Nursing Privileges

ANANDRISHIJI HOSPITAL AND MEDICAL RESEARCH CENTRE, AHMEDNAGAR.
NURSING PRIVILEGES
UNDER SUPERVISION OF SENIOR NURSE
Name : Designation : Nurse ID. NO
Department : Responsible for: Manitaining records, smooth

ICU functioning, counseling, assisting, keeping a
check, effective mangement of resources,
attending training programmes etc.
Qualification: ANM Nurse
Skill set required: Should be fluent in Hindi, English, Marathi,

good communication, basics of computer, able to perform in
stressful working situation and competent in disaster management.
Privilege: Approved by
Demanded Offered
Special procedures: Special procedures:

 assist in initial assessment  assist in initial
Signature of
with GNM assessment with GNM employee
staff staff
 assist in foleys  assist in foleys
catheterization procedure catheterization procedure
 bed making  bed making
 Back care  Back care
Signature of
 Mouth wash  Mouth wash dept. Matron
 Hair Combing  Hair Combing
 Perineal care & catheter  Perineal care & catheter
care care
 RT feeding  RT feeding
Head of
 labeling of the lab bulbs  labeling of the lab bulbs
Privileging
 cleaning instrument and  cleaning instrument and commitee
labeling labeling
sending to CSSD sending to CSSD
NURSING PRIVILEGES

CCU functioning, counseling, assisting, keeping a

Demanded Offered

 assist in initial  assist in initial
assessment with GNM assessment with GNM
staff staff Signature of
 assist in foleys  assist in foleys employee
catheterization procedure catheterization procedure
 bed making  bed making
 Mouth wash  Mouth wash
 Perineal care & catheter  Perineal care & catheter
care care
 RT feeding  RT feeding Signature of
 labeling of the lab bulbs  labeling of the lab bulbs dept. Matron
 cleaning instrument and  cleaning instrument and
labeling labeling
Head of
Privileging
commitee
NURSING PRIVILEGES
Name : Designation : ID. NO

Nurse

CASUALTY functioning, counseling, assisting, keeping a
Skill set required: Should be fluent in Hindi, English, Marathi, good

communication, basics of computer, able to perform in stressful
working situation and competent in disaster management.
Privileg Approved
by
Demanded Offered
 assist in Emergency  assist in Emergency
Signature
Assessment Assessment
of
 assist the GNM staff for  assist the GNM staff for employee
intracath insertion intracath insertion
 assist for ECG procedure  assist for ECG procedure
 assist in drassing  assist in drassing
procedure procedure
 assist for nebulization  assist for nebulization
Signature
procedure procedure of dept.
Matron
 assist the GNM staff in  assist the GNM staff in
plaster cast removal plaster cast removal
 assist GNM staff for  assist GNM staff for
catheater removal catheater removal
Head of
 labeling of the lab bulbs  labeling of the lab bulbs
Privileging
commitee
NURSING PRIVILEGES

Nurse

Female ward functioning, counseling, assisting, keeping a

Demanded Offered
 assist in intial assesment  assist in intial assesment

 assist the GNM staff for  assist the GNM staff for Signature of
intracath insertion intracath insertion employee
 assist the GNM staff for  assist the GNM staff for
normal labour normal labour
labeling labeling
 assist the perineal care  assist the perineal care
 back care  back care Signature of
dept. Matron
 mouth wash  mouth wash
 nail care  nail care
 sponge bath  sponge bath
 sitz bath  sitz bath
 RT-Feeding  RT-Feeding
 hair combing  hair combing
Head of
Privileging
committee
NURSING PRIVILEGES

Nurse

NICU functioning, counseling, assisting, keeping a

Demanded Offered

 assist RT-Feeding  assist RT-Feeding Signature of
 eye care  eye care employee
labeling labeling
dept. Matron
 Assist the GNM staff in  Assist the GNM staff in
suction procedure. suction procedure.
Head of
Privileging
commitee
NURSING PRIVILEGES
Name : Designation : Male Nurse ID. NO

PICU functioning, counseling, assisting, keeping a

Demanded Offered

labeling labeling
dept. Matron
 assist the GNM staff in assist the GNM staff in
Head of
Privileging
commitee
NURSING PRIVILEGES

PW functioning, counseling, assisting, keeping a

Demanded Offered

labeling labeling
dept. Matron
 assist the GNM staff in assist the GNM staff in
Head of
Privileging
commitee
NURSING PRIVILEGES

OT functioning, counseling, assisting, keeping a

Demanded Offered

 cleaning instrument and  cleaning instrument and Signature of
employee
labeling labeling
 fumigation of OT  fumigation of OT
 Trolley preparation  Trolley preparation
 assist in pre-operative  assist in pre-operative
care care
Signature of
 cleaning of biomedical  cleaning of biomedical
dept. Matron
equipment inside OT equipment inside OT
 gauze pice cutting and  gauze pice cutting and
storing reciving instrument storing reciving
from CSSD instrument from CSSD
 Segregation of dirty linen  Segregation of dirty linen
and pretreating them and pretreating them
Head of
before sending then to the before sending then to
Privileging
laundry. the laundry. commitee
 changing gowns of  changing gowns of
patients patients
NURSING PRIVILEGES

MSW functioning, counseling, assisting, keeping a

Privilege: Approved
by
Demanded Offered
Special procedures:  assist in initial assessment
 assist in initial assessment with GNM staff
with GNM staff  assist in foleys
 assist in foleys catheterization procedure
catheterization procedure  bed making
 bed making  Back care, Signature of
 Back care,  sponge bath employee
 sponge bath  Mouth wash
 Mouth wash  catheter care
 catheter care  assist in dressing
 assist in dressing procedure
procedure  RT feeding
 RT feeding  labeling of the lab bulbs
 labeling of the lab bulbs  cleaning instrument and
 cleaning instrument and labeling sending to CSSD Signature of
labeling sending to CSSD  gauze piece cutting dept.
 gauze piece cutting  reciving instrument CSSD Matron
 reciving instrument CSSD  assist the gnm staff for
 assist the gnm staff for intracath insersation
intracath insersation  assist GNM staff for
 assist GNM staff for catheater removal
catheater removal  segregation of dirty linen
 segregation of dirty linen and pretreating them
and pretreating them before sending then to the Head of
before sending then to the Privileging
laundry.
commitee
laundry.
NURSING PRIVILEGES
Under Supervision of Senior Nurse

semi functioning, counseling, assisting, keeping a 31802

Privilege: Approved
by
Demanded Offered
laundry.
commitee
laundry.
NURSING PRIVILEGES

MMW functioning, counseling, assisting, keeping a

Privilege: Approved
by
Demanded Offered
laundry.
commitee
laundry.
NURSING PRIVILEGES

Nurse

SPR III functioning, counseling, assisting, keeping a

Privilege: Approved
by
Demanded Offered
laundry.
commitee
laundry.
NURSING PRIVILEGES

Nurse

SPR II functioning, counseling, assisting, keeping a

Privilege: Approved
by
Demanded Offered
laundry.
commitee
laundry.
NURSING PRIVILEGES
Name : Designation : ID. NO.

Nurse

FW II functioning, counseling, assisting, keeping a
Skill set required: Should be fluent in Hindi, English, Marathi, good Approved
communication, basics of computer, able to perform in stressful by
Privilege:
Demanded Offered
 assist in foleys catheterization procedure Signature of
catheterization procedure  bed making employee
 bed making  Back care,
 Back care,  sponge bath
 RT feeding  labeling of the lab bulbs Signature of
 labeling of the lab bulbs  cleaning instrument and dept.
 cleaning instrument and labeling sending to CSSD Matron
labeling sending to CSSD  gauze piece cutting
 gauze piece cutting  reciving instrument CSSD
catheater removal  segregation of dirty linen Head of
 segregation of dirty linen and pretreating them Privileging
and pretreating them before sending then to the commitee
before sending then to the laundry.
laundry.
NURSING PRIVILEGES
Name:
ID NO:
Department : Responsible for: Maintaining records,
Ortho OPD smooth functioning, counseling, assisting,
keeping a check, effective management of
resources, attending training programmes
etc.
Skill set required: Should be fluent in Hindi, English, Approved by

Marathi, good communication, basics of computer, able to
perform in stressful working situation and competent in
disaster management.
Privilege:
Demanded offered

Signature of
1) Vital Sign Checked 1) Vital Sign Checked employee
2) ECG 2) ECG
3) Compliet register 3) Compliet register
4) Wt. and hight 4) Wt. and hight
5) Assist for the procedure 5) Assist for the procedure Signature of dept.
Matron
suture remoe suture remoe
6) assist for the procedure k- 6) assist for the procedure
wire remove k-wire remove
7) Assist for the procedure 7) Assist for the procedure Head of

Privileging
dreesing dreesing committee
NURSING PRIVILEGES
Name:
ID NO:

Gynac OPD smooth functioning, counseling,
assisting, keeping a check, effective
management of resources, attending
training programmes etc.
Skill set required: Should be fluent in Hindi, English, Approved

Marathi, good communication, basics of computer, able by
to perform in stressful working situation and competent
in disaster management.
Privilege:
Demanded offered
1) Vital sign 1) Vital sign Signature

of
2) ECG 2) ECG employee
3) Compliet register 3) Compliet register
4) FHS Check 4) FHS Check
5) Assist for the procedure 5) Assist for the Signature

of dept.
of suture remove procedure of suture Matron
6) Assist for the procedure remove
of dreesing 6) Assist for the

Head of
7) Wt & Hight procedure of dreesing Privileging
committee
7) Wt & Hight
NURSING PRIVILEGES
Name: ID. NO

Sur. OPD smooth functioning, counseling,

Privilege:
Demanded offered
1) Vital Sign Check 1) Vital Sign Check
2) ECG 2) ECG
Signature
3) Wt & hight 3) Wt & hight of
employee
4) assist for the procdure of 4) assist for the procdure
suture remove of suture remove
5) Assist for the procedure 5) Assist for the Signature

of dept.
of dressing procedure of dressing Matron
Head of
Privileging
committee
NURSING PRIVILEGES
Name: ID. NO

Medicine. OPD smooth functioning, counseling,

Privilege:
Demanded offered

Signature
2)assist the Inj. Procedure 2)assist the Inj. Procedure of
employee
3) Wt & hight 3) Wt & hight
4) compliet register 4) compliet register
Signature
of dept.
Matron
Head of
Privileging
committee
NURSING PRIVILEGES
Name: ID NO: ID. NO

Cardiology. smooth functioning, counseling,
OPD assisting, keeping a check, effective

Privilege:
Demanded offered Signature

of
Special procedures: Special procedures: employee
2) Stress test 2) Stress test
3) Wt & hight 3) Wt & hight Signature

of dept.
4) Register Mention 4) Register Mention Matron
5) 2D Echo assist 5) 2D Echo assist
Head of
Privileging
committee
NURSING PRIVILEGES
Name: ID NO: ID. NO

Nephrolgy. smooth functioning, counseling,

Privilege:
Demanded offered

Signature
of
employee
Signature
3) complete register 3) complete register of dept.
Matron
4) cleaning instrument and 4) cleaning instrument
labeling sending to and labeling sending to

Head of
CSSD CSSD Privileging
committee
NURSING PRIVILEGES
Name: ID. NO.

Opthalm. OPD smooth functioning, counseling,

Privilege:
Demanded offered
Special procedures: Special procedures: Signature

of
1) Vital Sign Check 1) Vital Sign Check employee

Signature
4) eye cleaning 4) eye cleaning of dept.
Matron
Head of
Privileging
committee
NURSING PRIVILEGES

Dialysis smooth functioning, counseling, assisting,
etc.
Qualification: ANM Nurse Approved by

stressful working situation and competent in disaster
management.
Privilege:
Demanded Offered
Signature of
employee
 Bed Making  Bed Making
 assist in initial  assist in initial
assessment with GNM assessment with GNM
staff staff
 Take Consent  Take Consent Signature of
 Priming of dialyser and  Priming of dialyser and Matron
tubbing tubbing
 Check Vital Signs  Check Vital Signs
 Record and reports  Record and report
 Washing of dialyser and  Washing of dialyser and
Head of
tubbing tubbing Privileging
 DLC dressing  DLC dressing committee
 Biomedical waste  Biomedical waste

management management

NURSING PRIVILEGES

Cathlab smooth functioning, counseling, assisting,
etc.
Qualification: ANM Nurse Approved by

management.
Privilege:
Signature of
Demanded Offered employee
 Assist in Initial  Assist in Initial
Assessment with GNM Assessment with GNM

Signature of
Matron
staff staff
 Vital sings checked  Vital sings checked
 ECG  ECG
Head of
Privileging
 Patient’s registration  Patient’s registration
committee
 Wash the Instruments  Wash the Instruments and
and send for ETO send for ETO
 Transout patient  Transout patient
 Record and report  Record and report

NURSING PRIVILEGES

Cathlab smooth functioning, counseling, assisting,
etc.
Qualification: GNM Nurse Approved by

management.
Privilege:
Signature of
 Vital signs checked  Vital signs checked
 ECG  ECG
 Transout patient  Transout patient
 monitoring the health of  monitoring the health of
patients and providing patients and providing
reassurance and insight reassurance and insight
into what to expect of a into what to expect of a Signature of
procedure and recovery. procedure and recovery. Matron
 Interact with and help  Interact with and help
educate both the patient educate both the patient
and concerned family and concerned family
members. members.
 Inform changes in the  Inform changes in the
patient’s condition. patient’s condition.
 Inform doctors of  Inform doctors of
unexpected pain, unexpected pain,
increasing pain, low increasing pain, low
oxygen levels or blood oxygen levels or blood Head of
pressure, unexpected pressure, unexpected Privileging
pallor, or infection at pallor, or infection at committee
surgery or testing sites. surgery or testing sites.
NURSING PRIVILEGES
Name: ID. NO

PAEDIATRIC smooth functioning, counseling,

Privilege:
Demanded offered

Signature
of
1) Vital Sign CHECK 1) Vital Sign Check employee

Signature
of dept.
4) cleaning instrument and 4) cleaning instrument
Matron
labeling sending to CSSD and labeling sending to
CSSD
Head of
Privileging
committee
NURSING PRIVILEGES
Name: ID. NO

CVTS smooth functioning, counseling,

Marathi, good communication, basics of computer, able to by
perform in stressful working situation and competent in
disaster management.
Privilege:
Demanded offered
 Delivers direct surgical  Delivers direct Signature

of
care by assisting surgical care by employee
physicians assisting physicians
 Helps control  Helps control

Signature
bleeding bleeding
of dept.
Matron
 Provides wound  Provides wound
exposure exposure
 Sutures patients after  Sutures patients after Head of

Privileging
the surgery the surgery committee
NURSING PRIVILEGES

Qualification: CNM Nurse
Demanded Offered

 cleaning instrument and  cleaning instrument and Signature of
employee
labeling labeling
 assisting fumigation to  assisting fumigation to
ANM staff ANM staff
 Preparation of dressing  Preparation of dressing
Trolley Trolley
Signature of
care care
dept. Matron
 gauze pice cutting and  gauze pice cutting and
storing storing
 segregation of dirty linen  segregation of dirty linen
Head of
Privileging
laundry. the laundry. commitee
patients patients
NURSING PRIVILEGES
Name : Designation : Nurse

ID. NO

Privilege:
Demanded Offered Approved by

 keeping the nursing  keeping the nursing
counter neat and clean counter neat and clean
labeling labeling
Signature of
sending to CSSD sending to CSSD employee
Trolley Trolley
care care
 gauze pice cutting and  gauze pice cutting and Signature of
storing storing dept. Matron
laundry. the laundry.
patients patients Head of
 receiving trays and drums  receiving trays and Privileging
from CSSD department drums from CSSD commitee
and storing them in sterile department and storing
zone them in sterile zone
 broker instrument are  broker instrument are
return back to maintenace return back to
department maintain the maintenace department
register maintain the register
NURSING PRIVILEGES

ID. NO

Privilege:

labeling labeling
Signature of
Trolley Trolley
care care
NURSING PRIVILEGES

ID. NO

Privilege:

labeling labeling
Signature of
Trolley Trolley
care care
patients patients
 receiving trays and drums  receiving trays and Head of
from CSSD department drums from CSSD Privileging
and storing them in sterile department and storing commitee
NURSING PRIVILEGES

ID. NO

OPD functioning, counseling, assisting, keeping a
Privilege:

labeling labeling
Signature of
Trolley Trolley
care care

NURSING PRIVILEGES

ID. NO

Privilege:

labeling labeling
Signature of
Trolley Trolley
care care

NURSING PRIVILEGES

ID. NO

FW functioning, counseling, assisting, keeping a
Privilege:

labeling labeling
Signature of
Trolley Trolley
care care
NURSING PRIVILEGES

ID. NO

MSW functioning, counseling, assisting, keeping a
Privilege:

labeling labeling
Signature of
Trolley Trolley
care care
NURSING PRIVILEGES
ID. NO

MMW functioning, counseling, assisting, keeping a
Privilege:

labeling labeling
Signature of
Trolley Trolley
care care

NURSING PRIVILEGES

ID. NO

DIALYSIS functioning, counseling, assisting, keeping a
Privilege:

labeling labeling
Signature of
Trolley Trolley
 assist in pre-operative c  assist in pre-operative
are care

NURSING PRIVILEGES

ID. NO

CASULTY functioning, counseling, assisting, keeping a
Privilege:

labeling labeling
Signature of
Trolley Trolley
care care
NURSING PRIVILEGES

ID. NO

CVTS functioning, counseling, assisting, keeping a
Demanded Offered

Signature of
labeling labeling
employee
Trolley Trolley
 assist in pre-operative care  assist in pre-operative
 cleaning of biomedical care
equipment inside OT  cleaning of biomedical
 gauze pice cutting and equipment inside OT
Signature of
storing  gauze pice cutting and dept. Matron
 segregation of dirty linen storing
and pretreating them  segregation of dirty linen
before sending then to the and pretreating them
laundry. before sending then to
 changing gowns of the laundry.
patients  changing gowns of
Head of
 receiving trays and drums patients Privileging
from CSSD department  receiving trays and commitee
and storing them in sterile drums from CSSD
zone department and storing
 broker instrument are them in sterile zone
return back to maintenace  broker instrument are
department maintain the return back to
register maintenace department
maintain the register
NURSING PRIVILEGES

ICU functioning, counseling, assisting, keeping a check,
effective mangement of resources, attending
Qualification: GNM Nurse
Privilege:
 Initial assessment  Initial assessment
 Assist for the procedure of DLC  Assist for the procedure of
cannula insertion DLC cannula insertion
 Assist for the procedure of  Assist for the procedure of
Central line insertion Central line insertion
Plueral and ascitic Tapping Plueral and ascitic Tapping Signature of
 Assist for the procedure of  Assist for the procedure of employee
Intubation Intubation
Lumber Puncture Lumber Puncture
Tracheostomy Tracheostomy
 Foleys Catheterization  Foleys Catheterization
 Assist for the procedure of ICD  Assist for the procedure of
Insertion ICD Insertion
Signature of
dept. Matron
Temporary Pacing Temporary Pacing
 Assist for the procedure of Extra  Assist for the procedure of
Ventricular Drain Extra Ventricular Drain
 Suturing  Suturing
 Assist for the procedure of Nasal  Assist for the procedure of
packing Nasal packing
 Hair Combing  Hair Combing Head of
 Perineal care & catheter care  Perineal care & catheter care Privileging
 Tracheostomy care  Tracheostomy care
commitee
 Centeral Line Dressing  Centeral Line Dressing
 Assist for the procedure of Chest  Assist for the procedure of
tube insertion Chest tube insertion
 CPR  CPR
 Suctioning (Oral, E.T.,  Suctioning (Oral, E.T.,
Tracheostomy) Tracheostomy)
 RT insertion  RT insertion
 All Nursing procedure  All Nursing procedure
documented documented
NURSING PRIVILEGES
Department : Responsible for: Maintaining records, smooth

effective management of resources, attending
Privilege:
 Admission procedure.  Admission procedure.
cannula insertion DLC cannula insertion
 Assist for the procedure of  Assist for the procedure of Signature of
Plueral and ascitic Tapping Plueral and ascitic Tapping employee
Tracheostomy Tracheostomy
Signature of
dept. Matron
Temporary Pacing Temporary Pacing
 Assist for the procedure of Extra  Assist for the procedure of
 Perineal care & catheter care  Perineal care & catheter care
Head of
 Centeral Line Dressing  Centeral Line Dressing
Privileging
 Assist for the procedure of Chest  Assist for the procedure of committee
 CPR  CPR
NURSING PRIVILEGES

check, effective management of resources,

management.
Privilege: Signature of
employee
Demanded Offered
 Assist for the procedure of  Assist for the procedure
Intubation of Intubation
 Umbilical Line insertion  Umbilical Line insertion
 APGAR scoring  APGAR scoring
 Assist for the procedure of  Assist for the procedure Signature of
Central Line insertion of Central Line insertion Matron
L.P. (Lumber of L.P. (Lumber
Puncture) Puncture)
 ABG  ABG
 Catheterization  Catheterization
Blood exchange of Blood exchange Head of
 Assist for the procedure of  Assist for the procedure Privileging
Peritonial Dialysis of Peritonial Dialysis commitee
 Intracath insertion  Intracath insertion
procedure procedure
 Blood Transfusion  Blood Transfusion
NURSING PRIVILEGES

PICU smooth functioning, counseling, assisting,
etc.

Privilege:
Signature of
 Assist for the procedure  Assist for the procedure of
of Intubation Intubation
of Central Line Central Line
of L.P. (Lumber L.P. (Lumber
Puncture) Puncture)
 Blood collection for  Blood collection for
investigation investigation
 Catheterization  Catheterization Signature of
 Assist for the procedure  Assist for the procedure of Matron
of Blood exchange Blood exchange
of Peritonial Dialysis Peritonial Dialysis
procedure procedure
 Assist for the procedure  Assist for the procedure of Head of
of Bone marrow Bone marrow Privileging
aspiration aspiration commitee
of Dressing Dressing
NURSING PRIVILEGES
Name : Designation : Nurse ID. NO.
Department : SPR Responsible for: Maintaining records,

smooth functioning, counseling, assisting,
etc.
Approved by
management.
Privilege:
Demanded Offered Signature of

Special procedures: Special procedures: employee
 Initial Assessment  Initial Assessment
 Hand Washing procedure  Hand Washing
 Sponge bath procedure
 Back Care  Sponge bath
 Position Changing  Back Care
 Mouth Wash  Position Changing
 Bed Sore Dressing  Mouth Wash Signature of
 Vital signs checked  Bed Sore Dressing Matron
 Bed making  Vital signs checked
 R.T. Feeding  Bed making
 Biomedical waste  R.T. Feeding
management  Biomedical waste
 Pre operative care & management
Postoperative patient  Pre operative care & Head of
care Postoperative patient Privileging
 Central Line care and care commitee
Dressing  Central Line care and
 Catheterization Dressing
 Medication given as per  Catheterization
as Doctor’s order  Medication given as per
 Record and report as Doctor’s order
 Record and report

NURSING PRIVILEGES
Responsible for: Maintaining records,

Department : CCU smooth functioning, counseling, assisting,
etc.
Approved by
communication, basics of computer, able to perform in stressful working
situation and competent in disaster management.
Privilege:
Demanded Offered
 Assess the patient’s general  Assess the patient’s general
condition condition
Central Line Insertion Central Line Insertion employee
 Interacath Insertion  Interacath Insertion
 Prepare patient for operation  Prepare patient for operation
 Post operative patient care  Post operative patient care
 Assist for the procedure of Drain  Assist for the procedure of Drain
Removal Removal
 Femoral, Radial and Central line  Femoral, Radial and Central line
Removal Procedure Removal Procedure
 Catheter Removal Procedure  Catheter Removal Procedure
 Collection of the blood sample  Collection of the blood sample Signature of
 Back Care, Mouthwash,  Back Care, Mouthwash, Matron
Cheaking Airbed connection Cheaking Airbed connection
 R.T. feeding  R.T. feeding
 Handle Inodrops supported  Handle Inodrops supported
syringe pump monitor syringe pump monitor
 Maintain hrly vital signs, Intake,  Maintain hrly vital signs, Intake,
Output, Central venous pressure Output, Central venous pressure
 BIPAP Connect, O2 connect  BIPAP Connect, O2 connect
 Ventilator settings and cardiac  Ventilator settings and cardiac Head of
output cheked 4 hrly. output cheked 4 hrly. Privileging
 Emerency Medication maintain  Emerency Medication maintain commitee
documentation documentation
 Mobile the Patient  Mobile the Patient
 Handling the Patient on  Handling the Patient on
ventilator (2 hrly Suction) ventilator (2 hrly Suction)
 Position changed 2 hrly.  Position changed 2 hrly.
 Emergency Intubation tray daily  Emergency Intubation tray daily
check etc. check etc.
NURSING PRIVILEGES

Female Ward functioning, counseling, assisting, keeping a

management.
Privilege:
Demanded Offered
 Initial Assessment  Initial Assessment Signature of
 Admission Procedure  Admission Procedure employee
 Assist to doctor for  Assist to doctor for
dressing of the patient dressing of the patient
 Assist the doctor for  Assist the doctor for
normal labour normal labour
 Send instruments and  Send instruments and
tray for Autoclaving tray for Autoclaving
 Medication  Medication
administration administration Signature of
 Parineal care  Parineal care Matron
 Blood transfusion  Blood transfusion
 Chemotherapy  Chemotherapy
 Steam inhalation and  Steam inhalation and
nebulization nebulization
 Bed sore dressing  Bed sore dressing
 Carring and autoclaving  Carring and autoclaving
of surgical instruments of surgical instruments
 Laboratory specimen  Laboratory specimen
collection and handling collection and handling
 Segregation and disposal  Segregation and disposal
of bio-medical waste of bio-medical waste
 Patient discharge process  Patient discharge process
 Receiving the articles  Receiving the articles
from the CSSD from the CSSD Head of
 Pre and post-operative  Pre and post-operative Privileging
care of the patient care of the patient commitee
NURSING PRIVILEGES

Semi - SPR smooth functioning, counseling, assisting,
resources, attending training programmes etc.
Approved by
Privilege:

 Bed making  Bed making
 Sponging  Sponging Signature of
 Mouth Wash  Mouth Wash employee
 Medication administration  Medication administration
 BSL  BSL
 Nebulization  Nebulization
 Tracheostomy suctioning  Tracheostomy suctioning
 Sitz Bath  Sitz Bath
 Steam inhalation  Steam inhalation
 Asist to Doctor for Bone  Asist to Doctor for Bone Signature of
marrow aspiration procedure marrow aspiration procedure Matron
 Care of unconsious patient  Care of unconsious patient
 Send articles for sterilization  Send articles for sterilization
management and Handeling management and Handeling
 Admission process  Admission process
 Discharge process  Discharge process
 Central line dressing  Central line dressing
 Wound Dressing  Wound Dressing
 Pre operative care  Pre operative care
 Post operative care  Post operative care
 Bladder wash  Bladder wash Head of
 Perineal care  Perineal care Privileging
 Physical Examination  Physical Examination commitee
 Infusion  Infusion
procedure procedure
NURSING PRIVILEGES
Name : Designation :Male Nurse ID. NO

etc.
Qualification: GNM Approved by

management.
Privilege:
Demanded Offered
Special procedures: Special procedures: Signature of
 Bed Making.  Bed Making. employee
 Initial Assessment.  Initial Assessment.
 Take Consent.  Take Consent.
 Priming of dialyser and  Priming of dialyser and
tubbing. tubbing.
 Connect the Patient to  Connect the Patient to
haemodialysis. haemodialysis.
 Checked BP 1 hrly.  Checked BP 1 hrly. Signature of
 Check Vital Signs.  Check Vital Signs. Matron
 Record and reports.  Record and reports.
 Disconnect the patient.  Disconnect the patient.
 Washing of dialyser and  Washing of dialyser and
tubbing. tubbing.
 Removing AVF Needle.  Removing AVF Needle.
 Give Medication as per  Give Medication as per
doctor order. doctor order. Head of
 Blood Transfusion as per  Blood Transfusion as per Privileging
doctor order. doctor order. commitee
 DLC dressing.  DLC dressing.
management. management.
NURSING PRIVILEGES

Cath-Lab smooth functioning, counseling, assisting,
etc.

management.
Privilege:
Signature of
procedure procedure
investigation investigation Signature of
 Vital sings checke  Vital sings checked Matron
 ECG  ECG
 Sheath Removing  Sheath Removing
Procedure Procedure
 Medication given as per  Medication given as per as Head of
as doctor order doctor order Privileging
 Transout patient  Transout patient commitee
Resident Medical Officer (RMO) Privileges

UNDER SUPERVISION OF SENIOR RMO
Name : Designation : RMO

ID. NO.
Department : Responsible for: To provide a continuous on-site medical
support service to meet the needs of patients, This includes emergency
procedures and providing a general service to all clinical areas
Approved
Qualification: by
Skill set required: Areas should be fluent in Hindi, English, Marathi, good communication,
basics of computer, able to perform in stessful working situation and competent in disaster
management.
Privilege:
Demanded Special Procedures: Offered Special Procedures:
 Complete a brief admission examination on  Complete a brief admission examination on

each patient when appropriate and each patient when appropriate and
document clinical findings. document clinical findings.
 Attend rounds with consulting staff, as  Attend rounds with consulting staff, as
required, and be available to discuss patient required, and be available to discuss patient
treatment plans. treatment plans.
 Inform admitting consultants of changes in  Inform admitting consultants of changes in
medical condition of patients and of medical condition of patients and of
relevant action taken. relevant action taken. Signature
 Follow the instructions of consultants for  Follow the instructions of consultants for of employee
their specific regime for each individual their specific regime for each individual
patient. patient.
 Perform clinical procedures as requested by  Perform clinical procedures as requested by
consultant. consultant.
 Initiate and alter in-patient prescriptions at  Initiate and alter in-patient prescriptions at
consultant’s request. consultant’s request.
 Visit patients as required at the request of  Visit patients as required at the request of
the nursing staff. the nursing staff.
 Visit all in-patients daily and document in  Visit all in-patients daily and document in
clinical notes. clinical notes.
 To be familiar with all relevant  To be familiar with all relevant
procedures/policies. procedures/policies.
 To be aware of the centres’ clinical risk  To be aware of the centers’ clinical risk
programme and report clinical incidents, programme and report clinical incidents,
drug errors and near misses. drug errors and near misses. Head of
 To be completely familiar with emergency  To be completely familiar with emergency Privileging
equipment. equipment. committee
 To record all treatments performed in  To record all treatments performed in
patient notes. patient notes.
 To provide a full report to Resident  To provide a full report to Resident Medical
Medical Officer commencing the next shift. Officer commencing the next shift.
 To participate in pre-admission clinics.  To participate in pre-admission clinics.
 To carry out cardiac arrest and other  To carry out cardiac arrest and other
emergency procedures as per hospital emergency procedures as per hospital
policy. policy.
 To initiate emergency treatment for  To initiate emergency treatment for
patients, staff & visitors and complete patients, staff & visitors and complete
appropriate documentation. appropriate documentation.
Privilege Dietician
Under Supervision of Senior Dietician
Name : Designation : Dietician ID. NO
Department : Responsible for: Supervision, monitoring, planning, placing

orders, counseling, receiving orders, arranging menu and
maintaining records etc.
Qualification: Approved
by
Skill set required: Planning, good communication, co-coordinating, controlling and
leadership.
Privilege:
Demanded Offered
Signature
 Monitoring therapeutic diets.  Monitoring therapeutic diets. of employee
 Modification of diet according to  Modification of diet according to
patient’s requirements. patient’s requirements.
 Menu planning for patients.  Menu planning for patients.
 Diet counseling to Inpatients and  Diet counseling to Inpatients and
Outpatients. Outpatients.
 Co-ordination with Sisters / Doctors  Co-ordination with Sisters / Doctors
etc., etc.,
 If required discuss with Consultants  If required discuss with Consultants
and Doctors regarding diet.. and Doctors regarding diet..
 Ensure that there is proper and  Ensure that there is proper and
Head of
effective communication within the effective communication within the
Privileging
department and also with patients. department and also with patients. committee
 Any other jobs assigned by  Any other jobs assigned by
superiors as per exigencies of superiors as per exigencies of
work. work.
Resident Medical Officer (RMO) Privilege
Name : Designation : RMO ID. NO

OT support service to meet the needs of patients, This includes emergency
Approved
Qualification: by
Skill set required: areas should be fluent in Hindi, English, Marathi, good communication,
basics of computer, able to perform in stressful working situation and competent in disaster
management.
Privilege:
Demanded Offered
 Day to day coordination between  Day to day coordination between
surgeons and Anesthetist and surgeons and Anesthetist and Signature
Administration Department. Administration Department. of employee
 Manpower Planning according to  Manpower Planning according to
surgery cases. Required nursing staff to surgery cases. Required nursing staff to
be provided with the help of Matron. be provided with the help of Matron.
 All registers to be maintained with the  All registers to be maintained with the
help of in-charge sister. help of in-charge sister.
 Ensure that surgery slip is filled up  Ensure that surgery slip is filled up
completely and accurately. completely and accurately.
 Daily census of OT to be maintained.  Daily census of OT to be maintained.
 One hospital round to be taken to see  One hospital round to be taken to see
pre & post operative patients. pre & post operative patients.
 Ensure that whether patient is shifted  Ensure that whether patient is shifted
from OT to ward safely and one nurse from OT to ward safely and one nurse
and doctor if required, should be and doctor if required, should be
accompanied with him/her. accompanied with him/her.
 Maintenance of equipment to be looked  Maintenance of equipment to be looked
after. after. Head of
 AMC/CMC of equipment in O.T. to be  AMC/CMC of equipment in O.T. to be Privileging
done with the help of A.O. done with the help of A.O. committee
 Monthly stock, consumption to be sent  Monthly stock, consumption to be sent
to administration. to administration.
 To follow the instructions given by  To follow the instructions given by
management time to time. management time to time.
 Pre operative check up of all essential  Pre operative check up of all essential
things of the patient Ex. PAC, things of the patient Ex. PAC, Advance,
Advance, Consent, blood, X-ray, CT Consent, blood, X-ray, CT Scan MRI,
Scan MRI, 2D Echo. All investigation 2D Echo. All investigation etc. should
etc. should be seen and complied. be seen and complied.

Name : Designation : RMO ID. NO.:

Department : Responsible for: Co-ordination, smooth functioning,
Cashless design packages, signing check reports and counseling etc.
Approved by
Qualification:
Skill set required: Controlling, planning and leadership.
Privilege:
Demanded Offered
 Overall in charge of the  Overall in charge of the
department. department.
 Ensure smooth functioning of the  Ensure smooth functioning of the
 Counsel patients and help decide  Counsel patients and help decide
health check packages. health check packages.
Signature of
 Design packages where not  Design packages where not employee
available. available.
 One point contact for corporate  One point contact for corporate and
and walk in customers to help walk in customers to help facilitate
facilitate check-ups. check-ups.
 Correspondence with corporate.  Correspondence with corporate.
 Signing all pre-employment check  Signing all pre-employment check
reports. reports.
 Giving advance reports on fitness  Giving advance reports on fitness
of corporate patients, as of corporate patients, as
requested by the companies. requested by the companies.
 Co-ordinate with other  Co-ordinate with other
departments consultants and departments consultants and Head of
Privileging
management for stream lined and management for stream lined and
committee
efficient functioning of the efficient functioning of the
 Handling all the above functions  Handling all the above functions for
for diabetes clinic. diabetes clinic.
 Organizing outreach camps with  Organizing outreach camps with
NGOs. NGOs.
NURSING PRIVILEGES

PED-Ward smooth functioning, counseling, assisting,
etc.

management.
Privilege:
Demanded Offered
 Initial Assessment  Initial Assessment employee
procedure procedure
 Oral Suction procedure  Oral Suction procedure
 Dressing  Dressing
 Assist for the procedure  Assist for the procedure Signature of
of L. P.(Lumbar of L. P.(Lumbar Matron
Puncture) and apply Puncture) and apply
dressing dressing
 Assist the Doctor for  Assist the Doctor for
Dressing Dressing
 Discharge Procedure  Discharge Procedure Head of
 Blood collection for  Blood collection for Privileging
investigation investigation committee
 Medication given as per  Medication given as per
as doctor order as doctor order
management management
NURSING PRIVILEGES

Casualty smooth functioning, counseling, assisting,
Procedure keeping a check, effective management of
etc.

management.
Privilege:
Demanded Offered
 Emergency Assessment  Emergency Assessment employee
 Cardio Pulmonary  Cardio Pulmonary
Resuicitation (CPR) Resuicitation (CPR)
procedure procedure
 ECG  ECG
 BSL  BSL
 Vital signs checked  Vital signs checked
 Nebulization  Nebulization
 Assist in suturing  Assist in suturing
procedure procedure Signature of
 Dressing procedure  Dressing procedure Matron
 Stitches Removal  Stitches Removal
procedure procedure
 Plastercast Removal  Plastercast Removal
 Catheter Removal  Catheter Removal
as Doctor’s order as Doctor’s order
investigation investigation
 Transout Procedure  Transout Procedure Head of
 MLC Procedure  MLC Procedure Privileging
 Referal procedure incase  Referal procedure incase committee
of non-availability of of non-availability of
bed bed
 Record and reports  Record and reports
NURSING PRIVILEGES

MSW smooth functioning, counseling, assisting,
etc.

management.
Privilege:
Demanded Offered
 Emergency Assessment  Emergency Assessment employee
 Cardio Pulmonary  Cardio Pulmonary
Resuscitation (CPR) Resuscitation (CPR)
procedure procedure
 ECG  ECG
 BSL  BSL
 Vital signs checked  Vital signs checked Signature of
 Nebulization  Nebulization Matron
 Suturing procedure  Suturing procedure
 Dressing procedure  Dressing procedure
 Stitches Removal  Stitches Removal
procedure procedure
 Plastercast Removal  Plastercast Removal
 Catheter Removal  Catheter Removal
as Doctor’s order as Doctor’s order Head of
 Blood collection for  Blood collection for Privileging
investigation investigation committee
 Transout Procedure  Transout Procedure
 MLC Procedure  MLC Procedure
 Referal procedure in  Referal procedure in case
case of non-availability of non-availability of bed
of bed  Record and reports
 Record and reports
NURSING PRIVILEGES
Name : Designation : ICN ID. NO

NABH smooth functioning, counseling, assisting,
etc.
Qualification: GNM, ICN Training Course Certificate Approved by

management.
Privilege:
Demanded Offered
employee
 Daily Collection of data  Daily Collection of data
from all the wards & from all the wards & ICUs
ICUs
 Assist in the Work for
 Assist in the Work for NABH.
NABH.
 Look after Rajeev Gandhi
 Look after Rajeev jeevandayee Aarogya Signature of
Gandhi jeevandayee Yojana Matron
Aarogya Yojana
 Analysis of all Quality
 Analysis of all Quality Indicators.
Indicators.
 Training the staff on
 Training the staff on various Quality
various Quality Indicators.
Indicators. Head of
Privileging
committee
NURSING PRIVILEGES

MMW smooth functioning, counseling, assisting,
etc.

management.
Privilege:
Demanded Offered
 Innitial Assessment  Innitial Assessment employee
 History & physical  History & physical
Exam Exam
 Assist for the procedure  Assist for the procedure
of Bone Marrow biopsy of Bone Marrow biopsy
 Aspiration needle  Aspiration needle
(Chest) (Chest)
 Central Venus line  Central Venus line
Removal Removal Signature of
 Central Venous line  Central Venous line Matron
placement placement
 Medication  Medication
administration administration
 Aspiration  Aspiration
 Nail care  Nail care
 Back Care  Back Care
 Sponging bath  Sponging bath
 Bed Making  Bed Making Head of
 Vital sign’s  Vital sign’s Privileging
 Catherazation  Catherazation committee
 Suctioning  Suctioning
 R.T. Tube insertion  R.T. Tube insertion
 Bladder wash  Bladder wash
NURSING PRIVILEGES
Name: Designation : Nurse ID. NO

OT smooth functioning, counseling, assisting,
etc.

management.
Privilege:
Demanded Offered
 Hand washing  Hand washing Signature of
 Autoclaving  Autoclaving employee
 Fumigation  Fumigation
 Trolley Preparation  Trolley Preparation
 Instrument cleaning  Instrument cleaning and
and Packing Packing
 Pre operative care  Pre operative care
 Scrub washing  Scrub washing
 Catherization  Catherization Signature of
 Prepration of Articles  Prepration of Articles for Matron
for sterilization sterilization
 Receiving the patient  Receiving the patient in
in operation theater operation theater
 Operation Theater  Operation Theater Cleaning
Cleaning  Care and handling of
 Care and handling of surgical instrument
surgical instrument  Handling of Biomedical
 Handling of Biomedical Equipment Head of
Equipment  Suction SMR Vaccum daily Privileging
 Suction SMR Vaccum checking commitee
daily checking
NURSING PRIVILEGES
Department : Responsible for: Maintaining records smooth

NABH functioning, counseling, assisting, keeping a

Approved by
Privilege:
Demanded Offered
 Checking the infection  Checking the infection
control measures & control measures & Signature of
aseptic procedures of aseptic procedures of employee
infection in specialized areas infection in specialized areas
such as operation theaters, such as operation theaters,
intensive care units, intensive care units,
maternity & neonatal units. maternity & neonatal units.
 Keeping a close watch on  Keeping a close watch on

aseptic & antiseptic aseptic & antiseptic
techniques including hand techniques including hand Signature of
washing & isolation washing & isolation Matron
techniques. techniques.
 Surviellance including high  Surveillance including high

risk areas and monitoring risk areas and monitoring
patient for hospital aquired patient for hospital acquired
infection. infection.
 Participation in teaching of  Participation in teaching of

infection control techniques. infection control techniques.
Head of
 Documentation, reliable  Documentation, reliable Privileging
reporting and maintenance reporting and maintenance commitee
of records of cases of records of cases
suspected to be suffering suspected to be suffering
from hospital aquired from hospital acquired
infection. infection.
NURSING PRIVILEGES

ID. NO
Department : Responsible for: Care of patients before,

CVTS during & post operative & procedure.

Skill set required: Should be fluent in Hindi, English, Marathi, good Approved
communication, basics of computer, able to perform in stressful by
Privilege:
Demanded Offered

 To consult and coordinate  To consult and coordinate
with health care team to with health care team to
assess, plan, implement & assess, plan, implement &
evaluate patient care plan. evaluate patient care plan.
 To conduct pre and post  To conduct pre and post
operative education. operative education. Signature of
 To serve as the  To serve as the employee
communication liaison to communication liaison to
family and members of the family and members of the
operating team. operating team.
 To take & monitor patients  To take & monitor patients
vital sings. vital sings.
 To ensure that operating  To ensure that operating
on correct patient and the on correct patient and the
correct procedure is being correct procedure is being
performed. performed.
 To prepare & administer  To prepare & administer
(orally, subcutaneously. (orally, subcutaneously.
Through an IV) and record Through an IV) and record
prescribed medications. To prescribed medications. To
report adverse reaction to report adverse reaction to
medication or treatment in medication or treatment in
accordance with the policy accordance with the policy
regarding the regarding the
administration of administration of
medication by a licensed medication by a licensed
registered nurse. registered nurse.
 To respond to life saving  To respond to life saving
situation based upon situation based upon
nursing standards and nursing standards and
protocol. protocol.
 To record all care  To record all care
information concisely, information concisely,
accurately and completely, accurately and completely,
in a timely manner, in the in a timely manner, in the
appropriate format and on appropriate format and on Signature of
the appropriate forms. the appropriate forms. Matron
 To prepare operating room  To prepare operating room
for patient/ procedure. for patient/ procedure.
 To initiate corrective action  To initiate corrective action
whenever information from whenever information from
monitoring equipment monitoring equipment
shows adverse shows adverse
symptomatology symptomatology
 To monitor patients  To monitor patients
physical and emotional physical and emotional
well being throughout the well being throughout the
care continuum. care continuum.
 To attend training program  To attend training program
 To assist in positioning,  To assist in positioning,
responding to comfort / responding to comfort /
safety of patient. safety of patient.
 To provide for accurate  To provide for accurate
Head of
care and handling of care and handling of
Privileging
specimens. specimens. committee
 To observed and enforce  To observed and enforce
strict standards of asepsis. strict standards of asepsis.
 To observe, check and  To observe, check and
monitor all equipments monitor all equipments
used during surgery to used during surgery to
confirm they are running confirm they are running
smoothly. smoothly.
 To handle patient  To handle patient
documentation documentation
 To make inventory of all  To make inventory of all
items both pre and post items both pre and post
surgery. surgery.
NURSING PRIVILEGES

CASUALTY smooth functioning, counseling, assisting,
etc.
Qualification: Approved by

management.
Privilege:
Signature of
 Innitial Assessment  Innitial Assessment
of Tracheostomy tube of Tracheostomy tube
insertion insertion
of Endotracteal tube of Endotracteal tube
insertion insertion Signature of
 CPR  CPR Matron
of Central line insertion of Central line insertion
of Temperory of Temperory pacemaker
pacemaker insertion insertion
 Defibrilation  Defibrilation Head of
 Thrombolization  Thrombolization Privileging
 ACLS  ACLS committee
of Chest Tube insertion of Chest Tube insertion
 Tracheostomy Tube Care  Tracheostomy Tube Care
 Central Line Care  Central Line Care
Nursing In-Charge Privilege
Name : Designation : Nursing In-charge ID. NO

support service to meet the needs of patients, This includes emergency
Qualification: GNM Approved

by
management.
Privilege: Signature
of
1. Assess the total needs of patients and 1. Assess the total needs of patients and
prepare plan of nursing care. prepare plan of nursing care.
2. Promote the mission, vision, and values 2. Promote the mission, vision, and values
of the organization of the organization
3. Develop and implement staffing plan 3. Develop and implement staffing plan for
for shift based on patient acuity, patient shift based on patient acuity, patient
census and available staff. census and available staff.
4. Provide for immediate follow-up, 4. Provide for immediate follow-up,
documentation and communication of documentation and communication of Signature
incidents to appropriate manager and incidents to appropriate manager and of Matron
director. director.
5. Respond to emergency situations (RRT, 5. Respond to emergency situations (RRT,
Code Blue) and assists as necessary. Code Blue) and assists as necessary.
6. Report to the administrator-on-call 6. Report to the administrator-on-call
significant incidents and problems such significant incidents and problems such
as: as:
o Security problems o Security problems
o Public relations or media events o Public relations or media events
o Fire o Fire Head of
o Disaster o Disaster Privileging
o Bomb threats o Bomb threats commitee
7. Maintain patient confidentiality at all 7. Maintain patient confidentiality at all
times. times.
8. Report to work on time and as 8. Report to work on time and as
scheduled. scheduled.
9. Attend regular staff meetings and in- 9. Attend regular staff meetings and in-
services. services.
10. Admission and discharge of patients. 10. Admission and discharge of patients.
Resident Medical Officer (CMO) Privilage
Name : Designation : CMO ID. NO

Casualty support service to meet the needs of patients, This includes emergency
by
management.
a
Demanded Offered
To carry out Cardiac Arrest and other To carry out Cardiac Arrest and other
Emergency Procedures as per Emergency Procedures as per Signature
hospital policy. hospital policy. of
employee
To initiate emergency treatments for To initiate emergency treatments for
patientm,h s, staff and visitors and patientm,h s, staff and visitors and
complete appropriate documentation. complete appropriate documentation.
Perform medical screening exams. Perform medical screening exams.
Order radiologic studies including x-ray, Order radiologic studies including x-ray,
Ultrasound, CT and MRI. Ultrasound, CT and MRI.
Order laboratory studies including as Order laboratory studies including as
blood, urine, and bodily fluid tests. blood, urine, and bodily fluid tests.
Order medical studies including ECG. Order medical studies including ECG.
Simple wound management including Simple wound management including
debridement, suturing, and removal of debridement, suturing, and removal of
sutures. sutures.
Write specific orders and prescriptions Write specific orders and prescriptions as
as per consultant order. per consultant order. Head of
complete forms pertinent to patient’s complete forms pertinent to patient’s Privileging
commitee
medical record. medical record.
PRIVILEGES
Under Supervision of Senior Dialysis Technician
Name : Designation :Technician ID. NO

etc.
Qualification: Dialysis Technician Approved by

management.
Privilege:
Signature of
Special procedures: employee
Demanded Offered
1) Sets up and operates 1) Sets up and operates
hemodialysis machine to hemodialysis machine to
provide dialysis treatment for provide dialysis treatment for
patients with kidney failure: patients with kidney failure:
Attaches dialyzer and tubing to Attaches dialyzer and tubing to
machine to assemble machine to assemble
for use. for use.
2) Mixes dialysate, according to 2) Mixes dialysate, according to
Signature of
formula. formula.
Matron
3) Primes dialyzer with saline or 3) Primes dialyzer with saline
heparinized solution to prepare or heparinized solution to
machine for use. prepare machine for use.
4) Transports patient to dialysis 4) Transports patient to dialysis
room and positions patient on room and positions patient on
lounge at bed hemodialysis lounge chair at hemodialysis
machine. machine.
5) Takes and records patient's 5) Takes and records patient's
Pre/post dialysis weight, predialysis weight,
temperature, blood temperature, blood
pressure, pulse rate, and pressure, pulse rate, and
respiration rate. respiration rate.
6) Explains dialysis procedure 6) Explains dialysis procedure
Head of
and operation of hemodialysis and operation of hemodialysis Privileging
machine to patient before machine to patient before committee
treatment to allay anxieties. treatment to allay anxieties.
7) Cleans area of access, using 7) Cleans area of access, using
antiseptic solution. antiseptic solution.
8) Connects hemodialysis 8) Connects hemodialysis
machine to access in patient's machine to access in patient's
forearm or catheter site to forearm or catheter site to
start blood circulating through start blood circulating through
dialyzer. dialyzer.
9) Inspects equipment settings, 9) Inspects equipment settings,
including venous pressures, including pressures,
conductivity, and conductivity, and temperature
temperature/UF to ensure conformance to
to ensure conformance to safety standards.
safety standards. 10) Starts blood flow pump at
10) Starts blood flow pump at prescribed rate.
prescribed rate. 11) Inspects venous and
11) Inspects venous and arterial pressures as registered
arterial pressures as registered on equipment to ensure
on equipment to ensure 767ppressures are within
pressures are within established limits.
established limits. 12) Calculates fluid removal or
12) Calculates fluid removal or replacement to be achieved
replacement to be achieved during dialysis procedure.
during dialysis procedure. 13) Monitors patient for
13) Monitors patient for adverse adverse reaction and
reaction and hemodialysis hemodialysis machine for
machine for malfunction. malfunction.
14) Takes and records patient's 14) Takes and records patient's
post dialysis weight, post dialysis weight,
temperature, blood pressure, temperature, blood pressure,
pulse rate, and respiration rate. pulse rate, and respiration rate.
15) May fabricate parts, such 15) May fabricate parts, such
as cannulas, tubing, catheters, as cannulas, tubing, catheters,
connectors, and fittings, using connectors, and fittings, using
hand tools. hand tools.
PRIVILEGES
Name : Designation : Dialysis I/C ID. NO
Department : Responsible for: Attending to kidney failure

Dialysis patients, performing the dialysis, supervision,
Indenting materials, operating and maintenance of
the equipment, maintaining registers and files etc.
Qualification: Dialysis technician Approved by

management.
Privilege:
Special procedures: Signature of

employee
Demanded Offered
 Attending to kidney failure  Attending to kidney failure

patients and performing the patients and performing the
dialysis under the dialysis under the
supervision of the supervision of the
Nephrologist. Nephrologist.

 Indenting materials from the  Indenting materials from the
store. store.
 Operating the equipment  Operating the equipment

with extreme care and with extreme care and
maintain the patient on maintain the patient on Signature of
dialysis. dialysis Matron
 Responsible for the  Responsible for the

maintenance of the maintenance of the
equipment. equipment.
 Maintaining registers and  Maintaining registers and

files. files.
Head of
Privileging
committee
Under Supervision of Senior RMO
Name : Designation : RMO ID. NO

PED Ward support service to meet the needs of patients, This includes emergency
by
management.
Privilege:
Demanded Offered
 Complete a brief admission  Complete a brief admission
Signature
examination on each patient examination on each patient
of employee
when appropriate and when appropriate and
document clinical findings. document clinical findings.
 As a medical office will play a  As a medical office will play a
vital role in managring the vital role in managring the
medical case of all children. medical case of all children.
 Paitent are admited under a  Paitent are admited under a
consultant who is responsible consultant who is responsible
for management & RMO’s for management & RMO’s
should assist follow the should assist follow the
management plan. management plan.
 Admit the patient as per  Admit the patient as per
consultant order. consultant order.
Head of
 In conjuction withour neonatal  In conjuction withour neonatal
Privileging
consultant’s manage babies in consultant’s manage babies in
commitee
NICU/PICU. NICU/PICU.
 undertake a daily ICU/Ward  undertake a daily ICU/Ward
rounds with nurses & rounds with nurses &
consultant. consultant.
 Undertake certain routine  Undertake certain routine
medical procedure such as medical procedure such as
vinepuncture serching up all vinepuncture serching up all
intravenous infusion, inserting intravenous infusion, inserting
a urinary catheters arterial a urinary catheters arterial
blood sampling ECG. blood sampling ECG.
 Flexible to the needs of  Flexible to the needs of
department supportive team department supportive team
player & willing to pragress & player & willing to pragress &
devlopment devlopment
Privilege
Name : Designation : Technician ID. NO

CATHLAB TECH. support service to meet the needs of patients, This includes emergency
by
management.
Privilege:
Demanded Offered Signature

of
employee
 Assists with patient preparation and  Assists with patient preparation and
management during the cardiac management during the cardiac
catheterization procedure. catheterization procedure.
 Assists with CPR and defibrillation  Assists with CPR and defibrillation
during emergency situations. during emergency situations.
 Assists with patient sterilization and  Assists with patient sterilization and
maintenance of cath trays, maintenance of cath trays, catheaters, Signature
catheaters, and other related supplies and other related supplies and of Matron
and equipment. equipment.
 Records intra-cardiac pressures,  Records intra-cardiac pressures,
ECG, and other physiologic data on ECG, and other physiologic data on
the hemodynamic recorder the hemodynamic recorder
 Assists with radiographic equipment  Assists with radiographic equipment
and patient positioning as required. and patient positioning as required.
 Maintains cine Quality program as  Maintains cine Quality program as
outlined by the In-charge, cath lab. outlined by the In-charge, cath lab.
 Performs data management  Performs data management functions
functions with automated cath lab with automated cath lab management
management system system Head of
Privileging
 Performs other job related duties as  Performs other job related duties as commitee
assigned by Supervisor, Cath lab. assigned by Supervisor, Cath lab.
Privilege
Name : Designation ID. NO

:Technician
Department : OT CVTS Responsible for: To provide a

continuous on-site medical support
service to meet the needs of patients,
This includes emergency procedures
and providing a general service to all
clinical areas
by
Skill set required: areas should be fluent in Hindi, English, Marathi, good
communication, basics of computer, able to perform in stessful working situation and
competent in disaster management.
Privilege:

of
 To consult and coordinate with  To consult and coordinate with
employee
health care theam members to health care theam members to
assess, plan, implement and assess, plan, implement and
evaluate patient care plans. evaluate patient care plans.
 To conduct pre and post  To conduct pre and post
operative education. operative education.
 To serve as the communication  To serve as the
liaison to family and members communication liaison to Signature
of he operating team. family and members of he of Matron
 To take and monitor operating team.
patients,vital signs.  To take and monitor
 To ensure that operating on patients,vital signs.
correct patient and the correct  To ensure that operating on
procedure is being performed. correct patient and the correct
 To prepare and administer procedure is being performed.
(Orally, subcutaneously,  To prepare and administer
through an IV) and record (Orally, subcutaneously,
prescribed medications. To through an IV) and record
report adverse reactions to prescribed medications. To
medication or treatments in report adverse reactions to Head of
Privileging
accordance with the policy medication or treatments in
commitee
regarding the administration of accordance with the policy
medications by a licensed regarding the administration of
registered nurse. medications by a licensed
 To respond to life-saving registered nurse.
situations based upon nursing  To respond to life-saving
standards and potocol. situations based upon nursing
 To record all care information standards and potocol.
concisely, accurately and  To record all care information
completely, in a timely concisely, accurately and
manner, in the appropriate completely, in a timely
format and on the appropriate manner, in the appropriate
forms. format and on the appropriate
 To prep operating room for forms.
patient/procedure.  To prep operating room for
 To initiate corrective action patient/procedure.
whenever information form  To initiate corrective action
monitoring equipment shows whenever information form
adverse symptomatology. monitoring equipment shows
 To monitor patients,physical adverse symptomatology.
and emotional well-being  To monitor patients,physical
throughout the care and emotional well-being
continuum. throughout the care
 To attend training continuum.
programmes.  To attend training
programmes.
Privilege

:Technician
Department : OT Responsible for: To provide a

clinical areas
by
communication, basics of computer, able to perform in stessful working situation and
Privilege:
Demanded Offered
Signature
 To report on duty on time in  To report on duty on time in
of
appropriate dress code. appropriate dress code.
employee
 To ensure the following  To ensure the following
equipments are ready equipments are ready
before surgery in working before surgery in working
condition –Anaesthesia condition –Anaesthesia
machine, single or machine, single or
multichannel monitor, pulse multichannel monitor, pulse
oxymeter, diathermy oxymeter, diathermy
machine, C-arm, OT table, machine, C-arm, OT table,
portable suction, OT light, portable suction, OT light,
laparoscopic machine, laparoscopic machine,
harmonic scalpel etc. harmonic scalpel etc.
 To operate and maintain all  To operate and maintain all
the medical equipment in the medical equipment in
the operation theatre. the operation theatre.
 To ensure central supply of  To ensure central supply of
oxygen and nitrous oxide, oxygen and nitrous oxide, Signature
central suction available and central suction available of Matron
are in working condition and are in working condition
 To ensure the availability of  To ensure the availability of
portable suction apparatus. portable suction apparatus.
 To impart training to  To impart training to
juniors / new inductees. juniors / new inductees.
 To position the patient  To position the patient
according to the surgery. according to the surgery.
 To assist anesthetists and  To assist anesthetists and
surgeon during surgery at surgeon during surgery at
the time of intubation, the time of intubation,
extubation, and to keep extubation, and to keep
drugs for IV infusions and drugs for IV infusions and
blood transfusions, and also blood transfusions, and also
to have knowledge to face to have knowledge to face
any emergency situation. any emergency situation.
 To ensure the anesthetic  To ensure the anesthetic
machine is ready with the machine is ready with the
following ET tube, jelly, following ET tube, jelly,
airways pray, plasters, eye airways pray, plasters, eye
ointment, injections, ointment, injections,
syringes and intravenous syringes and intravenous
infusion materials. infusion materials.
Head of
 To assist anesthetist for  To assist anesthetist for Privilegin
general anesthesia, spinal, general anesthesia, spinal, g
epidural and local epidural and local committee
anesthesia. anesthesia.
 To wash, dry and pack  To wash, dry and pack
epidural sets. epidural sets.
 To follow infection control  To follow infection control
protection protocol. protection protocol.
 To make arrangements for  To make arrangements for
intra-operative X- intra-operative X-
rays/availability of rays/availability of
radiographer to operate radiographer to operate
image intensifier. image intensifier.
 To ensure the equipments  To ensure the equipments
like ultrasound, c-arm are like ultrasound, c-arm are
available and if it is not available and if it is not
available in OT. Necessary available in OT. Necessary
arrangements to be made in arrangements to be made in
getting the equipments from getting the equipments from
other departments. other departments.
 To operate and maintain the  To operate and maintain the
operative lights as per the operative lights as per the
instruction of the surgeons. instruction of the surgeons.
 To maintain Boyle’s  To maintain Boyle’s
apparatus, to check oxygen apparatus, to check oxygen
and nitrogen cylinders, and nitrogen cylinders,
central supply line, flow central supply line, flow
meters, cylinder key, urine meters, cylinder key, urine
bags, masks, corrugated bags, masks, corrugated
tubes, soda lime tubes, soda lime
connectors. connectors.
 To accompany the patient  To accompany the patient
while shifting the patient to while shifting the patient to
operation room and then to operation room and then to
recovery room. recovery room.
 To ensure the privacy and  To ensure the privacy and
safety of the patient. safety of the patient.
 To ensure the I.V bottles,  To ensure the I.V bottles,
I.V line and syringes loaded I.V line and syringes loaded
with medications are labeled with medications are
properly with date and time. labeled properly with date
and time.
 To follow waste disposal
protocol.  To follow waste disposal
protocol.

Privilege

:Assistant
Department : OT Responsible for: To provide a

clinical areas
by
communication, basics of computer, able to perform in stressful working situation and
Privilege:

of
 To Assist OT Technician  To Assist OT Technician
employee
 To serve as the communication  To serve as the
liaison to family and members communication liaison to
of the operating team. family and members of the
 To take and monitor patients, operating team.
vital signs.  To take and monitor patients,
 To respond to life-saving vital signs.
situations based upon nursing  To respond to life-saving Signature
standards and protocol. situations based upon nursing of Matron
 To prep operating room for standards and protocol.
patient/procedure.  To prep operating room for
 To initiate corrective action patient/procedure.
whenever information form  To initiate corrective action
monitoring equipment shows whenever information form
adverse symptomatology. monitoring equipment shows
 To monitor patients, physical adverse symptomatology.
and emotional well-being  To monitor patients, physical
throughout the care and emotional well-being
continuum. throughout the care
 To attend training continuum. Head of
programmes.  To attend training Privileging
committee
programmes.
Privilege

:Assistant
Department : OT- Ophthalmic Responsible for: To provide a

clinical areas
by
Privilege:

of
 employee
 Administration of pre and post Administration of pre and post
operative medications and operative medications and
counseling counseling
 Sterilization of instruments,  Sterilization of instruments,

equipments equipments
 Setting up of surgical trolley  Setting up of surgical trolley

Signature
and other equipments and other equipments
of Matron
 Administration of local  Administration of local

anaesthesia under supervision of anaesthesia under supervision
ophthalmic surgeon of ophthalmic surgeon
 Intramuscular and intradermal  Intramuscular and intradermal
injections injections
 Assist in surgery: draping of the  Assist in surgery: draping of the

patient, handing over patient, handing over
instruments and handling instruments and handling
surgical supplies surgical supplies
Head of
Privileging
committee
Privilege
Name : Designation :Matron ID. NO
Department : All Medical Responsible for: All following

Departments activities as a Matron
by
Skill set required: Should be fluent in Hindi, English & Marathi, Good
communication, having leadership quality
Privilege:
Demanded Offered
 Look after general  Look after general
administration of nursing administration of nursing
 Responsible for recruitment  Responsible for recruitment Signature
process of nursing dept. in process of nursing dept. in of
association with HR association with HR employee
 Involved in structuring of  Involved in structuring of
salary of dept. in association salary of dept. in association
with senior management with senior management
heads. heads.
 Incharge of quality assurance  Incharge of quality assurance
system implementation in system implementation in
dept. dept.
 Training and development  Training and development
incharge of department. incharge of department.
 Grievance handling and  Grievance handling and
maintenance of discipline in maintenance of discipline in
 Allocation of nurses in  Allocation of nurses in
 To look after welfare activities  To look after welfare activities
for nurses with available for nurses with available
resources with consultation resources with consultation
with top management. with top management.
 Determines goals, aims  Determines goals, aims
objectives and policies of the objectives and policies of the
nursing services. nursing services.
 Implement hospital policies  Implement hospital policies
and rules through various and rules through various
nursing units. nursing units.
 Decides and recommends  Decides and recommends
personnel and material personnel and material
requirement for running requirement for running
various nursing service various nursing service
department of the hospital. department of the hospital.
 Takes rounds with medical  Takes rounds with medical
superintendent in hospital and superintendent in hospital and
wards. wards.
 Looks after the welfare of the  Looks after the welfare of the
patients, their relatives and the patients, their relatives and
nursing staff. the nursing staff.
 Prepares budgets for the  Prepares budgets for the
nursing service department. nursing service department.
 Prepares duty roster, plans  Prepares duty roster, plans
staff leaves and disburses staff leaves and disburses
salaries. salaries.
 Gives counseling and  Gives counseling and
guidance to the subordinate guidance to the subordinate
staff. staff.
 Participates in hospital and  Participates in hospital and Head of
intra hospital meetings/ intra hospital meetings/ Privileging
conferences. conferences.
committee
 Investigates complaints and  Investigates complaints and
take necessary steps. take necessary steps.
 Inspects hospital kitchen and  Inspects hospital kitchen and
dietary services of the dietary services of the
hospital. hospital.
 Arranges student’s clinical  Arranges student’s clinical
experience and council experience and council
examination. examination.
 Initiates and participates in  Initiates and participates in
nursing research. nursing research.
 Attends to general  Attends to general
correspondence. correspondence.
 Submits annual reports of the  Submits annual reports of the
nursing service department to nursing service department to
MS, Indian nursing council MS, Indian nursing council
and nurse’s registration and nurse’s registration
council. council.
 Maintain cordial relations with  Maintain cordial relations with
public and volunteer workers. public and volunteer workers.
Maintains necessary record Maintains necessary record
concerning the nursing staff, concerning the nursing staff,
students, confidential reports students, confidential reports
and health records etc. and health records etc.
Privilege
Name : Designation :Nurse ID. NO
Department : MJPJDAY Responsible for: Nursing Care

of patient. Maintaining records,
Smooth functioning, keeping a check,
effective management of resources,
attending training programs etc.
by
Privilege:

of
 Keeping a check on inventory  Keeping a check on inventory
employee
& indenting as and when & indenting as and when
required. required.
 Maintaining important records/  Maintaining important
documents and charts records/ documents and charts
 Coordinating and collaborating  Coordinating and
with all the departments. collaborating with all the
 Counseling patients and their departments. Signature
relatives and answering their  Counseling patients and their of Matron
queries. relatives and answering their
 Ensuring effective queries.
communication of the patient  Ensuring effective
information while handling/ communication of the patient
taking over. information while handling/
 Following doctors orders taking over.
regarding medications and  Following doctors orders
investigations. regarding medications and
 Assisting the doctors in investigations.
procedure.  Assisting the doctors in
 Hourly check of vitals of the procedure.
patients.  Hourly check of vitals of the
 Keeping a check for patients.
irregularities in patients  Keeping a check for
condition and immediately irregularities in patients
informing the concerned condition and immediately
consultant/ medical officer on informing the concerned
duty. consultant/ medical officer on
 Efficient management of duty.
resources.  Efficient management of
 Maintaining and keeping all resources.
diagnostic reports like USG,  Maintaining and keeping all
CT, X-Ray Lab reports of the diagnostic reports like USG,
patients with utmost care. CT, X-Ray Lab reports of the
 Attending training programs patients with utmost care.
 Supervision the junior nurses  Attending training programs
Head of
& train them effectively.  Supervision the junior nurses Privileging
 Translating organizational & train them effectively. committee
objectives into operational  Translating organizational
goals. objectives into operational
 To help implementing goals.
objectives into operational  To help implementing
goals. objectives into operational
 To help implementing goals.
standards operating  To help implementing
procedures. standards operating
 Adhering to the standing procedures.
orders of the organization.  Adhering to the standing
 To attend training programs orders of the organization.
related to job.  To attend training programs
related to job.
Privilege
Name : Designation : Lab ID. NO

Technician
Department : Laboratory Responsible for: Maintenance

of equipment, reporting, keeping
records, performing laboratory
investigations etc.
by
Skill set required: Knowledge of maintaining equipments and planning.
Privilege:
Demanded Offered
Signature
 Performing laboratory of
 Performing laboratory
employee
investigations as per doctor’s investigations as per doctor’s
requisition. requisition.
 Reporting on laboratory  Reporting on laboratory
investigations performed. investigations performed.
 Recording the supplies of  Recording the supplies of

Signature
laboratory reagents, chemicals laboratory reagents, of HOD
in registers and forwarding to chemicals in registers and
accounts for payments to forwarding to accounts for
suppliers. payments to suppliers.
 Maintenance of equipment.  Maintenance of equipment.
 Any other jobs assigned by  Any other jobs assigned by

Head of
superiors as per exigencies of superiors as per exigencies of Privileging
work. committee
work.
Privilege
Name : Designation : Lab In- ID. NO

charge
Department : Laboratory Responsible for: Arranging

duties, attending to doctors
complaints, supervision, checking
and signing reports etc.
by
Skill set required: Controlling, communication, planning and leadership.
Privilege:
Demanded Offered
Signature
 Reporting to the head on of
 Reporting to the head on
employee
various aspects of work. various aspects of work.
 Arranging duties and leave  Arranging duties and leave
sanctioning etc. sanctioning etc.
 Attending to doctor’s  Attending to doctor’s
complaints regarding tests complaints regarding tests
performed and other performed and other
enquiries. enquiries.
Signature
 Responsible for the  Responsible for the of HOD
procurement of reagents, procurement of reagents,
stationery. stationery.
 Supervision of work in the  Supervision of work in the
laboratory. laboratory.
 Attending meetings and  Attending meetings and
conferences. conferences.
 Checking and Signing of  Checking and Signing of
laboratory reports. laboratory reports. Head of
Privileging
 Any other jobs assigned by  Any other jobs assigned by committee
work work
Privilege
Name : Designation : C.T Scan ID. NO

I/C
Department : C.T scan Responsible for: Maintains

records, prints images, plan,
perform scan, position patients,
enquire history, perform emergency
scanning. Etc.
by
Skill set required: Knowledge of physics, anatomy, pathology, should be
fluent in English, hindi, marathi and good communication skill.
Privilege:
Demanded Offered
 Carrying out scanning on  Carrying out scanning on Signature
patients who come to patients who come to of
department. department. employee
 Enquire history of patient.  Enquire history of patient.
 Position patient for scanning.  Position patient for scanning.
 Plan the scan.  Plan the scan.
 Perform scan.  Perform scan.
 If contrast is required he calls  If contrast is required he calls
sister for contrast. sister for contrast.
 He has to show reports to  He has to show reports to
radiologist. radiologist.
 He has to take out the patient  He has to take out the patient
from C.T machine. from C.T machine.
 Prints images.  Prints images. Signature
 Maintains records.  Maintains records. of Matron
 He has also to perform  He has also to perform
emergency scanning. emergency scanning.
Head of
Privileging
committee
Privilege
Name : Designation : C.T Scan ID. NO

Technician
Department : C.T scan Responsible for: Maintains

records, prints images, plan,
perform scan, position patients,
enquire history, perform emergency
scanning. Etc.
by
fluent in English, hindi, marathi and good communication skill.
Privilege:
Demanded Offered
 Assist to CT scan Incharge.  Assist to CT scan Incharge. Signature
 Carrying out scanning on  Carrying out scanning on of
patients who come to patients who come to employee
 Enquire history of patient.  Enquire history of patient.
 Position patient for scanning.  Position patient for scanning.
 Plan the scan.  Plan the scan.
 Perform scan.  Perform scan.
 If contrast is required he calls  If contrast is required he calls
sister for contrast. sister for contrast.
 He has to show reports to  He has to show reports to
 He has to take out the patient  He has to take out the patient
from C.T machine. from C.T machine. Signature
 Prints images.  Prints images. of HOD
 Maintains records.  Maintains records.
 He has also to perform  He has also to perform
emergency scanning. emergency scanning.
Head of
Privileging
committee
Privilege
Name: Designation: Assist. In-charge ID. NO

Nurse
Department : OT Responsible for: Supervision,

assisting doctors, calling patients,
taking post operative care of
patients etc.
by
Skill set required: Control, directing and good communication
Privilege:
Demanded Offered
Signature
of
employee
 Supervision of the department  Supervision of the department
in the absence of the in the absence of the
Operation Theatre in-charge. Operation Theatre in-charge.
 Assisting the doctors in the  Assisting the doctors in the

operations performed. operations performed.
 Calling the patients from the  Calling the patients from the
ward for the operation. ward for the operation. Signature
of Matron
 Taking post-operative care of  Taking post-operative care of
the patient in the recovery the patient in the recovery
room. room.
Head of
Privileging
committee
Privilege
Name : Designation : MRI ID. NO

Technician
Department : Radiology (M.R.I.) Responsible for: Maintaining

Records, Prints, Images, Planning
the work, Perform MRI procedure,
observing rules.
by
fluent in English, Hindi, Marathi, good communication & coordination.
Privilege:
Demanded Offered
 Carrying out M.R.I. of patient.  Carrying out M.R.I. of patient. Signature

of
 To enquire History of patient.  To enquire History of patient. employee
 Positioning the M.R.I.  Positioning the M.R.I.
 If contrast is required, should  If contrast is required, should
take help of Doctor for giving take help of Doctor for giving
Contrast to the patient. Contrast to the patient.
 He or she should show the  He or she should show the
report to radiologist. report to radiologist.
 He or she should take patient  He or she should take patient
out from MRI machine after out from MRI machine after
procedure of MRI. procedure of MRI. Signature
 Take out print of Images.  Take out print of Images. of HOD
 To maintain record.  To maintain record.

 Observing duty list.  Observing duty list.
 He or she should also perform  He or she should also perform
emergency MRI. emergency MRI.
 To observe rules of safety of  To observe rules of safety of
patient as well as of technician patient as well as of technician
himself/herself. himself/herself.
Head of
Privileging
committee
Privilege
Name : Designation : MRI In- ID. NO

charge
Department : Radiology (M.R.I.) Responsible for: Maintaining

Records, Prints, Images, Planning
the work, Perform MRI procedure,
observing rules.
by
Skill set required: Should be fluent in English, Hindi, Marathi, good
communication & coordination.
Privilege:
Demanded Offered
 Performs and/or oversees the  Performs and/or oversees the
performance of MRI performance of MRI Signature
procedures, to include procedures, to include of
instructing and manipulating instructing and manipulating employee
patients, selecting techniques patients, selecting techniques
and calibrating equipment, and calibrating equipment,
and obtaining and developing and obtaining and developing
images. images.
 Develops and maintains  Develops and maintains

and/or oversees the and/or oversees the
maintenance and quality maintenance and quality
assurance of patient data and assurance of patient data and
study documentation. study documentation.
 Supervises the maintenance  Supervises the maintenance Signature

of all imaging files and data; of all imaging files and data; of HOD
oversees the maintenance of oversees the maintenance of
departmental inventories and departmental inventories and
clinic supplies. clinic supplies.
 Ensures adherence to  Ensures adherence to

established University and established University and
departmental policies and departmental policies and
procedures, objectives, quality procedures, objectives, quality
assurance programs, and assurance programs, and
safety standards. safety standards.
 Develops or assists with the  Develops or assists with the

development and development and Head of
implementation of policies and implementation of policies and Privileging
procedures consistent with procedures consistent with committee
those of the organization to those of the organization to
ensure efficient and safe ensure efficient and safe
operation of the unit.
operation
Privilege
Name : Designation : Technician ID. NO
Department : Blood Bank Responsible for: Performing

tests, collecting blood from donors,
maintaining registers, issuing of
blood, making different reagents
etc.
by
Skill set required: Should have knowledge of collecting blood from
donors and handling them properly.
Privilege:
Demanded Offered
 Quality checking of anti-sera  Quality checking of anti-sera Signature

and pooled cells and check and pooled cells and check of
temperature of all the temperature of all the employee
 Performing tests like  Performing tests like
groupings, cross matching and groupings, cross matching
other related tests. and other related tests.
 Screening pending request  Screening pending request
forms and paying attention to forms and paying attention to
replacements. replacements.
 Collecting blood from donors,  Collecting blood from donors,
screening and grouping and screening and grouping and
staining the blood. staining the blood.
 Making of different  Making of different Signature
components. components. of HOD
 Ensure the patient samples  Ensure the patient samples
are received only after are received only after
performing all required tests. performing all required tests.
 Maintaining registers  Maintaining registers
regarding blood received and regarding blood received and
supplied. supplied.
 Issuing of blood for patients.  Issuing of blood for patients.
 Making different reagents.  Making different reagents.
Any other jobs assigned by Any other jobs assigned by
work. work.
Head of
Privileging
committee
Privilege
Name : Designation : Sr. ID. NO

Technician
Department : Blood Bank Responsible for: Performing

Tests, Collecting Blood from
donor
by
Skill set required: Should have knowledge of collecting blood from
donors and handling them properly.
Privilege:
Demanded Offered
Signature
of
employee
 Collecting blood from donors.  Collecting blood from donors.
 Perform ELISA test, cross  Perform ELISA test, cross

matching test & it’s related all matching test & it’s related all
tests. tests
 Screening the patient samples,  Screening the patient samples,

receive the patient sample & receive the patient sample &
cross matched with blood cross matched with blood
components & issued to components & issued to
hospital. hospital.
Signature
 Maintain the all register related  Maintain the all register of HOD
to blood bank record. related to blood bank record.
 Ensure the maintenance &  Ensure the maintenance &

calibration all equipment. calibration all equipment.
 Separate the blood component.  Separate the blood

component.
 Check the QC of all reagent &
blood product.  Check the QC of all reagent &
blood product.
Head of
Privileging
committee
PRIVILEGE
Name : Designation : Technical ID. NO

Supervisor
Department : Blood Bank Responsible for: Supervision, Preparing

requisitions, Dispatch of reports, to perform
tests, Preparation of reagents, making MP
slides, Bacteriological testing, management
of resources, Attending training programs etc.
by
communication skills and basics of computer.
Privilege:
Demanded Offered
 Supervision of operational  Supervision of operational
activities in the laboratory. activities in the laboratory.
 Maintaining important information.  Maintaining important information. Signature

of
 Preparing requisitions & ensuring  Preparing requisitions & ensuring employee
the availability of the optimum the availability of the optimum
level of stock for smooth level of stock for smooth
operations and to ensure operations and to ensure
discipline and decorum of the discipline and decorum of the
laboratory. laboratory.
 Dispatch of reports.  Dispatch of reports.
 To perform western blot test and  To perform western blot test and
other research tests along with the other research tests along with
HOD. the HOD.
 Preparation of reagents and  Preparation of reagents and

making MP slides. making MP slides.
Signature
 Performing batch wise QC tests of  Performing batch wise QC tests of of HOD
new reagents. new reagents.
 Bacteriological testing of unused  Bacteriological testing of unused

blood bags for sterility check. blood bags for sterility check.
 Monthly fumigation of component  Monthly fumigation of component

manufacturing area and checking manufacturing area and checking
the efficiency of fumigation by the efficiency of fumigation by
bacteriological culture. bacteriological culture.
 Managing technician, ward boy  Managing technician, ward boy

and multitaskers under them and and multitaskers under them and
preparing their duty rotations. preparing their duty rotations.
 Efficient management of  Efficient management of

resources. resources
 Participation in implementation of  Participation in implementation of

quality initiatives of the quality initiatives of the
department.
 Providing inputs for the department
formulation of training module and
attending training programs.  Providing inputs for the
formulation of training module and
 Participation I the journal club, attending training programs.
which is held once a month.
 Participation I the journal club,
 Attending training programs which is held once a month.
implementing standard operating
procedures.  Attending training programs
implementing standard operating
 Translating organizational procedures.
objectives into operational goals. Head of
 Translating organizational
Privileging
 Awareness of organizational and objectives into operational goals.
departmental policies and committee
procedures.  Awareness of organizational and
departmental policies and
 Adhering to standing orders of the procedures.
organization.
 Adhering to standing orders of the
organization.
Privilege
Name : Designation : Blood Bank ID. NO

I/C
Department : Blood Bank Responsible for: Functioning of

the blood bank, maintenance of
equipment, renewal of license,
training, stock checking etc.
by
Skill set required: Control, directing and good communication
Privilege:
Demanded Offered
 Responsible for the  Responsible for the

functioning of the blood bank. functioning of the blood bank.
 Adjustment of duties, leave  Adjustment of duties, leave Signature
sanctioning. sanctioning. of
 Procurement activities of  Procurement activities of employee
materials required for the materials required for the
blood bank. blood bank.
 Physical checking of blood  Physical checking of blood
units and component units in units and component units in
stocks every 10 days. stocks every 10 days.
 Checking various books and  Checking various books and
registers like issue books etc. registers like issue books etc.
 Maintenance of equipment in  Maintenance of equipment in
the blood bank and acquiring the blood bank and acquiring
new equipment if required. new equipment if required.
 Renewal of license and  Renewal of license and Signature
complying with the rules of complying with the rules of of HOD
licensing authorities. licensing authorities.
 Constant check to increase  Constant check to increase
blood utilization and minimize blood utilization and minimize
discard. discard.
 Training the technicians in the  Training the technicians in the
 Preparation of standard  Preparation of standard
operation procedures for the operation procedures for the
 Preparation of reagents used  Preparation of reagents used
in the blood bank. in the blood bank.
 Physical stock checking of  Physical stock checking of
reagents and kits on the first reagents and kits on the first Head of
of every month. of every month. Privileging
Any other jobs that fit into the Any other jobs that fit into the committee
same category as and when same category as and when
the Management deems the Management deems
proper. proper.
Privilege
Name : Designation : In-charge ID. NO
Department : Radiology Responsible for: Functioning of

the blood bank, maintenance of
equipment, renewal of license,
training, stock checking etc.
by
Skill set required: Taking X-rays, maintaining records, getting X-ray film
ready for dispatch, making bill, checking and signing discharge papers etc.
Privilege:
Demanded Offered
 Taking all types of X-rays Signature

 Taking all types of X-rays
of
according to the requisition according to the requisition employee
form. form.
 Maintaining a record in the  Maintaining a record in the
register of all X-rays taken. register of all X-rays taken.
 Getting the X-ray film ready for  Getting the X-ray film ready
dispatch. for dispatch.

Signature
 Making the bill for the X-rays  Making the bill for the X-rays of HOD
taken. taken.
 Checking and signing of  Checking and signing of
patients discharge papers for patients discharge papers for
no dues no dues
Head of
Privileging
committee
Privilege
Name : Designation : X-Ray In- ID. NO

charge
Department : Radiology Responsible for: Functioning of the blood

bank, maintenance of equipment, renewal of
license, training, stock checking etc.
by
Skill set required: Taking X-rays, maintaining records, getting X-ray film
ready for dispatch, making bill, checking and signing discharge papers etc.
Privilege:
Demanded Offered
 Taking all types of X-rays Signature

 Taking all types of X-rays
of
according to the requisition according to the requisition employee
form. form.
 Maintaining a record in the  Maintaining a record in the
register of all X-rays taken. register of all X-rays taken.
 Getting the X-ray film ready for  Getting the X-ray film ready
dispatch. for dispatch.

Signature
 Making the bill for the X-rays  Making the bill for the X-rays of HOD
taken. taken.
 Checking and signing of  Checking and signing of
patients discharge papers for patients discharge papers for
no dues. no dues.
Head of
Privileging
committee
Privilege
Name : Designation : X-Ray Tech. ID. NO
Department : Responsible for: Maintaining documents,

Radiology dispatch of reports, attending phone calls,
counseling, assisting, operating the machines,
management of resources, performing x-rays,
translating, awareness etc..
by
communication skills, basics of computer, and should possess good
equipment handling and maintenance skills.
Privilege:
Demanded Offered
 Maintaining proper  Maintaining proper
documentation. documentation. Signature
 Taking over from the previous  Taking over from the previous of
shift technician. shift technician. employee
 Ensuring timely dispatch of all  Ensuring timely dispatch of all
reports. reports.
 Daily maintenance of  Daily maintenance of
 Attending phone calls and  Attending phone calls and
taking appointments and taking appointments and
answer queries of patient. answer queries of patient.
 Counseling of patient by  Counseling of patient by
extending information about extending information about
tests and procedures. tests and procedures.
 Assisting patients in the billing  Assisting patients in the billing
Signature
procedure. procedure.
of HOD
 Performing X-ray for inpatients  Performing X-ray for inpatients
as well as OPD patients. as well as OPD patients.
 Collaborating with the wards,  Collaborating with the wards,
ICU and OT to take portable ICU and OT to take portable
X-ray. X-ray.
 Preparing patients for  Preparing patients for
procedures. procedures.
 Assisting doctors and  Assisting doctors and
radiologist for all procedures. radiologist for all procedures.
 Performing emergency  Performing emergency
procedures in absence of the procedures in absence of the
 Operating the machine for  Operating the machine for
angiography in the OT & angiography in the OT &
developing X-ray films. developing X-ray films.
 Managing wards boys and  Managing wards boys and
multitasker under them. multitasker under them.
 Efficient management of  Efficient management of
resources. resources.
 Participation in implementation  Participation in
of quality initiatives in the implementation of quality
department. initiatives in the department.
 Attending training programs.  Attending training programs.
 Providing inputs for  Providing inputs for Head of
formulation of training formulation of training Privileging
modules. modules. committee
 Translating organizational  Translating organizational
objectives into operational objectives into operational
goals. goals.
 Adhering to the standing  Adhering to the standing
orders of the organization. orders of the organization.
 Awareness of organizational  Awareness of organizational
and departmental policies and and departmental policies and
procedures procedures
Privilege
Department : Radiology Responsible for: sorting of

reports, attending phone calls
training programs, preparing
patients, translating, awareness
etc.
Qualification: CNM Approved

by
communication skills.
Privilege:
Demanded Offered
 Assist to GNM Nurse.  Assist to GNM Nurse.
 Maintaining records of  Maintaining records of
information. information. Signature
 Sorting of reports and getting  Sorting of reports and getting of
signature of radiologist on the signature of radiologist on the employee
report. report.
 Working in collaboration with  Working in collaboration with
all staff in the department & all staff in the department &
organization. organization.
 Attending phone calls and  Attending phone calls and
taking appointments and taking appointments and
providing correct and relevant providing correct and relevant
information regarding tests information regarding tests
and procedures. and procedures.
 Attending all female patients.  Attending all female patients.
 Preparing patients for the  Preparing patients for the
Signature
procedures and attending all procedures and attending all
of HOD
procedures. procedures.
 Conducting Mammographies  Conducting Mammographies
in absence of female in absence of female
technician. technician.
 Attending training programs.  Attending training programs.
 Adhering to the standing  Adhering to the standing
orders of the organization. orders of the organization.
 Awareness of organizational  Awareness of organizational
and departmental policies and and departmental policies and
procedures procedures
Head of
Privileging
committee
Privilege

Physiotherapist
Department : Physiotherapy Responsible for: Taking daily

rounds, providing physical help and
teaching exercises to patients,
maintaining registers, etc.
by
Skill set required: Controlling, good communication and should be able to
handle patients properly.
Privilege:
Demanded Offered
 Taking daily rounds in the  Taking daily rounds in the
wards. wards.
 Providing physical help to the  Providing physical help to the
patients and treating them patients and treating them
accordingly. accordingly.
 Teaching exercises to the  Teaching exercises to the
patients and asking them to patients and asking them to Signature
of
practice them. practice them. employee
 Maintaining registers of I.P /  Maintaining registers of I.P /
O.P and staff. O.P and staff.
 Co-ordination of treatment with  Co-ordination of treatment with
Doctors, Nurses etc. Doctors, Nurses etc.
 Monthly report of staff, I.P / O.P  Monthly report of staff, I.P /
status etc. O.P status etc.
 Sending outstanding bills of  Sending outstanding bills of
staff patients to accounts. staff patients to accounts.
 Preparing Post-natal exercise  Preparing Post-natal exercise
programs and handing it over to programs and handing it over
Head of
female patients after delivery. to female patients after
Privileging
 Preparing rough bills of OPD delivery. committee
patients.  Preparing rough bills of OPD

 Any other job assigned by patients.
superiors as per exigencies of  Any other job assigned by
work. superiors as per exigencies of
work.
Privilege
Name : ID. NO
Designation : Bio-medical Engineer
Responsible for: Effective

Department : Maintenance functioning, purchase, maintenance,
checking and recording of
equipments, taking visits, submitting
reports etc.
by
Skill set required: Knowledge of equipments and its handling, good
communication, control and planning.
Privilege:
Demanded Offered
 Attending to breakdown calls of  Attending to breakdown calls of
medical equipment. medical equipment.
 Preventive maintenance of medical  Preventive maintenance of
equipment. medical equipment.
 Recording of all equipment in the  Recording of all equipment in the
hospital department-wise. hospital department-wise.
 Following systems and procedures  Following systems and
Signature
while performing duties. procedures while performing
of
 To minimize the downtime period duties.
while procuring new equipments.  To minimize the downtime period employee
 Routine checking of equipments on while procuring new equipments.
a daily basis.  Routine checking of equipments
 Providing technical details to on a daily basis.
management about the existing  Providing technical details to
equipment and purchase of new management about the existing
equipment. equipment and purchase of new
 Attending to urgent calls at any equipment.
time when contacted on pager.  Attending to urgent calls at any
 Taking visits to other hospitals from time when contacted on pager.
time to time for upgrading skills and  Taking visits to other hospitals
knowledge of new equipments in from time to time for upgrading
the medical field, evaluating the skills and knowledge of new
need for new equipment in the equipments in the medical field,
hospital. evaluating the need for new
 Going out for purchase as per equipment in the hospital. Head of
requirement.  Going out for purchase as per Privileging
 Meeting and negotiating with all requirement. committee
dealers and suppliers of medical  Meeting and negotiating with all
equipments. dealers and suppliers of medical
 Submitting monthly and quarterly equipments.
reports of all jobs undertaken as  Submitting monthly and quarterly
per annual operating plan. reports of all jobs undertaken as
 Any other jobs assigned by per annual operating plan.
superiors as per exigencies of  Any other jobs assigned by
work. superiors as per exigencies of
work.
Privilege
Name : ID. NO
Designation : Nursing Coordinator
Responsible for: Patient Care,

Department : Nursing Developing Policies, Nursing Care,
infection control policies, Maintains
competency.
by
Skill set required: Should be fluent in Hindi, English & Marathi, Good
communication, having leadership quality.
Privilege:
Demanded Offered
1. Supervises and coordinates the 1. Supervises and coordinates the
delivery of patient care by the nursing delivery of patient care by the nursing
staff by making hiring decisions, staff by making hiring decisions,
establishing professional licensure at establishing professional licensure at
hire, orienting new staff, making merit hire, orienting new staff, making merit
recommendations, developing policies recommendations, developing policies
and procedures, assuring that CPR and and procedures, assuring that CPR and Signature
AED certification of all staff is current, AED certification of all staff is of
scheduling and making the daily current, scheduling and making the employee
assessment of priorities and daily assessment of priorities and
emergencies. emergencies.
2. Provides ongoing advice and 2. Provides ongoing advice and

consultation to the nursing staff about consultation to the nursing staff about
proper procedures, problem solving and proper procedures, problem solving
patient safety as well as evaluating the and patient safety as well as
quality and appropriateness of nursing evaluating the quality and
Sign of
care and documentation of care appropriateness of nursing care and
Matron
provided. documentation of care provided.
3. Facilitates the team approach by 3. Facilitates the team approach by

recognizing each nurse as an important recognizing each nurse as an
part of the care team, serving as a important part of the care team,
liaison for the nursing staff by serving as a liaison for the nursing
conducting appropriate meetings to staff by conducting appropriate
communicate policy and planning meetings to communicate policy and
decisions, operational requirements and planning decisions, operational
related matters, and keeping the requirements and related matters, and
Coordinator of Medical Services and keeping the Coordinator of Medical Head of
others updated on operational issues. Services and others updated on Privileging
operational issues. committee
4. Assists in preparing budgetary
recommendations of medical supplies 4. Assists in preparing budgetary
and treatment room charges by recommendations of medical supplies
maintaining a biannual report for the and treatment room charges by
Coordinator of Medical Services. maintaining a biannual report for the
Coordinator of Medical Services.
5. Helps to assure excellent patient care
for patients by determining nursing 5. Helps to assure excellent patient
staff strengths and weaknesses by care for patients by determining
performing periodic audits of nursing nursing staff strengths and weaknesses
procedures and analyzing the data. by performing periodic audits of
nursing procedures and analyzing the
6. Ensures that staff follow the data.
Infection Control policy by making
periodic quality assurance audits. 6. Ensures that staff follow the
Infection Control policy by making
7. Promotes quality patient care by periodic quality assurance audits.
overseeing that necessary equipment
and supplies are available. 7. Promotes quality patient care by
overseeing that necessary equipment
8. Provides nursing triage, counsel, and and supplies are available.
care of patients who are ill, injured or
experiencing alteration in the normal 8. Provides nursing triage, counsel,
health process by gathering and and care of patients who are ill,
evaluating the past and present health injured or experiencing alteration in
history, vital signs and the performing the normal health process by gathering
nursing assessment. and evaluating the past and present
health history, vital signs and the
9. Provides quality patient care by performing nursing assessment.
observing, monitoring, assessing,
reporting, reporting and recording 9. Provides quality patient care by
patient concerns, conditions and observing, monitoring, assessing,
responses. reporting, reporting and recording
patient concerns, conditions and
10. Evaluates, schedules, and responses.
determines the appropriate
administration of allergy injections, 10. Evaluates, schedules, and
immunizations, and tuberculin skin determines the appropriate
tests and administers medications, administration of allergy injections,
nebulizer therapy, EKG’s and other immunizations, and tuberculin skin
treatments as prescribed by a provider tests and administers nebulizer
licensed by a state regulatory board to therapy, EKG’s and other treatments
prescribe medications and treatments. as prescribed by a provider licensed
by a state regulatory board to
11. Provides education in health care prescribe medications and treatments.
and the prevention of illness to the
patient and his or her family. 11. Provides education in health care
and the prevention of illness to the
12. Coordinates and assists in the patient and his or her family.
delivery of a plan of health care with all
members of the health team. 12. Coordinates and assists in the
delivery of a plan of health care with
13. Collaborates with Human all members of the health team.
Resources, Counseling Center, allied
health services and physician offices in 13. Collaborates with Human
regards to pre-employment health Resources, Counseling Center, allied
screening, drug screens and the health services and physician offices
patient’s well-being. in regards to pre-employment health
screening, drug screens and the
14. Works effectively as a team patient’s well-being.
member by following the Infection
Control policy, performing all duties in 14. Works effectively as a team
full compliance with the Nursing member by following the Infection
policies and procedures, demonstrating Control policy, performing all duties
professionalism and awareness of the in full compliance with the Nursing
issues of confidentiality and policies and procedures,
demonstrating respect and demonstrating professionalism and
understanding of the rights and safety awareness of the issues of
of the patient. confidentiality and demonstrating
respect and understanding of the rights
15. Maintains competency and and safety of the patient.
professional currency through self-
directed professional reading, 15. Maintains competency and
developing professional contacts with professional currency through self-
colleagues, attending professional directed professional reading,
development courses, and attending developing professional contacts with
training and/or courses required by the colleagues, attending professional
Coordinator of Medical Services. development courses, and attending
training and/or courses required by the
16. Contributes to the successful Coordinator of Medical Services.
operation by performing other essential
duties and responsibilities as assigned. 16. Contributes to the successful
operation by performing other
essential duties and responsibilities as
assigned.
NURSING PRIVILEGES

effective management of resources, Conducting
training programmes for GNM/ANM staff nurse etc.
Qualification: B.Sc. Nurse
Privilege:
Demanded Offered
 Assess patients prior to surgery  Assess patients prior to

(e.g. NBM status) and alleviate surgery (e.g. NBM status) and
their concerns alleviate their concerns
 Monitor patient’s vital signs to  Monitor patient’s vital signs to
detect anomalies detect anomalies
Approved
 Evaluate patient in postoperative  Evaluate patient in by
phases postoperative phases
 Adhere to safety standards and  Adhere to safety standards

precautions and precautions
 Assume duties within or out of  Assume duties within or out of

the sterile field as assigned the sterile field as assigned
 Solid understanding of patient  Solid understanding of patient Signature of
safety and precautions safety and precautions employee
 A great team player with  A great team player with
excellent communication skills excellent communication skills

canula insertion DLC canula insertion
Pleural and ascetic Tapping Pleural and ascetic Tapping dept.
 Assist for the procedure of  Assist for the procedure of Matron
Tracheotomy Tracheotomy
 Assist for the procedure of  Assist for the procedure of Head of
Temporary Pacing Temporary Pacing Privileging
 Assist for the procedure of Extra  Assist for the procedure of committee
 Tracheotomy care  Tracheotomy care
 Central Line Dressing  Central Line Dressing
 CPR  CPR
Tracheotomy) Tracheotomy)
 All Nursing procedure All Nursing procedure
NURSING PRIVILEGES

CCU functioning, counseling, assisting, keeping a check,
Privilege:
Demanded Offered

Approved



canula insertion DLC canula insertion
Pleural and ascetic Tapping Pleural and ascetic Tapping dept.
 Assist for the procedure of  Assist for the procedure of Matron
Tracheotomy Tracheotomy
 Assist for the procedure of  Assist for the procedure of Head of
Temporary Pacing Temporary Pacing Privileging
 Assist for the procedure of Extra  Assist for the procedure of committee
 Tracheotomy care  Tracheotomy care
 Central Line Dressing  Central Line Dressing
 CPR  CPR
 All Nursing procedure All Nursing procedure
NURSING PRIVILEGES

OT functioning, counseling, assisting, keeping a check,
Privilege:
Demanded Offered

Approved



central line insertion. central line insertion.
Intubation. Intubation.
Lumber Puncture. Lumber Puncture. Signature of
 Assist for the procedure of  Assist for the procedure of dept.
Tracheotomy. Tracheotomy. Matron
 Foleys Catheterization.  Foleys Catheterization.
Insertion. ICD Insertion.
Temporary Pace maker. Temporary Pace maker.
External Ventricular Drain. External Ventricular Drain.
 Assist for the procedure of Nasal  Assist for the procedure of Head of
packing Nasal packing Privileging
 CPR  CPR committee
 All nursing procedure  All nursing procedure
documentation. documentation.
NURSING PRIVILEGES

CVTS functioning, counseling, assisting, keeping a check,
Privilege:
Demanded Offered

Approved



central line insertion. central line insertion.
Intubation. Intubation.
Lumber Puncture. Lumber Puncture. Signature of
 Assist for the procedure of  Assist for the procedure of dept.
Tracheotomy. Tracheotomy. Matron
 Foleys Catheterization.  Foleys Catheterization.
Insertion. ICD Insertion.
Temporary Pace maker. Temporary Pace maker.
External Ventricular Drain. External Ventricular Drain.
Head of
 Assist for the procedure of Nasal  Assist for the procedure of Privileging
packing Nasal packing committee
 CPR  CPR
 All nursing procedure  All nursing procedure
documentation. documentation.
ANANDRISHIJI HOSPITAL AND MEDICAL RESEARCH CENTRE,

AHMEDNAGAR.
NURSING PRIVILEGES

Casualty functioning, counseling, assisting, keeping a check,
Privilege: Approved
Demanded Offered by
 Monitor patient’s vital signs to  Monitor patient’s vital signs

know general condition. to know general condition.
 Adhere to safety standards  Adhere to safety standards
and precautions. and precautions.
Signature of
 A great team player with  A great team player with employee
excellent communication excellent communication
skills skills
 Emergency assessment.
 Foleys Catheterization  Emergency assessment.
 Suturing  Foleys Catheterization
 CPR  Suturing
 RT insertion  CPR
 All Nursing procedure  RT insertion
Signature of
documented  All Nursing procedure
dept.
 Simple wound closure documented
Matron
 Incision and drainage  Simple wound closure
 Punch biopsy  Incision and drainage
 Excisional biopsy  Punch biopsy
 Treatment of uncomplicated  Excisional biopsy
skin lesions  Treatment of
 Removal of foreign body uncomplicated skin
from nose or ear lesions
 Splinting Casting.  Removal of foreign body
from nose or ear
 closed, simple, non-  Splinting Casting. Head of
displaced fracture of an  closed, simple, non- Privileging
extremity displaced fracture of an committee
extremity
ANANDRISHIJI HOSPITAL & MEDICAL RESEARCH CENTRE, AHMEDNAGAR.
EEG TECHNICIAN PRIVILEGES
Name : Designation : EEG Technician ID. NO

Department : Neuro Responsible for: Prepare patients and performs
Electroencephalograms, Ambulatory EEG’s, BAER’s,
VEP and other tests within their scope of practice.
Qualification: Certificate, Diploma, or Associate's degree programs in

electroneurodiagnostic (END) technology.
Skill set required: Ability to work effectively within role independently and with
other team members.• Ability to organize and complete work in a timely manner.•
Ability to read, write and effectively communicate in English.• Ability to understand
medical/surgical terminology.
Demanded Offered
 Routine and Customary  Routine and Customary

Electroencephalogram (EEG), NCV Electroencephalogram (EEG),
Recordings. NCV Recordings. Signature of
employee
 Evoked Potentials.  Evoked Potentials.
 Intensive Care EEG Monitoring.  Intensive Care EEG Monitoring.
Signature of
 Assists with other  Assists with other HOD
neurophysiologic testing. neurophysiologic testing.

RNS,VEP, Blink reflex. RNS,VEP, Blink reflex.
Head of
Privileging
committee

Nursing Privileges

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ANANDRISHIJI HOSPITAL AND MEDICAL RESEARCH CENTRE, AHMEDNAGAR.

Name : Designation : Nurse ID. NO

Department : Responsible for: Manitaining records, smooth

Qualification: ANM Nurse

Skill set required: Should be fluent in Hindi, English, Marathi,

Special procedures: Special procedures:

Name : Designation : Nurse ID. NO

Department : Responsible for: Manitaining records, smooth

Qualification: ANM Nurse

Skill set required: Should be fluent in Hindi, English, Marathi,

Special procedures: Special procedures:

UNDER SUPERVISION OF SENIOR NURSE

Name : Designation : ID. NO

Department : Responsible for: Manitaining records, smooth

Qualification: ANM Nurse

Skill set required: Should be fluent in Hindi, English, Marathi, good

Name : Designation : ID. NO

Department : Responsible for: Manitaining records, smooth

Qualification: ANM Nurse

Skill set required: Should be fluent in Hindi, English, Marathi,

Special procedures: Special procedures:

 assist in intial assesment  assist in intial assesment

Name : Designation : ID. NO

Department : Responsible for: Manitaining records, smooth

Qualification: ANM Nurse

Skill set required: Should be fluent in Hindi, English, Marathi,

Special procedures: Special procedures:

 assist in intial assesment  assist in intial assesment

Name : Designation : Male Nurse ID. NO

Department : Responsible for: Manitaining records, smooth

Qualification: ANM Nurse

Skill set required: Should be fluent in Hindi, English, Marathi,

Special procedures: Special procedures:

 assist in intial assesment  assist in intial assesment

Name : Designation : Nurse ID. NO

Department : Responsible for: Manitaining records, smooth

Qualification: ANM Nurse

Skill set required: Should be fluent in Hindi, English, Marathi,

Special procedures: Special procedures:

 assist in intial assesment  assist in intial assesment

Name : Designation : Nurse ID. NO

Department : Responsible for: Manitaining records, smooth

Qualification: ANM Nurse

Skill set required: Should be fluent in Hindi, English, Marathi,

Special procedures: Special procedures:

Name : Designation : Nurse ID. NO

Department : Responsible for: Manitaining records, smooth

Qualification: ANM Nurse

Skill set required: Should be fluent in Hindi, English, Marathi, good

Under Supervision of Senior Nurse

Name : Designation : Nurse ID. NO

Department : Responsible for: Manitaining records, smooth

Qualification: ANM Nurse

Skill set required: Should be fluent in Hindi, English, Marathi, good

Name : Designation : Nurse ID. NO

Department : Responsible for: Manitaining records, smooth

Qualification: ANM Nurse

Skill set required: Should be fluent in Hindi, English, Marathi, good

Name : Designation : ID. NO

Department : Responsible for: Manitaining records, smooth

Qualification: ANM Nurse

Skill set required: Should be fluent in Hindi, English, Marathi, good

Name : Designation : ID. NO