•Providing medical services to patients, both pre-hospitalization and during hospitalization, as well as delivering optimal health education to patients and their families to enhance the patients’ quality of life.
•Performing initial patient assessment upon admission (at least once) according to the patient’s condition in the Integrated Notes Form in SOAP format comprehensively.
•Executing instructions from specialist doctors or Direct Supervisors (as stated in the outpatient/inpatient referral letter from OPD/ED/OT/ward).
•Handling life-saving procedures and documenting them in the Medical Record, communicating with the Direct Supervisor, and explaining the patient’s general condition to the patient or their family.
•Preparing medical records/patient status: Double-checking medication names, doses, administration methods on the Flow Sheet. Rechecking laboratory test results. Verifying Diagnostic Imaging results (Radiology, Ultrasound, CT Scan, etc.) by initialing with clear signature, name, date, and time of examination results.
•Implementing procedures and practices for quality and safety services, including training, to support the achievement of hospital-wide indicators and department/unit goals.