KARTHIKA AROMAL

An Emergency Department (ED) Nurse plays a crucial role in providing immediate care to patients experiencing acute medical issues. Here are some key responsibilities typically associated with the role

Responsibilities of an ED Nurse:

1. Patient Assessment:
- Conduct thorough assessments of patients’ conditions.
- Prioritize care based on the severity of the situation (triage).

2. Clinical Care:
- Administer medications, IV fluids, and treatments as prescribed.
- Perform emergency procedures, such as CPR, wound care, and intubation when necessary.

3. Monitoring:
- Continuously monitor vital signs and patient status.
- Document changes in patient condition and communicate with the healthcare team.

4. Collaboration:
- Work closely with physicians, paramedics, and other healthcare professionals.
- Participate in interdisciplinary rounds and care planning.

5. Patient Education:
- Provide patients and families with information about diagnoses, treatments, and discharge plans.
- Offer emotional support and counseling to patients and their families.

6. Crisis Management:
- Handle high-stress situations and emergencies calmly and efficiently.
- Maintain a clear and organized approach during chaotic moments.

7. Infection Control:
- Follow strict protocols to prevent infection and ensure patient safety.
- Maintain cleanliness and safety in the ED environment.

8. Documentation:
- Accurately document patient care, treatments administered, and changes in condition.
- Ensure all records comply with legal and regulatory requirements.

Skills Required:

- Strong clinical skills and knowledge of emergency medicine.
- Excellent communication and interpersonal skills.
- Ability to work under pressure and make quick decisions.
- Compassion and empathy to patient in distress

• Maintain individual patient care plans, evaluating and updating them as necessary to ensure that the patient's physical, social and psychological needs are met
• Will undertake initial assessment of patients arriving in A&E, without a diagnosis, with guidance from senior staff
• Recognises the need for prioritisation, but refers to senior staff for assistance in carrying it out
• Learns the skills of developing a therapeutic relationship with A&E patients in a short time span
• Supervise and participate in keeping accurate and legible records and be aware of the legal implications of these documents
• (Ref NMC Rules) Date, Timed and Signed
• Maintain effective communication with nursing colleagues and work with other professional groups in all aspects of patient care and the ward environment
• Knowing how and when and where they can make suggestions for change

• Responsible for the assessment of critically ill patients and the development, implementation and evaluation of planned programmes of care
• Practice safely, using specific critical care knowledge regarding advance concepts such as ventilation, oxygenation and trauma
• Collaborates with multi-disciplinary team to ensure clear communication and always demonstrate professional communication
• Participated in hospital-wide initiatives and committees to improve patient care, satisfaction and safety
• Recorded patients' medical history, vital statistics and test results in medical records
• Designed and implemented guidelines and policies to comply with health and safety standards in providing patient care
• Advocated for patients by respecting basic rights, beliefs and values to protect choices and preferences
• Observed patients to monitor progress and identify deterioration or abnormalities, diligently noting and reporting changes

• Maintain and monitor high standards of care by using a systematic approach to individualised care, by planning and delivering care around the model of nursing in the clinical area
• Record all care and planned care in the documented format utilised in the area
• Ensure all documentation is completed, legible, signed and kept relevant and up to date
• Maintain knowledge base of equipment used within the unit (i.e Manual handling devices, cardiac arrest equipment etc)
• Be responsible for maintaining safe custody, witnessing, recording and delivery of all medication to patients in accordance with the Treatment Centre's policy
• Perform duties with due regard to the Scope of Professional Practice and be willing to extend skills for the benefit of patient care
• Have a good understanding of the difference between local anaesthetic and sedation and to give appropriate advice
• Sedation and non-sedation, Post procedure care
• Competent in giving explanations to patients undergoing endoscopy procedures
• Understand the risks of sedated patients whilst undergoing and recovering from a procedure
• Be competent in setting up the endoscopy room, ensuring relevant equipment is available
• Undertake patient's assessment for endoscopic procedures for Upper GI, Flexible sigmoidoscopy, Colonoscopy and Cystoscopies Procedures
• Manage airways and support a patient through upper GI Endoscopy
• Support through flexible sigmoidoscopy and colonoscopy procedure
• Assist with upper GI endoscopy with or without biopsies or HP test
• Assist with Colonoscopy and Flexible Sigmoidoscopy +/-biopsies
• Assisting with lifting polypectomy and tattooing the colon for marking of polyp or potential cancer
• Prepare and use of endoscopic clipping device
• Prepare and use of equipment for dye spray lower GI tract
• Prepare and check diathermy machine
• Prepare and check Entonox
• Discharge un-sedated patients
• Recover and discharge a sedated patient
• Maintain infection control in Endoscopy

• Registered nurse at Neuro Regional Transfer Unit
• The Wessex neurological Centre (WNC) provides a dedicated, integrated 24-hour acute neurosurgical, neurological, spinal and stroke assessment, investigation and treatment service
• Neuroscience Nurses provide care for patients who suffer from a wide variety of brain or nervous system disorders
• Neuroscience Nurses perform many of the following typical procedures: Help patients recover behavioural, physical, and cognitive abilities
• Provide pre-operative and post-operative care
• Exhibit a high level of patience and sensitivity, as not all patients are able to mentally function normally
• Keep medical records current for all patients
• Monitor patients' neurological activity
• Administer medicine and tests
• Assist neurological doctors with procedures, and inform them about patient's conditions
• Ensure patients' families are kept up to speed with patient's status and programme

• Cannulation - Venesection - Urinalysis - Catheterization - MUST calculation - Checking vital signs and recording - Neurological observation including Glasgow coma scale and recording - Checking vital capacity and recording (Notifying healthcare professionals if temperatures, pulse rates, or respiration rates seem abnormal or worrying) - Suctioning - Blood glucose monitoring and recording - Performing ECG to needed patients - Preparing patient for surgery
• Filling theatre check list, Post operative care - Maintaining input/output chart for needed patients - Maintaining stool chart for needed patients - Maintaining food chart for needed patients
• Helping patients to undertake personal tasks, including washing, showering, and using the toilet, Serving food to patients and helping them to eat if they are physically weak, Changing dirty sheets and bedding, Talking to patients to ease loneliness and feelings of isolation, Listening to the particular needs of patients and acting on these needs as appropriate
• Turning patients who are required to spend a lot of time in bed, in order to avoid bed sores, Helping patients to move around their environment and to feel comfortable in their own homes or in hospital

• Prepare the recovery room for the patients
• Check all equipment Ensure notes and theatre lists are available
• Admission of caesarean section women to recovery, explain procedures
• PREOPERATIVE CARE WHICH INCLUDES - Vital signs checking, completing theatre checklist, preparing mothers to theatre (Providing theatre anti embolism stockings, preparing the operation site, two ID labels and allergy bands if necessary)
• Fill preoperative check list
• Fill thromboembolism screening tool Label all document with sticky labels
• Document every findings in day unit review
• Document blood results, Take part in surgeon and anesthetic review, Attending staff briefing
• SURGICAL PHASE - Take first woman to the theatre
• Cannulation Set up, Catheterization, Assist in theatre as a runner or in scrub role
• RECOVERY PHASE - Moving patient to recovery
• POST OPERATING CARE INCLUDES - Recording vital signs
• Assessing pain Regular checking of CS dressing and any other signs of abnormal bleeding
• Checking baby's weight and vital signs
• Maintaining the records HICCS AND LIAISE
• Newborn assessment
• Helping mothers for feeding babies which include breast and artificial feeding Baby bath catheter care and removal
• Discharge procedure and Health education

• The primary role of a phlebotomist is to draw blood, which is typically done through venal puncture, drawing blood is not the only role that a we plays in a clinical or hospital environment
• We are responsible for helping to establish and maintain rapport with patients and are expected to help patients understand what is being done and to help alleviate stress and anxiety regarding blood tests
• Phlebotomists must be able to interact with patients of all ages and health states and will be responsible for establishing patient identity before testing as well as asking questions related to certain tests
• A phlebotomist will also be required to perform data entry in a number of cases, including when tests have been performed
• Record management and bookkeeping are commonly required skills for phlebotomy experts, and many professionals are also required to provide proper etiquette during phone calls with patients as well

• Maintaining accurate, complete health care records and reports
• Administering medications to patients and monitoring them for side effects and reactions
• Prescribing assistive medical devices and related treatments
• Recording patient vital signs and medical information
• Ordering medical diagnostic and clinical tests
• Monitoring, reporting, and recording symptoms or changes in patient conditions
• Administering non-intravenous medications
• Assessing, implementing, planning, or evaluating patient nursing care plans by working with healthcare team members
• Modifying patient health treatment plans as indicated by patient conditions and responses