NURSING Wards Role & responsibilities Nursing ~ OP Adherence to Nursing Clinical standards: - Responsible for the OP & Triage routine, equipment and patients. - Coordinates closely with Guest Relations to plan for appointments; when expected to be busy, to escalate if resources are required. - Understands patient & consultant requirements and plans the daily activities. - Ensure the OPD is set for consultation: - Assist consultants in OPD consult Rooms. - Sets up procedure trays, dress trolleys and assists doctor in procedures and dressings. - Assists in transportation of patients whenever necessary. - Follow strictly all safety measures involved in patient care. - Assist gynecologists, obstetricians and pediatricians in procedures treating mothers, pediatrics and neonates. - Ensure all investigations are carried out as advised by the doctor; provides assistance for patients to Lab & Scan rooms. - Handles emergencies competently & calmly; follows instructions competently. - Ensures In-charge & NS is informed of any incidents immediately. - Ensures medication safety and practices patient safety protocols. - Upholds patient rights and maintains confidentiality of patient information: medical and personal; avoids any violation by ensuring no discussion of patient identifiable information in non-secure areas. - Provides health education and counseling to patient and attendants. - Implements the infection control practices. - Implements NABH & Nursing Excellence standards. - Competently handles all equipment used in patient care; ensures team is competent in usage; ensures equipment is serviceable and readily available. - Co-ordinates with Billing team regarding investigations and billing activities. - Works closely with clinical services team to ensure efficient care. - Follows MTP, PCPNDT rules and regulations NURSING Wards Adherence to Nursing Clinical standards - Renders professional bedside nursing care. - Prepares nursing care plans for assigned patients with an understanding of individualizing treatment plans, patient compliance, acceptability and comfort. - Attends call bell within 2 minutes. - Functions as SPOC for all non-medical services, to ensure speedy service. - Conducts Room orientation competently for all admissions. - Completes the Nursing Assessment Guide within 30 minutes of patients admission. - Reviews the doctors notes and drug chart on admission and implements it. - Checks and records vital signs legibly and promptly. - Accompanies Consultants on rounds; carries out orders completely. - Ensures that all investigations are conducted as advised by the doctor, reports available on time for doctors perusal and further advice. - Assist the doctors in special procedures, dressings and rounds. For following procedures , ensures procedure trolleys are correctly set: PV Examination Pap Smear Blood sampling - Coordinates procurement of blood and blood products for transfusion. Any reactions must be reported to treating consultant, IC & NS immediately. - Accompanies patient for special procedures and investigations. - Prepares the patient for labor room and delivery. - Completes the transfer formalities as per the In-house Transfer Policy. - Completes the preoperative checklist before sending the patient to operation theatre. - The Obstetrics & Gynecology nurse has specific duties in providing care for mothers and their babies during pregnancy - helps expectant parents prepare for labor and delivery. Offers health education and counseling in: Breastfeeding Additional feeding Maternal diet Newborn care Parenting Ante natal & postnatal care Effect of medication NURSING Operation Theatre Adherence to Nursing Clinical standards: - Understands the OT routine, equipment and patients. - Aware of the O.T. protocols and the layout. - Checks the surgery schedule and prepares for the cases: medication, consumables, instruments and equipment are available for the surgery. - Checks all equipment are functional; conducts random checks of surgical and laparoscopic instruments ensuring they are functional. - Identifies instruments as per the surgery, checks cleanliness and proper functioning of instruments, pack and send for autoclaving / gas sterilization. - Strictly follows aseptic technique. - Is aware of and implements all protocols - hand washing, infection control, medication, narcotic policy, personal valuables, follows the dress code in and out of the restricted areas. - Assists in surgical procedures. - Receives the patient in the preoperative area, checks for: right patient, correct documents, right surgery and transfers to the Operation Theatre. - Checks the preparation of the patient for cleanliness, skin shaving for the particular surgery. - Follows pre-anesthetic medications if any. - To check and record vital signs legibly and promptly. - Ensures that all investigations are carried out as advised by the doctor, reports available on time for doctor’s perusal and further advice. - To ensure that all the materials needed for the surgeries as per Procurement Monitoring Report sheet and instrument sets, Linen, Gowns, etc., are available. - Procures all blood and blood products for transfusion. Any reactions must be reported to treating consultant, IC & NS immediately. - Strictly follows WHO surgical safety process in OT – count of instruments, consumables - to check the instrument trolley carefully and record items likely to be left inside. - Checks for the right patient, I.D. No., site of surgery, type of surgery, and operating surgeon when the anesthetist calls, “Time out” inside the operation theatre. - Rechecks instrument trolley items as per record and gives clearance to the surgeon for closing. - Any errors in medication / nursing intervention to be brought immediately to the notice of OT In-Charge. - Monitors Histopathology sample dispatch as per standards. - Handles waste segregation and disposal as per the policy. Nursing ~ 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 Preferred candidate profile Communication skills | Positive Attitude | Interpersonal skills | Problem Solving & Decision making | Ability to anticipate emergencies | patient and calm during emergencies |Teamwork | Empathy
