Duties and responsibilities of various category of nursing personnel

In a field as varied as nursing, there is no typical answer. Responsibilities can range from making acute treatment decisions to providing inoculations in schools. The key unifying characteristic in every role is the skill and drive that it takes to be a nurse. Through long-term monitoring of patients’ behavior and knowledge-based expertise, nurses are best placed to take an all-encompassing view of a patient’s wellbeing.

1. Presented By
Preeti Thakur
SMVDCoN

2. Duties of Staff Nurse
Staffnurseisresponsible:
•toadmit,dischargeandtransferthepatients.
•tomaintainpersonalhygieneandcomfortofthepatients.
•toprovidepsychologicalsupporttothepatients.
•toseetothenutritionalneedsofthepatientsandshouldfeed.
•tomaintaincleanandsafeenvironmentforthepatients.
•tomaintainnursesnotesandintakeandoutputchart.

3. Staff Nurse
•Astaffnurseisafirstlevelprofessionalnursewhoprovides
directpatientcaretothepatientsassignedtohim/herin
differentshiftsmorning,eveningandnight.Sheassistsin
WardManagementandsupervisionandisdirectlyresponsible
tothenursingsister.

4. Responsibilities of Staff Nurse
Direct Patient Care
Ward Management

5. Duties of Staff Nurse Contd…
•toperformtechnicaltaskse.g.preparationandadministration
ofmedications,assistingvariousmedicalproceduresthe
patientsundergoes,recordingvitalsigns,tubefeeding,giving
enema,bowelwash,dressingstomachwas,ECTeyeandear
care,collectionandsendingofspecimensetc.
•toobservephysicalandmentalchangeinpatient’scondition
andrecordandtakenecessaryattentionandhastoreporttothe
concernedauthority.
•Sheshouldtakeinitiativetoholdwardmeetingwithpatients
andattendants.

6. Duties of Staff Nurse Contd…
•Attitudetowardspatients:Nursesareexpectedtoshow
extremeforbearanceandtackintheirdealingswithevery
patient.
•ill-Treatmentofpatients:Anythingintheshapeofablow
giventoapatientbyanurseshallrenderherliabletoinstant
suspensionbyorderofMedicalSuperintendent(Director).
•SpecialReports:Immediateandspecialreportsmustbemade
totheDeputyDirector/DirectorandMatron

7. Duties of Staff Nurse Contd…
•Lockingupofbroomsetc.:Brooms,mops,squeezesshouldbe
keptlockedwhennotinuse.
•Medicinesmustneverbeentrustedtothecareofapatient.
Theymustbekeptunderlockandkey.Theymustnotbe
placedinthesamecupboardasdisinfectants.
•Handlingofviolentpatients
•Restraintofprivationofpatients:Nopatientmusteverbe
subjectedtorestraintorprivation(suchafood,tobaccoetc.)
withouttheexpressorders

8. Duties of Staff Nurse Contd…
•Everysisterwillcarryoutanyinstructionsgiventoherbythe
Residents/Sr.Residentsinthematterofmedicalorsurgical
treatmentandshewillonnoaccountentrusttheadministration
ofmedicinestoWardAttendants(MaleandFemale).
•DutiesofWardAttendants
•Misconduct:Thesisterondutyshallreportinherreportbook
anymisconductonthepartofanyoftheWardAttendant(male
orfemale).
•Handlingofnoisypatients

9. Duties of Staff Nurse Contd…
•InspectionofMeals
•Religiousservices
•Notingofpatientssayinganddoing.Thisismostimportant,
especiallyinthecasesofpatientswhoarerecovering,or
whoserecoveryisreasonablyexpectedtotakeplace.
•Managementofdifficultpatient:Intheeventofapatient
provingverydifficulttomanage,thesistershallsummonthe
residentforhelpandadvice.
•Defectinpatientsfeed.

10. Duties of Staff Nurse Contd…
•Shehastomaintainwardequipmentandsupplyandalso
prepareandcheckwardsupplies.
•Assistnursingsisterinwardmanagementandofficiateinher
absence.
•Participateinclinicalteaching,bothplannedandincidental.
•Helpintheorientationofnewstaff.
•Hastoteachpatientandguardianregardingtheintakeof
medicines,itssideeffect.

11. Duties of Staff Nurse Contd…
•Shewillassistthenursingsistersinadministeringtreatment.
ShewillassistresidentdoctoringivingECTtopatientsand
collectallpathologicalspecimens.Shewillalsoseethatthe
attendantsareattendingtopatientsproperlyaspertheadvice
ofresidentdoctorandmedicalofficer.

12. Duties and
Responsibilities
of Nursing
Sister

13. Nursing Sister
◼Nursingsisterisaccountablefornursingcare,managementof
awardoraunitassignedtoher/him.Shetakesfullchargeof
theward,assignsworkforvariouscategoriesofnursingand
nonnursingpersonnelwithher/him.Sheisresponsibleforthe
safetyandcomfortofthepatientsintheward.
LineofAuthority
Nursingsisterisaccountablefornursingcare,managementof
awardoraunitassignedtoher/him.Shetakesfullchargeof
theward,assignsworkforvariouscategoriesofnursingand
nonnursingpersonnelwithher/him.Sheisresponsibleforthe
safetyandcomfortofthepatientsintheward.

14. Duties of Nursing Sister
Sheisresponsibleto:
•ensureproperadmission,transferanddischargeofthepatient.
•planNursingcareandmakepatient’sassignmentaspertheir
nursingneeds.
•assistinthedirectcareofthepatientsasandwhenrequired.
•seethatthetotalhealthcareneedofthepatientsismet.
•ensuresafety,comfortandgoodpersonnelhygieneofthe
patients.

15. Duties of Nursing Sister Contd…
•ensurethathelplesspatientsareregularlyfedasperdirections.
•seethatproperobservationrecordsofthepatientsaremade
andnecessaryinformationimpartedtotheconcerned
authorities.
•seethatcorrectmedicationsarepreparedandadministeredto
thepatients.
•takenursingroundswithstaffandstudents.
•makeroundwithdoctors.

16. Duties of Nursing Sister Contd…
•coordinateandimplementinstructionsgivenbydoctorsand
othermemberoftheteamconcerningpatientcareand
treatment.
•participate,coordinateandassistinoveralladjustmentofthe
patientandhis/herrelativesinthehospitalanditsroutine.
•ensuresafeandcleanenvironmentintheward.
•assignsworkfortheworknursesandnon-nursingpersonnel.
•Indentswardstoreandkeepnecessaryrecords.

17. Duties of Nursing Sister Contd…
•Makesassessmentofwardrequirements.
•Chargesoflinenandequipmentinwards
•todoregularinventorycheckingoftheward.
•tomakelistofcondemnationofarticlesandsubmitittoall
concerned.
•toestablishorre-enforceWardStandardsprescribedinthe
proceduresandmanualoftheWardandthehospitalpolicies
thatareinforce.

18. Duties of Nursing Sister Contd…
•maintain working relationship and discipline among the ward
workers, e.g. staff nurses, students and domestic staff.
•to deal appropriately with any adverse situation that occurs in
the ward and inform the concerned authorities.
•to report about any medico-legal case in the ward.
•Organize orientation programmes for new staff.
•Organize formal and informal ward teaching, conduct bedside
clinics and demonstrations.

19. Duties of Nursing Sister Contd…
•Conductwardmeeting.
•Toimpartincidentalteachingtopatients,relatives,staffnurses,
studentsandthedomesticstaff.
•Guideinformulationandimplementationofnursingcareplans.
•Assistsstudentnursestodevelopnursingcarestudies.
•Participateinmedicalnursingresearch.

20. Duties of Nursing Sister Contd…
•Encouragestaffdevelopmentprogramme,in-
service/continuingeducationinher/hisward.
•Ensurethehealthandwelfareofstaffworkingunderhim/her.
•Updateher/hisknowledgebyundergoingstaffdevelopment
educationprogramme.
•Shewilllookafterthegeneralcleanlinesssanitationinthe
wards.Shewillseethatallpatientsarereceivingproper
treatmentandcare.Shewillalsosupervisethewelfareofthe
patientsandkeepwatchonsuicidalandabscondingpatients.

21. Duties and
Responsibilities of
Assistant Nursing
Superintendent

22. Assistant Nursing
Superintendent
•Jobsummary–She/heisresponsiblefordevelopingand
supervisingnursingservicesofadepartmentspecificunit/floor
consistingoftwoormorewardsorunitsmanagedbynursing
sisters.
•Lineofauthority–She/heisresponsibletotheDeputy
NursingSuperintendent/NursingSuperintendent,Chief
NursingOfficer/Director.

23. Duties of Assistant Nursing
Superintendent
•Organiseandplannursingcareactivitiesofthedepartments
accordingtohospitalpoliciesandserviceneeds.
•Planstaffingpatternandothernecessaryrequirementsof
her/hisdepartment.
•Conductandattenddepartmentalandinter-departmental
meetingsandconferencesfromtimetotime.
•Lookafterthesafetyandgeneralcleanlinessofthedepartment.
•Lookaftergeneralcomfortsofthepatients.

24. Duties of Assistant Nursing
Superintendent Contd…
•Evaluatethenatureandquantumofcarerequiredineach
unit/ward.
•Planwardmanagementwiththenursingsisterofeach
unit/ward.
•Re-enforcetheprincipleofgoodwardmanagementineach
ward.
•Helpward/unitnursingsistertoprocuretheirward/unit
supplies.
•Supervisetheproperuseandcareofequipmentsandsupplies
inthedepartments.

25. Duties of Assistant Nursing
Superintendent Contd…
•ActsasPublicRelationsOfficeroftheunitanddealwiththe
problemsfacedbytheNursingSister.
•KeeptheDeputyNursingSuperintendent's/Nursing
Superintendent'sOfficeinformedoftheneedsoftheNursing
Units/Wardunderhis/herchargeofanyspecialproblems.
•ArrangeclassesandclinicalteachingofNursingstudentsin
thedepartmentrelatedtothespecialtyexperiences.
•Implementthewardteachingprogrammeandclinical
experienceofstudentswiththehelpofTutorsandNursing
Sisters.
•Counselandguidestaffandstudents.

26. Duties of Assistant Nursing
Superintendent Contd…
•Arrangeandconductstaffdevelopmentprogrammeofthe
department.
•Updatesher/hisknowledgeandskillsbyattendingstaff
developmentandcontinuingeducationprogrammestimeto
time.
•Encourageandparticipateinmedicalandnursingresearch.
•AccompanyDeputyNursingSuperintendent/Nursing
Superintendent/DirectorandSpecialvisitorsinthe
department/unit.
•Participateinvariousprofessionalactivities,e.g.staff
education,staffmeetingsetc.

27. Duties of Assistant Nursing
Superintendent Contd…
•ActasliaisonofficerbetweentheNursingSuperintendentand
higherhospitalauthorities.
•CarryoutanyotherdutiesdelegatedbytheDeputyNursing
Superintendent/NursingSuperintendent/Director.
•ShewillassisttheNursingSuperintendentformaintenanceof
cleanlinessandgeneralsanitationinthewards.Shewillmake
therosterdutyofnursingstaffandwillholdthenursingsisters
administrativework.Shewillmakeroundsinallwardsand
seethatthewardsstaffareperformingtheirdutiesproperly.

28. Duties of Assistant Nursing
Superintendent Contd…
•Sundays&Holidays-She/heisresponsibleforthecallduties
onSundaysandHolidays.Shewillsignthenightreportand
seethatalltheNursingStaffareondutyaswellasseethatall
categoriesofstaffarepresentontheirdutyhours.Shehasto
attendemergencycalltoo.
•ShehastododutyinMatron'sOfficewheneverrequiredor
needed.

29. Duties and Responsibilities
of Deputy Nursing
Superintendent

30. Deputy Nursing Superintendent
•JobSummary–Responsiblefortheefficientrunningofthe
variousnursingdepartmentsinthehospitalfor24hours.
•LineofAuthority–Responsibletothenursingsuperintendent
andassisther/himinthenursingservices,administrationofthe
hospital.She/heisindependentlyin-chargeofnursingservice
department.

31. Duties of Deputy Nursing
Superintendent
•OfficiatesintheabsenceofNursingSuperintendent.
•Participatesintheformulationofnursingservices,
philosophies,objectivesandpolicies.
•Assistsintherecruitmentofnursingstaffandstudent's
selection.
•Helpsinallocatingnursingpersonneltovariousnursing
servicedepartments.
•Keepsrecordsandreportsofthenursingservices.

32. Duties of Deputy Nursing
Superintendent Contd…
•Maintainsconfidentialreportsandrecordsofthenursingstaff.
•Takesregularhospitalrounds.
•Supervisesservicesandcaregiveninvariousdepartments.
•Servesonvarioushospitalcommittees,e.g.
purchase/condemnationcommittee,ClassIVemployees
committeeetc.
•Maintainstheattendanceandleaveregistersfornurses.

33. Duties of Deputy Nursing
Superintendent Contd…
•Conductsregularphysicalverificationofhospital'sstock,
initiatescondemnationofoldandwornoutarticlesand
procurementofnewarticles.
•Attendsofemergencycallsconcerninghospitalorhostel
problems.
•Assistsinplanningandimplementingstaffdevelopment
programmes.
•Guidesandcounselsnursingstaff.
•Arrangesorientationprogrammesfornewnursingstaff.

34. Duties of Deputy Nursing
Superintendent Contd…
•Participatesinformulationofjobdescription.
•Maintainsdisciplineamongnursingpersonnel.
•AccompaniesspecialvisitsofDirector,Nursing
Superintendent/ChiefNursingOfficerforhospitalrounds.
•Arrangesandparticipatesinprofessionalandsocialfunctions
ofthestaffandstudents.
•Maintainsgoodpublicrelations.
•CarriesoutanyotherdutiesassignedbyherbytheNursing
Superintendent.
•Regularlyupdatesherknowledgeincurrenttrends.

36. Nursing Superintendent
•JobSummary–Sheisresponsiblefortheefficientrunningof
thevariousnursingdepartmentsinthehospitalfor24hours.
•LineofAuthority–sheisaccountabletoChiefNursing
Officer(CNO),ifthereisnoCNOsheisresponsibletothe
MedicalSuperintendent(Director).

37. Duties of Nursing
Superintendent
•Planning and organizing nursing services.
•Nursing Services Administration
•Miscellaneous

38. Planning and Organizing Nursing
Services
•ParticipatesandpreparesinformulationofthePhilosophy,
objectivesforthenursingdepartmentinaccordancewiththoseof
thehospital.
•Responsiblefordelegationofdutiestonursingpersonnelworking
underheratvariouslevels.
•Responsibleforallotmentandrotationofthenursingstafftothe
variouswardsandunitsinplannedmannerdependingonthe
suitabilityandqualificationaswellastheneedofthehospital.
•Assiststheauthoritiesduringemergenciesinsettingupspecial
nursingsquadswordsoranyothermachineryasrequired.
•Plansandorganizestosetupanewwardordepartmentinahospital.

39. Nursing Services Administration
•Responsibleforadequateandqualitativenursingcareofthe
patientsreceivingtreatmentintheindoorortheout-door.
•Interviewandrecruitsnursingstaffandotherstaffwhose
dutiesarerelatedtonursing.
•Preparesannualstatisticsandprojectsmanpowerneededfor
patientcare.
•Attendingthecorrespondencerelatedtonursingservicefrom
outsideagenciesandindividuals.
•Investigatescomplaints,preparesreportsandtakesdisciplinary
actionorrecommendsthesame.

40. Nursing Services Administration
Contd…
•Conductssupervisoryroundsofwardsanddepartments
everydayandensuresthatallseriouspatientsarelookedafter
bythesupervisorystaff.
•Preparesproposalsforspecialequipmentsrequiredfornursing
services,givingspecificationandparticipatesinpurchase
committeemeetingasamember.
•Preparesbudgetforthenursingservicedepartment.
•Holdingdepartmentalmeetingsallowingfreeexchangeof
ideasandreviewingwardstaffing.
•Sanctionsorrecommendsleavetonursingpersonnel.
•Maintainsindividualcumulativerecordsofallnursingstaff.

41. Nursing Services Administration
Contd…
•Writingreports-confidentialreportsofnursingstaff,annual
reportofthenursingdepartmentdepletingachievements,
futureplansofexpansion-anyotherreportthatmaybe
requiredtobesubmitted.
•Analysesdailyreports/censusonhospitalsituation,e.g.
admission,dischargeetc.inordertoreplacenursing
manpowerorsubmitreportstohigherauthority.
•Takesactiveinterestinstaffdevelopmentprogramme.
•Providesguidanceandcounselingtothesubordinatestaff.
•Serveonseveralhospitalcommittees,suchaspurchase
committee,hospitalinfectioncontrolcommittee,hospital
managementcommitteeetc.

42. Miscellaneous
•Responsiblethatlinen,beddingandclothingofallpatientsare
cleanandingoodrepair.
•Responsibletoallmatterspertainingtoleave(includingsick
leave),dismissalandenrolmentofthenursingstaff,ward
attendantsandotherstaffunderher(safaiwalas,mazdoors,
maliesetc.).
•Countersignsallindentsmadebythewardsisterandsatisfy
herselfthattheindentsareproperlycompliedandthatthe
articlesaskedforarenecessaryinaccordancewiththeward
stock.

43. Miscellaneous Contd…
•Inspectsallunserviceablearticlesofthewardsandsatisfy
herselfthatsucharticlesarebeyondrepairbeforetheyare
broughtforthefinalcondemnation.
•Makessurpriseroundofthehospitalonceweekly.
•Ensuresthatallwardattendants(Male&Female),barbersand
otherservingunderherareacquaintedwithallstandingorder
whicheffectthemortheirduties.

44. Miscellaneous Contd…
•Participatesinmeetings,workshops,seminarsoflocaland
statelevel.
•Carryoutresearchesorcooperates/encouragesothersto
conductresearches,pilotprojectsinpatientcarearea.
•Providesallhelpandguidancesothatthetraininginstitute
programmecanoperatesmoothly.
•Encouragesandhelpsnursestowritepapersoncase-studies,
nursingproceduresetc.
•Anyotherdutiesassignedbytheseniorsfromtimetotime.

46. Chief Nursing Officer
•JobSummary–Sheischiefofthenursingserviceinthe
hospital.
•LineofAuthority–SheisaccountabletotheMedical
Superintendent(Director)oftheHospital.

47. Duties of Chief Nursing Officer
1.ProvidesNursingServicesforpatientsaccordingtopoliciesof
Hospitalandthenursingservicesdepartment.
•DeterminesthePhilosophy,objectivesandpoliciesofthe
nursingdepartmentinaccordancewiththoseofthehospital.
•Plansfortotalpatientcarewiththeadministration,the
medicalstaff,otherdepartmentofthehospital.
•Developsstandardnursingcareinharmonywithaccepted
philosophy,objectivesandpolicies.
•Identifiesneedsandprovidesresourcesfornursingservices.

48. Duties of Chief Nursing Officer
Contd…
•Determinescategoriesandnumberofnursingservices
personnelrequiredtomeetthenursingneedsofthepatients.
•Makesrecommendationsforphysicalfacilities,suppliesand
theequipments.
•Preparesandbudgetaryrequestfornursingdepartmentand
administerstheapprovedbudget.
•Developsandimplementsmethodsbywhichtheobjectivesof
thenursingdepartmentcanberealized.
•Prepares,interpretsandmaintainsaplanoforganizationfor
thenursingdepartments.

49. Duties of Chief Nursing Officer
Contd…
•Definesfunctionsandqualificationsfornursingservices
personnel,prepareswrittenjobdescriptionsandassigns
responsibilitieswithcommensurateauthority.
•Developsandimplementsaplanforrecruitmentand
appointinganddismissingnursingservicepersonnel.
•Determinesandimplementspersonnelpoliciesandpractices
forthenursingdepartment.
•Arrangesforoptimumutilizationofphysicalfacilities,
suppliesandequipments.
•Developsasupervisoryprogrammeforthenursingdepartment.

50. Duties of Chief Nursing Officer
Contd…
•Developsandimplementsaprogrammeofperformance
evaluationofNursingServicespersonnel.
•Plansforandimplementsaprogrammeofin-serviceeducation
fornursingservicepersonnel.
•Plansforandsharesinthedevelopmentandmaintenanceof
recordsforthenursingdepartment.
•Developsandimplementsmethodsforinterpretingthe
objectivesandprogrammesofthenursingdepartmentto
hospitaladministration,thenursingstaff,thepersonalofother
hospitaldepartmentsandthepublic.

51. Duties of Chief Nursing Officer
Contd…
•Interpretsandimplementstheestablishedpoliciesandstandard
ofNursingdepartment.
•Promoteseffectiveparticipationofnursingservicepersonnel
inthepublicrelationprogrammeofthehospital.
•Developsandimplementsaplanforevaluationandimproving
theNursingprogramme.

52. Duties of Chief Nursing Officer
Contd…
2.Assistsinthepromotionofhealthandpreventionofdisease
withthehospitalandotherareasofthecommunity.
•Identifiesareasinwhichthenursingdepartmentmay
contributeandsupporthealthprogrammesinthehospitaland
inotherareasofthecommunity.
•Developsmethodsandinitiatesactionbywhichthenursing
departmentcanmakethemosteffectivecontributionofhealth
programmes.
•Evaluatesthecontributionmadebythenursingdepartment
andmakesnecessarycharges.
•Facilitiesand/orcontributestotheeducationalprogrmmesfor
nursing,otherhealthprofessions/disciplines.

53. Duties of Chief Nursing Officer
Contd…
3.Facilitiesand/orcontributestotheeducationalprogrammes
fornursing,otherhealthprofessions/disciplines.
•Assessesandinterpretstheresourcesofthenursing
departmentinrelationtotherequirementsoftheeducational
programmes.
•Developsandimplementsmethodsbywhichthenursing
departmentcancontributetospecificeducationalprogramme.
•Participatesinevaluatingthecontributionmadebythe
nursingdepartmenttospecificeducationalprogrammesand
makenecessaryadjustments.

54. Duties of Chief Nursing Officer
Contd…
4.Initiatesand/orparticipatesinstudiesorresearchinnursing
servicesandotherheathservices.
•Identifiesareasrequiringstudyorresearchanddefines
problemsforinvestigations.
•Makesarrangementsbywhichstudiescanbeundertaken.
•Reviewstheresourcesofthenursingdepartmentfor
contributingtoresearchplannedbyotherhealthservicesand
arrangesforparticipationselectedresearchproject.