History taking and examination of patient in day care / in patient department.
Take day care / ward rounds daily before consuJtant rounds.
Attend rounds with the respective consultants and carry out the necessary changes in the order. Enter them in the treatment sheet/HIS. Inform the nursing staff on duty about the same.
To follow up with all the investigations to be seen and trace their results. Inform the respective registrar /Consultant.
Attend to patient related clinical issues and accordingly manage clinical problems
Obtain consent from patent and attender for minor procedure like blood transfusion.
Do minor procedures at ward / day care level like Woundmanagement
Implement clinical management plan for the patient as decided by the seniors and team.
Raise diagnostic and procedural requisitions as per plan of care and ensure timely completion of the same.
To ensure all the medication orders are appropriately and timely entered in the eMAR module of HIS/medication chart/ chemotherapy chart.
To be able to assist in wards / department or wards other than assigned in case of shortage or for disaster management and medical emergencies.
Attend emergencies and informing consultant doctors for further action.
To keep all the medical records updated in HIS which includes assessment, daily notes, procedurenotes, medication order.
To attend camps/activities organized by the organization as and when required.
To communicate and coordinate with Consultants, nurses, and other clinical departments in providing timely and accurate clinical care to patients
Providing the information regarding the patients condition to attendant whenever required.
Check the diet chart, medicine chart, vitals chart frequently
Co-ordinating for the discharge summary and explaining the same to the patient attender.
Ensure compliance to ISO/NABH accreditation standards and adhere to hospital policies & procedures.
