55 Care Nurse jobs in Saudi Arabia

Wound Care Nurse

Dr Sulaiman AlHabib Medical Centers

Posted 11 days ago

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Job Description

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Job Purpose / Objective

Provides comprehensive wound care to patients using evidence-based practice. Responsible for assessment, observation, and provision of a safe standard of patient care and evaluation of its results. Provides patient, family and staff education regarding wound management, prevention of pressure ulcers, support surfaces, dressing selections and other therapies, is a resource person for physicians wound team and clinical staff. Participates in performance improvement plan of the organization.

Description

Job Purpose / Objective

Provides comprehensive wound care to patients using evidence-based practice. Responsible for assessment, observation, and provision of a safe standard of patient care and evaluation of its results. Provides patient, family and staff education regarding wound management, prevention of pressure ulcers, support surfaces, dressing selections and other therapies, is a resource person for physicians wound team and clinical staff. Participates in performance improvement plan of the organization.

Key Responsibilities / Accountabilities

  • Assesses the learning needs of nursing staff and collaborates with the Head Nurse Nursing Education to enhance staff knowledge on dealing with individuals at risk for developing ulcers or with existing ulceration based on clinical practice.
  • Performs wound assessment, reassessment and management for all patients as per policy. This includes neonates, pediatric, geriatric, and the general population.
  • Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population being served.
  • Demonstrates thorough knowledge of wound assessment and staging system.
  • Establishes and updates standards of care, competencies, policies and procedures about wound care program to include patient care protocols and documentation tools.
  • Provide training and support in the provision of best updated nursing practice on wound care.
  • Assists the Head/ In-charge Nurses in identifying the need for change in current practice based on the available wound care materials and assists with the implementation of required changes based on needs and nursing care requirements in conjunction with HMG standards and guidelines.
  • Monitors hospital acquired pressure rates and leads the team for conducting Pressure Ulcer Prevalence Survey at least quarterly.
  • Consults other healthcare professionals/departments as appropriate to provide interdisciplinary approach specifically based on the patient’s needs.
  • Revises plan of care as indicated by the patient's response to treatment and evaluates overall plan for effectiveness.
  • Monitors compliance with wound care policy.
  • Participates in the education for and the evaluation of new products, equipment, technology and system processes to improve wound care management.
  • Participates in relevant education programs, in-services and workshops to increase professional competency and meet personal needs and goals.
  • Provides patient, family and staff education regarding wound management, prevention of pressure ulcers, support surfaces, dressing selection and other adjunct therapies.
  • Provides basic wound care training and orientation to all newly hired nursing staff.
  • Reports unsafe practice, professional incompetence, professional misconduct and incapacity or unfitness to practice of any health care team member through appropriate channels.
  • Provides constructive feedback to members of the health care team in a timely manner.
  • Formulates a teaching plan based upon identified staff learning needs and evaluates effectiveness of learning.
  • Facilitates the implementation of new or revised policies and educational programs.
  • Demonstrates professional and educational ethics related to medical practice and patient confidentiality.
  • Assists in identifying patient/family education needs and participates in the development of patient/family education materials.
  • Provide patient and family education as per the needs.
  • Participate in person-centered care initiatives undertaken by HMG.
  • Enrich patient experience with compassion, respect and dignity.
  • Performs other applicable task and duties assigned within the realm of his/ her knowledge, skills and abilities.

Requirements

  • Education/ Professional Qualification Bachelor’s degree or Master’s Degree Professional - Preferably Nursing / Health Education
  • Experience Minimum of at least 5 years working experience in same specialty
  • Professional Licensing / Certification / Training Valid registration of Saudi Council

Seniority level
  • Seniority level Not Applicable
Employment type
  • Employment type Full-time
Job function
  • Job function Health Care Provider
  • Industries Hospitals and Health Care

Referrals increase your chances of interviewing at Dr Sulaiman AlHabib Medical Centers by 2x

Get notified about new Wound, Ostomy, and Continence Nurse jobs in Saudi Arabia .

Staff Nurse (Critical Care) - Need to relocate to Abu Dhabi, UAE

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Ambulatory Care Nurse

Riyadh, Riyadh Riyadh Hospital

Posted 11 days ago

Job Viewed

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Job Description

Contribute to nursing policies and procedures that conform to current standards of nursing practice and operational policies while maintaining compliance with accreditation standards.

Comply with CBAHI standards and other regulations.

Collaborate with physicians, pharmacists, and other medical team members to improve the quality of services and resolve identified problems.

Participate in daily or weekly management team meetings to discuss updates or resident complaints & concerns.

Monitor the infection control program designed to provide a safe and comfortable environment to prevent the transmission of disease and infection.

Promote compliance with accident prevention procedures, rules, and safe work practices.

Monitor incidents and complaints daily to identify those defined as unusual occurrences by hospital policy and promptly report to authorities for appropriate action.

Qualification & Experience Requirements:
  • Bachelor of Science in Nursing Degree.
  • Master's degree is preferred.
  • Minimum of 1-year experience for non-Saudis.
  • Current Registration in the Saudi Commission for Health Specialties as a Registered Nurse / Nurse Technician or at least dataflow is done.
  • For supervisory positions such as a head nurse or in-charge nurse, a minimum of 2-3 years of managerial experience is needed.
  • BLS, ACLS, PALS, ATLS, and NRP, certification is required according to the specialty and relevant training.
Skills and Competencies:
  • Knowledge of regulations established by the Saudi Commission for Health Specialties related to healthcare practices.
  • Strong organizational and time management skills.
  • Skills to define problems, collect data, establish facts, and draw valid conclusions.
  • Ability to apply mathematical concepts such as fractions, percentages, ratios, and proportions to practical situations.

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Wound Care Nurse

Dr Sulaiman AlHabib Medical Centers

Posted 13 days ago

Job Viewed

Tap Again To Close

Job Description

Join to apply for the Wound Care Nurse role at Dr Sulaiman AlHabib Medical Centers

Join to apply for the Wound Care Nurse role at Dr Sulaiman AlHabib Medical Centers

Get AI-powered advice on this job and more exclusive features.

Job Purpose / Objective

Provides comprehensive wound care to patients using evidence-based practice. Responsible for assessment, observation, and provision of a safe standard of patient care and evaluation of its results. Provides patient, family and staff education regarding wound management, prevention of pressure ulcers, support surfaces, dressing selections and other therapies, is a resource person for physicians wound team and clinical staff. Participates in performance improvement plan of the organization.

Description

Job Purpose / Objective

Provides comprehensive wound care to patients using evidence-based practice. Responsible for assessment, observation, and provision of a safe standard of patient care and evaluation of its results. Provides patient, family and staff education regarding wound management, prevention of pressure ulcers, support surfaces, dressing selections and other therapies, is a resource person for physicians wound team and clinical staff. Participates in performance improvement plan of the organization.

Key Responsibilities / Accountabilities

  • Assesses the learning needs of nursing staff and collaborates with the Head Nurse Nursing Education to enhance staff knowledge on dealing with individuals at risk for developing ulcers or with existing ulceration based on clinical practice.
  • Performs wound assessment, reassessment and management for all patients as per policy. This includes neonates, pediatric, geriatric, and the general population.
  • Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population being served.
  • Demonstrates thorough knowledge of wound assessment and staging system.
  • Establishes and updates standards of care, competencies, policies and procedures about wound care program to include patient care protocols and documentation tools.
  • Provide training and support in the provision of best updated nursing practice on wound care.
  • Assists the Head/ In-charge Nurses in identifying the need for change in current practice based on the available wound care materials and assists with the implementation of required changes based on needs and nursing care requirements in conjunction with HMG standards and guidelines.
  • Monitors hospital acquired pressure rates and leads the team for conducting Pressure Ulcer Prevalence Survey at least quarterly.
  • Consults other healthcare professionals/departments as appropriate to provide interdisciplinary approach specifically based on the patient's needs.
  • Revises plan of care as indicated by the patient's response to treatment and evaluates overall plan for effectiveness.
  • Monitors compliance with wound care policy.
  • Participates in the education for and the evaluation of new products, equipment, technology and system processes to improve wound care management.
  • Participates in relevant education programs, in-services and workshops to increase professional competency and meet personal needs and goals.
  • Provides patient, family and staff education regarding wound management, prevention of pressure ulcers, support surfaces, dressing selection and other adjunct therapies.
  • Provides basic wound care training and orientation to all newly hired nursing staff.
  • Reports unsafe practice, professional incompetence, professional misconduct and incapacity or unfitness to practice of any health care team member through appropriate channels.
  • Provides constructive feedback to members of the health care team in a timely manner.
  • Formulates a teaching plan based upon identified staff learning needs and evaluates effectiveness of learning.
  • Facilitates the implementation of new or revised policies and educational programs.
  • Demonstrates professional and educational ethics related to medical practice and patient confidentiality.
  • Assists in identifying patient/family education needs and participates in the development of patient/family education materials.
  • Provide patient and family education as per the needs.
  • Participate in person-centered care initiatives undertaken by HMG.
  • Enrich patient experience with compassion, respect and dignity.
  • Performs other applicable task and duties assigned within the realm of his/ her knowledge, skills and abilities.

Requirements

  • Education/ Professional Qualification Bachelor's degree or Master's Degree Professional - Preferably Nursing / Health Education
  • Experience Minimum of at least 5 years working experience in same specialty
  • Professional Licensing / Certification / Training Valid registration of Saudi Council

Seniority level
  • Seniority level Not Applicable
Employment type
  • Employment type Full-time
Job function
  • Job function Health Care Provider
  • Industries Hospitals and Health Care

Referrals increase your chances of interviewing at Dr Sulaiman AlHabib Medical Centers by 2x

Get notified about new Wound, Ostomy, and Continence Nurse jobs in Saudi Arabia .

Staff Nurse (Critical Care) - Need to relocate to Abu Dhabi, UAE

We're unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.

This advertiser has chosen not to accept applicants from your region.

CANCER CARE NURSE 4.

Johns Hopkins Aramco Healthcare

Posted today

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Job Description

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The Cancer Care Nurse 4 plays a key role in leading nursing unit processes and is responsible for ensuring the highest standards of patient care, including but not limited to optimizing operational workflows, mentoring junior staff within the unit, and working collaboratively with the multidisciplinary team to enhance efficiency and achieve organizational goals.

Strategic Roles & Responsibilities
  • Contribute to strategic initiatives aimed at improving the assigned unit's nursing practices.
  • Participate in developing protocols and processes to enhance patient safety and operational efficiency.
  • Pursue high staff engagement.
  • Achieve and sustain high quality of care and patient safety.
  • Support the empowerment of nurses through the enculturation of the JHAH Nursing Professional Practice Model.
Operational Roles & Responsibilities
  • Perform advanced nursing care services, including managing complex cases and mentoring junior nurses.
  • Ensure compliance with clinical protocols and quality standards.
  • Coordinate with various clinical teams to ensure seamless patient care.
  • Provide support during critical decision-making and implement improvements as identified.
  • Achieve and/or maintain the mandated set of activities for level 4, which is a minimum total of 25 points in at least five categories within each 12-month cycle as outlined in the Clinical Advancement Program.
  • Utilize the nursing process to assess, plan, implement, evaluate, and document patient care from admission through discharge, specific to the patient's age.
  • Provide nursing care and patient-family education consistent with the plan of care and the needs of the patients, respecting privacy, dignity, personal preferences, and culture, demonstrating acceptance, caring, and empathy, utilizing appropriate resources when applicable.
  • Precept new hires and trainees during probation and training periods, and participate in making recommendations regarding progress and training needs.
  • Respond promptly and effectively to emergency and lifesaving situations by utilizing clinical skills, critical thinking, and evidence-based practices to ensure optimal patient outcomes.
  • Perform a wide range of nursing procedures with attention to accuracy, patient safety, and comfort, maintaining a safe, clean, and organized environment for patients, families, visitors, and staff.
  • Manage patients with invasive and non-invasive hemodynamic monitoring, including close monitoring and assessments of treatment and care coordination.

Qualifications include 3 years of International Diploma or Bachelor Degree in Nursing.

Professional Certifications Required

Current licensure as a registered nurse, Basic Life Support (BLS), Oncology Nursing Society (ONS) Chemotherapy and Immunotherapy Certification (Mandatory for Chemotherapy and Immunotherapy Competency), ELNEC End-of-Life Care Training (to be completed within one year of hiring).

Years of Experience

Minimum 6 years of nursing experience, including 3 years in Cancer Care or a related field.

Languages

English: Fully Proficient; Arabic: Preferred.

  • Audit Reporting
  • Data Collection
Core Competencies
  • Integrity
  • Accountability
  • Cybersecurity
  • Person-Centered Care
Acknowledgement

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee. Duties, responsibilities, and activities may change at any time with or without notice.

No

Supplemental Work/Experience/Education Information #J-18808-Ljbffr
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CANCER CARE NURSE 4.

Johns Hopkins Aramco Healthcare

Posted today

Job Viewed

Tap Again To Close

Job Description

Press Tab to Move to Skip to Content Link

Select how often (in days) to receive an alert:

The Cancer Care Nurse 4 plays a key role in leading nursing unit processes and is responsible for ensuring the highest standards of patient care, including but not limited to optimizing operational workflows, mentoring junior staff within the unit, and working collaboratively with the multidisciplinary team to enhance efficiency and achieve organizational goals.

Strategic Roles & Responsibilities
  • Contribute to strategic initiatives aimed at improving the assigned unit's nursing practices.
  • Participate in developing protocols and processes to enhance patient safety and operational efficiency.
  • Pursue high staff engagement.
  • Achieve and sustain high quality of care and patient safety.
  • Support the empowerment of nurses through the enculturation of the JHAH Nursing Professional Practice Model.
Operational Roles & Responsibilities
  • Perform advanced nursing care services, including managing complex cases and mentoring junior nurses.
  • Ensure compliance with clinical protocols and quality standards.
  • Coordinate with various clinical teams to ensure seamless patient care.
  • Provide support during critical decision-making and implement improvements as identified.
  • Achieve and/or maintain the mandated set of activities for level 4, which is a minimum total of 25 points in at least five categories within each 12-month cycle as outlined in the Clinical Advancement Program.
  • Utilize the nursing process to assess, plan, implement, evaluate, and document patient care from admission through discharge, specific to the patient's age.
  • Provide nursing care and patient-family education consistent with the plan of care and the needs of the patients, respecting privacy, dignity, personal preferences, and culture, demonstrating acceptance, caring, and empathy, utilizing appropriate resources when applicable.
  • Precept new hires and trainees during probation and training periods, and participate in making recommendations regarding progress and training needs.
  • Respond promptly and effectively to emergency and lifesaving situations by utilizing clinical skills, critical thinking, and evidence-based practices to ensure optimal patient outcomes.
  • Perform a wide range of nursing procedures with attention to accuracy, patient safety, and comfort, maintaining a safe, clean, and organized environment for patients, families, visitors, and staff.
  • Manage patients with invasive and non-invasive hemodynamic monitoring, including close monitoring and assessments of treatment and care coordination.

Qualifications include 3 years of International Diploma or Bachelor Degree in Nursing.

Professional Certifications Required

Current licensure as a registered nurse, Basic Life Support (BLS), Oncology Nursing Society (ONS) Chemotherapy and Immunotherapy Certification (Mandatory for Chemotherapy and Immunotherapy Competency), ELNEC End-of-Life Care Training (to be completed within one year of hiring).

Years of Experience

Minimum 6 years of nursing experience, including 3 years in Cancer Care or a related field.

Languages

English: Fully Proficient; Arabic: Preferred.

  • Audit Reporting
  • Data Collection
Core Competencies
  • Integrity
  • Accountability
  • Cybersecurity
  • Person-Centered Care
Acknowledgement

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee. Duties, responsibilities, and activities may change at any time with or without notice.

No

Supplemental Work/Experience/Education Information
This advertiser has chosen not to accept applicants from your region.

CANCER CARE NURSE 4.

New
Al Dhahran, Eastern region Johns Hopkins Aramco Healthcare

Posted today

Job Viewed

Tap Again To Close

Job Description

Press Tab to Move to Skip to Content Link

Select how often (in days) to receive an alert:

The Cancer Care Nurse 4 plays a key role in leading nursing unit processes and is responsible for ensuring the highest standards of patient care, including but not limited to optimizing operational workflows, mentoring junior staff within the unit, and working collaboratively with the multidisciplinary team to enhance efficiency and achieve organizational goals.

Strategic Roles & Responsibilities
  • Contribute to strategic initiatives aimed at improving the assigned unit's nursing practices.
  • Participate in developing protocols and processes to enhance patient safety and operational efficiency.
  • Pursue high staff engagement.
  • Achieve and sustain high quality of care and patient safety.
  • Support the empowerment of nurses through the enculturation of the JHAH Nursing Professional Practice Model.
Operational Roles & Responsibilities
  • Perform advanced nursing care services, including managing complex cases and mentoring junior nurses.
  • Ensure compliance with clinical protocols and quality standards.
  • Coordinate with various clinical teams to ensure seamless patient care.
  • Provide support during critical decision-making and implement improvements as identified.
  • Achieve and/or maintain the mandated set of activities for level 4, which is a minimum total of 25 points in at least five categories within each 12-month cycle as outlined in the Clinical Advancement Program.
  • Utilize the nursing process to assess, plan, implement, evaluate, and document patient care from admission through discharge, specific to the patient's age.
  • Provide nursing care and patient-family education consistent with the plan of care and the needs of the patients, respecting privacy, dignity, personal preferences, and culture, demonstrating acceptance, caring, and empathy, utilizing appropriate resources when applicable.
  • Precept new hires and trainees during probation and training periods, and participate in making recommendations regarding progress and training needs.
  • Respond promptly and effectively to emergency and lifesaving situations by utilizing clinical skills, critical thinking, and evidence-based practices to ensure optimal patient outcomes.
  • Perform a wide range of nursing procedures with attention to accuracy, patient safety, and comfort, maintaining a safe, clean, and organized environment for patients, families, visitors, and staff.
  • Manage patients with invasive and non-invasive hemodynamic monitoring, including close monitoring and assessments of treatment and care coordination.

Qualifications include 3 years of International Diploma or Bachelor Degree in Nursing.

Professional Certifications Required

Current licensure as a registered nurse, Basic Life Support (BLS), Oncology Nursing Society (ONS) Chemotherapy and Immunotherapy Certification (Mandatory for Chemotherapy and Immunotherapy Competency), ELNEC End-of-Life Care Training (to be completed within one year of hiring).

Years of Experience

Minimum 6 years of nursing experience, including 3 years in Cancer Care or a related field.

Languages

English: Fully Proficient; Arabic: Preferred.

  • Audit Reporting
  • Data Collection
Core Competencies
  • Integrity
  • Accountability
  • Cybersecurity
  • Person-Centered Care
Acknowledgement

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee. Duties, responsibilities, and activities may change at any time with or without notice.

No

Supplemental Work/Experience/Education Information #J-18808-Ljbffr
This advertiser has chosen not to accept applicants from your region.

Patient Care Technician

Dr Sulaiman AlHabib Medical Centers

Posted 11 days ago

Job Viewed

Tap Again To Close

Job Description

المسئوليات
  1. المشاركة في تقديم الاقتراحات ووضع معايير لعمليات مراقبة التكاليف، الجودة، والسلامة، والتخلص من المخلفات لتحسين العمل على خطوط التعبئة.
  2. الاشراف على عمال قسم التعبئة والتغليف وعمال خدمات الدعم للتأكد من قيامهم باعمالهم على احسن وجه.
  3. مراجعة خطة العمل اليومية مع مدير المصنع لتنفيذها.
  4. الاشراف على تجهيز وتشغيل خطوط التعبئة حسب خطة العمل.
  5. الاشراف على عمليات التعبئة والتغليف للتأكد من دقة وسلامة تنفيذها ومن سلامة البضائع الجاهزه.
  6. اعداد التقارير والكشوفات اللازمة وارسالها لمدير المصنع.
  7. التنسيق مع الاقسام الاخرى لطلب المواد الازمه، صيانة، .الخ.
  8. التأكد من التزام عمال وفنيي التعبئة والتغليف بتطبيق متطلبات ومعايير JFDA/ISO/GMP.
  9. التأكد من اجراء الصيانة للماكينات والمعدات المستخدمة لضمان كفاءة عملها.
  10. التأكد من ان الماكينات والمعدات المستخدمة في عمليات التعبئة قد تم تعقيمها وتنظيفها.
  11. تأدية أي مهام أخرى يتم تكليفه بها من قبل المسؤولين ولها علاقة بسير العمل.
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Patient Care Technician

Riyadh, Riyadh King Faisal Specialist Hospital and Research Centre

Posted today

Job Viewed

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Job Description

Assists in the daily functioning of the unit/department in support of patient care. Contributes to the delivery of safe, patient and family focused quality care.

**Essential Responsibilities and Duties**:
- Contributes to the achievement of clinical quality outcome indicators including patient satisfaction.- Upholds and applies the organizational values in order to provide quality patient care.- Provides direct assistance to patients as needed in meeting their personal hygiene needs, including but not
- limited to, bed baths/showering, dressing/undressing, toileting and oral hygiene.- Assists patients with eating and drinking and ensures fresh water is available for patients.- Assists in the movement and handling of patients including re-positioning bedridden patients and the
- mobilization of patients.- Monitors patient activities and reports all patient related information to the Staff Nurse I / Staff Nurse II
- (SNl/SNll) correctly, appropriately and in a timely manner including unusual occurrences.- Measures and records the readings of temperature, blood pressure, pulse and respiration rates, oxygen
- saturation and food and fluid intake and output, height and weight as directed and informs the SNl/SNll of
- any abnormal recordings- Accurately measures, empties and documents the content of urinary catheters and drains.- Documents all relevant information correctly, appropriately and in a timely manner.- Receives patient for admission and orientates the patient to the room/unit and services.- Prepares patients for procedures as directed, assists the physician and remains with the patient if required.- Collects specimens such as urine, feces or sputum as directed.- Provides comfort measures such as back care, head, foot and hand massage as needed.- Assists patients with preparations for prayer if needed

**Education**:
Completion of one-year Patient Care Technician (PCT) Program.

**Experience Required**:
No experience required.

**Other Requirements(Certificates)**:
1- Current Patient Care Technician licensure from the Saudi Commission for
Health Specialist.
2- Saudi Nationals only.
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Patient Care Assistant

Riyadh, Riyadh King Faisal Specialist Hospital and Research Centre

Posted today

Job Viewed

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Job Description

Performs basic patient transport task. Assists in the daily functioning of the department in support of patient care.

**Essential Responsibilities and Duties**:

- Accompanies, transports and transfers patients and patient related items (chart, medication, etc.) as required.
- Follows established telephone etiquette. Seeks assistance where appropriate.
- Follows the chain of command in reporting incidents or concerns.
- Adheres to the Employee Code of Conduct. Maintains confidently at all time.
- Floats to, and covers other zones as assigned.
- Promotes a safe environment and safe patient care by embracing a safety culture and identifying areas of risk to Supervisor.
- Contributes to patient satisfaction by responding to requests in a timely manner.
- Follows all Hospital related policies and procedures.
- Participates in self and other’s education, training and development, as applicable.
- Performs other related duties as assigned.

**Education**:
Intermediate School Education is required.

**Experience Required**:
No experience is required.

**Other Requirements(Certificates)**:
- Saudi Nationals only.
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Patient Care Assistant

Riyadh, Riyadh King Faisal Specialist Hospital and Research Centre

Posted today

Job Viewed

Tap Again To Close

Job Description

Performs basic patient transport task. Assists in the daily functioning of the department in support of patient care.

**Essential Responsibilities and Duties**:

- Accompanies, transports and transfers patients and patient related items (chart, medication, etc.) as required.
- Follows established telephone etiquette. Seeks assistance where appropriate.
- Follows the chain of command in reporting incidents or concerns.
- Adheres to the Employee Code of Conduct. Maintains confidently at all time.
- Floats to, and covers other zones as assigned.
- Promotes a safe environment and safe patient care by embracing a safety culture and identifying areas of risk to Supervisor.
- Contributes to patient satisfaction by responding to requests in a timely manner.
- Follows all Hospital related policies and procedures.
- Participates in self and other’s education, training and development, as applicable.
- Performs other related duties as assigned.

**Education**:
Intermediate School Education is required.

**Experience Required**:
No experience is required.

**Other Requirements(Certificates)**:
- Saudi Nationals only.
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