Staff Nurse

1 week ago

Mohali, Punjab, India Motherhood Full time
Assists with the functioning of the NICU

Ä 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 Inhouse 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, postmature, 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 nonsecure 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.
Ä Fulfilling the Service Vision & I

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