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Reports to: CTC coordinator (or healthcare supervisor depending on the organisation)
Triage
- Carries out a rapid evaluation of all patients on arrival:
- determines if the patient is a cholera case;
- evaluates the degree of dehydration.
- Decides treatment plan (oral or IV rehydration).
- Provides initial emergency care (e.g. inserts IV or intraosseous), until the patient is stabilised.
- Carries our admission of patients (cholera register).
- Initiates an individual patient file (parameters, observations, etc.).
- Writes prescriptions.
- Supervises triage nurses.
Note: in a small CTU, these tasks may be performed by a nurse responsible for referring complicated cases to the CTC.
IV and oral rehydration
- Visits all admitted patients daily and monitors complicated cases (young children, pregnant women, comorbidity cases, treatment complications, etc.).
- Responds to nurses’ requests and alerts: insertion of intraosseous needle, concomitant infection, treatment complications, etc.
- Records monitoring and observation parameters on the individual patient file.
- Writes prescriptions (drugs, daily dose, number of times a day, duration).
Patient discharge
- Validates patient discharge.
- Gives patients "discharge slips" that they show the watchman on exit.
- Writes referral letters if needed (e.g. feeding centre, maternity).
Deceased patients
- Confirms death.
- Participates in investigation into cause of death.
Other tasks
- Supervises and participates in in-service training of medical staff.
- Participates in the management of workplace accidents (accidental exposure to blood or other).
- Participates in certain team meetings.
- Attends certain in-service training courses.