I had the same question asked of me once, a long time ago on this same job I'm on now.
I hadn't been working there very long, but I gave about the same response that you did. I hmmm'd and ahh'ed , and this person said, "Well, I didn't mean to put you on the spot."
I thought other people KNEW what I did, esp. someone who worked in healthcare themselves.
Anyway, I wish I could go back and redo that little scenario but I can't.
And unfortunately, we might never get the opportunity again, but we do need to be prepared with an answer in case we are asked again.
I work in MR/DDS. My MAIN job function is passing out medications.
I have to know what these meds are that I'm passing out, why it is being given, the dosage range on it, and side effects.
I check blood sugars on several diabetics, by fingersticks, and give their routine insulin dosages and any on a sliding sclae that they need.
I also, give updraft treatments for respiratory illnesses and difficulties, and I give G-tube feedings to people who do not eat by mouth.
I take Dr's orders, that he has written, put it on the med sheet or any other appropriate place, make out the cards, and start the order if appropriate.
I work on the PM shift so I don't get the opportunity to work in the clinic therefore I don't know much that goes on in there, but we have several LPNs who do work in there. They assist with examinations of the people who come up to the clinic for complaints of illnesses or injuries. They also assist with yearly physicals with the MD.
I check vital signs on several people daily, some are scheduled weekly for B/P checks.
I give treatments: ointments for rashes, etc, routine eye gtts at bedtime, eye and ear gtts for infections as needed.
I change foley catheters monthly and PRN.
I followup on a variety of illnesses, seizure activity, skin conditions, broken bones, anything that our people may complain of or anything that the aides feel needs to be looked into, and document on a nurse's note re: these complaints and give the person an appointment to see the physician the next day, IF it can wait until then.
IF it cannot wait, I call the doctor and ask for permission to send this person to the emergency room for immediate evaluation of his/her problem.
I then prepare the chart with a complete nurse's note describing the problem,
a doctor's order for transfer, I call the RN on call and let her know what is going on, I call the family and report to them, answer any questions they may have, call the ER and give them a report of our patient in transfer.
I can take care of lacerations in some instances, if it isn't too deep or too long, I can elect to steri strip it or glue it myself, or I can have the person sent on to the ER for closure by a physician. I do close some myself if it isn't too deep, and if the person will let me.
I fill out incident reports on our people for anything that is UNEXPLAINED.....
any injury that no one knows what happened must be investigated.
Injuries to the face, esp around the eyes are incidents anyway and must be investigated thorughly.
I have to fill out the report, gather information from the people taking care of this person, find out who discovered the problem, and answer many other questions. These incident reports then go to the superintendant and then she examines it for completeness and accuracy and then the report goes to Central Office in our capital city.
Family has to be notified of any incidents on our people.
Nurses also have to followup on these incidents for 48 hours....we have to check on this person every shift for 48 hours. We assess the problem, do neuro checks, check their v/s, if it's a laceration we will change any dressings, and watch for infection, and keep a general watch on them, if the problem gets worse they will see the doctor.
We do alot of paperwork, we have to prepare the medication sheets monthly, make sure they are accurate for next month's work, make out treatment sheets for the aides in the homes.
We take monthly weights, heights yearly.
I will gather specimens, urine, or fecal for lab tests ordered by the MD.
I do not have to draw blood, and we don't have IV's where I work. If the person is ill enough that they need IVs they have to be admitted to the hospital.
We do breast exams on our females monthly, noting any changes and give the person an appointment with the doctor for anything we feel needs to be checked out further.
We reorder medications that need to be ordered in between the times that the pharmacist does refills.
Our people are on programs to help them learn to take their medications. They may be on something as small as just coming to the nurse or throwing away their cups, to opening a box and taking out the correct meds.
They do this every med round, and the nurse observes the person for their participation and documents. In some programs the person also does some documentation that he/she did his/her program.
We also give Hepatitis vaccines to the staff, when they are hired. They receive these injections during the first 6 months of their employement.
The nurses on the dayshift will give TB skin tests yearly to our people, then all nurses divide everyone up into assigments and we do the check on it 72 hours later, and document accordingly, for followup on anything positive.
We give flu injections annually to our people. Of course, consents have to be obtained, but that isn't in my job description, but alot of consents are required for things the people need, and for new psychotropic medications.
Those are my main job functions. There are many other small things we do, everyday, too numerous to mention.
Anything that comes up, if it needs attention or needs doing the nurses will do it. We do aLOT.
I really hope I'm not asked this question by anyone too soon, this is too much to remember and say. lol But I do have answer ready now, and I pity the person who should ask me....they better have plenty of time to listen, huh?