Staff Nurse

JOB DESCRIPTION I JOB DETAILS Job Title Staff Nurse Administrative Reporting CNO Functional Reporting Respective Nursing Heads Direct Reports II JOB PURPOSE To assist in delivering high quality nursing care in the hospital III KEY RESPONSIBILITIES Core Responsibilities - Nursing Knowledge Adaptability Awareness of the departmental vision mission objectives and its implementation Performs the duties as per the role and expectation of a nurse in providing comprehensive patient care Knowledge about the layout of the unit number of patients and types of patient and their requirements Interaction co-operation and team spirit with other staff members Performs assigned duties as per the department s protocol Maintains all registers used in the unit Accurate knowledge about the forms and formats Performs all special assignments as rostered Soft skill and Critical thinking Demonstrates knowledge on AIDET Acknowledge Introduce Duration Explanation Thank and GST Greet smile thank Utilizes effective communication skills in reporting pertinent information on time Maintains telephone etiquettes Maintains professional decorum and communicates in English Hindi in the areas of work with colleagues Address to the grooming standards laid down by the department Evaluates effectiveness of nursing care on patient condition Inform Team leader Supervisor of current activities on the unit and reports unusual occurrence incidents or other problems and also follow up as needed Utilizes changes of shift report to accurately and effectively to communicate patient condition and intervention Ensure all documentation is clear concise and timely Utilize appropriate clinical terminology Performs independent problem solving and decision making in a logical and deliberate manner utilizing available resources when needed Exhibits flexibility and adaptability to meet the needs of the patient and the unit Demonstrates understanding of emergency levels and effectively and safely responds to emergency situation in a calm constructive positive manner Nursing Admission Assessment Performs comprehensive nursing assessment on all patients with consideration to clinical condition pain activities of daily living skin allergies integrity valuables safety needs age mental social and physical status Identifies patient problems based upon data collected through nursing assessment as well as integrated information obtained through the family Takes measures to address any vital concerns compromising the haemodynamic stability and safety issues Follows all aspects of the hospital policy in terms of safety personal belongings medico - legal entity medications etc Assesses vital signs important information and reports abnormalities to the consultant and team and carries out orders as per instructions Accurately and thoroughly documents nursing assessment and patient problems using appropriate clinical terminology Completes and documents ongoing assessment Assesses and communicates educational spiritual pain management and dietary needs to the concerned Involves communicates and educates the family members in the future plan of care Plan of Care Formulates nursing care plan in context to care due care given safety first PFE diet and other needs in each shift noting patients needs age behavior and concerns identified through nursing assessment Ensures that care is provided with a comprehensive approach always ensuring safety and clinical outcomes Establishes priorities for nursing needs based on nursing assessment problems identified and estimated length of stay Actively participates in the development of interdisciplinary plan of care as per policy Ensures unmet needs are handed over to the next shift accurately Acts as liaison with the treatment team and other multidisciplinary staff ensuring accurate communications of relevant information Ensures evidence through accurate documentation Provision of Nursing Care Practices within the general policies philosophy and objectives of the department of nursing and the hospital with focus on safety quality infection control and empathy Provides nursing care in a therapeutically efficient manner demonstrating social clinical and professional judgment and competency Participates in the implementation of the treatment plan utilizing intervention appropriate to the needs of the patient Demonstrates knowledge and skills related to special treatment procedures precautions seclusions restraints etc Provides supportive counseling of current patient concerns Assesses unit milieu and maintains a safe therapeutic environment for patients family members and staff Assesses and meets activities of daily living needs of patients in dressing bathing grooming toileting eating and sleeping Identifies all vulnerable patients and ensures that the safety first program is followed at all times Demonstrates ability to recognize different types of incidents and responding mechanism for such issues Accurately and thoroughly documents nursing interventions Provides ongoing patient family education according to individual needs considers factors influencing learning and documents same in the patients medical record Safely uses and maintains biomedical equipments Updates and keeps abreast of the HAI statistics and control measures and practices them in the working environment Actively participates in discharge planning education and care at home along with patient and the family Medication Management Is knowledgeable about the medication process and ADR Accurately transcribes medication and treatment orders for the indenting process Recognizes improper or inadequate orders and reports these to supervisors and physician before proceeding Checks and receives medication against the order during pharmacy delivery Accurately and safely administers prescribed medications and treatments using correct methods of administration and adheres to policy 6 R s of medication 2 identifiers allergic history double check for applicable medicines admixtures outside medication self medication policy etc Accurately maintains medications administration record Monitors the patient post administration and reports any adverse events and accurately completes the ADR forms Demonstrates safe storage and control of medication Evaluates and documents patient response to medication regimenImplements the waste management policy Is knowledgeable of action side effects proper dosage and contraindication of drugs being administered Demonstrates knowledge of and documentation requirements for proper administration of medication to protesting patients Accurately identifies need to administer SOS medication and documents effect Immediately reports any medication error ADRs and accurately completes incidents report or ADR forms Teaches medication management to patients as per discharge planning requirement Professional safety and Growth development Assumes responsibility for personal and professional growth and development through participation at in service education programme workshop staff meetings unit meeting and on the job training Will adhere to all safety policies and safe work practices Sharps policy falls communicable disease etc Adhere to all hospital policies and procedures Participates in unit staff meeting monthly meeting with Nursing Leadership IDTR round which will enhance the quality of services provided to patient Recognizes own limitation seeks information and advice when unable to solve conflict problems on an individual basis Maintains required professional licenses and updation of Registration Demonstrates competency in the following areas Basic competency annual competency assessment and training BLS ACLS PALS Fire Safety Infection Control Radiation Safety Proper use of biomedical equipment ISO NABH Standards Waste Management Policy Others as when scheduled Participates in identifying training needs for individual growth and Development Customer Relation Skills and professional behaviour Represents the hospital in a manner which conveys a professional courteous caring and co - operative attitude Is knowledgeable of patient rights and responsibilities and treats all patients with dignity and respect in a consistent and caring manner Understands the need for and maintains appropriate confidentiality at all times when interacting with patients family visitors and all other contacts Exhibits excellent customer relations skills as evidenced by supportive and constructive communication with all contacts including co-workers patient visitors families Utilizes an open non judgmental non discriminatory professional and therapeutic approach to treatment with all patients Demonstrates professional behavior and interpersonal skills reflective of Max Healthcare mission statement and philosophy Complies with hospital departmental and human resources policies Promotes a safe work environment for self patients and co-workers by complying with environment of care safety infection control and universal precaution guidelines Maintains a neat smart professional appearance consistent with hospital dress code Maintains scheduling requirements of attendance and punctuality in accordance with hospital policy Complies with standards of ethics in practice Understands the need for appropriate patient staff boundaries and maintains a strict therapeutic relationship during active treatment Discontinues communication with patient upon discharge Informs charge Nurse Supervisor of any patient contact after discharge Turns negative service into a positive attitude Able to reverse outcomes by looking for a positive approach Has a professional image Represents the hospital well in a professional manner in attitude and work Practices teamwork Works within common vision and goal and cooperates with peers and superiors Strives for excellence in all endeavors Always looks for ways to work more effectively IV KEY PERFORMANCE INDICATORS Measurable Deliverables Medication Errors 0 Documentation error Stock handling errors non return of expiry items on time 0 Conformance to ISO TATs as per standards laid down Equipment downtime should not be more than 2 of total uptime Reporting the Occupational Environmental Issues to HOD Maintaining the LOG of Incidents in case of injury or occupational disaster V JOB REQUIREMENTS Minimum Qualifications Diploma in GNM B Sc Nursing Experience 0- 5 years of post qualification experience Language Skills English Hindi VI KEY INTERACTIONS Key Internal Contacts Key External Contacts ANS Nursing Supervisor Charge Nurse Team Leader Consultants Residents Nurse Educator Infection Control Nurse Dietician Biomedical Engineer Patients attendants Vendor Staff