Trainee Nurse

NURSING KNOWLEDGE AND ADAPTABILITY

1. Awareness and adherence to the departmental / organizationalvision, mission, objectives.
2. Perform the duties as per the role and provide comprehensive patient care.
3. To be Knowledgeable about the layout and scope of the unit and types of patient and their requirement.
4. Be Interactive, co-operative and maintain team spirit with other staff members to enhance the patient care.
5. Perform assigned duties as per the department’s protocol.
6. Maintain all documents used in the unit.
7. Accurate knowledge about the forms and format.
8. Perform all special assignments as assigned.

SOFT SKILL AND CRITICAL THINKING

1. Demonstrate knowledge on AIDET (Acknowledge, Introduce, Duration, Explanation, Thank) and GST (Greet, smile, thank).
2. Utilize effective communication skills in reporting pertinent information on time.
3. Adhere to telephone etiquettes.
4. Maintain professional decorum and communicate in English/local language in the areas of work with colleagues.
5. Adhere to the grooming standards laid down by the organization.
6. Evaluate the effectiveness of nursing care on patient condition.
7. Inform senior nursing professional about current activities of the unit and report unusual occurrence, incidents or other problems and also follow up as needed.
8. Utilize the man power and resource provided effectively towards patient care,
9. Report accurately by effective communication about patient condition and intervention.
10. Ensure all documentation done are appropriate with clinical terminology on time.
11. Perform independent problem solving and decision making in a logical and deliberate manner and escalate it to senior nursing professional.
12. Exhibit flexibility and adaptability in meeting the needs of the patients and the workplace.
13. Demonstrate and understand emergency levels effectively and safely
14. Respond to emergency situation in a calm constructive positive manner.

NURSING ADMISSION ASSESSMENT

1. Perform comprehensive nursing assessment on admission patients within 30 Minutes with consideration to clinical condition, pain, activities of daily living, allergies, integrity, valuables, safety needs, age, mental, social and physical status etc.
2. Identify patient problems based upon data collected through nursing assessment as well as information obtained through the family. Take measures to address any vital concerns compromising the haemodynamic stability and safety issues.
3. Follow all aspects of the hospital policy in terms of safety, personal belongings, medico – legal entity and medications.
4. Assess vital signs, important information and report abnormalities to the doctor and carry out orders as per instructions.
5. Document the nursing assessment and patient problems using appropriate clinical terminology.

6. Assess and communicate to the concerned about educational, spiritual, pain management, dietary and special needs.
7. Involve the family members in decision making andfuture plan of patient care by effective communication and education.

PLAN OF CARE

1. Formulate nursing care plan in context to patient needs, safety, PFE, diet and other needs in each shift considering the age, behavior and concerns identified through nursing assessment.
2. Ensure that care is provided with a comprehensive approach always ensuring safety and nursing clinical outcome.
3. Establish priority for nursing needs based on nursing assessment, problems identified and estimated length of stay.
4. Active participation in the development of interdisciplinary plan of care as per policy.
5. Ensure timely and continuity of care with adequate communication.
6. Ensure accurate documentation.

PROVISION OF NURSING CARE

1. Practice within the general policies, philosophy and objectives of the department of nursing and the hospital with focus on safety, quality and infection control
2. Provide nursing care in a therapeutically efficient manner by adapting current practices demonstrating social, clinical and professional judgment and competency.
3. Participate in the implementation of the treatment plan utilizing intervention appropriate to the needs of the patient.
4. Demonstrate knowledge and skills related to treatment, procedures, precautions, seclusions and restraints .
5. Provide supportive counseling of patient and family for current patient concerns.
6. Assess unit milieu and maintains a safe, therapeutic environment for patients, family members and staff.
7. Assess and meet daily living needs of patients in dressing, bathing, grooming, toileting, eating and sleeping.
8. Identify all vulnerable patients and ensure that the safety measures are followed at all time.
9. Demonstrate ability to recognize different types of incidents and reporting mechanism for such issues.
10. Document nursing interventions timely and accurately.
11. Provide ongoing patient / family education according to the individual needs of the patient and record same in the patient file.
12. Use and maintain biomedical equipment safely.
13. Update and keep abreast of the HAI statistics control measures and practices those in the working environment.
14. Participate in discharge planning, education and care at home along with patient and family actively.
15. Provide culturally competent care to the patient

MEDICATION MANAGEMENT

1. Knowledgeable about the medication process, (Adverse Drug Event )ADE and Adverse Drug Reaction ) ADR
2. Accurate transcription of medication and treatment orders for the indenting process.
3. Recognize improper or inadequate orders and reports to supervisors and physician before proceeding
4. Check and receive medication against the order during pharmacy delivery.
5. Appropriate and safe administration of prescribed medication and treatment using medication policy of 6 Right’s of medication, 2 identifiers, allergic history, (double check and double acknowledgement for applicable medicines), admixture,inform Clinical Pharmacist/Duty doctor and follow outside medication and self-medication policy etc.
6. Maintain accurate medication administration record.
7. Monitor the patient post administration for any adverse events if there is a event report and complete the event form With in 24 hrs
8. Demonstrate safe storage and control of medication.
9. Evaluate and document patient response to medication regimen.
10. Implement the waste management policy
11. To be knowledgeable of action, side effects proper dosage and contraindication of drugs being administered.
12. Need to demonstrate the knowledge on documentation requirement for proper administration of medication those protesting patients.
13. Identify the need for administration of SOS medication and document it accurately.

14. Teaching on medication management to patient and family at home as per advise by the consultant.
15. Demonstrate knowledge & competency and comply with the protocol of high alert and high risk medication usage (Transcribing, receiving, storing, administering, monitoring, reporting ADR and documenting).

PROFESSIONAL SAFETY, GROWTH AND DEVELOPMENT 

1. Assume responsibility for personal and professional growth and development through participation at in service education programme, workshop, staff meetings, unit meeting and on the job training
2. Adhere to all safety policies and safe work practices.

(Sharps policy, falls, communicable disease etc.)

3. Adhere to all hospital policies and procedures.
4. Participate in unit staff meeting, monthly meeting with Nursing Leadership, IDTR round which will enhance the quality of services provided to patient.
5. Recognize own limitation, seek information and advice when unable to solve conflict/ problems on an individual basis.
6. Maintain required professional licenses and renewal of Registration as per requirement.
7. Demonstrate competency in the following areas.

• Basic clinical competency and training.
• BLS
• NABH/ISO and Other Quality standards
• Fire Safety
• Hazardous Materials
• Infection Control
• Radiation Safety
• Proper use of Biomedical equipment / POCT device.
• Waste Management Policy
• Others as when scheduled

8. Participate in identifying training needs for individual growth and development.
9. Practice the profession as per the laid down code of conduct.

CUSTOMER RELATION SKILLS / PROFESSIONAL BEHAVIOUR / OVERSIGHT OF NURSING STUDENTS

1. Represent the hospital in a manner, which conveys a professional, courteous, caring and co – operative attitude.
2. Be knowledgeable of patient rights and responsibilities and treat all patients with dignity and respect in a consistent and caring manner.
3. Understand the need and maintain appropriate confidentiality at all times when interacting with patients, family, visitors and all other contacts.
4. Exhibit excellent customer relation skills as evidenced by supportive and constructive communication with all contacts including co-workers, patient, visitors, families.
5. Utilize an open, non judgmental, non discriminatory, professional and therapeutic approach to treatment with all patients.
6. Demonstrate professional behavior and interpersonal skills reflective of organization and department vision, mission and values.
7. Comply with hospital, departmental and human resources policies.
8. Promote a safe work environment for self, patient and co-workers by complying with environment of care, safety, infection control and standard precaution guidelines.
9. Maintain a neat, smart professional appearance consistent with hospital grooming standards.
10. Maintain scheduled requirements of attendance and punctuality
11. Comply with standards of ethics in practice / code of conduct.
12. Understand the need for appropriate patient staff boundaries and maintain a strict therapeutic relationship during active treatment. Discontinue communication with patient upon discharge.
13. Have a professional image. Represent the hospital in a professional manner.
14. Practice teamwork. Works within common vision and goal and cooperate with peers and superiors. Strive for excellence in all endeavors. Always look for ways to work more effectively.
15. In collaboration with teaching faculty of School/college of Nursing, have an oversight on the student nurses during their clinical area posting.

INTERNATIONAL PATIENT SAFETY GOALS (IPSG)

1. To be knowledgeable about identifying patients correctly by using two identifiers.
2. To be aware and comply to read back and verbal orders policy.
3. To be aware and practice safety of high alert/high risk medications.
4. Follow pre surgical process to eliminate wrong side, wrong patient and wrong procedure surgery.
5. To be aware and comply with the infection control programme to reduce the risk of health care associated infection.
6. Ensure safety programme for vulnerable patient to prevent falls.

QUALITY & SAFETY

1. To be aware and participate in quality assurance program of the department & the organization.
2. To participate in quality improvement activities.
3. To Report near miss / incident / sentinel event.
4. To participate in incident analysis if required.
5. To promote safety culture in the organization.

COMPETENCY IN POINT OF CARE TESTING (POCT)

1. To be knowledgeable about the basic operation of the POCT device.
2. To beknowledgeable about the sampling procedure
3. To be aware about the Quality controls, documentation and daily maintenance of the machine
4. To beaware of validation from Laboratory
5. Follow infection control practice while dealing with the equipment.
6. To Check the Calibration of the machine.
7. To adhere to waste management protocol as per hospital policy.

COMPETENCY IN BLOOD TRANSFUSION

1. Need to be aware about the Blood Transfusion Process.
2. Need to be knowledgeable about the Blood Monitoring Protocol.
3. Ensures the written consent & written order for the Blood / Blood product transfusion.
4. Checks and document the vital signs as per protocol and report abnormalities to the treating team and carry out orders as per instructions.
5. Need to be aware about the validity of Blood products.
6. Provide supportive counselling to the patient & family regarding Transfusion.
7. Evaluate and document the patient’s response to the transfusion.
8. Need to be aware about the blood transfusion reaction & reporting process
9. To be competent in following infection control practices.
10. Adhere to the waste management policy.

COMPETENCY IN COMPASSION

1. Being courageous - Courage to ask questions and hear responses.
2. Connecting emotionally - Inviting people to share how they are feeling.
3. Being curious - Asking questions about even the smallest of things.
4. Being collaborative - Talking together, involving people in decisions, bringing people on board, and developing a shared responsibility for actions.
5. Considering other perspectives - Creating space to hear about other perspective.

Being open and realistic about expectations.

COMPETENCY OF WARD NURSE

6. Be aware of the Admission & Discharge criteria of inpatients.
7. Be knowledgeable in handling patients during Admission &Discharge.
8. Perform comprehensive Nursing assessment specific to inpatients including Vitals / Pain as per format.
9. Identify the needs and provide comprehensive care.
10. To be knowledgeable and skill on feeding techniques / parenteral / enteral feeding.
11. Be aware & practice infection prevention based on hospital guidelines including neutropenic care.
12. Demonstrate knowledge of patient’s safety & implement the same .
13. Be aware of resuscitation techniques & assists during emergent situations.
14. Demonstrate knowledge skill in identifying and managing the code as per protocol.
15. Be aware of medication used , its calculation , action adverse drug effect & adverse drug reactions.
16. Provide education to patient and family based on individual’s need.
17. Maintain accurate timely documentaion
18. Report any untoward incident / event to senior nursing professional.

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