The posting
Opis poslova:
- Uspostavlja kontakt s bolesnikom te evidentira sve podatke važne za sastavljanje plana zdravstvene njege, u dogovoru s bolesnikom ako to dopušta njegovo zdravstveno stanje.
- Utvrđuje potrebe bolesnika i sastavlja plan zdravstvene njege.
- Organizira, provodi i nadzire provođenje planirane zdravstvene njege.
- Procjenjuje uspješnost provedene zdravstvene njege.
- Surađuje s nadležnim liječnikom i izvješćuje ga o očekivanim rezultatima plana zdravstvene njege te svim uočenim promjenama kod bolesnika.
- Rukovodi i koordinira timom za provođenje zdravstvene njege.
- Dokumentira sve dijelove procesa zdravstvene njege, uključujući planiranje, provedbu i procjenu.
- Utvrđuje zadaće medicinske sestre koja sudjeluje u radu multidisciplinarnog tima.
- Kontrolira poštivanje dostojanstva osobe u skrbi, etičkih pravila i zakonitosti rada medicinskih sestara u svom timu.
- Educira bolesnika i njegovu obitelj o održavanju zdravstvenog stanja i sprječavanju komplikacija bolesti iz područja zdravstvene njege, uključujući osobnu higijenu, prehranu, promjenu životnih navika i korištenje pomagala.
- Sudjeluje u donošenju odluka o nabavi pribora i opreme potrebnih za provođenje zdravstvene njege.
- Organizira i provodi trajno stručno usavršavanje članova tima kojim rukovodi.
- Sastavlja i otprema prijedlog za kontinuiranu zdravstvenu njegu.
- Primjenjuje i evidentira parenteralnu, peroralnu i lokalnu terapiju, prema pisanoj odredbi liječnika koja mora sadržavati naziv lijeka, dozu, način i vrijeme primjene.
- Primjenjuje terapiju intrakutano, supkutano, intramuskularno, lokalno i oralno prema pisanoj uputi liječnika koja mora sadržavati naziv lijeka, dozu, način i vrijeme primjene tijekom skrbi.
- Provodi enteralnu, parenteralnu i peroralnu prehranu bolesnika.
- Provodi ili sudjeluje u provedbi dijagnostičkih i terapijskih postupaka prema protokolima ustanova i pisanoj odredbi liječnika.
- Uzima uzorke za laboratorijske pretrage, uključujući uzimanje uzoraka kod nepokretnih i polupokretnih bolesnika.
- Osigurava propisno zbrinjavanje infektivnog i biološkog otpada.
- Pristupa hitnom zbrinjavanju bolesnika do dolaska liječnika.
- Prepoznaje granice područja svoje odgovornosti.
- Organizira službu zdravstvene njege u hitnim situacijama, uz mogućnost delegiranja poslova na nižu razinu.
- Evidentira i pravovremeno izvješćuje nadređene o svim zapaženim promjenama kod bolesnika.
- Priprema, provodi i evidentira dezinfekciju i sterilizaciju pribora.
- Djeluje uvijek u korist bolesnika.
- Provodi postupke planirane zdravstvene njege u kući bolesnika.
- Provodi postupke sprječavanja komplikacija dugotrajnog mirovanja.
- Provodi postupke zbrinjavanja kronične rane prema utvrđenim protokolima.
- Provodi kateterizaciju mokraćnog mjehura kod žena.
- Provodi postupke održavanja stoma.
- Provodi postupke palijativne skrbi i zdravstvenu njegu umirućih bolesnika.
- Uspostavlja prvi kontakt s bolesnikom i uzima osnovne podatke o bolesniku.
- Procjenjuje prioritete pregleda i zdravstvenih postupaka.
- Priprema bolesnika za liječnički pregled.
- Priprema i primjenjuje terapiju koju je odredio liječnik
- Podučava obitelj provođenju postupaka osobne higijene kod nepokretnog, teško pokretnog, pokretnog i inkontinentnog bolesnika.
- Surađuje s nadležnom patronažnom službom.
- Ovlaštena za samostalno provođenje osnovnih i specifičnih postupaka zdravstvene njege u okviru stečenih vještina i pod nadzorom više razine, oslanjajući se na temeljne teorije sestrinstva.
- Visoka razina samostalnosti u kliničkom prosuđivanju, upravljanju sestrinskim procesom, mentorstvu mlađim sestrama te preuzimanju rukovodećih uloga.
- Establishes rapport with the patient and records all information relevant to developing the nursing care plan, in consultation with the patient where their clinical condition permits.
- Assesses the patient’s nursing care needs and develops an individualised nursing care plan.
- Organises, delivers and supervises the implementation of planned nursing care.
- Evaluates the effectiveness of the nursing care provided.
- Collaborates with the treating physician and reports the anticipated outcomes of the nursing care plan and any observed changes in the patient’s condition.
- Leads and coordinates the nursing care team.
- Documents all stages of the nursing process, including care planning, implementation and evaluation.
- Defines the responsibilities of the nurse working within the multidisciplinary team.
- Monitors respect for patient dignity and compliance with ethical standards and applicable legal requirements within the nursing team.
- Educates patients and their families on maintaining health and preventing disease-related complications within the scope of nursing care, including personal hygiene, nutrition, lifestyle modifications and the use of assistive devices.
- Participates in decisions regarding the procurement of supplies and equipment required for nursing care.
- Organises and delivers continuing professional development for members of the nursing team.
- Prepares and submits referrals for ongoing nursing care.
- Administers and documents parenteral, oral and topical medications in accordance with written medical orders specifying the medication name, dose, route and time of administration.
- Administers intradermal, subcutaneous, intramuscular, topical and oral medications in accordance with written medical orders specifying the medication name, dose, route and time of administration during care delivery.
- Provides enteral, parenteral and oral nutritional support.
- Performs or assists with diagnostic and therapeutic procedures in accordance with institutional protocols and written medical orders.
- Collects specimens for laboratory testing, including from patients who are bedbound or have limited mobility.
- Ensures the appropriate disposal of infectious and biological waste.
- Initiates emergency care pending the arrival of a physician.
- Recognises the limits of their scope of practice and professional responsibility.
- Organises nursing services in emergency situations, delegating tasks to staff at an appropriate level of competence.
- Documents and promptly reports all observed changes in the patient’s condition to supervisory staff.
- Prepares for, performs and documents the disinfection and sterilisation of instruments and equipment.
- Acts in the patient’s best interests at all times.
- Delivers planned nursing care in the patient’s home.
- Implements measures to prevent complications associated with prolonged immobility.
- Provides chronic wound care in accordance with established protocols.
- Performs urinary catheterisation in female patients.
- Provides stoma care.
- Provides palliative and end-of-life nursing care.
- Conducts initial patient contact and collects basic patient information.
- Assesses priorities for clinical assessment and care procedures.
- Prepares patients for medical examination.
- Prepares and administers treatment prescribed by the physician.
- Instructs family members in providing personal hygiene care for patients who are bedbound, have severely restricted mobility, are ambulatory or have incontinence.
- Collaborates with the relevant community nursing service.
- Authorised to independently perform basic and specialised nursing procedures within the scope of acquired competencies and under the supervision of senior nursing staff, drawing on fundamental nursing theories.
- Demonstrates a high degree of autonomy in clinical judgement, management of the nursing process, mentorship of junior nurses, and the undertaking of leadership responsibilities.



