Performance Review of Nicole Ieong Weng San
Training period: January 2007 to January 2008
Nicole has been working in our neonatal intensive care unit (NICU) and paediatric intensive care unit during the above-mentioned period. Her performance is outstanding and consistently far exceeds expectations. She has greatly contributed to our neonatal service over the past year. All of us enjoy working with her.
Nicole started off working in NICU and she was able to acquire basic skills and knowledge in management of common newborn problems within a very short time. She has the chance to perform most of the commonly encountered technical procedures in NICU, including endotracheal intubation, setting central and peripheral intravenous catheters, intra-arterial catheters, chest drain insertion, and cranial and abdominal ultrasounds. She has learned most of the commonly used skills in NICU. She could independently manage micropremies with birth weight down to 500gm.
She has also mastered basic and advanced ventilatory support, including use of different modes of non-invasive and invasive ventilators. She learned the principles of advanced treatment of respiratory failure, namely use of surfactant replacement therapy, systemic steroid, high frequency oscillatory ventilation and nitric oxide therapy.
She demonstrated eager willingness to learn, and she is enthusiastic in observing nursing procedures and paramedics practices. In her last month of her attachment, she was allocated to various specialty clinics as observers, so as to enhance an adequate exposure to general paediatric problems seen locally.
She is hightly efficient, and can usually finish designated tasks in time and achieve outcome beyond expectations. She is consistently reliable and responsible. Her clinical skill is very good, and she can always interpret clinical signs and laboratory test results and react appropriately and promptly. She has good attitude in finding answers to clinical questions, and has shown efforts to search for updated medical evidence to support her clinical management. That is one of the most valuable attitudes that I always stress on.
She has taken part in presentations including departmental grand rounds, journal clubs and teleconference with Standford University. She has also helped in presenting mortality and morbidity cases in perinatal audit meetings.
She has always a smile on her face, despite having been working very hard during the past year, when our NICU was exceptionally busy. She was gentle and nice to everybody here, making her well accepted by all medical and nursing staff.
She has great potential in further pursue and development in neonatal medicine, and I am sure she would be very successful under your leadership in the future development of neonatal service.