Staff Nurse

3 weeks ago

Bengaluru, India Sagar Hospitals Full time

**Roles & responsibilities**:
**A. Direct patient care**
- Report to the Supervisor/In-chargeon duty.
- Be punctual for the duties.
- Complete special assignments like Inventory checking, dressing trolley maintenance, crash cart inventory etc.
- Check and take over the instruments and equipment.
- Attend doctor’s rounds & follow the orders.
- Follow specific ICU policies & guidelines.
- Get clean the equipment as per hospital policy.
- Meet the basic hygienic needs of all patients like bath, mouth care, Catheter care etc.
- Take patient allocation from in charge / supervisors as per the patient acuity level.
- Provide individualized care with comprehensive & holistic approach.
- Up on admission / Transfer in of patients ensure readiness of unit, receive the patient and make him / her comfortable.
- Initial assessment to be completed immediately after the admission/ transfer in.
- Nurses should know the protocol on admission / discharge criteria.
- Should follow strict protocols on narcotics/ high risk medications & monitoring.
- Strict adherence to follow patient restraint policy.
- Ensure the guidelines to take care of critically ill patients with ventilator support.
- Use appropriate communication techniques to relate with patients.
- Nurses should know the protocol & policy on non-availability of beds.
- Pain assessment - reassessment to be done and carry out intervention as per Doctors order.
- Indent only the required quantity of medicine and disposables and see that the returns are made early. Do not wait till the patient is discharged/ Transfer out.
- Provide individualized comprehensive care with holistic approach and document the care given according to the documentation policy.
- All patient care plans has to be documented & should be modified as per the condition of patients.
- Strict compliance to Blood / blood products transfusion policy.
- All information to be exchanged & documented in each staffing shift, between shift & during transfer between departments.
- Dietary information to be given to the nutrition team during the day & F& B staff in the night.
- Inform consultant about the admission / Transfer in, Transfer out cases.
- Special monitoring of vulnerable & patient on restrains.
- Ensure to do the assessment, re-assessment in every shift for the patients for Pressure Ulcer, DVT and fall risk.
- Change 2 hourly positions after attending pressure points of bed ridden patient.
- Adhere to sample collection policy & protocols strictly.
- Collect the lab reports on time and inform the concern duty doctors/ consultants.
- Complete the nurse’s documents immediately after each procedure and entry to be done in the activity chart.
- Ensure that end of life care / Death care to be given with respect & dignity.
- All staff should know about all emergency codes & policies.
- To co-ordinate and work for the smooth functioning of the unit.

**B. Medication Management**
- Indent the medication as per the written order.
- Check patient’s case file and give medication
- Follow 10 rights before medication administration

Right drug

Right dose

Right patient

Right time

Right route

Right to refuse

Right assessment

Right Education

Right Evaluation

Right drug documentation
- Enter in the medication chart immediately after administering the drug and observe for any reaction.
- Check for chemotherapy patient's chemo-plan as written by the respective consultants

Check for consent before chemo cycle.
- Monitor vitals every hourly & follow MEWS (Modified Early Warning Score) guideline & if there is any deviation inform ICU residents /consultant immediately and carry out the orders.

**C. Infection control Practices**:

- Ensure the cleanliness of unit & patient premises at all times.
- Infection control protocols to be carried out: like Proper Hand hygiene,

wearing PPE appropriately, Use of hand sanitizer before & after touching the patients

& proper Biomedical waste segregation standards.
- Ensure strict adherence to sterile dress code policy In the Critical care areas.
- Attend HIC training sessions & update the knowledge.
- Inform supervisor and duty doctor to check the blood and enter in the respective progress notes.
- Assess Patient’s IV Line frequently to prevent extravasations/ infiltration etc. and ensure to mention date, time of insertion of lines and tubes.

**D. Training & Development**:

- Attend 6 -10 hours of CNE training sessions every month**.**:

- Ensure to have training on enhanced communication skill.
- Attend departmental hands on training**.**
- Take responsibility to meet Nurse Educator for individualized training sessions **as** per requirements.
- Attend specialization training related to Critical care nursing as per schedule.
- Be proactive to clarify doubts with senior nurses, supervisors, Nurse educator etc. if there is any clarifications required about the doctors’ orders related to procedures, medication etc.
- Take initiative to do case study presentations as

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