Registered Nurse

 a. Assessment

·      Conduct assessment on assigned patient according to the hospital protocol & by completing & recognizes changes in patient condition, while delivering nursing care.

·      Assesses patient’s environment for safety, cleanliness and proper functioning of equipment’s.

·      Assess patients/Families’ health education and discharge needs and intervenes accordingly.    

 b. Planning

·      Plans her unit activity and staffing needs according to given assignment by Head Nurse, team leader /Incharge

·      Plans and prioritizes his/her work to provide best quality care according to patient’s need assessment.

·      Discuss the patient issues and plan of care with physician as required.

·      Plan health-teaching session for patient/families according to their learning need.

  c. Implementation

·      Provides direct care to the patients including hygiene care

·      Administer medication safely by following Doctors order and the rights of medication & monitors patient responses to medication therapy and reports related incidents promptly

·      Administer medication to the patient by maintaining. Knowledge related to medication indication and side  effects

·      Delivers designated nursing interventions to assigned patients that are consistent with the state of medical care plan

·      Evaluates care given including the patient response

·      Perform vital sign of patient

·      Assess patient early warning sign

·      Having knowledge and use of equipment’s (Ventilator, CPAP/Bipap, infusion pump, syringe pumps, Nebulizer machine etc)

·      Participate in consultant round to ensure the care plan of patient

·      Monitor care of patient regarding level of consciousness, hemodynamic, diet, physical activity, and head to toe assessment etc.

·      Performs routine unit specific procedures independently and assist those procedures for which not credentialed

·      Involve in cardiac arrest situation for Basic life support of the patient

·      Demonstrates safe handling and proper use of equipment’s shift wise

·      Takeover of patient at bedside by having proper handing taking of patient in written

·      Recognizes obvious changes in patient status & seeks appropriate resources to address concern

·      Participates actively in staff education with the assistance of Nursing Services

·      Demonstrates responsibility for learning to improve self and performance

·      Provides safe environment to the patient, self & other health team members by following infection control policies and safety measures

·      Follows admission, transfer & discharge procedure

·      Guides staff in provision of safe nursing care and in compliance of hospital policies and procedures

·      Takes over of crash cart, stock medication and refrigerator item as assigned by Incharge

·      Takes follow-ups regarding special assignments, register maintenance and patient care

·      Assist doctors while performing procedures and examination

·      Maintains patient’s privacy and confidentiality of information and records at all times

·      Provide health education and discharge teaching to patient and family

·      Monitor & record nutritional status of all assigned patients according to the unit

·      Maintain a good relationship among health care team by communicating information

·      Responding to request building trust relationship, participate in problem solving approach

·      Any other related task as assigned by Supervisor, team leader, Incharge, and Manager.    

 d. Documentation

·      Ensures timely and complete documentation of all the care and procedures performed as per unit protocol.

·      Completes accurate, concise, and legible documentation on medical records.

 e. Evaluation

·      Evaluates outcome of nursing intervention and acts accordingly to meet patient’s nursing care needs.

·      Keep well-groomed and observes the uniform code at all times.

·      Ensure that nursing practices are in line with institution policies

·      Maintains good working relationships with peers, health team and support services by being helpful and supportive whenever possible

·      Demonstrate commitment to nursing profession

·      Demonstrate courtesy, tact and helpful attitude to patients and families

 f. Responsibilities of Labor Room Staff:

·      Maintains proper documentation and monitoring of patients with labor pain.

·      Demonstrate the use of CTG machines on patients with labor pain.

·      Interprets CTG and takes appropriate action

·      Coordinated OR list with OR charge.

·      Ensure that pre-op assessment is completely done.

·      Health education for mothers    

·      Assist in breastfeeding.

·      Ensure transfer out of patients safely to assigned unit.

·      Fill Baby registration form

·      Implement quality assurance programs and initiatives to monitor and improve the quality of patient care and operational processes.

·      Develop and implement infection control protocols and procedures to minimize the risk of healthcare-associated infections in the operation theatre.