Staff Nurse

Assists with the functioning of the NICU Adherence to Nursing Clinical standards: - Oriented to the NICU routine, equipment and type of neonates. - Outstation Neonate Retrieval by Ambulance: provide nursing care through the retrieval, accompanies and assists. - Complete the Nursing Assessment Guide within 15 minutes of neonate admission. - Ensures the neonate is comfortable, implements safety measures for vulnerable neonates as per the policy. - Ensures safety and security of neonates by following safety measures. - Neonate condition updates to be shared twice a day with parents; change in condition to be informed immediately; provide comfort and emotional strength to parents. - Review the doctor’s notes and the drug chart on admission and implement action as required. - Prepares nursing care plans and render professional bedside nursing care. - Ensure investigation slips are raised. - Ensure all investigations are carried out as advised by the doctor, reports available on time for doctor’s perusal and further advice. - Raise pharmacy indents, check on receipt, and stock in the bedside locker and medication trolley. - Specific responsibility towards neonate physical needs: - Feeding - Position - Medication dosage and calculation according to weight and body surface - Monitor neonates on incubator and ventilator and inform abnormal findings. - Responsible for checking and recording daily weight. - Responsible for monitoring and maintaining normal oxygen saturation level. - Administer on time medications and therapies. - Check and record vital signs legibly and promptly. - Assists the doctors in special procedures, dressings and rounds. For the following procedures, ensure properly set procedure trolleys. • Venopuncture • Endotracheal intubation • Catheterization of umbilical artery and vein • Peripheral I.V. and arterial line insertion • ICD insertion • Lumbar puncture - Assists the doctors in the management of the asphyxiated neonate, including resuscitation and stabilization. - Coordinate procurement of blood and blood products for transfusion. Any reactions must be reported to treating consultant, IC & NS immediately. - Completes the preoperative checklist before sending the neonate to operation theatre. - Completes the transfer formalities as per the In-house Transfer Policy. - Does not take verbal orders from Doctors except in emergency, to be followed by a written order before end of shift. - Does not take verbal orders for diet unless urgent; to be followed up with written order. - Knowledge on gestational age assessment, special problems of the premature, post-mature, small for gestational age, large for gestational age neonate. - Follows universal precaution as per the unit protocol. - Aware of the APGAR scoring performed. - Trained in NALS & NRP. - Handles with care and knowledge all gadgets used in neonate care. - Have thorough knowledge on I.V. fluid and drug calculation. - Administer drugs according to ‘Drug Administration Policy.’ - While administering high risk medicines, counter checked by a second nurse for the ’10 Medication Rights’ and complete documentation policy. - Implement the policy for ‘Medications brought by patient’. - Observe the neonate to ensure safe medication, no adverse reactions. - Any errors in medication, adverse reaction or nursing intervention to be brought immediately to the notice of the In-Charge NICU and NS. In case of ADR, the respective form to be filled. - To implement the following measures : Barrier Nursing, Neonate and Self Safety, Neonate Death protocol. - Implement protocols of Infection control, hand washing, medications, narcotic policy, ICU, personal valuables, etc. - Handle waste segregation and disposal as per the policy. - Maintain personal, neonate and environmental hygiene. - To be aware of NABH & NE standards and implement the same. - Aware of neonate rights and preserve the same. Assists with the functioning of the NICU Adherence to Nursing Clinical standards: - Oriented to the NICU routine, equipment and type of neonates. - Outstation Neonate Retrieval by Ambulance: provide nursing care through the retrieval, accompanies and assists. - Complete the Nursing Assessment Guide within 15 minutes of neonate admission. - Ensures the neonate is comfortable, implements safety measures for vulnerable neonates as per the policy. - Ensures safety and security of neonates by following safety measures. - Neonate condition updates to be shared twice a day with parents; change in condition to be informed immediately; provide comfort and emotional strength to parents. - Review the doctor’s notes and the drug chart on admission and implement action as required. - Prepares nursing care plans and render professional bedside nursing care. - Ensure investigation slips are raised. - Ensure all investigations are carried out as advised by the doctor, reports available on time for doctor’s perusal and further advice. - Raise pharmacy indents, check on receipt, and stock in the bedside locker and medication trolley. - Specific responsibility towards neonate physical needs: - Feeding - Position - Medication dosage and calculation according to weight and body surface - Monitor neonates on incubator and ventilator and inform abnormal findings. - Responsible for checking and recording daily weight. - Responsible for monitoring and maintaining normal oxygen saturation level. - Administer on time medications and therapies. - Check and record vital signs legibly and promptly. - Assists the doctors in special procedures, dressings and rounds. For the following procedures, ensure properly set procedure trolleys. • Venopuncture • Endotracheal intubation • Catheterization of umbilical artery and vein • Peripheral I.V. and arterial line insertion • ICD insertion • Lumbar puncture - Assists the doctors in the management of the asphyxiated neonate, including resuscitation and stabilization. - Coordinate procurement of blood and blood products for transfusion. Any reactions must be reported to treating consultant, IC & NS immediately. - Completes the preoperative checklist before sending the neonate to operation theatre. - Completes the transfer formalities as per the In-house Transfer Policy. - Does not take verbal orders from Doctors except in emergency, to be followed by a written order before end of shift. - Does not take verbal orders for diet unless urgent; to be followed up with written order. - Knowledge on gestational age assessment, special problems of the premature, post-mature, small for gestational age, large for gestational age neonate. - Follows universal precaution as per the unit protocol. - Aware of the APGAR scoring performed. - Trained in NALS & NRP. - Handles with care and knowledge all gadgets used in neonate care. - Have thorough knowledge on I.V. fluid and drug calculation. - Administer drugs according to ‘Drug Administration Policy.’ - While administering high risk medicines, counter checked by a second nurse for the ’10 Medication Rights’ and complete documentation policy. - Implement the policy for ‘Medications brought by patient’. - Observe the neonate to ensure safe medication, no adverse reactions. - Any errors in medication, adverse reaction or nursing intervention to be brought immediately to the notice of the In-Charge NICU and NS. In case of ADR, the respective form to be filled. - To implement the following measures : Barrier Nursing, Neonate and Self Safety, Neonate Death protocol. - Implement protocols of Infection control, hand washing, medications, narcotic policy, ICU, personal valuables, etc. - Handle waste segregation and disposal as per the policy. - Maintain personal, neonate and environmental hygiene. - To be aware of NABH & NE standards and implement the same. - Aware of neonate rights and preserve the same. - Maintains confidentiality of neonate information: medical and personal; avoids any violation by ensuring no discussion of neonate identifiable information in non-secure areas. - Provide health education to the mother and attendants on breastfeeding, additional feeding, safety measures, and effect of medication. - To encourage, educate and assist mothers in breastfeeding. - To prepare additional feed with strict aseptic technique as per the doctor’s written instruction. - Ensure visitors follow Aseptic protocol when visiting NICU. - Follow aseptic protocols when reporting for work in NICU; adhere to NICU attire policy. - Maintains the medical and nursing records of neonates as per the institutional requirements. - At discharge, obtain signature from the parents (father or mother) at the time of handing over baby. - To carefully pack and hand over the body of the deceased; obtain signature from the parents (father or mother) at the time of handing over; assist with death certificate and other related documents. Fulfilling the Service Vision & Inter-department Coordination: - Is well-groomed as per standard; maintains discipline and decorum. - Responsible for the implementation of the Service Vision – ensures personalized care while delivering service. - Coordinates with support departments to ensure patient and attendants are comfortable and services are as per standard. - Maintains a cordial interpersonal relationship with all colleagues. - Co-ordinates with IP coordinator, Billing team and related departments regarding timely admissions, discharges and billing activities of the patients. - Coordinates and works closely with LDR, OT, Wards Pharmacy & Lab. Ward Management: - Ensures no misuse or wastage of material, contributes to cost control. - Assists with Inventory management. - Takes over and hands over accurately at change of shifts. - Assists with accurate data collection for Quality Indicators. - Willingly accepts additional tasks, deployment based on operational requirement. Personal Development: - Attend in-service programs and trainings to enhance knowledge. - Ensures is up to date with latest protocols and practices. Job Qualifications / Specific Skills GNM/B.Sc Nursing 2 Years+ Clinical Skills, Knowledge of handling clinical & biomedical instrument, Documentation skills, People Skills, Follow Safety Precaution; handling preterm neonates Communication skills | Positive Attitude | Interpersonal skills | Problem Solving & Decision making | Ability to anticipate emergencies | neonate and calm during emergencies |Teamwork | Empathy