Registered Nurse - Ward

• Adhere to and comply with Organization Regulations and Administrative Policies.
• Adhere to and comply with policies and procedures related to patient care, infection control, patient safety, and accreditation standards.
• Implements patient care plans as per the doctors recommendation; monitors & records vital parameters.
• Monitors, records & reports any symptoms/changes in the patients condition to the doctors.
• Ensures patient safety by adhering to International Patient Safety Goals (IPSG)
• Accompanies the doctor on rounds: provides updates on patient condition and helps in clinical procedures.
• Maintains continuity of patient care through documentation and communication during shift changes.
• Remains responsible for consumables: for the patients under her nursing care, accounting and indenting of consumables/medicines & nursing supplies, and ensuring the availability of the same.
• Educates patients and their relatives on medication and self-care during their stay and discharge, as necessary for recovery.
• Ensures that all patients and their relatives assigned to her care receive relevant and appropriate health education on a daily basis.
• Updates on essential knowledge and skills by participating in ongoing CNE (continuing nursing education).
• Ensures financial clearance in full before discharge of the patient from the ward.
• Ensures all orders, admission / discharge / death / bills / diet / transfer, etc., are up-to-date in HIS.
• Reports the expiry dates of Drugs and the working condition of equipment to the appropriate person in charge to keep everything in working order.
• Reports loss or damage of equipment during duty hours to the reporting manager.
• To be knowledgeable about the medication process and ADR.
• Administers prescribed medications safely and accurately by following the rights and the hospital policy on safe drug administration.
• Reports any medication error or ADRs and accurately completes incident reports or ADR forms.
• Adheres to the Incident management policy of the organization. Raises incident reports when required.
• Has an understanding of Root Cause Analysis (RCA) and Corrective & Preventive Action (CAPA) of incidents
• Knowledgeable on the nursing quality indicators
• Performs the 5 moments of hand hygiene.
• Ensures appropriate cleaning and fogging of the patient room after caring for infected cases.
• Notifies the infection control department about the notifiable diseases.
• Proper segregation and disposal of BMW after the medication administration or any other procedure as per hospital infection control policy
• Supervise the nursing aides when they are attending to the personal hygiene of the patient.
• On admission, receive the patient and make him/her comfortable. See that the beds are made prior to the patients entry to wards.
• Ensures that room orientation is given to the patients.
• Ensures Dietary information is given to the patient/relative. Informs the caf staff as and when required
• Ensures Special attention to vulnerable patients, patients on restraints, and patients in at-risk categories.
• Responsible for Initial assessment to be completed within 30 minutes of admission & reassessment in each shift.
• Warrants that all patient care plans are done and documented according to the patients need and condition & the same is modified as per the condition of patients to ensure proper continuity of care
• Checks and documents the patients vital signs and pain assessment every 4 hours and as required.
• Ensures all patient information is appropriately documented and handover is done at the end of each shift and during transfer between units/departments following ISBAR.
• Inserts peripheral venous catheters as and when required as per safe infusion practice protocol
• Mention the date and time of insertion and the arrow indicating the direction of the vein flow.
• Check and send the correct specimen to the lab following the hospital policy.
• Collect the lab reports in time and inform the concerned consultant.
• Check the chemotherapy patients chemo plan and ensure the respective consultant has written it completely before starting chemotherapy.
• Checks for consent and a checklist, which needs to be filled before each chemo cycle is started.
• Checks the pre-op patient for local preparation, site marking, investigation reports, anesthesiologists pre-op check, and premedication orders, and completes it.
• Carries out the protocol for Blood & blood product transfusion.
• On patient discharge, ensure that the discharge procedure is carried out as per policy.
• Enter in the activity card immediately after each procedure.
• To know all codes and how to raise emergency codes.
• To be well-versed in EMR.

Training and Development

• Utilizes effective communication skills in reporting pertinent information on time.
• Adheres to the grooming standards.
• To be aware of the departmental vision, mission, objectives, and their implementation.
• Participates in the program for improving quality at the hospital.
• Works collaboratively and supports the efforts of team members.
• Completes BLS/ACLS/PALS/NALS certification (as applicable).
• Demonstrates exceptional customer service and interacts effectively with physicians, patients, visitors, staff, and the broader health care community.
• Participates in academic programs and CNE that nurses plan to upgrade their knowledge and skills.

QUALITY

• Updates and keeps abreast of HAI statistics and preventive measures.
• Handles sharp items safely and disposes of sharps properly.
• Works as a team to enhance patient satisfaction and physician satisfaction.

GENERAL COMPETENCIES

• To carry out duties delegated to her/him on the floor effectively.
• To provide a clean and therapeutic environment for the patient and a comfortable, clean bed.
• To check and maintain equipment and stocks and use them judiciously.
• To be punctual on duty and follow hospital policies.
• To maintain nurses records as per hospital policy.