Asistenta medicală, Public hospital
Work domain - Health:
Medical and Health Personnel
Emergency room and Ambulance service -nurse in ambulance emergency
Job description: triage and work with a doctor in surgical, medical and emergency rooms.
Administer the treatments prescribed by the doctors orally or i.v. and i.m. injections, Measure and monitor, Control and registration of general the vital signs of patients: pulse, temperature, blood pressure, respiratory rate, diuresis. Basic life support. To take a blood sample. Control of monitors and infusion pumps. Control of blood glycaemia and administering insulin. Registration and management of registers and forms. Personal hygiene and care, bedside bath, hair care, mouth care, shaving, bed making. Positioning of sacs in ostomate patients. Positioning of nasogastric and rectal tubes, positioning of urinary bladder catheter. Control of posture for prevention and care of bedsores, positioning the patient IN and OUT o bed, mobilization of patients with trauma. Blood gas analysis. Electrocardiograms. Hypodermal, intravenous and intramuscular injections. Dress and medicate the surgical wounds. Catheterization of patients. Evacuations clysters. Removal and cleaning of cannula. Emergency activities (artificial respiration, oxygen therapy, external cardiac massage) Electrocardiograms .Provide first aid in case of emergency, Dress bed sores ,Supervise the care assistants ,Order and manage the medication, Provide moral support to the residents. Emergency care ,Artificial respiration, Oxygen therapy, External cardiac massage ,Control and assistance of polytrauma patients ,BLS ,Bandage and suture of injury . Management of blood transfusion and haemo-derivatives. Control of patients connected to ventilator. Control of monitor and infusion pumps .Control of fluid balance Hypodermal. Assistance during medical staff activities: percutaneous tracheostomy, endotracheal intubation and estubation, central venous catheter and arterial line insertion Tracheal bronchial aspiration on patients with tracheostomy or endotracheal tube. Positioning of nasal gastric and rectal tubes, positioning of urinary bladder catheter. All activities for traumatic patient management and correct use of aids . Technics to help patient mobilization and rehabilitation.
Nurse in General surgery :pre and post-surgery care to patients .We work on scheduled operations as well emergency surgery. Pre - surgery patients preparations: trichotomie, rectoclysis, pre anesthesia administration. Surgery: I give therapies and drugs: oral ( also through nose stomach sonde or PEG ), hypodermic, intramuscular, intravenous and phleboclysis (by peripheral or central veins). Other work activities: care of patient's hygiene and mobilization management, assistance during medical activities and visits: abdominal drainage removal, surgical wound disinfection and dressing, remove of suture points, management of ileo and colostomies; application and administration of oxygen through nasal cannula or mask. Post surgery: checking parameters (arterial pressure, pulse, temperature, breathing rate, diuresis, central venous blood pressure. Other Management of blood transfusion and haemo-derivatives. Education to self-care to patients and relatives.