Cardiac Recovery, Staff Nurse

Unit specific responsibilities

To handle patients of all ages.

Write the day / night reports legibly, reflecting all important factors, new admissions, Post-Operative cases, critically ill patients and V.I.P. patients.

Setting up special procedures trays, dressing trolleys and assisting doctors.

Preparation of the patients for minor, major and emergency surgeries.

Raising of various requisitions related to treatments and nursing procedures by coordinating with ward coordinator.

Assess patient coping and adaptation to the unit.

Handing and taking over of assigned patients, drugs and inventory.

To perform critical care procedures and protocols.

To do pain assessment and monitoring of the patient periodically.

To act as per the defined role on the activation of the emergency codes.

To plan the patient care according to patients condition.

Early & timely assessment of the patient to detect any complications.

Taking over patients at the patients bed side and the details of the ongoing treatment from previous shift nurse properly.

To provide the emergency medical supplies in the ward and periodically monitor their expiry date.

To take a stock of the drugs in coordination with Pharmacist and note the same in the respective registers.

To ensure that all equipments in the ward are in working condition and to coordinate with biomedical department in case the equipments are not in proper working condition.

To procure number of sterile dressing packs in the ward.

To procure stationery (Consent forms, nurse notes, discharge summary etc) in the ward.

Notify any untoward incident following the process of incident reporting.

Safety and emergency preparedness.

Professional development through training in resuscitative technique like BLS, ACLS, PALS.

Participation in continuous training programs.

Follow infection control & various hospital policies.

To ensure the discharge criteria before transfer of patients to other units.

Performs Ongoing Patient Assessment

Complete timely nursing assessment & perform ongoing assessment.

To collect patient information.

To obtain vital signs, haemodynamic values and neurological values.

To notify physician of reportable information.

Perform patient physical care

To provide Neuro, pulmonary, cardiovascular, musculoskeletal, gastrointestinal, endocrine, renal, back care and assessment of hemodynamic status of the patients as required.

To perform fall risk assessment.

Assesses and identifies vascular access needs and maintain fluid and electrolyte balance.

To ensure utmost comfort and provide personal hygiene.

To provide nutritional support and promote wound healing.

To provide pre operative and post-operative care to the patient.

To collect patient blood samples and send it to the appropriate labs for investigations.

To provide patient care during transport.

Patient medication

Ensure correct and timely medication management is provided to the patient.

To do indents and return of medicines.

To do complete medication management i.e. administer IV Medications via central lines and peripheral lines and ensure correct titration of medications if required.

To administer oral, sublingual, intramuscular, subcutaneous and epidural medication.

Equipment upkeep

To obtain and setup appropriate equipment and supplies.

Optimum utilization and upkeep of unit specific equipments including glucometer and ABG machine.

To check crash cart for seal daily.

Analyze equipment related patient result and response, troubleshooting unexpected findings, solving the identified problems, evaluating need for continual use of equipment, and discontinuing the use of equipment if required.

To manage technical support.

Assist in specialized procedures

To assist in cardiopulmonary arrest.

To assist during insertion and removal of catheters and drains.

To assist the doctor during Intubation, extubation, pulmonary artery catheter insertion, arterial line insertion, moderate sedation and elective cardio version.

To provide care to the patients on ventilator.

To assess neurological patients.

Assist in procedures like insertion of lines, insertion of Ryles tube, central venous pressure monitoring, surgical dressing, chest tube insertion, thoracenthesis, nebulization, oxygen administration, suctioning, paracenthesis, Tracheostomy, post operative care of CABG, valve replacement, ASD and VSD patients.

Patient & family Education

To maintain the confidentiality of patient.

To provide patient & family education.

To provide diagnosis specific patient and family education.

To act as a team member during crisis management and participate in end of life care including grief management.

Maintain safe environment

To provide safe environment for staff and patient.

To protect patient from injury, accessibility to emergency medical equipment, follow infection control protocols, correct biomedical and hazardous waste disposal, maintain electrical and fire safety.

Active participation during code HAZMAT situation.

Documentation

To do correct unit specific documentation especially handing and taking over, maintenance of critical care flow sheet and reporting & recording of information.

To document unusual occurrences, patient transfers and quality control parameters.

To maintain unit specific log book and registers.

To perform all other jobs as may be assigned due to exigencies of work.

Participation in Continuous Quality Improvement.

To follow the Process Improvement programs and carry on Quality Initiatives in the department.