amidst my busy lifestyle. SN Nornikman Bin A Razak (Ward 9)
36 Nursing Times Vol 5, No 2 Good Eats in Bugis NURSES’ BANK GOOD EATS IN BUGIS Located on the serene stretch of Jalan Kledek, which is just a stone’s throw away from Raffles Hospital, Mother Dough stands as a humble bakery offering an array of handcrafted pastries. From flaky croissants to artisan sourdough bread and decadent cakes, each treat is freshly baked daily using premium ingredients, ensuring a delightful burst of aroma and flavour in every bite. Make sure to visit early to secure your favourites before they sell out! For those craving a sweet and refreshing indulgence nearby, make your way to Monarchs & Milkweed Gelato that is nestled near Haji Lane. Prepare to be spoiled for choice with a diverse selection of classic and inventive gelato flavours, perfectly paired with either crispy cones or waffles. Dairy-free options are also available with flavours just as irresistible as their dairy counterparts. Located at 3 Jln Kledek, Singapore 199259 Opens every day from 10am to 5pm except Mondays SN Wee Lixuan (ICU)
37 Nursing Times Vol 5, No 2 NURSES’ BANK GOOD EATS IN BUGIS At Bugis Street, you will discover an array of Singaporean street food delights, including BBQ seafood, mochi, oyster omelette, and more. They are affordable and delicious. For those seeking authentic local hawker fare, Albert Centre Market & Food Centre is a must-visit. It is renowned for an array of delicious offerings such as chicken rice, laksa, and satay. Whether you crave for local delicacies or international flavours, Bugis promises to satisfy every palate with its eclectic dining scene. SSN Christina Chen (Ward 10) Located at 64 Queen St, Singapore 188543 Opens every day from 10am to 10:30pm Located at 270 Queen St, Singapore 180270 Opens every day from 8am to 8:30pm Living in Singapore for the past eight years has exposed me to the wonderful, exquisite culture of Singapore delicacy. One of my favourite eats around the Bugis area is the appetising Mexican cuisine at Huevos. Located near Haji Lane, it offers a wide choice of authentic Mexican food ranging from spicy tacos, crispy guacamole nachos, and cheesy quesadilla. Located at 803 North Bridge Rd, Singapore 19877 Opens every day from 11am to 3pm & 5pm to 10pm except Mondays Located at 158 Rochor Rd, Singapore 188433 Opens Monday to Friday from 11:30am to 2pm & 5pm to 10pm Opens Saturday to Sunday from 11:30am to 9:30pm Another sinful pleasure of mine when I am feeling exhausted after a long shift or when the weather is rainy and cold, is to indulge in a hot bowl of ramen at Ramen Keisuke Tonkotsu King Four Seasons, located along Bugis Village. Their menu creatively encapsulate each of the four seasons with a unique twist for each season. My go-to favourite is the King Ramen, which consists of a rich creamy pork broth, springy Japanese ramen noodles and a generous amount of pork belly that helps warm the body and is remarkably gratifying. Additionally, they offer free flow of hard-boiled eggs and beansprout mixed in homemade seasoning. SN Shi Fazheng Bon (Ward 13)
38 Nursing Times Vol 5, No 2 “To be ‘in charge’ is certainly not only to carry out the proper measures yourself but to see that everyone else does so too.” -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.