NIBU VIJAYAN RAMATHUPARAMBIL

• Provide personal care (washing, bathing, dressing, and grooming).
  • Assist patients with toileting and continence care.
  • Help patients with mobility (walking, transferring, and repositioning in bed).
  • Use mobility aids and hoists safely.
  • Assist patients with eating and drinking.
  • Monitor and record food and fluid intake when required.
  • Observe patients’ physical and emotional condition.
  • Report any changes in a patient’s condition to the nurse in charge.
  • Assist nurses with basic clinical tasks when delegated.
  • Help with bed making and maintain a clean environment.
  • Support infection prevention and control procedures.
  • Provide emotional support and companionship to patients.
  • Maintain patient dignity, privacy, and confidentiality.
  • Ensure patient safety and comfort at all times.

• Provided advanced pre-hospital emergency care to patients in trauma and medical emergencies.
• Performed rapid patient assessment using the ABCDE approach and prioritized life-saving interventions.
• Delivered Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) in critical situations.
• Administered emergency medications according to ambulance service protocols.
• Monitored and interpreted vital signs and patient condition during transport.
• Managed airway support, oxygen therapy, and assisted ventilation when required.
• Controlled bleeding, stabilized fractures, and immobilized trauma patients using appropriate equipment.
• Assisted with cardiac monitoring and defibrillation for patients with cardiac emergencies.
• Provided urgent care for road traffic accidents, cardiac arrest, stroke, and respiratory distress cases.
• Communicated effectively with emergency departments to provide patient handover and clinical updates.
• Maintained accurate patient care documentation and incident reports.
• Followed strict infection prevention and control practices in the ambulance environment.
• Checked and maintained ambulance medical equipment, medications, and emergency supplies.
• Provided psychological support and reassurance to patients and relatives during emergencies.

• Provide continuous monitoring and care for critically ill patients in the Intensive Care Unit (ICU).
• Assess patients’ vital signs including blood pressure, heart rate, respiratory rate, temperature, and oxygen saturation.
• Monitor patients using advanced ICU equipment such as cardiac monitors, ventilators, and infusion pumps.
• Administer medications, IV fluids, and blood products as prescribed by physicians.
• Manage and monitor mechanical ventilators and assist with airway care.
• Perform regular patient assessments and report any changes in condition to doctors immediately.
• Carry out critical care procedures including suctioning, catheter care, and wound care.
• Maintain accurate nursing documentation and patient records.
• Assist doctors during emergency procedures and resuscitation (CPR).
• Monitor and manage central lines, arterial lines, and other invasive devices.
• Follow strict infection prevention and control practices in the ICU.
• Maintain fluid balance charts and monitor patient intake and output.
• Provide nutrition support, including enteral and parenteral feeding.
• Educate and support patients’ families regarding the patient’s condition and care.
• Ensure patient safety, comfort, dignity, and privacy at all times.
• Work collaboratively with doctors, respiratory therapists, and other healthcare professionals.
• Prepare patients for diagnostic tests, procedures, or transfer to other units.

• Continuously monitor vital signs (blood pressure, heart rate, SpO₂, respiratory rate, and temperature).
• Assist intensivists with procedures such as intubation, central line insertion, IV cannulation, and urinary catheterization.
• Operate and troubleshoot ICU equipment including ventilators, dialysis machines, and infusion pumps.
• Administer high-alert medications and infusions (e.g., inotropes) and perform accurate drug calculations.
• Maintain detailed electronic or manual records of patient status, care plans, and any changes in condition.
• Follow strict sterilisation and infection control protocols to prevent hospital-acquired infections.
• Provide emotional support to family members and communicate patient updates with the medical team.