Aswathy Rajeevkumar

Patient Assessment & Triage

• Receive and stabilize critically ill patients from Emergency Department.
• Perform rapid assessments using NEWS score and Glasgow Coma Scale (GCS) to prioritize care.
• Monitor patients for clinical deterioration and initiate timely, evidence-based interventions.

Advanced Monitoring & Procedures

• Assist in and monitor invasive procedures: central line insertion, arterial line placement, endotracheal intubation, PICCO, and femoral line access in collaboration with physicians.
• Monitor cardiac rhythms and titrate inotropic drugs based on hemodynamic stability.
• Prepare patients for extubation and manage sedation weaning protocols according to best practice guidelines.

Ventilation & Airway Management

• Set up ventilators, adjust modes as per patient condition, and interpret ventilator alarms.
• Provide tracheostomy care and suctioning (oral and endotracheal).
• Monitor ABG results and adjust ventilator settings or initiate BiPAP/CPAP as clinically indicated.

Renal & Fluid Management

• Identify and manage signs of shock and fluid/electrolyte imbalances.
• Assist in dialysis and Continuous Renal Replacement Therapy (CRRT).
• Administer blood products and monitor for transfusion reactions.

Medication & Infusion Therapy

• Administer IV, IM, and oral medications; insert IV cannulas and manage infusion lines.
• Calculate and administer drugs via syringe and infusion pumps.
• Independently manage the titration of critical medications including inotropics, sedatives, and analgesics following clinical protocols.

Nutrition & Elimination Support

• Insert and manage urinary catheters, nasogastric tubes; assist in PEG feeding.
• Maintain strict intake/output charts including fluid balance and medication drip rates.

Burns & Wound Care

• Assist in the care of burns patients, adhering to specialist protocols and infection control standards.

Multidisciplinary Collaboration & Escalation

• Collaborate effectively with multidisciplinary teams including intensivists, physicians, physiotherapists, pharmacists, and respiratory therapists to ensure holistic, patient-centered care.
• Participate in daily ward rounds, patient handovers, and multidisciplinary care planning.
• Support timely escalation of care via MET teams and ensure continuity of care during transfers.

Patient-Centered Care & Communication

• Deliver compassionate, respectful care tailored to individual patient needs and preferences.
• Provide family education, emotional support, and counseling in critical and end-of-life situations.
• Advocate for patients' dignity, autonomy, and informed decision-making throughout their care journey.

Documentation & Professional Standards

• Maintain accurate, timely, and legally compliant documentation using electronic health records.
• Adhere to professional, legal, and ethical standards in all aspects of nursing practice.
• Engage in continuous professional development and apply evidence-based practice to improve patient outcomes.

• Delivered essential frontline care amidst the COVID-19 pandemic.
• Administered COVID-19 vaccines to individuals in community settings, ensuring accurate dosing and safety protocols.
• Performed nasal and oropharyngeal swabbing for COVID-19 testing, maintaining strict infection control and aseptic techniques.
• Monitored patients for adverse reactions, and educated them on post vaccine care and side effects.
• IV drug therapy.
• Collaborated with a multidisciplinary team to support large-scale management.

• Assessing patients in the pediatric department.
• Administrating Vaccines and maintaining vaccination record books
• Assisting children with nebulizations and steam inhalations.
• Assisting doctors in minor procedures.
• Checking Pediatric vital signs and supporting family.
• Monitored patients for adverse reactions, and educated them on post vaccine care and side effects.
• Collaborated with a multidisciplinary team to support large-scale management.

• Receive patients from Emergency Department and promptly attach to cardiac monitors for continuous ECG observation.
• Assist with various echocardiography procedures, including 2D echo, stress echo, and treadmill tests (TMT), ensuring patient comfort and accurate data collection.
• Prepare patients for thrombolytic therapy, including necessary blood tests and monitoring for adverse reactions.
• Support preparation and post-procedure care for coronary angiography and angioplasty patients, including safe removal of angioplasty sheaths and monitoring for bleeding or vascular complications.
• Monitor and assess vascular access sites for hematoma, bleeding, or other complications following interventions.
• Assist with cardioversion procedures, ensuring patient safety and readiness.
• Provide patient and family health education tailored to cardiac conditions, treatments, and lifestyle modifications.
• Support patients with temporary and permanent pacemaker insertion and ongoing care.
• Prepare patients for advanced cardiac interventions such as intubation and Intra-Aortic Balloon Pump (IABP) insertion; monitor coagulation status (PT/INR) as required.
• Ensure comprehensive follow-up care and liaise with multidisciplinary teams to optimize cardiac patient outcomes.
• Deliver compassionate family education and counseling, supporting patients and loved ones through acute cardiac events.

• Receive critically ill patients from Emergency Department, conduct rapid assessments, and prioritise care according to clinical urgency.
• Assess patients using National Early Warning Score (NEWS) and Glasgow Coma Scale (GCS), continuously monitoring for signs of deterioration.
• Assist with and monitor invasive procedures, including central venous catheter and arterial line placement, as well as endotracheal intubation.
• Administer blood and plasma transfusions with strict adherence to transfusion safety protocols.
• Perform oral and endotracheal suctioning to maintain airway patency and prevent respiratory complications.
• Insert and manage urinary catheters, nasogastric (NG) tubes, and assist with percutaneous endoscopic gastrostomy (PEG) tube feeding.
• Monitor arterial blood gas (ABG) results and implement appropriate respiratory support measures, including initiating BiPAP and CPAP ventilation as clinically indicated.