 Know the SBAR

 WHY WE SHOULD HIRE YOU?

 Morphine and the side effects
 Chemotherapy and the side effects
 Why you want work in SQU?
 Talk about yourself?
 Sickle cell disease pathophysiology
 Why CPR trolley should be checked every shift?
 How you will assess pain level with Sickle cell disease patient.
 What you will do if your patient is complaining of pain at the IV cannula site?
 Know the high alert medications
 Know pre and post operation care
 Know Different type of precaution (contact, droplet and airborne).
 Pressure sore stages and care
 What is MRI (Know different radiology tests and your preparation)
 What is the fifth vital signs?
 Know the medications rights
 If newborn had high bilirubin and Doctor asked for phototherapy, what you should cover?
 From where you check blood sugar for Babies?
 Needle stick injury policy?
 When you should change the sharp container?
 Know Bedridden patient care
 Know the Ventilator side effects
 If you are in emergency and patient came with chest pain, what you will do? and if patient came
in same time with burn second degree, who will enter first?
 Know the Midazolam contraindications
 How you can control infections in the ward?
 What nurse should know if he will work in hematology ward?
 Know morphine and the side effects
 How you improve your nursing knowledge and skills on this long holiday you had?
 What is the last nursing update you read?
 Expect and question from your CV, know everything you wrote?
 Where you see yourself after 5 years?
 During your training in SQUH, in your opinion what the things need to be change?
 What are the main types of arrhythmias you know?
 If you saw a doctor not doing hand washing what you will do?
 How you will advocate for your patient?
 If you have many patient, how you will manage?
 If you found that the prescribed dose for your patient was wrong, what you will do?
 Why preventing MRSA transmission between patients is very important?
 What is the adrenaline formula (inotropes formula)?
 Know the types of stroke?
 How you will mix different type of insulin?
 Know Diabetes complications.
 What is the vasovagal reaction, and how you deal with it?
 Know the types of shocks
Questions they may ask.
1. Tell me about yourself?
• Start with your name.
• Give your place information
• Education in short job experience if any
• Academic achievement
• Look to their eyes directly.
• Keep it maximum for one minute.
My name is ……, I’m from …., I have BSc,
graduated from SQU last October. I had an
Internship for 6 months, 5 months in SQUH and
one-month abroad in Malaysia. Proud to say that
I have graduated with good GPA (don’t mention
if it is less than 3). I have an interests in…… (e.g.
research, reading and community service

It will be an honor for anyone to work in a

2. Why do you want to work at this hospital?
hospital like the royal hospital. It is one of the
• Tell them what you like about the hospital.
best hospitals on Oman, it is an accredited
• Relate it to your long-term career goals.
hospital from Canada accreditation organization.
I believe that my skills and knowledge will match
this hospital requirement. I believe also that it
will help me to develop my skills and knowledge.
3. What are your strength?
• Adaptability I am an honest, self-motivated hard working
• Hard working person. I have the ability to work in a team with
• Honest positive attitude.
• Flexibility
• Optimistic
• Fast decision making
• persistence
• self-motivated

4. What are your weakness?

I am straightforward, especially when I am
• Straightforward
working in a team as a leader. What is my heart,
• Sensitive
it is always in my tongue
• More talkative
• Trust people very quickly
• Take decision very quickly

5. Why should we hire you? I have a good theoretical knowledge since I am

• Share your knowledge newly graduated nurse. Also my experience as an
• Skills related to job intern nurse for 6 months, will help to grow and
• Career goal learn faster because I have the basic knowledge
and skills to work as independent nurse.

6. Tell me what you know about this hospital? SQU hospital is one of the best hospitals on
Oman. It is a tertiary hospital. Opened on -----. It
is accredited by Canada accreditation on
November 2016. It has around beds
 7. What are your career goals? As newly graduated nurse, my short term goal is
• Short term goals to get a job and start applying my skills and
• Long term goals knowledge that I have learned. The long term
goals are to continue improving my skills and
knowledge, to continue my study and to be in a
respectful position.

Hemodialysis
process of cleaning client’s blood. It helps to remove the byproducts of protein metabolism such as
urea, creatinine and uric acid. It follows three principle Osmosis, diffusion and ultrafiltration. What to
monitor, vital signs and laboratory values before, during and after. Assess Pt’s weight and fluid status
before and after. Monitor for bleeding. Monitor for hypovolemic shock. Things to remember; withhold
antihypertensive or any other medications that can effect blood pressure, withhold medications that
could be removed by dialysis such as water soluble vitamins, certain antibiotics and digoxin.

shock
Vasovagal response
It is an action of impulses in the vagus nerve on the circulation. The vagus reduces the rate at which the
heart beats then falling in blood pressure which leads to fainting.

Leader and manager Qualities

• Understand human behavior: be sensitive to others’ feelings and problems.
• Use effective communication skills: be clear, concise and use appropriate format.
• Respond to your colleagues: be a team player and help others if it is possible.
• Delegate appropriately: right person, right task, right situation, right communication and right
supervision.
• Use critical thinking and problem solving

Staff nurse role

• Receive report from nurse previously responsible for patient
• Make rounds on all pts immediately after receiving report
• Set priorities regarding pt needs: Immediate threat to survival (problems with breathing, VS,
↓LOC), requests for help (pain, toileting), urgent but not immediate needs (teaching)
• Coordinate and/or perform care for assigned pts; use time-management skills; complete all
care assigned.
• Delegate care if it is possible.
• Give report to next nurse responsible for patient.

Sharp injury policies

1. Wash the area with soap and water.
2. Cover with a plaster
3. Inform the person in charge.
4. Go to A&E for bloods/ assessment
5. In the ward they should complete incident report, informing infection control office and nurse
coordinator
6. Ward doctor should send patient sharps accident screen and informing risks to A&E
7. A&E Doctor should complete sharps accident screen and assess for blood borne viruses.

types of arrhythmias
Classified According to the origin (atrial or ventricular):

1. Sinus Bradycardia: HR < 60, it can have caused by vasovagal response, medications such as
digoxin and beta or calcium channel blockers or if there are any problem with SA node.
Treatment given if patient show signs of decrease cardiac output. Start with atropine sulfate.
2. Sinus Tachycardia: HR >100, it can have caused by hyperthyroidism, hypovolemia, heart failure.
This dysrhythmia itself will not treated but we will treat the under cause.
3. Atrial fibrillation: uncoordinated atrial electrical activation from multiple area cause
disorganized & uncoordinated atria twitching. Atria HR 300-600, irregular rhythm.
Interventions: give O2, anticoagulants, give medication to control ventricular rhythm and
maintain good cardiac output.
4. Atrial flutter: arise from a single irritable area in the atria cause regular rapid rate between 240 –
320. P wave are called flutter and have saw tooth appearance. Interventions: ensure that
 patient is taking antithrombotic agent and medication to prevent ventricular response like beta
or calcium channel blockers
5. Ventricular tachycardia: occurs because of a repetitive firing of an irritable ventricular ectopic
single areav at a rate of 140 to 250 beats. Intervention depend in patient condition if stable give
O2 and antidysrhythmic if not give O2, antidysrhythmic and prepare patient for cardioversion.
6. V. fibrillation: Impulses from many irritable areas in the ventricles fire in a totally disorganized
manner. No cardiac output, fatal if not treated in 3-5 minutes. Intervention: defibrillate client
immediately up to 3 times at 200, 300, 360 joules.

type of isolation
1. Standard precaution: used for all patients, washing hands, wearing gloves, mask eye protection
and gowns when appropriate.
2. Transmission based precautions.
a. Contact precaution: single room, contact isolation sign, door kept close. Wear PPE
(Gloves and gown). 5 moments of hygiene.
b. Droplet precaution: for infection transmitted by respiratory secretion. Single or cohort
room, negative air pressure, place droplet sign. Wear PPE (mask, gloves, gown).
c. Airborne precaution: for infected patient with organism can infect others by inhalation.
(e.g. measles, varicella, pulmonary tuberculosis and SARS). Nurse should have vaccine
against disease. Single room with negative pressure, put airborne sign, wear N95 mask,
when transporting patient let him wear surgical mask.

MRSA
Methicillin-Resistant Staphylococcus aureus, it is a health care-associated infection, it is spread to others
by direct contact with infected skin or infected articles; for the client with MRSA, the infection can also
be spread to other parts of the body.

Nursing Considerations: Maintain standard precautions and contact precautions, monitor patient for any
signs for further infection, administer antibiotic therapy.

Dealing with pressure ulcer:

• Identify clients at risk for developing a pressure ulcer.
• Institute measures to prevent ulcer such as appropriate positioning, using pressure relief
devices, adequate nutrition and developing a plan for skin cleansing and care.
• Perform frequent skin assessments.
• Keep client’s skin dry and the sheets wrinkle-free.
• Use cream and lotions to lubricate the skin.
• Reposition patient every 2 hours.

Adrenalin formula
ml/hr. = (dose (mcg/kg/min) * Wt. (kg) * 60 * volume) / strength * 1000

mcg/kg/min = (rate (ml/hr.) * concentration in mcg (strength * 1000)) / volume * 60 minutes *Wt.
SBAR
Situation: patient name & location, patient’s problem, recent assessment, why you concerned.

Background: diagnose, DOA, Surgery date, patient’s mental status, state of speech.

Assessment: what is the problem, is the condition deteriorating, any immediate action to take.

Recommendation: what I need to do immediately; assess the patient, any test to be done, vital signs
frequency, any change in the treatment, what should I do if there is no improvement.

Rights of medications:
 right patient.
 right medication.
 right dose
 right route
 right time.
 right documentation.
 Patient right regarding drug administration > to refuse, to be educated, to be given by educated
and licensed person.

Mixing Insulin
 Insulin glargine cannot be mixed with any other types of insulin.
 Regular insulin is the only type of insulin that can be administered intravenously.
Medications: