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Vision: Every nurse should be able to provide nurse-led services

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Vision: Every nurse should be able to provide nurse-led services

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Nurse shine in SingHealth

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• Non=complicated NCD

• Pathways and protocols diagnosis

• Sedation monitoring

• Nurse led treatment eg breathless

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• Wound care Video Consultation, door to door service.

• Chatbot for specialty areas

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• Go Healthier SG , your GP , Not ED

• BotMD/ EPIC resource to aid nurses in decision making matrix

• Outsource vendor for wound management

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• Reduce wait time/ readmission/ LOS

• Cost comparison of nurse led compared to traditional

• Nurse retention with flexible work schedule

• Health outreached to disadvantaged groups

• Community health indicators: population health outcomes to assess the broader impact of nurse-led interventions on population health and well-being.

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• Training for all stakeholders

• Be part of the policy making process

• Mindset shift from Clinician and caregiver

• Redesign of roles

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Bedside/community PICC/midline Insertion by trained nurse

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Training of nurses to get them ready for the services

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Training of nurses to get them ready for the services

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Inclusion criteria for the nurse led clinics

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For projects that we start on nurse led, will need to also consider new joined folk of different culture on the adaptability and understanding

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support this idea as long as the escalation criteria ia clear

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support this idea as long as the escalation criteria ia clear

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Is a good initiative to commence inpatient Nurse-Led Discharge for minor cases.

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Is a good initiative to commence inpatient Nurse-Led Discharge for minor cases.

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Doctors to order the medications early so the nurses are able to do nurse led discharge

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Send more younger nurses for APN course and be a departmental base nurse to make a change and influence the nursing team

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Guiding nurses early in their career to take on leadership roles

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We should get support for more nurse led services. Prevent re admission in acute hospitals.

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I feel a lot of skills are being taken away from nurses (Eg Vac dressing, central line blood and even wound assessment etc). We are having multi disciplinary patients in each ward and all the nurses currently now would need all set of skills. In order for nurse led services to happen, we need to equip the nurses with the necessary basic skills and empower them.

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Explore more areas and roles for nurses to lead and provide more autonomy and involvement in patient care instead of just following drs instructions

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1. Nurses must have the accreditation to set up the nurse led service.

Eg. Simple surgery cases, BP

monitoring clinic, wound clinic

2. For every patients seen, a point system which can be converted to monetary or points for further education to unskilled themselves further

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Nurse led pt and family bedside updates.

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Let’s explore Tele-triage at the new EMB.

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Explore nurse led services in the community 

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Explore nurse led services in the community 

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Eg wound/ Vac Management in the community with "drive through" service..ie pts no longer need to come to hospital/ clinic to get dressing done during office hours

Consider tele triage before going to ED