DUTIES AND RESPONSIBILITIES ER:

• Delivering quality nursing care with compassion, competence and critical thinking skills in ER
• Demonstrating caring, comforting qualities and communicates with an empathetical and individualistic approach.
• Performing triage, while considering both physical and psychosocial elements
• Performing first aid measures (cleaning and bandaging wounds, splints etc) by proper assessment.
• Manages basic life support needs and stabilizes patient and assists with advanced care life support
• Assisting in life saving measures like intubation and advanced cardiac support.
• Work directly with physicians, assisting them during patient physical examination, diagnostic testing and treatment plan.
• Ensuring the provision of safe environment in both preventive and promotive aspects for all patients, relatives and significant others.
• Maintaining interdepartmental, inter-unit coordination and communication.
• Possessing knowledge regarding the Standard Operating Procedures (SOP) and clinical protocols of ER.
• Interpreting the department’s policies and procedures to personnel, residents, visitors, and accreditation bodies as required.
• Liaising with consultants and heads of other departments for effective implementation of patient care and minimizing errors of omission and commission.
• Prepares patient for emergency theatre procedures.
• Manages contaminated instruments and supplies during procedures to prevent spread of infection and reduce risk of exposure to blood borne pathogens.
• Ambulance stretcher & Spine board handling.
• Teaching and training members of the public to use first aid techniques correctly.
• Maintaining relevant documents and adhering to established reporting system.
• Periodically updating knowledge on clinical protocols, translating them at the bed side and participating in Continuing Nursing Education.
• The ER RN and paramedic recognizes and effectively treats life-threatening conditions, with the ability to deploy rapid assessment and treatment of patients in highly critical situations, particularly during the initial phase of acute illness and trauma, where every second is important.
• Emergency department nurses and paramedic must possess knowledge about healthcare on general and specific levels and provide quality care to patients of all ages.
• An emergency nurse must have the ability to make quick and accurate assessments about incoming patients, including both physical and mental health conditions.
• To specialize in assessing, intervening and stabilizing a variety of trauma and illnesses with decisive action and they must be knowledgeable about general as well as specific health issues.
• Maintaining professional decorum at all times.

• Providing leadership and clinical decision making to all nurses and other members (secretaries, housekeeping staff etc.) of the unit.
• Ensuring adequacy of stock by indenting, maintaining the same, keeping in mind the need for lean practices.
• Maintaining records and establishing adequate reporting with accurate documentation.
• Predicting emergency situation and preparing the unit for its smooth function.

• Ensuring that all investigation reports are collected and reported on time to the concerned physician for treatment decision.
• Reporting high alert investigation results to the sister in-charge and seeks medical help for prompt action and record the interventions done.
• Ensuring safe transportation of the patient to diagnostic tests/other wards or units.
• Conducting an initial thorough assessment of every patient upon admission.
• Performing ongoing reassessment of patients to identify needs and problems.
• Raising menu card upon admission and as and when the dietary needs alter.
• Ensuring that the paramedical services reach patients on time. For example: Physiotherapy, Dietary.
• Making keen observation for early identification of warning signs of complication.

• Participating effectively in hospital infection control policies including hand-washing, bio-medical waste management, cleaning and deep cleaning protocols, needle-stick injury protocols, spill management, prevention of surgical site infection, prevention of catheter related blood stream infection, prevention of catheter related urinary tract infection, prevention of Ventilator Associated Pneumonia, guidelines for Hospital Acquired infections (MRSA, Acinetobacter and so on).
• Practicing safe medication management principles that include drug calculation, IV therapy, drug indenting and administration, prevention of drug errors, monitoring of fridge temperature, look alike and sound alike medications and crash cart maintenance.
• Ensuring that all he/she has undergone the BLS and overview of ACLS training, Modified Earning Warning Score (MEWS) training, code blue management.
• Following patient safety goals including provision of care for the vulnerable patients.
• Safe transportation of patient interhospital and Intrahospital. Communicating patient condition to respective areas before transportation. Accompanying sick patients while being transported

• Supervising non – professional staff in the cleanliness and orderliness of the ward and transportation of the patient.
• Maintain relevant documents and adhere to established reporting system.
• Periodically updating knowledge on clinical areas, translating them at the bed side and participating actively in continuing nursing education.
• Maintaining ER asset inventory and pharmacy stock in the unit.
• Any other work as and when entrusted by the superiors from time to time