Institution Highlight: Impresif Care Nursing Home

Our team got to know about this privately-run nursing in a cozy neighborhood of Petaling Jaya. Impresif Home Care is run by a total of 3 nurses, 7 workers and their supervisor. We had the chance to speak to the supervisor, Raja. Raja is a wonderful guy, and based on just a few conversations with him you can really tell that he cares a lot about what goes on in the nursing home and its occupants.

Impresif Care Home is looking to hire staff nurses with minimal experience to help with their workload. Visit their job listing page to apply.


What is the vision behind your nursing home? How did it come about?

The home was a house bought by our founders, En. Mohd Faizal and his wife Pn Zainab. Pn. Zainab was a matron for a big hospital. There she realized that a lot of patients still require care, but since they can’t stay admitted for too long they are discharged.

It was disheartening to see that, so she and her husband founded this home. We have been privately funded ever since, and do not rely on donations.

We have about 30 occupants, with the age range being from 55 to 90 years old. Some of them have children who are not able to take care of them; it is cheaper to send the parents here for nursing care compared to hiring a nurse who comes to the house, which can be very expensive. Some of the occupants here just do not have anywhere to go… but we are grateful we can still support them here.

How is the home culture like?

A lot of people come here to visit, thinking it to be depressed and lonely for the elderly to be here. But it’s actually a lot of fun! Everyone tries their best to be happy. I myself have never been happier in my life, now that I’m working here looking after other people.

It’s a relatively slow working lifestyle. We wake the occupants up at 630am, then prepare breakfast, wash, clean them, and take them out for exercise. Those who need parenteral feeding will be fed by our nurses. We have lunch around noon, and then it’s some TV time followed by an afternoon nap. Dinner is at 7, then it’s free and easy.

Weekends are a bit busier. Relatives and children come over to visit, and will ask the staff questions like “What medication is he/she on?”, or “How has my father been this week?”, things like that.

This is a suitable place for nurses out of nursing school to gain some experience before going on to do their Degrees or Post-Basics. The occupants here are all low-dependency type of patients.

What do you do to make your staff happy and enjoy working here?

It helps that the elderly are all funny and exciting in their own way. I always get “invited” to any one of the uncles or aunties houses. I’ve worked here for 8 years and I still don’t know where their “houses” are. laughs

The location of the home is very nice and quiet. It has easy access to the Federal Highway and the New Pantai Expressway, so staff can easily get here from all over. It can be tiring at times but not as busy as hospital work, and they get paid well too.

What cool pieces of tech do you have in your clinic?

Everyone has their own wheelchair! So they can decorate or personalize it to fit their own characters. Some carry small tokens on their wheelchairs to remind them of people or places they used to meet.

We have fully adjustable beds like the ones in hospitals for our more needy occupants.

Our dispensary is always kept fully-stocked.

What kind of people are you looking to hire as your staff?

We’re looking for nurses who are patient, hardworking, and with a soft heart for the elderly. Applicant must also be willing to work six days a week, especially on weekends. That’s when we’re the most busy.

How does your staff get hired?

Our nurses gets hired by Pn. Zainab. She talks to the nurses that is going to work here. It’s not much of a screening; it’s just to get to know who you are as a person and how you’ll do your work.

We take our staff from maid agencies, so they’re mostly Indonesian.

What does the future of this nursing home look like?

We want to keep doing what we do for a long time. We’re looking to increase the number of nurses that we employ to help the current workforce cope better with the workload. At the moment we are looking to hire any qualified nurses, even ones with minimal work experience. We’ll help to guide you in the right direction.

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 Emergency Nursing 

 Emergency medicine, formerly known in some countries as accident and emergency medicine (A&E), is the medical specialty involving care for  undifferentiated and unscheduled patients with illnesses or injuries requiring immediate medical attention.  

 Overview 

 As first-line providers, emergency nurses and doctors are responsible for: 

 
	 initiating investigations and interventions to diagnose and/or treat patients in the acute phase 
	 coordinating care with doctors from other specialties 
	 making decisions regarding a patient’s need for hospital admission, observation, or discharge. 
 

 Emergency nurses generally practice in hospital emergency departments, wards, units or intensive care units. They may also be working at pre-hospital settings via emergency medical services, such as in the event of a calamity like a road accident. Moreover, emergency nurses also may work in primary care, such as urgent care clinics. 

 History 

 During the 18th century the French Revolution brought upon the development of the ambulance. After seeing the speed with which the carriages f the French flying artillery maneuvered across the battlefields, French military surgeon Dominique Jean Larrey applied the idea for rapid transport of wounded soldiers to a central place where healthcare was accessible. 

 Emergency medicine and nursing is a relatively new field. It was only in 1979 that a vote by the American Board of Medical Specialties that emergency medicine became a recognized medical specialty in the United States. Other countries followed suit soon thereafter. 

 Scope of Work 

 Emergency nursing is a specialization based on the knowledge and skills for the prevention, diagnosis and management of acute and urgent aspects of illness and injury affecting patients of all age groups with a full spectrum of undifferentiated physical and behavioral disorders. 

 It further encompasses an understanding of the development of pre-hospital and in-hospital emergency medical systems and the skills necessary for this development. 

 Common Tasks 

 
	 Triaging of patients 
	 Suture complex lacerations 
	 reduce a fractured bone or dislocated joint 
	 treat a heart attack 
	 manage strokes 
	 stop severe nosebleeds 
	 placing a chest tube 
	 conducting emergency tracheostomy 
 

 Work location 

 Emergency nurses are tasked to provide the acute care of internal medical and surgical conditions. In many emergency departments, nurses are tasked with seeing an alarmingly large number of patients, treating their illnesses and arranging their next steps. 

 Training 

 There are a variety of models for emergency nursing training across the globe. In some countries the emergency nurse rides in the ambulance to and fro the scene of emergency. This is done to provide stabilizing care to the affected patient. 

 Nurses in emergency departments require a broad field of knowledge and advanced procedural skills of many nursing fields. They must know how to: 

 
	 Resuscitate a patient 
	 Carry out surgical procedures 
	 provide cardiac life support 
	 Manage patients’ airways 
 

 Specialization for emergency nursing often happens after a post-basic certification proceeding three years of service as a registered nurse. 

 Required skillset 

 Emergency nurses require an extensive amount of cool-headedness to handle the oncoming onslaught of daily tasks that present themselves. A great number of emergency ward cases are urgent and time-sensitive in nature, therefore the nurse needs to exercise great caution and patient, while being curt and efficient at the same time. 

 Good teamworking skills is essential. The role of an emergency nurse also involves proper triaging of patients into in- or out-patient services, and work with various specialists or fields to determine the best course of action following prognosis. A positive, proactive, and supportive nurse is beneficial in any emergency setting. 

 Clear communication skills are required in order to convey the correct information to emergency dispatchers or hospital emergency personnel. Failure in conveying correct medical info will prove to be disastrous for the patient, incur financial losses, and increase chances of litigation due to malpractice. 

 Career opportunities 

 Emergency nurses can work in a wide variety of settings, and they include: 

 
	 First aid volunteers 
	 Emergency medical services (BOMBA, paramedics) 
	 paediatric emergency medicine 
	 rescue squads 
	 emergency medical technician 
	 traumatology 
 

 It is not uncommon for nurses to leave clinical work in order to focus on research, especially at the post-graduate levels of study. 

 Search for high-paying nursing jobs on  MIMS Career . Browse, save, and apply for nursing jobs, all in one-click. Take the opportunity for higher pay and better work locations. Our pages are all mobile-responsive, allowing you to take that leap for a better job whenever, wherever you are. All our job postings are  heavily screened to prevent scams and mistrustful behavior.  
   

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	  See if the offer is too good to be true  
	  There is a fee to be paid to "process" your employment  
	  You get the job right away  
	  Unprofessional job interviews  
 

 Job scams 

 In 2013, a South African registered nurse was approached by a man outside the hospital she worked in. The 25-year old man was a recruitment agent for the  KwaZulu-Natal (KZN) Department of Health . He offered her a job at another institution, for better pay and work hours. 

 The nurse saw this as a great opportunity. She accepted it, and he produced a contract and offered her the job.  Then he requested USD220 in cash for the job.  

 Thankfully, the nurse grew suspicious, and realized she was being scammed. She immediately alerted hospital staff who arrested the man. 

   

 Grey's Hospital, where the incident happened. 

 That could have ended a lot worse. Luckily in that nurse's case, she was able to spot the scam job offer. It is hoped that this post can help you to spot these harmful acts and avoid costing you your precious time, money, and dignity. Scammers know that finding a job can be tough, and they trick people by advertising where real employers do. 

 Scams are endlessly creative! This list might not encompass all of them, but it will help you in detecting these harmful job scams. 

 
 1. See If The Offer Is Too Good To Be True 

   

 If it seems like you’ve landed yourself the best offer in the world,  DON’T . The hiring managers will say something to you like: 

 
 You can earn as much as you want, there is no upper limit on your salary. You decide what you earn. You can earn USD5,000 in one week by working at home! 
 

 Run away as fast as you can. These scams like to prey on those desperate for a new job. They take advantage of your desperation by having you excited of their offer. Once they’ve gotten you on their hook, those “employers” can start to demand money, information, and time, just to get your application moving. 

  Watch out for:  

 
	 Really high pay with low amount of working hours 
	 Ability to work anywhere, anytime 
	 Really shady phrases, like “ Drive the sports car you’ve ever wanted after only a few months’ work! ” or " Earn USD3000 by only working FOUR HOURS a week! " 
	 The person contacting you is the President or CEO or other executive level staff. Most of the time, the highest-ranking person contacting you for a job offer is some type of manager or human resources employee. 
 

 2. There is a fee to be paid to "process" your employment 

   

 If the hiring manager contacts you again and informs you that you have to pay [insert amount here] to complete your application, forget it. 

 You might see overseas job offers requiring you to pay a few hundred dollars to "process" your application. They'll claim it's to secure your employment. To sweeten the deal, some of them claim that you'll get back the money within days after you get in the company/institution. 

  Here are the most common ways job scams use to cheat your money, like:  

 
	 Buying their software 
	 Paying a fee to complete your application 
	 Sign up for some insurance program that deducts money from your account every month 
 

 Job scammers make all kinds of promises about your chances of employment, and an astounding amount of them require you to pay them for their services to employ you. It's important to note that the promise of a job is  not  the same thing as a job. If you have to pay for that promise, it's most definitely a scam. 

 3. You get the job right away 

   

 You get the job, without much interviewing, or even applying through anything. The "offer" gets sent to your inbox. They often mention that they got your email from Jobstreet, CareerBuilder, or LinkedIn. 

  Most of the time, these job offers are sent with emails that are similar to emails of legitimate employers. Be careful!  

 
 Imagine if a David Chen from  Ramsay Sime Darby  emailed you about a sweet job offer. If he really worked at RSD, his email would be something like david.c@simedarby.com. Watch out for david.c.simedarby@gmail.com, david.c@gmail.com, david.chen.HR.simedarby@yahoo.com, etc. 

 When in doubt, call up the company and ask for that employee! 
 

  A real company would want to talk to a candidate before hiring him or her.  

 4. Unprofessional job interviews 

   

 Look out for interviews online, such as over  Facebook Messenger . Worse still, are interviews using a software that the scammer asks you to install on you computer. You will risk having your computer infected with harmful malware that can  record what you type  ,  activate your webcam without notifying you , and  hold your personal information as ransom . 

 Look out for interviewers with bad grammar or spelling. If it doesn't seem like what a real professional company would say, don't trust it. 

 
 With some common sense, and a bit of suspicion, you can easily spot scam job offers. The rule of thumb is that if it looks too good to be true, sounds too good to be true, and seems to good to be true, then it's definitely not true. Also look out for shady characters and language. 

 As mentioned above, there is no limit to the creativity of these scam artists and their job offers. The tips mentioned above might cover  ALL  the scam job methods out there, but at least you'll be better prepared, and more aware that these things can happen. 

 As a healthcare-focused job portal site,  MIMS Career  takes the legitimacy of any employer and job posting  very seriously . We screen employers thoroughly, contacting them at various levels, to determine authenticity of said employers. Our  privacy policy  also dictates that we  never  share your personal information to unrelated third parties, nor do we sell them. 

 The next time you're in search of a job, apply through  MIMS Career . Sign up, fill in your details, and apply for job vacancies from top healthcare institutions in  Malaysia ,  Singapore ,  Indonesia , and the  Philippines  with one click. 

 Browse through our extensive database of job postings, updated daily. Our pages are mobile-responsive, so you can save jobs you're interested in on your desktop, and continue reading about it and apply later on your phone. 

 Can't find what you're looking for? Set a job alert, and we'll notify you once a job with your preferences is made available. Sign up now with  MIMS Career . It's fast, convenient, and secure. We do the hard work of verifying scam jobs so you won't have to. 
   

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 Technological developments continue to improve well into the 21st century, bringing in advancements in surgical care. By extension, the responsibilities of the registered nurse that assists in patient care in the operating room/theater need to keep up with the times. 



 Definition: 

 These nurses who have more specialized duties in the OT/OR are called perioperative nurses. The word “peri-” is Greek for “about”, or “around”, “enclosing.” Just think of the word “perimeter. Hence, “perioperative nursing” means the care of a patient before, during, and after a surgical procedure. 



 Duties: 

 Typically, perioperative nurses fall into two categories: 

  Scrub nurse  - These nurses select and pass surgical instruments to the surgeon during the operation. He/she might also assist in the procedure. 

  Circulating nurse  - This kind of nurse manages the operating room. She ensures the place is safe for the patient and operating staff. 

  Anaesthetic nurse  - Provides support to the anaesthetist during or before the procedure. Duties include preparing the equipment, and administering anaesthesia to the patient in a safe manner. 

  Holding bay nurse  - this term might be called differently in other countries. The holding bay nurse is responsible to bring the patient up to speed in the pre-perioperative environment. She is also responsible for all the information to be correct prior to procedure, such as fasting status, reports, and medication. 

  Post-surgery Recovery Nurse  - As the name indicates, this nurse cares for the patient immediately after surgery. Tasks such as ensuring patient’s airways are open, recording results, are the norm. 

  It is common for a single perioperative nurse to carry two or three of the aforementioned duties during a patient’s course of the surgery.  



 Education: 

 A post-basic certification is needed in order to qualify one to take up perioperative duties. The duration of the post-basic training might be within 1-2 years. Nurses undergoing training are exposed to surgical care, intensive care, and treatment of critically ill patients.  

 Most post-basic programs require 3-4 years of work experience as a registered nurse beforehand.  



 Workload and Working Conditions: 

 Surgical procedures can be very long. Moreover, complications can sometimes occur, further delaying the endpoint of the surgery. 

 Perioperative nurses are expected to be alert of the patients’ vitals during the post-surgical state to monitor any signs of abnormalities. 

 Working hours may differ across institutions. A small clinic specializing in aesthetic surgery might have more regular hours, compared to a teaching hospital that has multiple wards. 

 Work conditions and intensity also depend on the severity and complexity of the patient’s surgery. 



 Opportunities in Perioperative Nursing 

 Like most areas of nursing, job opportunities continue to grow. This specialization is expected to grow at a high rate as more institutions begin to provide surgical procedures. 

 The additional training provided to nurses with perioperative backgrounds can open many career doors. In the future, they will be able to function as OT directors, handle fiscal matters, and other managerial aspects of the operating theater. 

 With some more experience, nurses can proceed to becoming academicians or educators, as well as go into research. 

  Read more on advancing your nursing career into nursing education HERE.  

 Salary and income  
Nurses with specialization (such as perioperative nursing) stand to earn higher than the national average of nurses’ income. However, it is subject to location and healthcare institution facilities. 

 For those in the public sector, you have a high chance of being put in a higher grade. 

  Read more on how nurses can increase their income HERE.  



 Source: 

  https://healthtimes.com.au/hub/perioperative/46/guidance/nc1/perioperative-nursing/563/  

  http://www.mayo.edu/mayo-clinic-school-of-health-sciences/careers/perioperative-nursing  

 Search for high-paying perioperative nursing jobs here at  MIMS Career . Sign up and apply today with our safe, secure, and free site. MIMS Career is an extensive job portal for healthcare practitioners such as nurses, doctors, and dentists throught Malaysia, Singapore, Indonesia and the Philippines. 

 Browse through our vast directory of job vacancies by top healthcare employers. See any jobs you like? Apply with one click, or save it for later if you need some time to think about it.  

 Can’t find what you’re looking for? Set up an email alert, and we’ll notify you when a job vacancy that meets your desired criteria becomes available.

Career Highlight: Perioperative Nursing

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  source: Larm Rmah  

  1. Paediatrics  
 2. History  
 3. Key differences  
 4. Ethics  
 5. Training  
 6. Job scope  
 7. Required skills  
 8. Common Cases  
 9. Career Opportunities  

 Paediatrics 

 Paediatrics is the branch of medicine that deals with the medical of infants, children, and adolescents. The American Academy of Paediatrics recommends people be under paediatric care up to the age of 21. A medical practitioner who specializes in this area is known as a paediatrician. 

 The word paediatrics can be spelled as either  paediatrics , as per British English, or  pediatrics , as per the American counterpart. Both spellings are acceptable. 

 The word paediatrics comes from two Greek words: “ pais “, meaning children, and “ iaitros “, meaning “doctor” or “healer”. Paediatric nurses usually work in hospitals, assisting physicians in specialized subfields like  neonatology . 

 History 

 Paediatrics is considered to be a new subset of medicine today. Ancient Greek physicians like Hippocrates, Aristotle, Celsus, Soranus, and Galen understood the differences in growing organisms like children; as compared to fully-mature adults. Soranus, a Greek physician and gynaecologist from Ephesus (located in modern-day Turkey) has published  records dealing with neonatal paediatrics . 

   

  source: EIT Mental Health  

 Paediatrics as a specialized field of medicine continued to develop in the mid-19th century. The first generally accepted paediatric hospital is the L’Hopital des Enfants Malades, which literally translates from French as “The Hospital for Ill Children.” It opened in Paris in the month of June, 1802. It accepted patients up to the age of 15 years, and still continues to operate today. 

 Key Differences Between Adult and Paediatric Medicine 

 Maturation of the human body is paralleled by differences in body size. In other words, the smaller the infant, the more different the physiology of the said patient. The smaller body of an infant or a neonate (a baby) provides a greater concern to physicians or nurses in the paediatric ward. Congenital defects, genetic variance, and developmental issues adversely affect children more than adults. 

 Children, therefore, must not be treated as “a smaller version of adults.” 

 Nurses and physicians in the paediatric specialty must take into account the immature physiology of the infant or child when considering symptoms, prescribing medications, and diagnosing illnesses. 

 Ethics 

 Another major difference between adult and paediatric medicine, is that  children cannot make decisions for themselves . This is important enough to warrant its own subsection in this article. 

 The issues of guardianship, privacy, legal responsibility and informed consent must  always  be considered in every procedure. 

 
 … children cannot make decisions for themselves. 
 

 Rather than just treating the child, those working in paediatrics often have to treat the parents and the family. Adolescents are in their own legal class, depending on the country, and they have rights to their own health care decisions in certain circumstances. 

 Not only will a paediatric nurse or doctor take into account the desires of a child when considering treatment options, he or she will conform to the wishes of many people. This becomes especially  important when dealing with conditions of poor prognosis, and complicated or painful procedures.  

 Training 

 Courses are available to registered nurses who have completed a minimum number of service years. The number of years differ according to country. The qualifications range from advanced diplomas, to PhD research focusing on paediatric care. Many academicians forgo clinical practice in order to pursue research that will improve the quality of healthcare or bring about favourable policies to the care of children and adolescents. 

   

  source: paediatricemergencies.podbean.com  

 It is very common for paediatric nursing training to be comprised of  didactic  and clinical components covering the management and treatment of acute and complex child patients. 

 In Malaysia, paediatric training also comprises of management of sophisticated technology, providing nurses with the capability to offer quality care in a variety of situations. Training for disease prevention and recuperative treatment are also common modules in a paediatric nursing course. 

 Core modules of training would include  interpersonal skills and counselling ,  values and ethics ,  paediatric principles and practice ,  nursing of children with special needs ,  paediatric oncology , and some clinical practice. 

 Job scope and responsibilities 

 Typical activites may vary according to the role and work setting of the paediatric nurse. Children with special needs often require a different level of care compared to others. With that said, responsibilities include: 

 
	 assessment and critical reporting of patients 
	 preparing patients for pre- or post-op 
	 setting up drips, transfusions 
	 administering drugs and injections 
	 explaining procedures, treatments, to patients or guardians to acquire their consent to treatment 
	 support, comfort, and advise the child and family 
 

 Required skills 

 Children are sensitive, therefore tread lightly when giving care. Paediatric nurses need to display: 

 
	 respect towards the patients and their family’s decisions 
	 excellent communication skills 
	 be able to communicate on a level that the child would understand (if required) 
	 ability to deal with a range of patients at one time 
	 emotional resilience, and mentally strong to handle patients under difficult conditions 
	 compassion to others’ suffering 
 

 Common cases 

 Flat feet 

   

  source: smartlivingnetwork.com  

 Usually happens when the bar ossifies, about 8-12 years old. The tarsal area coalesces and causes rigid and painful flat feet. Operative treatment is not usually needed, unless severe. Usually managed non-operatively. 

 SUFE (Slipped Upper Femoral Epiphysis - also known as SCFE) 

   

  source: Raymond Liu, MD  

 This is a disease that afflicts adolescents (13-18 years old). The growth plate widens during growth spurt and some factors then predispose to slip. Adolescents who suffer from obesity, femoral neck retroversion, endocrinopathies, and trauma are particularly likely to be diagnosed with this. 

 Bradycardia 

   

  source: cardiachealth.org  

 Bradycardia is defined by a heart rate less than the lower limit of normal for age. For infants below 3 years, it is 100 bpm. For children 3-9 years, it is 60 bpm. For 9-16 years, it is 50 bpm. Bradycardial abnormalities can be diagnosed using the 12-lead ECG or the 24-hour holter monitor. 

 Exercise stress testing is not needed in the diagnosis, but may be helpful to determine chronotropic competence. 

 Non-neonatal jaundice 

   

  source: patient.info  

 Jaundice is a yellowish discolouration of the skin, sclera, and mucous membranes due to high counts of bilirubin. It occurs as a result of abnormal bilirubin metabolism and/or secretion. Typically occuring in neonates, jaundice can occur in all age groups. 

 Treatment is done after classifying the jaundice as conjugated or unconjugated hyperbilirubinemia in the older child. Jaundice in older children may be the first clinical manifestation of unrecognized chronic liver disease. 

 Career opportunities 

 Paediatrics is one of those specialties that becomes deeper with more things to explore the more experience you have. Subspecialties in hospitals and community areas include: 

 
	  neonatal intensive care  
	 paediatric oncology 
	 child protection 
	 ambulatory care 
	 asthma 
	 diabetes 
	 counselling 
	 special needs 
 

 A more senior paediatric nurse is likely to have less and less clinical duties as a ward manager or ward sister. A future as a clinical unit manager is entirely within reach. 

 Outside clinical settings, opportunities to work in private healthcare, social services, NGOs, charities, or volunteer organizations are aplenty. 

 Search for high-paying nursing jobs on  MIMS Career . Browse, save, and apply for nursing jobs, all in one-click. Take the opportunity for higher pay and better work locations. Our pages are all mobile-responsive, allowing you to take that leap for a better job whenever, wherever you are. All our job postings are heavily screened to  prevent scams and mistrustful behavior.  
   

 Our Most Popular Articles 

  Think About These 5 Things Before You Decide On A Specialization  

  5 Things Nurses Need To Know To Be Paid More  

  10 Ways Malaysian Nurses Can Increase Their Income

Career Highlight: Paediatric Nursing

source: Larm Rmah 1. Paediatrics 2. History 3. Key differences 4. Ethics 5. Training 6. Job scope 7. Required skills 8. Common Cases 9. Career Opportunities Paediatrics Paediatrics is the...

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