Responsible nurse job responsibilities

Part 1: Responsible Nurse Job Responsibilities

1. Responsible for bedside handover. Participate in the morning meeting and listen to the night shift medical staff to hand over the class early. Check the blood collection at night, and be responsible for the laboratory test specimens for patients who return home at night.

2. The patient's bedside handover class in the whole district is focused on handing over the patients. For new and critically ill patients, check the general condition and the condition of each drainage tube, transfer the special case, and transfer the medical order. Ward safety management handover. Count the number of patients, accompany the number, and urge the patients to return.

3. Responsible for morning care. Organize the patient bed unit and personal hygiene, and standardize the management of the ward.

4. Responsible for basic care. In charge of nasal feeding, oxygen inhalation, sucking, preparation of sterile discs, indwelling needle care, drainage tube care, oral care, skin care, etc. Responsible for the cleaning, immersion and disinfection of the items used. Dailyly replace the oxygen humidification bottle with sterile water and oxygen nasal cannula, keep the suction machine clean, and replace the disposable pipe of the suction machine daily.

5. Responsible for checking the preparation before surgery and special inspection.

6. Responsible for various treatments and specialist care. Responsible for the infusion, blood transfusion, skin test, intramuscular injection, and infusion of the patient. Perform time treatment and nursing work.

7. Responsible for arranging auxiliary inspections Ask for scientific, reasonable, timely, and safe. Assist the bed doctor to complete all invasive examinations.

8. Responsible for the observation of the condition. Timely inspection, observation of the patient's condition, medical order implementation, etc., medical and academic education network collection and found that abnormal reports were promptly reported to the doctor on duty. Complete the nursing record in time.

9. Responsible for rescue and hospitalization. Responsible for the management of patients in charge of beds, new hospitalization, admission and patient guidance, and terminal disinfection, dead patient body dishes. Participate in the ward round of the doctor, and "eight know" for all the patients in charge: bed number, name, diagnosis, condition, treatment, nursing, diet, and psychology.

10. Responsible for organizing nursing records. Timely check the quality of the care files in each class of the bed.

11. Responsible for health education work. Maintain good communication with patients and their families. Assist the main general nurse to do the fee interpretation work.

12. Responsible for the business guidance and teaching work of the lower level nursing staff. Work with other groups of responsible nurses. Pay attention to the responsibility of the shift.


Part 2: Responsible Nurse Job Responsibilities

1. During hospitalization

From the first day of the patient's admission, the responsible nurse must be familiar with and understand the patient he or she is in as soon as possible. When the responsible nurse fails to contact the new patient for the first time on vacation or night shift, the general situation of the patient must be known from the nurse at the shift, such as: name, gender, age, occupation, disease name, presence or absence. Surgery, etc., and make a record.

Communicate with the patient for the first time, to complete a self-introduction, and strive to make a good first impression for the patient. And for the patient to do admission to the mission, the content of the mission is as follows: [1] Introduction to the hospital environment: the purpose of introducing the hospital environment for patients is to prevent psychological and physiological discomfort after the patient's living environment changes. Introduce the patient's general environment, such as the cafeteria, toilet, medical office, and dressing room, and introduce the patient's regular schedule after the hospitalization, such as meal time, schedule, rounds, treatment time, etc., so that the patient is gradually familiar with Adapt to the environment. Medical education network collection

[2] Introduce medical staff: Introduce the patient to the doctor, the responsible nurse, and the doctor's office to inform the patient that there is something to contact the doctor in time.

[3] Introduce the hospital rules and regulations: If you want to keep your valuables during hospitalization, the ward should pay attention to keep quiet. When the doctors check the house, they can't stay with them. After the leave, they can leave the hospital to ensure the patients are in the hospital. And the safety of the property.

[4] Introduce disease knowledge: introduce patients to the disease, reduce the fear of the disease itself, treatment, surgery, etc. caused by lack of information.

[5] Make good missions in time: for example, admission to education, pre-operative education, and health knowledge missions.

As a responsible nurse, what you need to do is to run more, talk more, see more, smile more. Timely feedback the patient's condition to the doctor, promptly resolve the patient's misunderstanding of the medical work, and make a bridge between the doctor and the patient.

More running: that is, when working hours allow, you can go to the patient's bed to make multiple brief exchanges. Understanding the patient's psychology is not only beneficial to the patient's physical and mental recovery, but also enhances the relationship between the nurse and the patient.

More to say: that is, no matter whether it is explained before any treatment or nursing, appropriate comfort in the process, encourage patients to cooperate with the treatment, inform the patient to pay attention to the matter after the end, repeat as much as possible, and deepen the impression. Ask and answer questions that patients have encountered during their hospitalization.

Look more: Mainly refers to the patient's reaction during the treatment process. Pay more attention to the patient's infusion and infusion reaction during the infusion. The patient has any discomfort during the infusion process, so as to find problems in time and solve the problem. However, it should be noted that nurses should be steady, light, and quiet when they enter and leave the ward. They should be busy with work, and they should not panic or rush, and walk under the wind, leaving the patient with a sense of instability.

Smile more: Usually, when you get along with the patient, be kind, sincere and polite. Communicate with patients of different ages to adopt different ways of speaking and speaking, and have a proper name. If the patient is older, he can appropriately improve the voice of the speech and help the patient. He can use non-verbal communication, gestures, and facial expressions more, so that the patient can feel that you are paying attention to him at all times. Relieve the “unnecessary psychological feelings and self-esteem needs” encountered by patients after admission. Appropriate compliments and humorous expressions help to communicate better with patients.

2, the patient is leaving the hospital

When the patient leaves the hospital, the responsible nurse is best to let go of the work in his hand and spend a few minutes to deliver the patient. It takes only a few minutes to count, but it may be another psychological feeling for the patient. As the saying goes, "There is no other thing in the end of the journey." We only need to send the patient to the hospital door, so it is especially important that the nurse accompany the patient to leave the ward to get out of the hospital door. We need to inform the patient to pay special attention after returning home. We need to repeat the hospital's contact number again, and ask the patient to call in time when I encounter a problem that I don't understand, and remind the patient of the time of the next review. Out of courtesy, the patient can leave before leaving. In this way, the nurse spends only a few minutes, and what the patient may remember is precisely this "instant".

3, return visit work

The hospital can establish a health record for the patient, and the responsibility of the responsible nurse is to make a return visit record after the patient is discharged from the hospital. A good return visit record can reflect the patient's medical treatment process and the overall dynamic health after discharge. During the return visit, the nurse can remind the patient to constantly improve the unsound physical and mental and social adaptation status, and the hospital can help him. As a patient, it is very trusting and grateful to the hospital or his responsible nurse. This kind of good impression will inadvertently infect other people around him.

The return visit time is preferably 12-24 hours after the patient is discharged from the hospital. The return call should be simple and clear, and the return visit record should be made in time.

The contents of the return visit record may include: name, gender, age, occupation, disease name, hospitalization and operation time, departure time, review time, contact information, etc., and the "return visit record" of the personality according to personal habits. If the patient needs a second operation and a long-term return visit, the "Remarks" column can be added to the return visit record, which can include whether the patient has other diseases, such as hypertension, diabetes, etc., to avoid having to say after the long return visit time. The nurse can tell the patient some treatment and prevention tips based on his professional expertise. Some of the daily greetings can also be involved in the return visit. For example, the weather is getting colder. Have you been physically healthy recently?


Part 3: Responsible Nurse Job Responsibilities

1. Work under the guidance of the head nurse of the ward and under the guidance of the undergraduate supervisor.

2. Participate in the clinical practice of nursing in the ward, instruct the nurse to correctly implement the medical procedures and various nursing techniques, find problems and solve them in time.

3. Participate in the nursing work of critically ill and difficult patients in the ward, and the difficult nursing technology operation. Lead the nurse to complete the clinical practice of new business and new technology.

4. Assist the head nurse in formulating the ward care work plan and participate in the ward management.

5. Participate in the nursing ward round, consultation and case discussion organized by the undergraduate nurse and supervisor. The medical and academic education network collects and organizes the nursing rounds of the ward.

6. Assist the head nurse in charge of the business training of the nurses and training nurses in the ward, formulate learning plans, organize the preparation of teaching materials and serve as lectures. Conduct a technical assessment of the nurse.

7. Participate in part of the clinical teaching of the nursing school and bring clinical internships to the nursing students.

8. Assist the head nurse in formulating the scientific research and technological innovation plan of this ward, proposing scientific research topics, and organizing implementation.

9. Analyze the mistakes and accidents that occur in the ward and propose preventive measures.


Part 4: Responsible Nurse Job Responsibilities

First, attend the morning meeting.

Second, carefully hand over the patient's situation in the responsible group, focusing on the treatment, care, pipeline infusion and skin condition of the patient. And the implementation of night shift medical orders, ward safety management, etc.

Third, do a good job in admission to the hospital, health education and discharge guidance.

4. Responsible for all life care and basic nursing work of this group of patients, implement grade nursing, do a good job in patient safety, and prevent complications of care.

5. Responsible for all treatment and examination of patients in this group. Perform time-based treatment; oral medication to see the mouth, carefully observe the efficacy and side effects of the drug; arrange various auxiliary examinations, require scientific, reasonable, timely, and safe; assist the tube-bed doctor to complete various invasive examinations, rescue and other treatments jobs.

Sixth, closely observe the changes in the condition, regularly inspect the ward, critical patients patrol once every 15 minutes, the general patient patrols once every 30 to 60 minutes.

7. Master the clinical dynamics of the patients in this group, and do “eight know” to timely understand the patient's condition, find problems in time, and solve problems.

8. Work according to the overall care program and make a record.

9. Responsible for the measurement and recording of conventional T, P, R, and BP.

Ten, understand the changes in the patient's thoughts and emotions, and do a good job in psychological care in a timely manner

11. Responsible for the business guidance and teaching work of the lower level nursing staff. Cooperate with other groups of responsible nurses, pay attention to the shifting of the responsible nurses to ensure the continuity of nursing work.


Chapter 5: Responsible Nurse Job Responsibilities

1. Responsible for bedside handover. Participate in the morning meeting and listen to the night shift medical staff to hand over the class early. The patient's bedside handover class in the whole district is focused on handing over the patients. For new and critically ill patients, check the general condition and the condition of each drainage tube, transfer the special case, and transfer the medical order. Ward safety management handover. Count the number of patients and urge the patients to return.

2. Responsible for morning care. Organize the patient bed unit and personal hygiene, and standardize the management of the ward.

3. Responsible for basic care. In charge of nasal feeding, oxygen inhalation, sucking, preparation of sterile discs, indwelling needle care, drainage tube care, oral care, skin care, etc. Responsible for the cleaning, immersion and disinfection of the items used. Dailyly replace the oxygen humidification bottle with sterile water and oxygen nasal cannula, keep the suction machine clean, and replace the disposable pipe of the suction machine daily.

4. Responsible for various treatments and specialist care. Responsible for the infusion, blood transfusion, skin test, intramuscular injection, and infusion of the patient. Perform time treatment and nursing work.

5. Responsible for arranging auxiliary inspections Ask for scientific, reasonable, timely, and safe. Assist the bed doctor to complete all invasive examinations.

6. Responsible for the observation of the condition. Timely inspection, observation of the patient's condition, medical order implementation, etc., found that abnormal reports were promptly reported to the doctor on duty. Complete the nursing record in time.

7. Responsible for rescue and hospitalization. Responsible for the management of patients in charge of beds, new hospitalization, admission and patient guidance, and terminal disinfection, dead patient body dishes. Participate in the ward round of the doctor, and "eight know" for all the patients in charge: bed number, name, diagnosis, condition, treatment, nursing, diet, and psychology.

8. Responsible for organizing the medical records. Timely check the quality of the care files in each class of the bed.

9. Responsible for health education work. Maintain good communication with patients and their families. Assist the general manager to explain the charge.

10. Responsible for the business guidance and teaching work of the lower level nursing staff. Work with other groups of responsible nurses. Pay attention to the shift of the responsible nurses to ensure continuity of care. Bedding: 10-15 sheets.