Staff
Nurse:
 |
| NURSING OFFICER |
General:
1.
Work
under the instructions of Assistant Nursing Superintendent, Nursing Sister and
Ward Incharge.
2.
Maintain
professional ethics. Encourage colleagues to maintain professional
ethics and participate in professional activities.
3.
Keep professional knowledge up to date and
encourage colleagues to do the same.
4.
Act as
“de facto” sister as and when situation arises in the ward or department. Work in
place of the Ward Incharge in his/her absence.
5.
Implement and maintain ward policies and
routines.
6.
Help the Ward Incharge to carry out her work.
Draw up nursing care plan for all patients in the ward in consultation with the
ward sister.
7.
Help the ward sister in indenting and checking
drugs and other supplies and maintaining the inventory of each category of
items.
8.
Keep a sub-store of drugs, linen and other
supplies in her charge for use. Ensure availability of materials and drugs
round the clock in all three shifts. Report shortages to sister in charge.
9.
Co-ordinate patient care with various health
team members including those from other departments.
10. Accompany
very ill patients to other departments or to other institutions when
transferred.
11. Take
reports and take detailed bed to bed round at the time of changing of shift in
the unit. Sign night report after checking. Give and receive reports.
12. Help in
making diet register and supervise distribution of diet. See that diets are served to and eaten by the
patient.
13. Maintain
poison (schedule) drugs registers.
14. Supervise
students and other junior nursing personnel. Supervise medicine given by
students. Supervise nursing care being given by nursing students.
15. Maintain
emergency trays and other duty room trays, sterilizers, instruments in working
condition by getting indents from sister or getting repairs done in case of a
break down. Maintain all procedure trays in readiness.
16. Maintain
safety of the ward equipment.
17. Take
over from previous duty nurse all new and serious patients, instruments,
supplies, drugs etc.
18. Write
day and night orders.
19. Checklist
and keep patients belonging in safe custody as per hospital policy.
20. Routinely
care and clean dressing trolleys, cupboards, apparatus etc.
21. Maintain
clean and safe environment for the patients. Supervise the work of the
subordinate staff and ensure that cleanliness and sanitation of ward and
cleanliness of furniture, equipment and all ward fixtures are maintained by
them. Ensure regular mopping and dusting. Report any dereliction of duty in
this regard to superiors.
22. Ensure
that items are properly sterilized and sterilize items as and when required.
23. Prepare
surgical, supplies, bandages, splints in advance to ensure availability.
24. Take
care of clean and soiled linen. Ensure disinfection of linen, beds, floor and
bed pans.
25. Maintain
ward records and reports assigned to her/him by the sister incharge. Maintain
ward statistics.
26. Maintain
good inter-personal relations with all other staff
27. Supervise
subordinate staff. Make sure that they maintain discipline.
28. Be
polite and sympathetic to the patients and their attendants. Assist and
instruct patient and their relatives.
29.
Ensure that Universal
Precaution equipment is readily available and is being used by the staff.
30.
Look after Bio-medical
hazards and Bio-medical waste management and ensure that equipment and
processes for the same are in place.
31.
Follow and ensure that
others follow appropriate universal precautions and hospital waste disposal
rules and regulation.
32.
Utilize HIS and other
software as needed/instructed.
33.
Assist in measures
directed towards management of mass casualties and disasters.
34.
Maintain cleanliness
of person and dress.
35.
Educate and direct
junior staff.
36. Any
other duty assigned by competent authority.
Nursing:
1. Give expert bedside care to patients
and perform special technical duties in areas like operation theatres,
intensive care units, clinical specialties etc., as assigned. Ensure that total health needs
of all the patients are met.
2. Be
aware of the physical condition of all patients, especially paying attention to
those who are seriously ill and be aware of any special nursing problems.
Attend to patients with utmost sincerity and devotion.
3. Especially responsible for the care of
acutely ill or seriously ill patients.
4. Observe
changes in patients’ condition and records, take necessary action and report
promptly to the concerned authority. Inform and send call to doctor when
patient’s condition so warrants. Complete and hand over all relevant records
and reports to the next shift staff nurse.
5. Render pre-operative, post-operative
and intensive care to patients. Prepare patients for operations
and ensure that he/she is sent to operation theatre with all necessary papers
and medications. Reassure pre operative patients.
6. Prepare for and assist in diagnostic
procedures.
7. Attend to normal and special
nutritional needs of patients and give special types of feeds (nasogastric,
gastrostomy etc.) and supervise serving of meals and special diets to the
patients. Prepare invalid diet and other special feeds and feed
helpless patients.
8. Ensure
proper admission, transfer and discharge of patients. Verify the details of
patients coming from Casualty, OPD or other departments for admission and
ensure that the papers of the patients are in order before admitting,
discharging or transferring them. Ensure that a discharged patient goes home
with proper understanding of the follow up procedure and details of the diet,
medication and exercise etc.
9. Carry
out administration of Oxygen, nebulization, BIPAP/CPAP. Do catherization, and
give enema, bowel wash, stomach wash, eye and ear care, perineal care, breast
care and baby care etc. Do irrigations and dressings.
10. Maintain
personal hygiene and comfort of patients. Bathe/ wet scrub patients once daily,
and more frequently if required. Give daily care of eyes, mouth, nails and
pressure points. Give four hourly, or more frequent attention to pressure
points. Give and remove bed and urine pans and hot water bottles.
11. Make
beds daily and change clothes of those patients who are unable to do so.
12. Prepare
articles and patients for medical or nursing procedures and assist in them.
Clear up after procedure.
13. Maintain
record of temperature, pulse, B. P intake/output or any other parameter as
required, medicines and injections administered with date time.
14. Insert and fix I/V*
cannulas. Give oral medications and I/V* and I/M injections as
prescribed by doctors. Clear up after injections. Keep a record of medications
given and injections administered.
15. Draw blood* for
investigations. Collect samples, label them and dispatch to laboratory with
proper forms filled by doctors. Do bed side urine testing, spot blood glucose
level testing by Glucometer and other tests as feasible and desired by
competent authority.
16. Keep
Blood transfusion tray ready and help the doctor with the procedure.
17. Accompany doctors on rounds. Take round
notes, note and make alterations in treatment as prescribed by the doctors in
treatment book and carry out all their instructions.
18. Ensure that reports are collected in
time and attached to case sheets.
19. Make
proper case sheets with details of patient in each page and keep them in neat
and clean order. Maintain them properly and in good condition. Attach all
reports, temperature charts and intake output charts or any other special chart
to it. Make sure that case sheets are
not handled by anyone except the doctors in-charge of the patient, especially
medico legal cases. Ensure
that case sheets are not misplaced, mishandled or mutilated. Keep all records
up to date.
20. Prepare
dead bodies as per protocol and ensure that they are transferred to the
Mortuary or handed over to relatives after completing all legal and hospital
formalities.
21. In
special areas carry out special duties in addition to normal duties, as
assigned by competent authority. Some of
the duties which require expert handling are below (this is by no means a
comprehensive list) :
i)
Labour Room
|
Assist in normal and difficult deliveries,
D&C and other procedures. Maintain records of deliveries.
|
ii)
Operation Theatre
|
Maintain suture material, linen, instruments,
gloves, sterilization trays and trolleys. Timely sterilization of OTs.
Maintain records. Assist surgeons in procedures and surgeries.
|
iii)
Nursery
|
Take care of new born in all respects. Feed
babies, change nappies, do gastric lavage, give vaccination.
|
iv)
ICU/ICCU
|
Total patients care, use various devices and
monitors, help with all investigative procedures.
|
Teaching:
1.
Impart health education to patients and their
attendants. Carry out health teaching for individuals or groups of patients.
Take public lectures on health topics.
2.
Assist in orientation of new staff nurses and
other subordinate staff.
3.
Initiate and plan for staff education programme
in consultation with superiors. Participate in staff
education programmes and attend staff meetings.
4.
Directly supervise all work done in the ward by
nursing students.
5.
Instruct and demonstrate to students the various
ward procedures and all aspects of patient care. Teach, supervise and guide
nursing procedures performed by student nurses. Assist and participate in
clinical teaching programme of student nurses as and when required. Instruct
students specially the newly appointed ones in the correct ways of handling bed
pans, urinals, sputum cups, kidney trays, soiled dressings, bandages, binders
and linen etc. Provide for and
demonstrate methods of disinfection and cleaning.
6.
Participate in clinical teaching, both planned
and incidental.
7.
Teach and guide subordinate staff.
* Those
nurses not trained/unable to undertake I/V procedures like drawing blood shall
be made to undergo a 10 days training programme by a team as constituted by the
Medical Superintendent/Competent Authority. They will be certified at the end
of this training to undertake these procedures
