Staff Nurse, Pediatrics ICU

REPORTING TO : WARD INCHARGE

QUALIFICATION : B.Sc. NURSING / G.N.M

EXPERIENCE : THREE MONTHS TO FIVE YEARS

DRESS CODE : SPECIFIED DRESS CODE WITH I.D. CODE

DUTY HOURS : AS PER SCHEDULED REQUIREMENTS

JOB DESCRIPTION:

Unit specific responsibilities

To handle patients of the specific age group (1 month 16 years).

Handing taking over by incharges.

Attend all new admissions .

Management of sick pat( on oxygen), post op.

Ensure Round orders( medicine) timely Administration.

Ensure investigation/ Radiology/ consult/ procedure ( MRI,CT,Echo,LP, bone marrow,fluid tapping).

Check consent/ NPO status.

Arrange ambulance & staff with the help of Nsg supervisor for safely transportation.

Transfer/ shift patients to pvt rooms( check medicine/ consumables in bed side as well as fridge).

Bed management.

All special reports inform to Dr Baldeep / on duty.( CSF, MRI, bone marrow etc.)

Ensure about Medicine Receiving .

Documentation

Ward inventory responsibility ( o2 cylinder, monitor, syringe pump,)

Ensure Carbolize beds after discharge.( Before new admission)

check availability of GDA/ house keeping.

Meet with patients and clear queries if any .

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

To do pain assessment and monitoring of the patient periodically.

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

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

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

To perform critical care procedures and protocols.

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

Active participation during code pink.

To plan the patient care according to patients condition.

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

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

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

To provide the adequate 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 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, PALS.

Participation in continuous training programs.

Follow infection control & various hospital policies.

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 and review the planned care.

Perform patient physical care

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

To perform fall risk assessment.

Assesses and identifies the 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

To provide correct and timely medication to the patient.

To do indents and return of medicines.

To titrate medications and be able to administer IV Medications Via central lines and peripheral lines.

To administer oral, sublingual, intramuscular, subcutaneous, topical 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.

Assist in specialized procedures

To assist in cardiopulmonary arrest.

To assist the doctor during Intubation, extubation, arterial line insertion, central line, ICD, peritoneal dialysis, moderate sedation, bronchoscopy and elective cardio version.

To provide care of patients on ventilator.

Assist in procedures like insertion of lines, insertion of ryles tube, intracranial pressure monitoring, chest tube insertion, tracheostomy, lumbar puncture, post operative craniotomy care, nuerological patients.

Assist the mother in breast feeding and weaning diet.

Patient & family Education

Maintain confidentiality of patient.

To provide patient & family education regarding breast feeding, immunization, prevention of infection, safety of patient and weaning diet.

To do 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 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.