Staff Nurse

REPORTING TO : WARD INCHARGE
QUALIFICATION : B.Sc. NURSING / G.N.M
EXPERIENCE : THREE MONTHS TO FIVE YEARS
DRESS CODE : SPECIFIED DRESS CODE WITH I.D. CODE
DUTY HOURS : AS PER SCHEDULED REQUIREMENTS

• Unit specific responsibilities
• To handle patients of the specific age group (1 month 16 years)
• Handing taking over by incharges
• Attend all new admissions
• Management of sick pat( on oxygen), post op
• Ensure Round orders( medicine) timely Administration
• Ensure investigation/ Radiology/ consult/ procedure ( MRI,CT,Echo,LP, bone marrow,fluid tapping)
• Check consent/ NPO status
• Arrange ambulance & staff with the help of Nsg supervisor for safely transportation
• Transfer/ shift patients to pvt rooms( check medicine/ consumables in bed side as well as fridge)
• Bed management
• All special reports inform to Dr Baldeep / on duty
• ( CSF, MRI, bone marrow etc)Ensure about Medicine Receiving
• DocumentationWard inventory responsibility ( o2 cylinder, monitor, syringe pump,)Ensure Carbolize beds after discharge( Before new admission)check availability of GDA/ house keeping
• Meet with patients and clear queries if any
• Write the day / night reports legibly, reflecting all important factors, new admissions, Post-Operative cases, critically ill patients and V.I.P.patients
• To do pain assessment and monitoring of the patient periodically
• Handing and taking over of assigned patients, drugs and inventory
• Setting up special procedures trays, dressing trolleys and assisting doctors
• Preparation of the patients for minor, major and emergency surgeries
• To perform critical care procedures and protocols
• To act as per the defined role on the activation of the emergency codes
• Active participation during code pink
• To plan the patient care according to patients condition
• Early & timely assessment of the patient to detect any complications
• Raising of various requisitions related to treatments and nursing procedures by coordinating with ward coordinator
• Taking over patients at the patients bed side and the details of the ongoing treatment from previous shift nurse properly
• To provide the adequate emergency medical supplies in the ward and periodically monitor their expiry date
• To take a stock of the drugs in coordination with Pharmacist and note the same in the respective registers
• To ensure that all equipments in the ward are in working condition and to coordinate with biomedical department in case the equipments are not in proper working condition
• To procure sterile dressing packs in the ward
• To procure stationery (Consent forms, nurse notes, discharge summary etc) in the ward
• Notify any untoward incident following the process of incident reporting
• Safety and emergency preparedness
• Professional development through training in resuscitative technique like BLS, PALS
• Participation in continuous training programs
• Follow infection control & various hospital policies
• Performs Ongoing Patient Assessment
• Complete timely nursing assessment & perform ongoing assessment
• To collect patient information
• To obtain vital signs, haemodynamic values and neurological values
• To notify physician of reportable information and review the planned care
• Perform patient physical care
• To provide Neuro, pulmonary, cardiovascular, craniotomy, VP shunt, musculoskeletal, gastrointestinal, endocrine, renal, back care and assessment of hemodynamic status of the patients as required
• To perform fall risk assessment
• Assesses and identifies the vascular access needs and maintain fluid and electrolyte balance
• To ensure utmost comfort and provide personal hygiene
• To provide nutritional support and promote wound healing
• To provide pre operative and post-operative care to the patient
• To collect patient blood samples and send it to the appropriate labs for investigations
• To provide patient care during transport
• Patient medicationTo provide correct and timely medication to the patient
• To do indents and return of medicines
• To titrate medications and be able to administer IV Medications Via central lines and peripheral lines
• To administer oral, sublingual, intramuscular, subcutaneous, topical and epidural medication
• Equipment upkeepTo obtain and setup appropriate equipment and supplies
• Optimum utilization and upkeep of unit specific equipments including glucometer and ABG machine
• To check crash cart for seal daily
• Analyze equipment related patient result and response, troubleshooting unexpected findings, solving the identified problems, evaluating need for continual use of equipment, and discontinuing the use of equipment if required
• Assist in specialized proceduresTo assist in cardiopulmonary arrest
• To assist the doctor during Intubation, extubation, arterial line insertion, central line, ICD, peritoneal dialysis, moderate sedation, bronchoscopy and elective cardio version
• To provide care of patients on ventilator
• Assist in procedures like insertion of lines, insertion of ryles tube, intracranial pressure monitoring, chest tube insertion, tracheostomy, lumbar puncture, post operative craniotomy care, nuerological patients
• Assist the mother in breast feeding and weaning diet
• Patient & family EducationMaintain confidentiality of patient
• To provide patient & family education regarding breast feeding, immunization, prevention of infection, safety of patient and weaning diet
• To do diagnosis specific patient and family education
• To act as a team member during crisis management and participate in end of life care including grief management
• Maintain safe environmentTo provide safe environment for staff and patient
• To protect patient from injury, accessibility to emergency medical equipment, follow infection control protocols, correct biomedical and hazardous waste disposal, maintain electrical and fire safety
• Active participation during code HAZMAT situation
• DocumentationTo do correct unit specific documentation especially handing and taking over, maintenance of critical care flow sheet and reporting & recording of information
• To document unusual occurrences, patient transfers and quality control parameters
• To maintain unit log book and registers
• To perform all other jobs as may be assigned due to exigencies of work
• Participation in Continuous Quality Improvement
• To follow the Process Improvement programs and carry on Quality Initiatives in the department.