Graded nursing job responsibilities

Graded nursing is to provide different levels of care according to the patient’s different conditions. So what are the key points of graded nursing? What are the responsibilities of a graded nursing position? Let’s take a look.

Hierarchical nursing

1. Nurses should abide by clinical nursing technical specifications and disease nursing routines, and based on the patient's level of care and the diagnosis and treatment plan formulated by the physician, Carry out nursing work according to nursing procedures.

The nursing work performed by nurses includes:

⑴ Closely observe the patient’s vital signs and condition changes;

⑵ Correctly implement treatment, medication and nursing measures, Observe and understand the patient's reaction;

⑶ Provide care and assistance according to the patient's condition and self-care ability;

⑷ Provide nursing-related health guidance.

2. Nursing care for special care patients includes the following key points:

⑴ Closely observe changes in the patient’s condition and monitor vital signs;

⑵ Implement correctly according to doctor’s orders Treatment and administration measures;

⑶Accurately measure the intake and output according to the doctor's instructions;

⑷According to the patient's condition, correctly implement basic care and specialist care, such as oral care, pressure ulcer care, Implement safety measures for airway care and pipeline care;

⑸Maintain the patient's comfortable and functional position;

⑹Implement bedside handover.

3. Nursing care for first-level nursing patients includes the following points:

⑴Visit patients every hour and observe changes in the patient’s condition;

⑵According to the patient’s condition, Measure vital signs;

⑶According to the doctor’s instructions, correctly implement treatment and medication measures;

⑷According to the patient’s condition, correctly implement basic care and specialist care, such as oral care and pressure ulcer care , airway care and pipeline care, etc., and implement safety measures;

⑸ Provide nursing-related health guidance.

4. The care of secondary care patients includes the following points:

⑴Visit the patient every 2 hours and observe changes in the patient's condition;

⑵According to the patient's condition , measure vital signs;

⑶According to the doctor’s instructions, correctly implement treatment and medication measures;

⑷According to the patient’s condition, correctly implement nursing measures and safety measures;

⑸Provide nursing-related health guidance.

5. The care of third-level nursing patients includes the following points:

⑴Visit the patient every 3 hours to observe changes in the patient's condition;

⑵According to the patient's condition , measure vital signs;

⑶ Correctly implement treatment and medication measures according to doctor’s orders;

⑷ Provide nursing-related health guidance.

6. Nurses should care for and care for patients at work, and should communicate with doctors in a timely manner if they notice changes in the patient's condition. List of job responsibilities of nursing staff

1. Job responsibilities of chief nurse

1. Responsible for the nursing work of the whole hospital under the leadership of the dean, leading and assisting the head nurses of various departments to run the ward well and scientific management of various nursing units.

2. Focus on the purpose of the hospital, formulate the management, policies, and goals of the nursing department, formulate the overall strategic nursing work plan of the hospital, organize and implement it after approval by the business president, conduct regular inspections and summaries, and report to Report to hospital leaders.

3. Responsible for organizing, guiding, and supervising all nursing staff in the hospital to provide high-quality nursing services.

4. Responsible for organizing and formulating the hospital-wide nursing work system and the responsibilities of nursing staff at all levels, nursing operation routines, and nursing quality indicators, and strictly supervise the implementation, inspection and assessment.

5. Responsible for formulating training plans for nursing staff in the hospital and organizing regular business studies and assessments.

6. Responsible for leading the promotion of new nursing technology and new projects in the hospital, summarizing experience in a timely manner and writing papers.

7. For errors and accidents that occur among nursing staff, promptly analyze the causes with relevant departments and put forward suggestions for improvements and solutions to prevent the recurrence of errors and accidents.

8. Preside over hospital-wide head nurse meetings, convey relevant documents from superiors and the spirit of the meeting, arrange nursing work, regularly organize head nurses to check, learn and communicate with each other, and continuously improve the quality of care.

9. Responsible for the deployment of nursing staff in the hospital, and work with relevant departments to carry out promotion, rewards, punishments, appointments and removals.

10. Budget annual talent training funds, review the application plans for nursing equipment, instruments, etc. proposed by each department, and regularly inspect the usage.

2. Ward head nurse job responsibilities

1. Work under the leadership of the nursing department and the professional guidance of the department director, and according to the work plan of the nursing department, according to the work plan of the nursing department, Develop specific plans for the ward and organize their implementation. Responsible for the nursing administration, business, teaching management and liaison work inside and outside the ward.

2. Arrange shifts reasonably and pay attention to manpower allocation to ensure the quality of nursing work during holidays. The arrangement of work reflects the "patient-centered" approach and ensures daily arrangements, weekly focus, and monthly plans.

3. Responsible for and inspect the nursing work in the ward, personally participate in and guide the care of critical rescue patients, major surgery patients and complex technical operations, and do a good job of communicating, helping and guiding.

4. Supervise nursing staff to strictly implement various rules and regulations and technical operating procedures. The head nurse insists on daily inspections of wards to inspect the care of critically ill patients and the implementation of various systems.

5. Actively prevent errors and accidents. Once they occur, they should be reported promptly and handled accordingly.

6. Accompany the department director and attending physician on ward rounds, participate in consultations on difficult cases within the department, discussions on death cases and major surgeries or new surgeries, and strengthen medical and nursing cooperation.

7. Organize and lead nursing rounds, learn nursing business, and continuously improve the professional level of nurses.

8. Guide and regularly evaluate the work of nurses in the ward, give feedback and keep records,

Continuously improve the quality of care and the quality of the nurses themselves.

9. Develop and implement a training plan for ward nursing staff.

10. Hold regular work break symposiums to solicit opinions and improve work.

11. Evaluate achievements and problems in nursing management, teaching, scientific research, etc., and prepare monthly, quarterly, and annual lecture plans and work summaries for nursing work.

3. Responsibilities of Emergency Nurse Manager

1. Under the leadership of the Nursing Department and the Director of the Emergency Department, be responsible for the nursing, teaching and management of the Emergency Department, formulate work plans, and organize implementation.

2. Supervise nursing staff to provide emergency services in a timely, safe, convenient and effective manner to ensure smooth emergency green life channels.

3. Supervise nursing staff to perform their duties conscientiously, check the work quality of each shift, the implementation of various rules and regulations and technical operating procedures, conduct quality evaluations every month, and strictly prevent errors and accidents.

4. Arrange shifts reasonably, organize and lead nursing staff to do pre-hospital first aid, as well as prevention, triage, admission, rescue, and treatment of emergency patients, and do a good job in nursing care such as observation and discharge.

5. In public health emergencies and large-scale rescues, it is necessary to organize and direct pre-hospital first aid, in-hospital rescue and monitoring.

6. Regularly understand the condition of patients under observation, organize disease observation and nursing work, and implement the work quality standards of each shift.

7. Organize nursing rounds, conduct complex nursing techniques personally or guide the staff to operate, and improve rescue skills.

8. Regularly check that the first-aid equipment and medicines in ambulances and rescue rooms are complete and complete, and urge nursing staff to use first-aid equipment correctly to improve emergency response capabilities.

9. Supervise nursing staff to strictly implement the disinfection and isolation system, identify problems, and deal with them quickly to prevent nosocomial infections.

10. Plan to collect medicines, equipment, supplements, utensils and hygiene products, and regularly check their use and storage.

11. Guide nursing staff in professional learning, technical training, and conduct assessments.

12. Guide the clinical teaching practice of interns and rotating nurses, and supervise the nursing staff to implement the teaching plan.

IV. Responsibilities of the head nurse in the operating room

1. The head nurse in the operating room works under the leadership of the nursing department and department director.

2. Responsible for operating room nursing, teaching and surgical arrangements, formulating work plans and organizing implementation.

3. Reasonable division of labor based on operating room tasks and nursing staff, scientific arrangements in strict accordance with surgical categories, satisfactory surgical cooperation, and meeting clinical needs.

4. Supervise and inspect the implementation of quality standards in each class and work, conduct quality analysis, rectification, and evaluation, and reflect them in the continuous improvement process.

5. Supervise and inspect nursing staff at all levels to conscientiously implement operating room rules, regulations, technical operating procedures and verification systems, implement "ten prevention" measures, strictly prevent errors and accidents, and ensure patient safety.

6. Supervise surgical staff to conscientiously implement the disinfection and isolation system and aseptic technical operations, conduct regular environmental hygiene testing and disinfection and sterilization monitoring of surgical instruments and dressing packages, strengthen the management of disposable items, and strictly prevent For incisional infections and hospital infections, statistical work should be done well.

7. Supervise the disinfection and isolation treatment of special infections and infectious diseases after surgery.

8. Supervise and inspect the implementation of cleaning and sanitation systems and the disposal of surgical waste.

9. Instruct nursing staff to proactively cooperate with doctors to complete surgery and rescue work, maintain good communication with the clinic, and conduct preoperative visits and postoperative follow-up visits to meet patient needs.

10. Develop nursing staff training plans and business learning, organize special lectures on new surgeries and new businesses, and combine clinical summary experience to continuously improve business technology levels.

11. Check the completeness of first aid equipment and medicines, check the preparation of surgical items; check the management of poisons, anesthesia, antibiotics, explosives and valuable equipment; be responsible for the clearing, storage and storage of materials in the operating room. to reimburse.

12. Understand the thinking, work and study status of nursing staff in the operating room, and conduct annual assessments.

5. Nursing technical job responsibilities

(1) Supervising nurse job responsibilities

1. Follow the expansion philosophy of the hospital nursing department and the ward, and establish The concept of "patient-centered" respects patients' rights, embodies humanized care, pays attention to communication skills, and maintains a good nurse-patient relationship.

2. Be proficient in the relevant knowledge of this major, understand the development trends of the nursing profession at home and abroad, be proficient in the working methods of nursing procedures, and guide subordinate nurses to apply the methods of nursing procedures.

3. Serve as a professional team leader, responsible for taking charge of a group of patients, providing holistic physical and mental care to the patients, and implementing health education to achieve 100% health education coverage and provide timely evaluation.

4. Participate in the ward rounds of the department director and attending physician. Responsible for the care of critically ill, major surgeries, and special patients, and formulate complete care plans. Guide and supervise subordinate nurses to implement nursing measures and evaluate nursing effects in a timely manner.

5. Guide the writing of examination and nursing documents in a timely, accurate and complete manner, reflecting the dynamic changes of patients.

6. Organize nursing rounds for a group of patients, and participate in in-hospital and intra-department nursing consultations, nursing case discussions and major rescue work.

7. Develop nursing routines and operating procedures for new businesses and new technologies carried out by this profession.

8. Actively learn modern nursing management theory and assist the head nurse in ward management.

9. Continuously learn and make progress, and seek continued professional development.

10. Participate in scientific research in this major, actively participate in academic exchanges, and complete required continuing education credits.

(2) Nurse job responsibilities

1. Follow the expanded philosophy of the hospital nursing department and the ward, establish the concept of "patient-centered", respect the rights of patients, and reflect Humanized care, pay attention to communication skills, and maintain a good nurse-patient relationship.

2. Be proficient in relevant knowledge of this major and understand the development trends of nursing major at home and abroad. Proficient in applying nursing process methods, comprehensive assessment, formulating nursing plans, and implementing comprehensive physical and mental care for patients.

3. Be proficient in basic nursing and specialist nursing, and be responsible for the care of critical, major surgeries and special patients.

4. Provide health education to patients and their families, and help patients apply the knowledge and skills they have received to improve their ability to maintain healthy self-care.

5. ?Implement hierarchical care and the nursing measures formulated by superior nurses, patrol the wards at any time, understand the patient's condition and changes in mentality, and meet the patient's physical and mental needs.

6. Record the patient’s condition changes in a timely, accurate and complete manner to reflect the patient’s dynamic changes.

7. Assist the head nurse in management and maintain the "four modernizations and eight characters" of the ward.

8. Participate in business learning, nursing rounds, nursing consultations, discussions of difficult cases, new business and new techniques developed by the department, and formulate nursing routines and operating procedures.

9. Participate in scientific research in this major, actively participate in academic exchanges, and complete required continuing education credits.

10. Accept business guidance from superior nurses and be responsible for guiding subordinate nurses and further training and internship nurses.

11. Continuously update knowledge, conduct self-evaluation once a year, and strive to seek own development and maturity in the profession.

(3) Nurse job responsibilities

1. Follow the expanded philosophy of the hospital nursing department and the ward, establish a "patient-centered" concept, respect patient rights, and reflect human nature Improve nursing care, pay attention to communication skills, and maintain a good nurse-patient relationship.

2. Study professional knowledge diligently, master basic theories, basic knowledge, and basic skills proficiently. Complete professional knowledge study at least once a month, and accept professional skills examination once and theoretical examination once in the quarter. Continuously seek your own professional development to continue to mature.

3. Under the guidance of superior nurses, be in charge of patients with certain beds, and use nursing procedures to complete the patient's basic care, routine diagnosis and treatment plans, and specialist care at the same time.

4. Assist superior nurses to complete the care of critically ill, major surgeries and special patients.

5. Under the guidance of superior nurses, provide health education to patients and evaluate the effects in a timely manner.

6. Record the patient’s condition promptly, accurately and completely to reflect the patient’s dynamic changes.

7. Take the initiative to report the patient's condition and work completion to the superior nurse, and report any difficult problems to the superior nurse and head nurse at any time to obtain support and guidance.

8. Comply with various nursing routines and operating procedures, and obey the work arrangements of superior nurses and head nurses.

9. Implement graded care, basic care and daily care, patrol the wards at any time, understand the patient's condition and changes in mentality, and meet the patient's physical and mental needs.

10. Responsible for guiding the work of interns and ward workers.

6. Clinical Nursing Job Responsibilities

(1) Office Nurse Job Responsibilities

1. Receive patients warmly, use civilized language, and treat others politely; make reasonable decisions based on the patient’s condition Arrange the bed, fill in the diagnosis card and bedside card and notify the doctor in charge and the nurse in charge in a timely manner.

2. Responsible for checking night doctor orders, participating in morning meetings and written shift handovers, and filling in the ward list with the total number of patients, new admissions, critical illness, surgeries, transfers, discharges, special treatment matters, and the doctors and nurses on duty that day. .

3. Strictly implement the checking system and correctly implement medical orders. Copy and check the medical orders of the day, and notify the patient's nurse in charge of temporary medical orders in a timely manner. Check the doctor's orders every day and record them. According to the level of care and the positive signs of the drugs, they should be noted on the diagnosis card and bedside card in a timely manner.

4. Keep accounts strictly in accordance with charging standards, be responsible for keeping track of the dynamics of patient expenses, contact patients or family members, and supervising physicians in a timely manner, and be responsible for explaining patient-related charging issues.

5. Contact the nutrition department to arrange the patient’s diet according to the type of diet prescribed by the doctor and the patient’s needs.

6. Responsible for notification of admission, discharge, transfer, diet, surgery, and death.

7. Responsible for the quality of writing nursing documents, correctly drawing body temperature sheets, understanding the dynamics of patients in the ward, and writing ward dynamics handover reports.

8. Responsible for the management of operating medical records to prevent loss, and responsible for the quality inspection and organization of discharged patient medical records. Archiving work.

9. Assist the head nurse in her work, and handle various temporary tasks that need to be solved urgently when the head nurse is absent.

(2) Responsibilities of the main shift (day shift) nurse

Under the guidance of the head nurse, complete routine treatment and nursing, perform basic nursing, key nursing and special nursing, and implement nursing measures. Essential Responsibilities.

1. Complete morning and evening care according to quality, and the bed unit should achieve "three modernizations and eight characters".

2. Participate in the handover of critically ill patients, new patients, surgical patients, elderly patients, and bedside patients in the ward, focusing on understanding the psychological and physiological conditions of the patients in charge of that day.

3. Complete various routine treatments, process and implement medical orders.

4. Carry out medical orders, nursing orders, key care, and special care, implement nursing measures, and evaluate nursing effects.

5. Measure T, P, and R, check and deliver oral medications, and be responsible for patient admission introduction, discharge guidance and various health education.

6. Visit patients at any time, observe changes in condition, communicate with patients, understand their psychological conditions, and meet their needs.

7. Be “nine aware” of the patients in charge.

8. Responsible for patient treatment, nursing, condition observation, hospitalization assessment of critically ill patients,

Assessment of basic information of newly admitted patients, formulating and writing care plans for patients in special and first-level care Same day care documentation.

(3) Night shift nurse job responsibilities

1. Carry out shift handover at the bedside, orally and in writing. Handover content:

( 1) Account for the total number of patients, admissions and admissions, transfers, deliveries, critical illness, number of deaths and issues that should be paid attention to in ward management.

(2) Handover of key patients: completion of care for rescue, critical, and major surgery patients; presence or absence of pressure ulcers, fixation of various catheters and smooth drainage, critical patient care records; emergency, new admissions, and special inspections , treatment and emotional abnormality patients, key handover and recording.

(3) The implementation of medical orders, the collection of various examination specimens and the completion of various treatments, and clearly explain the unfinished work to the successor.

(4) First aid equipment, medicines, valuables, poisons, anesthetics, and restricted drugs should be handed over clearly and signed.

2. Strictly implement job responsibilities, various rules and regulations, and operating procedures to prevent errors and accidents.

3. Strictly implement the disinfection and isolation system and aseptic technical operating procedures to prevent hospital infections.

4. Master the "Nine Knowledges" of the patients in charge, patrol the wards accordingly, timely detect changes in the patient's condition and mentality, report in a timely manner, handle the situation in a timely manner, and cooperate with the rescue in a timely manner.

5. Strictly implement nursing routines and nursing plans for critically ill and surgical patients; pay attention to safety protection for comatose, agitated, pediatric, and elderly patients to prevent falling from the bed.

6. Be skilled in the formal operation of various nursing techniques, implement graded care, basic care and morning and evening care, and meet the requirements for the patient's lying position and various guidance. The infusion speed complies with the doctor's instructions, and there is no leakage, leakage, or emptying.

7. All nursing records are timely, accurate and complete. In case of medical disputes and sealed medical records, report to the hospital's general manager in a timely manner.

8. Manage the ward well and maintain the "four modernizations and eight characters" in the ward.

If any accidents caused by unsafe factors in non-medical care are discovered, report them to the general manager of the hospital in a timely manner to ensure patient safety.

(4) Responsibilities of emergency department nurses

1. Work under the leadership of the head nurse of the emergency department.

2. After receiving a call from the 120 command center, emergency supplies must be prepared within 5 minutes for the visit. If there is a group calling for help, report to the department director and head nurse when necessary, and report to the medical department and nursing department. Relevant departments will be organized to coordinate rescue operations and no calls for help shall be rejected.

3. Carry out triage and examination of emergency patients, prioritize treatment according to their condition, consult a doctor if there are difficulties, actively perform pre-hospital first aid work, and make diagnosis records.

4. When an emergency patient comes for treatment, the doctor on duty should be notified immediately. Before the doctor comes, if there are special critical patients, necessary first aid treatment can be carried out and the doctor will be reported immediately.

5. All medicines, equipment, and dressings required for first aid must be inspected by designated personnel every day and replenished promptly after use. During the first aid process, doctors should be assisted in rescue work quickly and accurately.

6. Regularly inspect the patients in the observation room to understand the patient's condition, thoughts and diet, do a good job in health education, complete treatment and nursing work in a timely manner, closely observe the changes in the condition of the patients in the observation room, and report any abnormalities in a timely manner and record.

7. Conscientiously implement various rules, regulations and technical operating procedures, do a good job in checking and handover work, and work hard to learn business techniques to judge high-level triage, diagnosis business capabilities and rescue work quality, and strictly prevent Error accident.

8. Escort critically ill and surgical patients to the ward or operating room, and escort transferred patients to this level of hospital.

7. Responsibilities of surgical nursing staff Preparation before surgery and organization after surgery.

2. Conscientiously implement various rules, regulations and technical operating procedures, supervise and inspect the aseptic operations of surgical personnel, pay attention to patient safety during the operation, and strictly prevent errors and accidents.

3. Keep the operating room clean and quiet, adjust the air and maintain a suitable indoor temperature.

4. Responsible for bandaging, keeping warm, escorting patients after surgery, and storing and sending surgical specimens for inspection.

5. Pack and disinfect instruments and dressings and store medicines according to division of labor, and do registration and statistics work.

6. Carry out disinfection work, regularly assist in monitoring the disinfection effect of air, watches, and surfaces, and keep records to prevent hospital infections.

7. Guide the teaching work of internship and rotation nurses.

(2) Responsibilities of the instrument nurse

1. Wash your hands half an hour before the operation, wear surgical gowns and gloves, prepare the surgical instrument table and all supplies, and count the dressings and materials with the circulating nurse equipment and keep count.

2. Strictly implement the aseptic technical operating procedures, be familiar with the surgical procedures, closely cooperate with the operation, and correctly transfer the instruments. If the operation time is too long, the instrument table should be covered with a sterile drape. All contaminated instruments and dressings cannot be reused and should be placed in the curved plate together with the collected specimens.

3. Keep the instrument table clean and tidy. Blood stains on the instruments should be wiped off at any time, locked and sorted.

4. If you need to change positions with the people on the operating table, make sure that the sterile area is not contaminated.

5. Keep the specimens for routine handling.

6. Before closing the body cavity, count the number of instruments and dressings with the circulating nurse. After the operation, count the number of instruments and dressings again to prevent foreign objects from remaining in the body.

7. Clean up the dirt after surgery and put it in a bucket Take the patient out of the operating room, clean the instruments, and return them to their original positions.

(3) Responsibilities of circulating nurses

Preoperative preparation

1. Responsible for checking whether the equipment is intact, whether the power supply is connected, and whether the surgical supplies are complete and ready.

2. Lay out a sterile operating table (when there is no handwashing nurse).

3. Check whether the room temperature and skin preparation meet the requirements.

4. Assist the surgeon to dress, position the surgeon, fix the patient's limbs, and aim the operating light at the surgical site.

Coordination with surgery

1. Connect the suction device, circuit, and adjust the light.

2. Stick to your post and do not leave without reason. Provide temporary supplies in a timely manner.

3. Assist in infusion, blood transfusion and rescue.

4. Supervise visits and control the number of people, and supervise aseptic operations during surgery.

5. When changing equipment nurses, supervise detailed shift handover.

6. Before and after closing the incision, assist in counting the instruments and dressings. If the quantity does not match, the incision will not be closed.

7. After the operation, bandage the wound and return the patient’s belongings to the ward.

Postoperative treatment

1. Clean the items in the operating room, clean the operating room, and replenish consumed items and liquids.

2. Responsible for air disinfection in the operating room.

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