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    Be Component With

    Uploaded by

    Trishna Goswami

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    © All Rights Reserved
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    Be Component With

    Uploaded by

    Trishna Goswami
    7 views10 pages

    Copyright

    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    7 views10 pages

    Be Component With

    Uploaded by

    Trishna Goswami

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 10

    Be component with:

     Recognition, recording and interpretation of signs and symptoms of emergent and


    non emergent adult and pediatric patients.
     Initiation of BLS for both adult and pediatric patients in medical emergency.
     Administration of drugs (through various routes),blood and blood products,
    emergency drugs and substances.
     Safe and effective use of all electrical equipment
     Maintaining asepsis whenever required.
     Recognition and initial intervention of psychological and social problems of patients
    and their families.
    The orientation program is scheduled for one-month period in order to allow
    new nurses to solidify their skills; including direct continuous supervision and
    feedback from their preceptors to put them in nursing practice at the
    Earliest. Training is divided into following types-
     HR introduction program
     IT induction program
     Nursing Induction program

    ORIENTATION PROGRAM CHART

    1 day of HR induction

    7 days of NABH

    7 days functional Training

    2 days IT Training

    14 days preceptor training


    Sl Type of training Days× Hours= Focus groups Responsibility
    no Training Hours
    1 HR Induction 1×8=8 hrs New joiners HR

    2 NABH 7×6=42hrs Nursing Training &


    (Nursing induction- Policies New joiners development
    And Procedures)
    3 IT Induction 2 ×8=16 hrs New joiners IT Department

    4 Functional Training 7×6=42hrs New joiners Nursing Training


    & Development
    5 Preceptor Training 14×8=112hrs New joiners Nursing Supervisor
    (unit training)

    NOTE: All hours are mandatory

    SUM ULTIMATE MEDICARE NURSING EMPLOYEE’S INDUCTION PROGRAM

    SUM ULTIMATE MEDICARE nursing employee’s induction has made an enormous difference to
    new Nursing associates, while providing care in the units. It made nurses to deliver the services
    accurately.

    This program contents can be categorized widely into three types, based on :

    Knowledge- on orientation to nursing department and NABH Policies and procedures used by
    the nurses.

    Technical skills- BLS, Fire and Hazmat Safety/ HIS/ Biomedical equipments.

    Soft Skills- GST, AIDET, Working protocols etc.

    A.V AIDS- Power point, charts and Hand materials.

    Teaching method- lecture cum discussion and Hospital Orientation.

    Assessment-

    Basic knowledge assessment test will be done at end of the program and competency
    assessment will be done at the end of induction program. Verbal questions after each session.

    iii. Hazmat( once in 6 2 2


    months)
    iv. NABH compliance 2 2
    (Revision) ( once in 6
    months)
    5 Post error reinforcement Incidental Nursing Training
    training/ incidental &
    teaching Development/In
    Charge and
    supervisor
    6 Incidental teaching- on Incidental
    non compliances
    7 External & Special As per
    programs availability

    NOTE: Depending on the necessity programs will be changed.

    CLINICAL TEACHING-

    Training which provided during bed side or hospital rounds will be considered.

    CENTRAL TEACHING-

    Training will be conducted for all nurses by the Nurse Educator/ CNS etc.

    Days – Wednesday, Thursday

    NABH & incident (depending on the problems in the hospital ex- blood transfusion, type of
    medication errors etc) topics will be discussed in the CNE Program.

    One topic will be conducted 4 times in a month i.e. in two days.

    First week which classes are conducted the same classes will be conducted in the third week, to
    complete all the nurses.
    NURSING DEPARTMENT
    SUMMARY OF TRAINING IDENTIFICATION (

    Sl. no. Topics


    1 CAUTI bundle
    2 Documentation
    3 Communication & patient privacy need
    4 Restrain policy, High risk medication policy
    5 PLABSI
    6 Order of sample collection
    7 Flushing Protocol
    8 Pain management Policy
    9 NG Feeding
    10 Discharge protocol
    11 MSDS
    12 SIL policy
    13 Blood transfusion
    14 Braden Scale
    15 Transdermal patch application
    16 Urine sample collection
    17 Nearly miss policy
    18 ECG
    19 ABG Sampling
    20 GCS
    21 BLS
    22 Order of sample transfer
    23 High risk medication policy
    24 Bundle care
    25 Care of central line
    26 Handling of central line & arterial
    27 Insulin administration
    28 DAMA Process
    29 BIPAP,CPAP
    30 Arterial line zeroing,Trouble shouting wave form
    Signature of chief Nursing Services Signature of Chief of Medical Services
    Date: Date:
    CODE BLUE

    Objectives:

    Staff nurse will be able to

     Recognize the code blue team


     Describe the flow chart of code blue
     Explain defibrillation protocol
     Use code blue floor recorder sheet
     Utilize code blue running sheet

    Teaching Method: Lecture, Discussion, Simulation

    AV aids: PPT

    Introduction:

    Code Blue” is generally used to indicate a patient requiring resuscitation or otherwise in need of
    immediate medical attention, most often as the result of a respiratory arrest or cardiac arrest.
    When called overhead, the page takes the form of “Code Blue, (floor),(room)” to alert the
    resuscitation team where to respond. Every hospital, as a part of its disaster plans, sets a policy
    to determine which units provide personnel for code coverage.

    Protocol and Process


     Team--- One Team in Each Shift

    Team Leader
    I/C sister MICU(morning shift), Nursing Supervisor – evening & night shift—ACLS
    Trained
    Team Members
    ICU Doctor
    ICU Sister
    ICU Technician

    Cardiologist on call --- Rush to site or Cathlab as required


    Anesthetist on call--- Standby
    Rush to site if required
    Floor Nurse--- Recorder

     Job Description
    Floor Staff

    FLOOR DOCTOR NURSE

    CPR

    Assist Code Bl

    Sister Attending the Pt Floor I/C nurse / Nurse/Doctor

    IV Line Inform 0700

    Attach Monitor Inform Primary Consultant

    Load Drugs Inform ECG Technician

    Keep lift ready

    Arrange shifting patient

    ICU STAFF

    ICU Doctor ICU Tech ICU Nurse

    ICU Doctor guides the team & does Intubation ICU Tech Intubation ICU Sister helps Defibrillation

    Give medications as required

    Cath Lab should be kept ready ( DAY TIME) --- CALL 0400/ 0397

    Day time

    OBSERVER

    AMS/Nursing supt

    Nursing Supt to help in counseling patient with help of primary consultant

    Night time & on Holidays

    Observer
    Nursing Supervisor

    EPBX Operator

    Informs Cardiologist on call---If required

    Informs Cath Lab Technician on call---If required

    Informs MOD

    MOD to inform primary consultant, coordinate with code blue team and with patient’s relations

    Nursing Supervisor arranges for shifting the patient to MICU 1, by arranging O2, monitor etec

    Nursing Supervisor keeps the lift ready

    FLOW CHART

    Floor Staff----I/C nurse/ Doctor

    DIALS 0700 (Operator) and gives CODE BLUE ALERT---Floor & Room No

    Floor Staff---DIALS 0400/0397 and informs CATH LAB

    Floor Staff—Informs PRIMARY CONSULTANT

    OPERATOR activates PA system BY DIALING 888 AND announces CODE PLUE --- (THREE
    TIMES)

    Repeats THE CODE BLUE call after ONE min(TWO TIMES)

    LIFT MAN takes the LIFT1 to 1ST FLOOR to take the CODE BLUE team from MICU1 to the SITE

    CODE BLUE TEAM rushes to the SITE to assist in resuscitation

    Operator informs OT secretary, who in turns informs the anesthetist on call to be STANDBY
    LIFT stays at that FLOOR to bring the patient to MICU1

    FLOOR staff arranges to shift the patient to MICU1

    PT SHOULD BE SHIFTED TO MICU1 ONLY

    Patient counseling by Nursing supdt / Supervisor and primary consultant

    NOTE:

    Code blue team doctor completes the standard CPR reporting from in duplicate Event to be
    noticed down in a proper sequence by the floor sister

    CODE PINK PROTOCOL


    If a child is reported missing or found missing,
    Floor Staff ---- I/C nurse/ Nurse/ Doctor

    DIALS 7070 (Security Inspector on duty) and gives CODE PINK ALERT – Pt’s Age & Area Details

    Allocated sister or In – Charge Sister / Security Inspector on duty INFORMS Operator

    OPERATOR activates PA System by DIALING 888 and announces CODE PINK --- (THREE TIMES)

    Repeats the CODE PINK call after ONE Min( TWO TIMES)

    Repeats the CODE PINK call again after TEN MIN

    In Case of SUSPECTED ABDUCTOR announces the description

    OPERATOR informs Chief Security Officer 7005

    Charge Nurse along with other staff starts the search

    Floor security obtains the details of the child ( age, height, any prominent mark on body of
    the child, clothes worn by the child,etc) from the allocated nursing staff/ In- charge sister

    Floor Security assists in search operation

    All Exit Doors, Fire Doors and Stairwell Doors are closed

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