To attend any new patient (admission) within prescribed time frame
To examine & take a proper history of the patient (If he is in a position to give it on his own) or from his relative.
Check any previous records, if available.
Charts down all the details in the history sheet.
Inform the respective consultant about the admission follow his orders.
Instruct the nursing staff about the necessary orders to be carried out.
If there’s a transfer in-patient from the ICU. Read the transfer summary/ clinical notes carefully and act accordingly.
Inform the respective consultants whenever seems significant.
Shift Duty:
To take rounds and examine individual patients at least once in every shift and as & when needed. Inform the respective consultant/ Registrars if any new findings.
To put the notes in clinical sheet.
To enter the relevant details of each and every patient accordingly.
Attend rounds with the respective consultants and carry out the necessary changes in the order. Enter them in the treatment sheet.
Fill the Medicine Card and Non Drug Order sheet
To instruct the nursing staff about orders and follow them up
To follow up with all the investigations to be seen and trace their results. Note down investigation results in the investigation sheet.
To Document Verbal Orders correctly in clinical notes if given by consultants.
To respond to emergency calls and to activate code blue if any medical emergency is encountered beyond your control.
To identify the critical status of patient and shift him to critical care area in time.
Always contact primary consultant if found necessary at any point of time.
Discharges:
Prepare discharge summaries well in advance according to the policy.
Pre Surgical & Post Surgical Patients:
To follow pre-operative orders in the treatment sheet. To check whether the consents (Surgical, Anesthesia, etc) for the surgery has been taken from the patient. If not inform the respective person.
To get the PAC done. To carry out all the pre-operative orders.
Inform the consultant over phone during night shift about patient status who are scheduled for surgery next day.
To attend patients complaints. To calm the patients if they are apprehensive. Inform the consultant if needed.
General:
To attend camps according to the policy.
To work as per Policies and procedures of organization.
To get the cross referral form filled abd call cross consultants according to the policy.
Use capital letters for medicines (Generic Names/ Salt) and always put sign, name, date and time with every entry you make.
To take care about completeness of records
To act accordingly as per communicated by hospital management team.
Skill Sets:
Verbal Ability/Communication Skill: Ability to comprehend verbal instructions given by the supervisor or head of the department.
To give accurate and tactful explanations to patients. Problem solving/ Decision-making
To think independently and exercise own judgment in consensus with the supervisor.
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