dutiesandresponsibilitiesofvariouscategoryofnursingpersonnel-1.pptx

Introduction
Definition
Various role of nurses

1. Presented by Ms. Sudhalata M.Sc. Nursing 2 nd year Guided by Mrs. Shraddha P. Kumar madam Demonstrator Medical surgical nursing GCON Rajnandgaon C.G.)

2. Nursing

3. GENERAL ROLE OF REGISTERED NURSES IN HOSPITAL ADMINISTRATOR MANAGER COUNSELOR Problems to be handled by the Counselor The problems coming under employee counseling in a hospital setting are 1. Emotional Problem 2. Behavioral Problem 3. Personal Problem 4. Environmental Problem 5. Organizational Problem. RESEARCHER CASE MANAGER:- The nurse coordinates the activities of other members of health care team, such as nutritionists and physical therapist, when managing a group of client's care.

4. COLLABORATOR:- The nurse works in a combined effort with all those involved in care delivery, for a mutually acceptable plan to be obtained that will achieve common goals. The nursing initiates nursing actions within the health team HEALTH EDUCATORS:- Work to encourage healthy lifestyles and wellness through educating individuals and communities about behaviors that can prevent diseases, injuries, and other health problems. ADVISER ADVOCATOR IMPLEMENTER EVALUATOR

5. Classification of nursing personnel's Hospital setting. Community areas. Educational settings.

6. DUTIES OF NURSING SUPERINTENDENT A nursing superintendent supervises the nursing staff. The nursing superintendent, who is also called the director of nursing, is responsible for the running and supervision of a nursing department. Depending on the size of the facility, she may control subsidiary departments, such as housekeeping. Nursing superintendents generally report to the hospital director or medical director of their facility.

7. Duties of Nursing Superintendent Supervise nursing staff Planning and organizing nursing services . Oversee hiring and training Patient care. Nur si n g S er v i c es Ad m i n i st r a t i o n / Create work schedule Miscellaneous

8. Supervise nursing staff The top priority of a nursing superintendent is to ensure that the nursing staff members are providing the best care for patients. She makes sure that individual nurses and nurses aides are carrying out care plans and ensures that communication between shifts happens smoothly and thoroughly. The superintendent also monitors stock and supplies to make sure that nurses have the equipment they need to provide quality care.

9. Planning and Organizing Nursing Services Participates and prepares in formulation of the Philosophy, objectives for the nursing department in accordance with those of the hospital. Responsible for delegation of duties to nursing personnel working under her at various levels. Responsible for allotment and rotation of the nursing staff to the various wards and units in planned manner depending on the suitability and qualification as well as the need of the hospital. Assists the authorities during emergencies in setting up special nursing squads words or any other machinery as required. Plans and organizes to setup a new ward or department in a hospital.

10. Nursing Services Administration Responsible for adequate and qualitative nursing care of the patients receiving treatment in the indoor or the out-door. I n tervi e w a nd recruits nursing sta f f and other s ta f f who se duties are related to nursing. Prepares annual statistics and projects manpower needed for patient care. Attending the correspondence related to nursing service from outside agencies and individuals. Investigates complaints, prepares reports and takes disciplinary action or recommends the same.

11. Nursing Services Administration Contd… Conducts supervisory rounds of wards and departments everyday and ensures that all serious patients are looked after by the supervisory staff. Prepares proposals for special equipments required for nursing services, giving specification and participates in purchase committee meeting as a member. Prepares budget for the nursing service department. Hold i ng d e part m ental m ee t ings a llowing fr e e ex c h an g e of ideas and reviewing ward staffing. Sanctions or recommends leave to nursing personnel. Maintains individual cumulative records of all nursing staff.

12. Nursing Services Administration Contd… Writing reports- confidential reports of nursing staff, annual report of the nursing department depleting achievements, future plans of expansion-any other report that may be required to be submitted. Analyses daily reports/census on hospital situation, e.g. admission, discharge etc. in order to replace nursing manpower or submit reports to higher authority. Takes active interest in staff development programme. Provides guidance and counseling to the subordinate staff. Serve on several hospital committees, such as purchase committee, hospital infection control committee, hospital management committee etc.

13. Duties and Responsibilities of Assistant Nursing Superintendent

14. Assistant Nursing Superintendent Job summary – She/he is responsible for developing and supervising nursing services of a department specific unit/floor consisting of two or more wards or units managed by nursing sisters . Educational qualification – B.Sc. Nursing / GNM nursing Line of authority – She/he is responsible to the Deputy Nursing Superintendent/ Nursing Superintendent, Chief Nursing Officer/ Director.

15. Duties of Assistant Nursing Superintendent Organise and plan nursing care activities of the departments according to hospital policies and service needs. Plan s ta f fing pat t ern a nd other n ece s s ary r e quire m ents of her/his department. Condu c t a nd attend depart m ent a l and i n te r -depart m en t a l meetings and conferences from time to time. Look after the safety and general cleanliness of the department. Look after general comforts of the patients.

16. Duties of Assistant Nursing Superintendent Contd… Eva l ua te t h e n a t u re a n d quantum of ca r e required i n e a ch unit/ward. Plan ward m anage m ent w i th the nursing si ster of e ach unit/ward. R e-en f or c e the p r i n ci pl e o f goo d ward m ana g e m ent in ea ch ward. He lp ward/un i t nursi n g si ster t o procure t h eir ward/ u n i t supplies. Supervise the proper use and care of equipments and supplies in the departments.

17. Duties of Assistant Nursing Superintendent Contd… Acts as Public Relations Officer of the unit and deal with the problems faced by the Nursing Sister. Keep the Deputy Nursing Superintendent's/ Nursing Superintendent's Office informed of the needs of the Nursing Units/Ward under his/her charge of any special problems. Arrange classes and clinical teaching of Nursing students in the department related to the specialty experiences. Implement the ward teaching programme and clinical experience of students with the help of Tutors and Nursing Sisters. Counsel and guide staff and students.

18. Duties of Assistant Nursing Superintendent Contd… Ar ran g e a n d condu c t st a f f deve l o p m ent prog r am m e of the department. Updat e s h e r / h is know l edge and s k i l l s by at t ending s ta f f Nursing Superintendent/Nursing and Special v isi t ors i n t h e de v e l o p m ent and co n t i nuing edu ca tion prog r am m es t i m e to time. Encourage and participate in medical and nursing research. Accompany Deputy Sup e r i n t e n d ent / Director department/unit. Pa rtici p ate i n var i o u s profess ional ac t i v i t ies, e.g. sta f f education, staff meetings etc.

19. Duties of Assistant Nursing Superintendent Contd… Act as liaison officer between the Nursing Superintendent and higher hospital authorities. Carry out any other duties delegated by the Deputy Nursing Superintendent/Nursing Superintendent/Director. She will assist the Nursing Superintendent for maintenance of cleanliness and general sanitation in the wards. She will make the roster duty of nursing staff and will hold the nursing sisters administrative work. She will make rounds in all wards and see that the wards staff are performing their duties properly.

20. Duties of Assistant Nursing Superintendent Contd… Sundays & Holidays- She/he is responsible for the call duties on Sundays and Holidays. She will sign the night report and see that all the Nursing Staff are on duty as well as see that all categories of staff are present on their duty hours. She has to attend emergency call too. She has to do duty in Matron's Office whenever required or needed.

21. DUTIES OF WARD SISTER

22. Nursing Sister Nursing sister is accountable for nursing care, management of a ward or a unit assigned to her/him. She takes full charge of the ward, assigns work for various categories of nursing and non nursing personnel with her/him. She is responsible for the safety and comfort of the patients in the ward.

23. Duties of Nursing Sister She is responsible to: ensure proper admission, transfer and discharge of the patient. plan Nursing care and make patient’s assignment as per their nursing needs. assist in the direct care of the patients as and when required. see that the total health care need of the patients is met. en s ure s afe t y , co m f ort and goo d p ersonn e l h y gie n e o f t h e patients.

24. Duties of Nursing Sister Contd… ensure that helpless patients are regularly fed as per directions. see that proper observation records of the patients are made and necessary information imparted to the concerned authorities. see that correct medications are prepared and administered to the patients. take nursing rounds with staff and students. make round with doctors.

25. Duties of Nursing Sister Contd… coordinate and implement instructions given by doctors and other member of the team concerning patient care and treatment. participate, coordinate and assist in overall adjustment of the patient and his/her relatives in the hospital and its routine. ensure safe and clean environment in the ward. assigns work for the work nurses and non-nursing personnel. Indents ward store and keep necessary records.

26. Duties of Nursing Sister Contd… Makes assessment of ward requirements. Charges of linen and equipment in wards to do regular inventory checking of the ward. to make list of condemnation of articles and submit it to all concerned. to establish or re-enforce Ward Standards prescribed in the procedures and manual of the Ward and the hospital policies that are in force.

27. Duties of Nursing Sister Contd… Enc o u r age st a f f dev e l o p m ent prog r a mm e, i n- service/continuing education in her/his ward. Ensure the health and welfare of staff working under him/her. Update her/his knowledge by undergoing staff development education programme. She will look after the general cleanliness sanitation in the wards. She will see that all patients are receiving proper treatment and care. She will also supervise the welfare of the patients and keep watch on suicidal and absconding patients.

28. Staff Nurse A staff nurse is a first level professional nurse who provides direct patient care to the patients assigned to him/her in different shifts morning, evening and night. She assists in Ward Management and supervision and is directly responsible to the nursing sister.

29. Duties of Staff Nurse Staff nurse is responsible: to admit, discharge and transfer the patients. to maintain personal hygiene and comfort of the patients. to provide psychological support to the patients. to see to the nutritional needs of the patients and should feed. to maintain clean and safe environment for the patients. to maintain nurses notes and intake and output chart.

30. Responsibilities of Staff Nurse Direct Patient Care Ward Management

31. Duties of Staff Nurse Contd… T o perform technical tasks e.g. preparation and administration of medications, assisting various medical procedures the patients undergoes, recording vital signs, tube feeding, giving enema, bowel wash, dressing stomach was , eye and ear care, collection and sending of specimens etc. T o observe physical and mental change in patient’s condition and record and take necessary attention and has to report to the concerned authority. She should take initiative to hold ward meeting with patients and attendants .

32. Duties of Staff Nurse Contd… A. clinical activities B. supervisory activities C. administrative activities D. educative activities

33. D uties and Responsibilities of other nursing personals

34. Duties and responsibilities of Perioperative nurses Perioperative registered nurses provide surgical patient care by assessing, planning, and implementing the nursing care patients receive before, during and after surgery. These activities include patient assessment, creating and maintaining a sterile and safe surgical environment, pre- and post-operative patient education, monitoring the patient's physical and emotional well-being, and integrating and coordinating patient care throughout the surgical care continuum. During surgery, the Perioperative registered nurse may assume any of the following responsibilities Scrub nurse Circulating nurse Registered Nurse First Assistant

35. Diabetes management nurses Diabetes Management Nurses are registered nurses who assist patients to manage diabetes. Their main duty is to educate patients and their families about diabetes and the self-management skills required. They provide advice on Exercise, diet and medication and monitoring insulin levels. These nurses often work in outpatient clinics and often travel to hold clinics in regional areas.   The main duties of a Diabetes Management Nurse Include Dealing with complications of patients diagnosed with diabetes mellitus. Working closely with physicians, pharmacists and other healthcare professionals. Educating patients of the best practices in improving their health Informing patient's families on living with diabetes Providing advice on diet and exercise Advising on injecting medications Administering tablets or insulin if the patient is unable Monitoring blood glucose levels

36. Duties and responsibilities of geriatric nurses   A geriatric nurse is a registered nurse who specializes in the care of elderly people. Geriatric nurses must have the same educational background as registered nurses, including a bachelor's degree from an accredited college or university. Duties of a geriatric nurse, however, differ from other fields of nursing due to the unique problems that can arise in elderly patients. 1. Assess Problems 2. Communication Skills 3. Patient Relationships.

37. Duties and responsibilities of Pediatric oncology nurses   A pediatric nurse works in the pediatric department of a hospital, children's clinics or at their homes. The basic duties of a pediatric nurse involve performing physical examinations and giving medicines administrated by the doctor to hospitalized patients. As little children are usually afraid of medical settings, it is the duty of the pediatric nurse to make them comfortable with encouraging words, so that they can conduct the necessary tests and treatment procedures smoothly. Ambulatory care nurses Provide preventive care and treat patients with a variety of illnesses and injuries in physicians' offices or in clinics. Some ambulatory care nurses are involved in telehealth, providing care and advice through electronic communications media such as videoconferencing, the Internet, or by telephone.   Critical care nurses Critical care nurses provide care to patients with serious, complex, and acute illnesses or injuries that require very close monitoring and extensive medication protocols and therapies. Critical care nurses often work in critical or intensive care hospital units.

38. Emergency or trauma nurses Emergency or trauma nurses will work in hospital or stand- alone emergency departments, providing initial assessments and care for patients with life-threatening conditions.   The main duties of an Emergency / Trauma Nurse include - Providing care to patients in an emergency situation -Administering emergency procedures e.g. code blue and CPR -Acting fast and thinking on their feet - Handling complex and difficult situations - Operating healthcare machines Transport nurses Transport nurses will provide medical care to patients who are transported by helicopter or airplane to the nearest medical facility.   Holistic nurses Holistic nurses will provide care such as acupuncture, massage and aroma therapy, and biofeedback, which are meant to treat patients' mental and spiritual health in addition to their physical health.

39. Home health care nurses Home health care nurses will provide at-home nursing care for patients, often as follow-up care after discharge from a hospital or from a rehabilitation, long-term care, or skilled nursing facility.   Hospice and palliative care nurses Hospice and palliative care nurses work in collaboration with other health providers (such as physicians, social workers, or chaplains) within the context of an interdisciplinary team. Composed of highly qualified, specially trained professionals and volunteers, the team blends their strengths together to anticipate and meet the needs of the patient and family facing terminal illness and bereavement. Infusion nurses Infusion nurses administer medications, fluids, and blood to patients through injections into patients' veins. Infusion nurses specialize in administering parenteral fluids, blood & blood components, pharmacological agents, nutritional solutions and pain medications.

40. Long term care nurses Long term care nurses provide healthcare services on a recurring basis to patients with chronic physical or mental disorders, often in long-term care or skilled nursing facilities. Medical surgical nurses Surgical nurses are a vital part of the health care team that provides care for patients before, during and after surgical procedures. They work both inside and outside of the sterile field to provide both direct patient care and support to the surgical staff.   General Duties Surgical nurses are RNs who work in the operating, pre- surgical or recovery areas of a hospital, outpatient surgical center or emergency ward, under the supervision of the operating physician. They perform many functions that allow surgeries to proceed smoothly, including preparing patients for surgery, assisting the surgeon during procedures and following up with patients during recovery.  

41. Recovery nurses Surgical prep and recovery nurses are RNs who care for individuals before surgery and during recovery. They prepare patients for surgical procedures by starting intravenous lines, administering medication, taking a complete health history, completing additional tests such as blood work, and performing pre-surgical preparations such as shaving. Occupational health nurses The occupational health nurse role includes. The prevention of health problems, promotion of healthy living and working conditions. Understanding the effects of work on health and health at work. Basic first aid and health screening. Workforce and workplace monitoring and health need assessment. Health promotion Education and training. Counseling and support. Risk assessment and risk management.

42. Perianaesthesia nurses Perianaesthesia nurses provide intraoperative and postoperative care to patients undergoing anesthesia during surgery or other procedure. Mental health nurses Mental health nurses help psychiatrists, psychologists and other mental health professionals counsel and treat patients with a variety of emotional and psychiatric issues, from substance abuse oriented problems to paranoid schizophrenia. Mental health nurses also help with the dispensing of medication for patients. Psychiatric nurses with an advanced education may be able to prescribe medication on their own. Radiology nurses Radiology nurses provide care to patients undergoing diagnostic radiation procedures such as ultrasounds, magnetic resonance imaging, and radiation therapy for oncology diagnoses.

43. Rehabilitation nurses   The goal of the rehabilitation nursing profession is to treat patients who require a broad range of medical services for their recovery. People who need rehabilitation nursing care are these who may have suffered from such things as work injuries, car accidents, strokes, head trauma, drug or alcohol abuse, gunshot wound or other severe trauma. Transplant nurses Transplant nurses care for both transplant recipients and living donors and monitor signs of organ rejection.   Addictions nurses   Addictions nurses care for patients seeking help with alcohol, drug, tobacco, and other addictions.

44. Genetic nurses Genetic nurses provide early detection screenings, counseling, and treatment of patients with genetic disorders, including cystic fibrosis and Huntington's disease. HIV/AIDS nurses HIV/AIDS nurses care for patients diagnosed with HIV and AIDS. They should give proper care, education, psychological support and counseling to the patients. Oncology nurses Oncology nurses care for patients with various types of cancer and may assist in the administration of radiation and chemotherapies and follow-up monitoring. Wound, ostomy and continence nurses Wound, ostomy , and continence nurses treat patients with wounds caused by traumatic injury, ulcers, or arterial disease; provide postoperative care for patients with openings that allow for alternative methods of bodily waste elimination; and treat patients with urinary and fecal incontinence.

45. Cardiovascular nurses Cardiovascular nurses treat patients with coronary heart disease and those who have had heart surgery, providing services such as postoperative rehabilitation. Gynecology nurses Gynecology nurses provide care to women with disorders of the reproductive system, including endometriosis, cancer, and sexually transmitted diseases.   Nephrology nurses Nephrology nurses care for patients with kidney disease caused by diabetes, hypertension, or substance abuse. Neuroscience nurses Neuroscience nurses care for patients with dysfunctions of the nervous system, including brain and spinal cord injuries and seizures.

46. Ophthalmic nurses   Ophthalmic nurses provide care to patients with disorders of the eyes, including blindness and glaucoma, and to patients undergoing eye surgery.   Orthopedic nurses   Orthopedic nurses care for patients with muscular and skeletal problems, including arthritis, bone fractures, and muscular dystrophy. Otorhinolaryngology nurses   Otorhinolaryngology nurses care for patients with ear, nose, and throat disorders, such as cleft palates, allergies, and sinus disorders.  

47. Respiratory nurses The role of respiratory nurses is to promote good pulmonary (lung) health within individuals, families and communities. By building close relationships with doctors and patients in their community, respiratory nurses educate the public on the importance of healthy breathing and proper exercise in people of all ages.   Clinical nurse specialist Clinical nurse specialists provide direct patient care and expert consultations in one of many nursing specialties, such as psychiatric-mental health.   Nurse anesthetist Nurse anesthetist provides anesthesia and related care before and after surgical, therapeutic, diagnostic and obstetrical procedures. They also provide pain management and emergency services, such as airway management.

48. Nurse midwives Nurse midwives provide primary care to women, including gynecological exams, family planning advice, prenatal care, assistance in labor and delivery, and neonatal care. Nurse practitioners Nurse practitioners serve as primary and specialty care providers, providing a blend of nursing and healthcare services to patients and families. The most common specialty areas for nurse practitioners are family practice, adult practice, women's health, pediatrics, acute care, and geriatrics. However, there are a variety of other specialties that nurse practitioners can choose, including neonatology and mental health.   Forensics nurses Forensics nurses participate in the scientific investigation and treatment of abuse victims, violence, criminal activity, and traumatic accident.

49. Infection control nurses An infection control nurse has one primary role, and that is to prevent hospital infections in their patients by carrying out infection prevention protocols diligently. Nurses can play an important role in controlling and preventing the spread of infectious diseases in health care facilities. In fact, several nurse duties are aimed solely at infection control.   Nurse educators Nurse educators plan, develop, implement, and evaluate educational programs and curricula for the professional development of student nurses and RNs. Nurse informaticists Nurse informaticists manage and communicate nursing data and information to improve decision making by consumers, patients, nurses, and other healthcare providers. RNs also may work as healthcare consultants, public policy advisors, pharmaceutical and medical supply researchers and salespersons, and medical writers and editors.

50. DUTIES OF COMMUNITY HEALTH NURSING

51. DUTIES OF ADMINISTRATIVE NURSING

52. A. Principal (school of nursing, College of Nursing) Job Summary Principal, College of Nursing is the administrative head of the College of Nursing, will be directly responsible to the Director of the Medical Education/Director of Health and Family Welfare services and responsible for implementation and revision of curriculum for various courses, and research activities of the college of Nursing.   Duties and Responsibilities Administration Organizing Directing Coordinating Controlling Instruction (Teaching) Guiding

53. B. VICE-PRINCIPAL The vice principal assists principal in directing the staff ( teaching and non teaching ) of the college in conducting teaching programmes . Assists Principal in planning, implementation and evaluation of the programmes .   Duties and Responsibilities Financial Educational Supervisory Establishment  Interpersonal

54. C. PROFESSOR, COLLEGE OF NURSING AND ASSISTANT PROFESSOR COLEGE OF NURSING 1. Title: Professor, College of Nursing Job Summary The Professor is overall in charge of the department and thereby responsible for administration teaching activity and guidance of that particular department. Duties and Responsibilities Administration Instruction Helping the Learners to Acquire Desirable Attitudes, Knowledge and Skill Evaluating Learner's Progress Recording and Reporting Investigative Way to improving Teaching Guidance Counseling

55. Assistant Professor, College of Nursing, Title: Assistant Professor, College of Nursing Job Summary The assistant professor usually works under professor and/ HOD of the particular department of specialty and assists him/her in administration, teaching and guidance and counseling and research activities. Duties and Responsibilities Administration Instruction Helping the Learners to Acquire Desirable Attitudes, Knowledge and skill Evaluative Learning Progress Recording and Reporting Investigating Ways Improving Teaching Guidance Counseling

56. LECTURER, COLLEGE OF NURSING, TITLE LECTURER, COLLEGE OF NURSING Job summary He/ she work under the direction of the department head and assist him in administration, instruction and guidance activities. Duties and Responsibilities Instruction  Guidance and Counseling Research

57. E. SENIOR TUTOR Participates in teaching and supervising the courses of undergraduate students. Participates in curriculum development, evaluation and revision. Guide in research projects for undergraduate students. Acts as a Counselor for staff and students. Maintains various records. Conducting and participating in department meetings and attending various meetings. Participating in Administration activities of department.

58. F. TUTOR Participates in teaching and supervising the courses of undergraduate students. Coordinates with the external lecturer for various courses as assigned. Participate in the evaluation of students. Guide the students in conducting seminars, discussions and presentations etc. Maintain students' records. Participate in student counseling programmes

59. G. CLINICAL INSTRUCTOR Demonstrate standards for nursing practice. Supervise and teach the students in the clinical fields. Participate in evaluation of students. Assist the students in conducting health education programme . Maintain students' records. Participate in the student counseling programmes . Participate and promote student welfare activities.