شرح قانون وظايف تخصصي پرستار در بخش هاي نوزادان و كودكان

علاوه بر وظايف عمومي، وظايف تخصصي پرستار در بخش هاي نوزادان و كودكان با تاكيد بر رعايت منشور حقوق بيمار ، مبتني بر فرايند پرستاري و استانداردهاي مراقبتي به شرح زير مي باشد:

 الف: شرح وظايف اختصاصي پرستار نوزادان:

۱- پذيرش نوزاد

۲- تحويل مدارك

۳- برقراري ارتباط مناسب با نوزاد و خانواده

۴- بررسي و ارزيابي وضعيت سلامت نوزاد و گزارش موارد غيرطبيعي از معيارهاي استاندارد سلامت

۵- انجام مراقبت هاي پرستاري تخصصي از نوزاد نارس

۶- اجراي استانداردهاي مراقبت هاي جداسازي به روش مستقيم و غيرمستقيم

۷- برقراري محيط ايمن و آرام به منظور پيشگيري از تحريكات عصبي

۸- ارائه مراقبت هاي ويژه به نوزادان تحت درمان با فتوتراپي، پيشگيري از عوارض آن در نوزاد

۹- انجام تدابير پرستاري لازم به منظور حفظ و تثبيت درجه حرارت نوزاد جهت پيشگيري از هيپوترمي/ هيپرترمي

۱۰- كنترل و ثبت جذب و دفع به طور دقيق

۱۱- اكسيژن درماني با تجويز پزشك و پيشگيري از عوارض آن

۱۲- بررسي و ارزيابي وضعيت درد در نوزاد و استفاده از روش هاي كنترل درد

۱۳- مشاوره و آموزش به خانواده در مورد نحوه مراقبت بهداشتي از نوزاد

۱۴- مشاوره و آموزش در زمينه چگونگي شروع تغذيه با شير مادر و تغذيه تكميلي و از شير گرفتن

۱۵- بكارگيري اصول صحيح مراقبت هاي پرستاري در زمينه مسائل و مشكلات شايع دوران نوزادي و شير خوارگي ( مراقبت از بند ناف،‌ ورم ملتحمه، Diaper Rash و ساير موارد)

۱۶- انجام مراقبت هاي لازم قبل، حين و پس از تعويض خون

۱۷- اجراي دارو درماني با توجه به ميزان داروي تجويز شده

۱۸- مشاوره و آموزش مراقبت از نوزاد در منزل شامل واكسيناسيون، بهداشت جسمي، تغذيه، خواب و استراحت و ساير موارد

۱۹- پيگيري وضعيت نوزاد بي سرپرست و همكاري در ارجاع مناسب آنان

۲۰- هماهنگي و همكاري به منظور ساماندهي نوزادان بي سرپرست

۲۱- ثبت كليه موارد فوق الذكرطبق مقررات بيمارستان

ب: شرح وظايف تخصصي پرستاري كودكان:

۱- برقراري ارتباط مناسب با كودك و خانواده براساس رشد و تكامل كودك

۲- بررسي و ارزيابي وضعيت سلامت كودك و گزارش موارد غيرطبيعي و انحراف از معيارهاي استاندارد سلامت

۳- بررسي و ارزيابي وضعيت رشد و تكامل و انجام تدابير متناسب با سن كودك

۴- تشخيص و ارزيابي كودكان در معرض خطر و اقدامات مراقبتي ويژه از نظر تغييرات علايم حياتي، تغييرات سطح هوشياري ، ديسترس تنفسي و ساير موارد

۵- مشاوره و آموزش به خانواده، در مورد مراقبت از كودك با توجه به مراحل رشد و تكامل و مبتني بر موازين بهداشت فردي ۶- برنامه ريزي و اجراي تدابير جهت ايجاد محيط شاد و مناسب براي كودك براساس مراحل رشد و تكامل كودك

۷- برقراري زمينه مناسب جهت بازي با تاكيد بر ضرورت وجود اتاق بازي در كليه بخش هاي كودكان به منظور استمرار رشد و تكامل و كاهش اضطراب كودك

۸- برنامه ريزي و اجراي تدابير پرستاري به منظور حفاظت كودك از صدمات ناشي از حوادث و خطرات جسمي در زمان بستري از قبيل آسپيراسيون، سقوط، سوختگي، مسموميت، برق گرفتگي و ساير موارد

۹- كنترل جذب و دفع ( كمي و كيفي ) ، پيشگيري از كم آبي و يا دريافت اضافي مايعات در كودكاني كه مايع وريدي دريافت مي دارند ۱۰- برقراري تعامل و حمايت روحي و رواني از كودك به منظور كاهش درد و اضطراب

۱۱- مشاوره و آموزش به والدين جهت تغذيه با شير مادر

۱۲- هماهنگي جهت تغذيه كودك مناسب با سن و تشخيص بيماري و آموزش آن به والدين

۱۳- بررسي و شناسايي موارد كودك آزاري و غفلت از مراقبت از كودك و گزارش به پزشك

۱۴- ارزيابي وضعيت سلامت و بهداشت دهان و دندان در كودك، آموزش به والدين و ارجاع كودك در صورت لزوم

۱۵- ارزيابي وضعيت سلامت رواني كودك و خانواده و اطلاع به پزشك و در صورت نياز انجام مشاوره هاي ضروري

۱۶- حمايت رواني از كودك و والدين در حد امكان جهت پيشگيري از محروميت هاي عاطفي

۱۷- برگزاري شرايط و امكانات حضور و اقامت يكي از والدين در كنار كودك ( با توجه به امكانات)

۱۸- رعايت اصول و اعتقادات صحيح والدين در انجام مراقبت از كودك

۱۹- كنترل برنامه واكسيناسيون و رسم نمودار سلامتي كودك

۲۰- هماهنگي و همكاري با مسئولان جهت كمك به تحصيل كودك در زمان بستري طولاني

۲۱- هماهنگي ، همكاري و پيگيري در ارجاع كودك به مراكز حمايتي و توانبخشي در صورت نياز

۲۲- ثبت دقيق كليه اقدامات انجام شده براساس مقررات بيمارستان

یک نظر در شرح قانون وظايف تخصصي پرستار در بخش هاي نوزادان و كودكان

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