Medicinska sestra / medicinski tehničar

Opis poslova:

• Uspostavlja kontakt s bolesnikom te evidentira sve podatke važne za sastavljanje plana zdravstvene njege, u dogovoru s bolesnikom ako to dopušta njegovo zdravstveno stanje.
• Utvrđuje potrebe bolesnika i sastavlja plan zdravstvene njege.
• Organizira, provodi i nadzire provođenje planirane zdravstvene njege.
• Procjenjuje uspješnost provedene zdravstvene njege.
• Surađuje s nadležnim liječnikom i izvješćuje ga o očekivanim rezultatima plana zdravstvene njege te svim uočenim promjenama kod bolesnika.
• Rukovodi i koordinira timom za provođenje zdravstvene njege.
• Dokumentira sve dijelove procesa zdravstvene njege, uključujući planiranje, provedbu i procjenu.
• Utvrđuje zadaće medicinske sestre koja sudjeluje u radu multidisciplinarnog tima.
• Kontrolira poštivanje dostojanstva osobe u skrbi, etičkih pravila i zakonitosti rada medicinskih sestara u svom timu.
• Educira bolesnika i njegovu obitelj o održavanju zdravstvenog stanja i sprječavanju komplikacija bolesti iz područja zdravstvene njege, uključujući osobnu higijenu, prehranu, promjenu životnih navika i korištenje pomagala.
• Sudjeluje u donošenju odluka o nabavi pribora i opreme potrebnih za provođenje zdravstvene njege.
• Organizira i provodi trajno stručno usavršavanje članova tima kojim rukovodi.
• Sastavlja i otprema prijedlog za kontinuiranu zdravstvenu njegu.
• Primjenjuje i evidentira parenteralnu, peroralnu i lokalnu terapiju, prema pisanoj odredbi liječnika koja mora sadržavati naziv lijeka, dozu, način i vrijeme primjene.
• Primjenjuje terapiju intrakutano, supkutano, intramuskularno, lokalno i oralno prema pisanoj uputi liječnika koja mora sadržavati naziv lijeka, dozu, način i vrijeme primjene tijekom skrbi.
• Provodi enteralnu, parenteralnu i peroralnu prehranu bolesnika.
• Provodi ili sudjeluje u provedbi dijagnostičkih i terapijskih postupaka prema protokolima ustanova i pisanoj odredbi liječnika.
• Uzima uzorke za laboratorijske pretrage, uključujući uzimanje uzoraka kod nepokretnih i polupokretnih bolesnika.
• Osigurava propisno zbrinjavanje infektivnog i biološkog otpada.
• Pristupa hitnom zbrinjavanju bolesnika do dolaska liječnika.
• Prepoznaje granice područja svoje odgovornosti.
• Organizira službu zdravstvene njege u hitnim situacijama, uz mogućnost delegiranja poslova na nižu razinu.
• Evidentira i pravovremeno izvješćuje nadređene o svim zapaženim promjenama kod bolesnika.
• Priprema, provodi i evidentira dezinfekciju i sterilizaciju pribora.
• Djeluje uvijek u korist bolesnika.
• Provodi postupke planirane zdravstvene njege u kući bolesnika.
• Provodi postupke sprječavanja komplikacija dugotrajnog mirovanja.
• Provodi postupke zbrinjavanja kronične rane prema utvrđenim protokolima.
• Provodi kateterizaciju mokraćnog mjehura kod žena.
• Provodi postupke održavanja stoma.
• Provodi postupke palijativne skrbi i zdravstvenu njegu umirućih bolesnika.
• Uspostavlja prvi kontakt s bolesnikom i uzima osnovne podatke o bolesniku.
• Procjenjuje prioritete pregleda i zdravstvenih postupaka.
• Priprema bolesnika za liječnički pregled.
• Priprema i primjenjuje terapiju koju je odredio liječnik
• Podučava obitelj provođenju postupaka osobne higijene kod nepokretnog, teško pokretnog, pokretnog i inkontinentnog bolesnika.
• Surađuje s nadležnom patronažnom službom.
• Ovlaštena za samostalno provođenje osnovnih i specifičnih postupaka zdravstvene njege u okviru stečenih vještina i pod nadzorom više razine, oslanjajući se na temeljne teorije sestrinstva.
• Visoka razina samostalnosti u kliničkom prosuđivanju, upravljanju sestrinskim procesom, mentorstvu mlađim sestrama te preuzimanju rukovodećih uloga.

• Establishes rapport with the patient and records all information relevant to developing the nursing care plan, in consultation with the patient where their clinical condition permits.
• Assesses the patient’s nursing care needs and develops an individualised nursing care plan.
• Organises, delivers and supervises the implementation of planned nursing care.
• Evaluates the effectiveness of the nursing care provided.
• Collaborates with the treating physician and reports the anticipated outcomes of the nursing care plan and any observed changes in the patient’s condition.
• Leads and coordinates the nursing care team.
• Documents all stages of the nursing process, including care planning, implementation and evaluation.
• Defines the responsibilities of the nurse working within the multidisciplinary team.
• Monitors respect for patient dignity and compliance with ethical standards and applicable legal requirements within the nursing team.
• Educates patients and their families on maintaining health and preventing disease-related complications within the scope of nursing care, including personal hygiene, nutrition, lifestyle modifications and the use of assistive devices.
• Participates in decisions regarding the procurement of supplies and equipment required for nursing care.
• Organises and delivers continuing professional development for members of the nursing team.
• Prepares and submits referrals for ongoing nursing care.
• Administers and documents parenteral, oral and topical medications in accordance with written medical orders specifying the medication name, dose, route and time of administration.
• Administers intradermal, subcutaneous, intramuscular, topical and oral medications in accordance with written medical orders specifying the medication name, dose, route and time of administration during care delivery.
• Provides enteral, parenteral and oral nutritional support.
• Performs or assists with diagnostic and therapeutic procedures in accordance with institutional protocols and written medical orders.
• Collects specimens for laboratory testing, including from patients who are bedbound or have limited mobility.
• Ensures the appropriate disposal of infectious and biological waste.
• Initiates emergency care pending the arrival of a physician.
• Recognises the limits of their scope of practice and professional responsibility.
• Organises nursing services in emergency situations, delegating tasks to staff at an appropriate level of competence.
• Documents and promptly reports all observed changes in the patient’s condition to supervisory staff.
• Prepares for, performs and documents the disinfection and sterilisation of instruments and equipment.
• Acts in the patient’s best interests at all times.
• Delivers planned nursing care in the patient’s home.
• Implements measures to prevent complications associated with prolonged immobility.
• Provides chronic wound care in accordance with established protocols.
• Performs urinary catheterisation in female patients.
• Provides stoma care.
• Provides palliative and end-of-life nursing care.
• Conducts initial patient contact and collects basic patient information.
• Assesses priorities for clinical assessment and care procedures.
• Prepares patients for medical examination.
• Prepares and administers treatment prescribed by the physician.
• Instructs family members in providing personal hygiene care for patients who are bedbound, have severely restricted mobility, are ambulatory or have incontinence.
• Collaborates with the relevant community nursing service.
• Authorised to independently perform basic and specialised nursing procedures within the scope of acquired competencies and under the supervision of senior nursing staff, drawing on fundamental nursing theories.
• Demonstrates a high degree of autonomy in clinical judgement, management of the nursing process, mentorship of junior nurses, and the undertaking of leadership responsibilities.

 

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