Executive Staff Nurse

Check the communication book for any new instructions during every shift

Check the assignment Register to know the assignment for the shift

Check inventory of all equipment, and instruments as per the inventory register and inform the Team Leader/Nurse Manager in case of any discrepancies noted

Inquire and know about the following

Department Census

Admissions in the department

Transfer in and Transfer out

Discharge/DAMA

Death

Medico- legal Cases

Details of patients undergoing special investigations/invasive procedures and or Surgery

Details of patients requiring special considerations (Barrier Nursing Precautions, VIPs, Relatives of Employees etc.)

Planned discharges during the shift

Others

Issues related to Support Services (Diet/Laundry/Stores/Pharmacy/Maintenance/CSSD/Bio-Medical/Billing/Housekeeping etc)

Interdepartmental lending /borrowing of equipments or consumables and drugs

Take handover of assigned patients and receive new admission/transfer-in to the department

Orient the patient and relative to the unit

Carry out Nursing Assessment to have baseline data of patients assigned / received

Inform necessary details to the Doctor on duty

Plan, prioritize, implement and evaluate nursing care

Carry out the instructions of the doctor and administer treatment as advised

Attend the Consultant's rounds and update changes/special instructions in patient's record

Carry out changes / special instructions as advised by the Consultant

Assist for procedures as required at the bedside

Monitor patients closely as per hospital protocol or as advised by the doctor

Complete documentation of assessment findings, investigations done, procedures carried out and the treatment given to the patient during the shift according to hospital protocol

Ensure that adequate supply of medicines and consumables are available with the patient

Ensure that drugs and consumables in excess or not to be used are returned to the respective department

Prepare the patients for surgeries / procedures as indicated

Shift the patients to other departments if required as per Hospital Policy

Ensure the comfort of the patient and family at all times

Ensure replacement of medicines and consumables used from the departmental stock

Ensure that billing of all procedures and investigations done during the shift are completed

Complete all relevant documents

Check the patient’s records for any changes, special orders etc. and update as needed from time to time

Check and receive all pending investigations reports, if any

Attend to patients needs for activities of daily living as required

Maintain ward safety and provide safe environment.

Report any special events during the shift to the Team Leader and or Nurse Manager

Ensure that all admissions, transfers, Death and discharges are entered in the Admission Discharge Register

Ensure that the shift report is completed

Endorse the patients to the next duty assigned staff

Maintain good interpersonal relationship with all employees, patients, families and community.

Ensure that patient's and or family's communications/requirements are attended or communicated to the concerned department/person

Ensure that discharged patient's unit is ready to receive new admission/transfer

Additional Responsibilities during Night Shift

Arrange IP file as per checklist with numbering of sheets

Keep the folders ready for admission

Ensure all the procedures performed throughout the day are entered in the bedside procedures

Indent drugs and consumables in sufficient quantity

Check the expiry dates of the medicines and send the medicines nearing expiry to the pharmacy

Prepare/keep ready records to be maintained in the department

Communication Skills

Ability to comprehend verbal instructions given by the supervisor or head of the department / doctors.

Ability to comprehend and communicate effectively with patients, relatives, other departments and social and or community agencies

Ability to comprehend and communicate effectively when a telephonic message is received

Ability to comprehend written instructions given by the Doctors and the other related departmental personnel / doctors

Technical Skills

Competent to assess patients on receiving to the Ward

Competent to handle the following situations in the Ward

Admissions

Transfers- Intra-hospital and inter-facility

Discharges from the Ward

Care of the dead and handing over procedures including mortuary protocol

Medico-legal cases

Ambulance call protocol

Assist for Procedures done at the bedside

Training Responsibilities

Participates in staff educational program

Help in orientation of new staff

Participation in planned clinical teaching / SOP Training

Completes Competency Assessments

Supervise and guide Junior Staff nurses, Health Care Assistants and Housekeeping staff

Other Skills

Have an affinity for teamwork.

Able to work accurately and with minimal supervision

Technical skills required for using and maintaining the various equipments and the computer.

Ability to plan & organize ones work schedule effectively

Very quick and prompt in handling patients and providing care

Ability and willingness to work in other nursing units

Competent to identify patients who become critical and to handle emergency situations (e.g. Code Blue)

Competent to handle different CODES used in the hospital for emergency situations

Emotional Maturity

Ability to handle & calm an emotionally sad, depressed, anxious patients and their relatives.

Ability to calm patients who fear OT, procedures, equipment.