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TEXT :The duties of the nurse in therapeutic department



The duties of the nurse include: accompanying the patient to the office, filling in the registration paperwork, examination and cleansing of the patient, transportation to a hospital department. The nurse explains to the scheduled patients what they can take to the ward: toilet articles, slippers, a gown.

The duties of the ward nurse include also: doing doctor’s round together with the attending doctor, observing the patient’s condition, measuring temperature chart, distribution of drugs, preparing patients for investigations, sending blood and other samples for tests, control of test results, keeping medical records, care of bedridden and grave patients together with junior personnel, control of compliance with sanitary requirements.

The List of Nursing Skills :

1. Evaluating hygienic and sanitary conditions of wards;

2. Changing underwear and bedclothes;

3. Cleansing patients;

4. Using bed-pans, urinals; disinfecting them;

5. Watching the appearance and general condition of a patient;

6. Feeling the pulse on the radial artery, determining its character;

7. Counting the number of respirations per minute. Giving aid in breathlessness;

8. Giving first aid to patients suffering from cough. Taking sputum for analysis;

9. Feeding severely ill patients;

10. Transporting severely ill patients;

11. The rules of keeping drugs. Giving drugs to patients;

12. Estimation of antibiotic dose, dilution of antibiotics;

13. Application of an ice pack on the patients;

14. Using different forms of oxygen therapy;

15. Introducing a soft catheter into the urinary bladder;

16. Administering cleansing, retention, flush and medical enemas. Introducing a flatus tube;

17. Measuring body temperature and registering the results. Nursing patients with fever;

18. Anthropometric measurement;

19. Taking blood pressure and feeling the pulse. Recording the received data;

20. Taking sputum for analysis;

21. Applying a tourniquet on the arm;

22. Cleansing the stomach using a thick elastic tube. Performing gastric intubation using a thin elastic tube. Making fractional analysis of gastric juice;

23. Performing duodenal intubation;

24. Giving first aid in nasal bleeding, blood spitting and pneumorrhagia;

25. Giving first aid in gastro-intestinal bleeding;

26. Giving first aid in cardiac pains;

27. Making artificial lung ventilation and closed-chest cardiac massage.

AT THE RECEPTION DEPARTMENT

· Transportation of patients from the ambulance car to the reception department

· Medical records, filling out the front page of case history

· Entering the patients into the register

· Anthropometry

· Examination of hair and skin integuments

· Sanitary cleansing of patients (trimming the hair and nails, a bath, shower or wiping)

· Entering the temperature in the register

· Storage and use of thermometers

· Filling out temperature sheets

· Catheterization of the bladder

· Transportation of patients from the reception department to the inpatient department

·

IN THE WARD

· Familiarization with the layout, organization of work, and regimen of medical care institutions

· Familiarization with the medical records, rules of admitting and discharging patients

· Wet cleaning of wards

· Control of the sanitary condition of bedside tables

· Airing the wards

· Control of food brought by visitors

· Disinfection and storage of spittoons

· Transportation of patients with a drip stand or drain

· Making the bed

· Change of linen and bed clothes

· Placing the rubber ring or bedpan

· Transportation and relaying of patients

· Administering mustard plasters and cupping glasses

· Feeding of the patient. Notion of diet therapy. Nutrition regimen

· Feeding grave and bedridden patients

 

 

UNIT 20

ТЕМА20: ПЕРВАЯ ПОМОЩЬ

 


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