Understand what is required for competence in own work role
Describe the duties and responsibilities of own work role
Morning communications: Start shift with patient handover from the night staff, taking notes of what need to be done throughout the day for example, who need blood products, fluid charts, DNR status and then we have huddle before starting breakfasts. Working on the haematology unit part of my duties and responsibilities is to effectively communicate with people on routine and with carrying out duty to deliver the best patient care. Part of my duties is to make sure patients have their three meals and regular drinks throughout the day as part their nutritional needs. Because the ward is specialist ward it so part of duty to make sure that they have food that they are allowed with their diagnostic medical condition, for example they are not allowed to eat salad or live yogurts or eggs that are too runny for breakfast. During chemotherapy our patients will often go off their food, so encouraging them is also big need. The hourly rounding’s is also very important part of my responsibility and checking upon the patients to make sure that they are ok and if they need anything- this isn’t always possible but the responsibility is share with other members of staff who are on duty that day. On my ward the patients are in hospital for along period of time and when doing intentional rounding’s, you can take your time talking to them and start building relationship with them. Which make’s there stay in hospital little bit more easily because they feel they are being looked after.
Personal cares: There are 8 patients bed on the ward and part of my morning role is cleaning patient’s rooms this is due to the patients being at high risk of infection, this is because when patient is neutropenic their immune system is to low to fight off foreign pathogens, so cleanliness is highly important on this ward.
Clean mattress and bed frame, feet and head board
Fridge cleaned inside and out, including the cupboard
High touch areas- windowsill, sink, suction
When our patients are unwell on the ward they require help with personal hygiene and help with mobilising to the chair if they feel weak or not there usual self this would be the time where I would assist the patient and ensure they are looked after, whilst maintaining their dignity. When patient become neutropenic we have to keep accurate fluid balance of their input and output which would include:
Fluid via IVs (input)
This is time where lunch trolley comes to the ward and I start to dish out patients dinner but depending on the patient, when they start their chemotherapy, it normal for them start going off their food when they are unwell, sometimes because they have no appetite and other times because they do not want to be sick. It is part of my responsibility to help encourage the patients to eat and tell them what they wide variety of food that is available for them to eat. These patients would also be put on food chart and so maintain food chart throughout the day to monitor their diet. Day case unit- The morning period is our main busy time on the ward and this where our skills as support work comes in to role. Part from the ward we also have day case unit for which sometimes as support worker we are required to do patients observations, blood sugar and weight. The patients come in and have blood products and blood test and anything else that they might need. It is also my responsibility to help look after these patients, making sure that have regular drinks and food at lunch time.
Other duties and responsibilities-
Link roles- I am also part of the end of life palliative care nurse link on my ward and have been on and have plans to on more courses to help support the patient and family. I have been on education programme for bereavement which provides me with...
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