CION Cancer Clinics
The attendant's job, day by day | CION Cancer Clinics
The attendant stays with the patient from admission to discharge. Your duties are to be at the morning ward round, help the patient eat, drink and walk when the team allows it, and notice any change and tell the nurse. You are not expected to do anything medical. This page goes through the stay day by day, what fills each day, and what you do yourself versus what you call the nurse for. CION Cancer Clinics’ surgical oncologists in Hyderabad can talk this through with you.
On this page
- What does the attendant actually do during a surgical admission?
- What does each day of the stay look like?
- What fills an attendant's day on the ward?
- Four things attendants get wrong, and what is actually true
- What you can do yourself, and what you call the nurse for
- How do you get through the stay yourself?
- Common questions from hospital attendants
The short answer
What does the attendant actually do during a surgical admission?
The attendant is the one person who stays with the patient from admission to discharge. You are the patient's memory, their hands when they cannot stand, and the family's eyes on the ward. You are not a nurse, and nobody expects you to do anything medical.
The three things that matter most
First, be present at the ward round every morning, because that is when decisions are made and questions get answered. Second, make sure the patient eats, drinks and walks when the team says they may, since those three things do more for recovery than anything the family can buy. Third, notice change. You see the patient all day; the nurses see them for minutes. If something looks different from the morning, say so.
Who this job does not suit
Someone who cannot lift or steady an adult, someone who faints at the sight of a wound, or someone who has to keep answering work calls. There is no shame in any of that. Pick a different family member for the hospital days and give this person the paperwork or the home instead.
Most wards allow one attendant at the bedside. Bring your own ID, because some hospitals issue an attendant pass and will ask for it at the gate at night.In order
What does each day of the stay look like?
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Admission day
Paperwork, a bed, blood tests and a visit from the anaesthetist. Hand over the medicine strips and the reports. Learn where the nurses' station, the toilet, the pharmacy and the canteen are, because you will be walking to all of them repeatedly.
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Operation day
The patient goes down early, usually without breakfast. You wait. Keep your phone charged and stay where the team told you to wait. The surgeon speaks to you afterwards, and the patient may go to recovery or the ICU first.
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The first night
The patient is drowsy, sore and often thirsty. Your job is to be there, press the call bell when they need something, and not to give anything to eat or drink until the nurse says so.
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The ward days
Each day the patient does a little more: sitting up, then standing, then walking the corridor. Drains and tubes come out one by one. This is when you help with washing, toilet trips and short walks.
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Discharge day
Medicines from the pharmacy, the discharge summary, the wound instructions and the follow-up date. Read all of it before you leave and ask about anything unclear while a nurse can still answer.
Not sure whether this applies to you?
Ask an oncologistEvery day
What fills an attendant's day on the ward?
Four routines repeat every day of the stay. Once you know them, the days stop feeling chaotic.
The morning ward round
The surgical team comes past early. Be awake, standing and ready with your notebook. Ask what the plan is for today, whether anything is coming out, and whether the patient may eat, drink and walk.
Have ready
- Anything that changed overnight
- Your questions, written down
Food and drink
Follow the ward's instructions exactly. After some operations the patient starts with sips, then liquids, then soft food. Do not bring food from outside until a nurse says it is allowed, however much the patient asks.
Moving and washing
Help with sitting up, standing, going to the toilet and short walks. Support the side that does not have the drain or the drip. Wipe-down washes at the bed until the team says a shower is fine.
Ask the nurse first for
- The first time out of bed
- Anything involving the dressing
The nights
Nights are long. Keep the call bell within the patient's reach, keep the walking space clear, and sleep when the patient sleeps. If the patient is restless, in more pain, or breathing differently, call the nurse rather than waiting for morning.
Commonly believed
Four things attendants get wrong, and what is actually true
Never give any medicine, including anything from home, unless the nurse has given it or told you to. If pain is not under control, say so at once. The team can change the dose or the drug. Pain that is reported early is much easier to settle.
Walking early, with support, is one of the main things that prevents chest infections and clots in the legs. The team will say when. Once they have, gentle walks along the corridor are part of the treatment, not a risk to it.
Sometimes, later. In the first days the gut may not be ready, and the ward decides what the patient can take. Ask the nurse or the dietitian what is allowed, and bring only that.
Nurses would rather hear about a small change than find a big one later. A new pain, a wet dressing, a patient who seems confused, a drain bag that has filled quickly: all of these are worth pressing the bell for.
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Side by side
What you can do yourself, and what you call the nurse for
Being straight with you
How do you get through the stay yourself?
Attendants get ill too. You will sleep badly on a chair, eat at odd times and carry everyone's worry. Plan for it from the first day rather than discovering it on the fourth.
Rotate if you possibly can
Arrange for someone to relieve you for a few hours every day, even if only to go home, bathe and sleep in a bed. A rested attendant notices more and snaps less. If nobody can come, ask whether a relative may sit with the patient during visiting hours while you go out.
Keep the family informed without being the switchboard
Send one message to the family group after the ward round, and let the coordinator handle the calls. You cannot help the patient to the toilet and explain the drain to an uncle at the same time.
What this page cannot tell you
It cannot tell you how long the stay will be, what the operation will find, or whether more treatment will follow. Those depend on the cancer and the person. If you feel out of your depth, say so to the nurse in charge. Asking for help is part of the job.
Questions we are asked
Common questions from hospital attendants
Can I stay overnight with my father?
In most wards, yes, one attendant may stay. The ICU is different: attendants usually wait outside and are called in at set times. Ask on admission what the rules are for each, and whether an attendant pass is issued.
What do I do while the operation is going on?
Wait where the team told you to, keep your phone charged and on, and eat something. The surgeon or a team member will find you afterwards. A long wait does not by itself mean something is wrong. Ask beforehand roughly how long to expect.
The patient is asking for water and the nurse said no. What do I do?
Follow the nurse. After some operations the gut needs time before anything goes in, and a sip too early can cause vomiting. You can wet the lips with a damp cloth or offer ice chips if the nurse allows it. Ask when sips will be permitted.
How do I help someone to the toilet with a drain and a drip?
Ask the nurse to show you the first time. In general, keep the drain bag below the level of the wound, hold the drip stand with one hand, and let the patient hold your other arm on the side away from the tubes. Go slowly. Sit them down first, and let them pause before standing again.
What should I write down at the ward round?
The plan for the day, anything coming out or going in, what the patient may eat, and any new medicine. Also the name of the doctor who spoke. If you did not understand something, ask before they move on. Read your notes to the coordinator afterwards.
He is confused at night and pulling at the tubes. Is this normal?
Confusion after an operation is common in older people, but it is never something to manage alone. Call the nurse straight away, especially if the patient is trying to pull out a drain or a line. Keep the lights low, speak calmly, and remind them where they are and why.
Can I bring home-cooked food into the ward?
Only once the team says the patient is eating normally, and only what the ward allows. Some operations mean a liquid or soft diet for a while. Ask the nurse or the dietitian each day what is permitted. The wrong food too early is a common cause of vomiting.
Do I have to pay anything during the stay?
Usually the pharmacy for some items, and any deposit the desk asked for. Aarogyasri, CGHS, ECHS and EHS are accepted, and most cashless insurers are empanelled, so the running bill often goes to the scheme. Keep every receipt, and let the paperwork person handle the desk so you can stay at the bedside.
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Trained at AIIMS, Tata Memorial, and leading international centres. Combined 150+ years of experience. Every complex case is reviewed by 3+ of them — together.
Dr. C. Raghavendra Reddy
MBBS(Gold Medal), DNB(General Medicine), DM(Medical Oncology)(Gold Medal)
Dr. Bharati Devi Gorantla
MBBS, MD(General Medicine), DM(Medical Oncology)(Adyar,Chennai), ECMO, MRCP SCE(UK)
Dr. Owais Mohammed
MBBS, MD (General Medicine), DrNB (Medical Oncology), ECMO, MRCP SCE (Medical Oncology) (UK)
Dr. Muralidhar Muddusetty
MBBS (AIIMS), MS (Surgery) (AIIMS), DNB (Surgical Oncology), MRCS (Edinburgh)
Dr. Vinay Mamidala
MBBS, MS(General Surgery), M.Ch(Surgical Oncology), FMAS, FARIS(Ongoing)
Dr. Vajja Sandeep Kumar
MBBS, MS (General Surgery), DrNB (Surgical Oncology), FALS Oncology
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Sources
- Macmillan Cancer Support — After surgery
- Cancer Research UK — After surgery
- NHS — Recovering from an operation
- American Cancer Society — Surgery for Cancer
This page is general information, not a prescription. Do not change or stop any treatment based on what you read here. If anything is worrying you, contact your own treating team — or call our helpline and we will help you reach the right specialist.
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Talk to us
Not sure what the stay will involve?
Tell us which operation is planned and where. A member of the surgical team will explain what the attendant should expect. One helpline serves every CION centre.