Role and responsibilities of nurses in IPD,OPD,ICU.pptx

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1. TOPIC – ROLE AND RESPONSIBILITIES OF NURSE IN MEDICAL SURGICAL SETTING BSC(H) NURSING RAKCON

2. INTRODUCTION The primary role of nurse is to provide care . Medical surgical nurses provide direct care to adult patients in numerous settings. Medical surgical nursing is the largest group of professional in the field of nursing . Medical surgical settings include hospitals , clinics , home , surgical centres.

3. MEDICA L SU R GICA L SE T TING I t i nclud e s variou s dep a rtments suc h a s : O p d Ipd ICU Home health care Community health nursing

4. 1 . O PD- OU T PA TIENT DE P A R TMENT It is defined as a part of hospital with alloted physical facilities , medical and other staffs with regularly scheduled hours to provide care for patients who are not registered as inpatients. A hospital department where patients receive diagnosis , followup care or treatment but don’t stay overnight. It is first point of contact between a patient and hospital

5. OBJECTIVES OF OPD

6. FUNCTIONS OF OPD Provide a major source of specialist medical opinion. Screening for admission to hospital Early diagnosis , curative , preventive and rehabilitative care Follow up care and care after discharge Promotion of health by health education

7. TYPES O F OPD A. Based on type of service Centralized outpatient service Decentralised outpatient service B. Based on type of patient General outpatient Emergency outpatient Referred outpatient

8. O P D P R O C E S S

9. TYP E S O F OP D SE R VICE

10. ROLE OF NURSE IN OPD Nurse provide direct care to patient in the form of medicine and treatment as directed by physician Nurse participate in setting up the care plan for patient and administer , take vital signs and change dressing . In clinics nurse work directly with patient by getting their medical history , monitoring vital signs and performing blood draws. Provide healthcare advises through educating patient and family members.

11. CONTD. Nurse work with all age groups and with different healthcare and social care needs. Nurse also organises health camp and provide routine and emergency care to camper .

12. 2. IPD – INPATIENT DEPARTMENT An inpatient department is a unit of a hospital or a healthcare facility where patients are admitted for medical condition that require appropriate care and attention. Any patient is admitted for short and long term depending on severity of their diseases.

13. FUNCTIONS OF IPD To provide the highest possible quality of medical and nursing care for the patients . To provide necessary equipment , essential drugs and all other stores required for patient in an organized manner To furnish most desirable environment substituting as temporary home for patients To provide facilities to meet the needs of the visitors and attendants

14. PROCES S I N IPD

15. ROLE OF NURSE IN IPD Clinical responsibility - Inpatient care nurses ‘ main goal is to improve patients’ quality of life while ensuring they are comfortable. In addition , nurses ensure admissions and discharge of patients. Managerial responsibility- inpatient nurses’ maintain patient files , update patient statistics and provide reports to doctor and other staff members.

16. CONTD. Personnel responsibility – inpatient care nurses consultants engage in staff placements in inpatient department. Coordinating inpatient care services and providing expert advice also falls within their responsibilities. Research and development responsibility – inpatient care nurse consultants work with other staff members to ensure delivery of proper palliative care.

17. 3. ICU – INTENSIVE CARE An ICU also known as an intensive therapy unit where a specialised treatment is given to patient who are acutely unwell and require critical medical care. ICU provide the critical care and life support for ill and injured patient.

18. TYPES OF ICU General •Medical ICU •Surgical ICU •Medical Surgical ICU Specialised Neonatal ICU •Special care nursery •Pediatric ICU •Coronary care unit •Cardiac surgery ICU •Neuro surgery ICU •Burn ICU •Trauma ICU

19. ROLE OF NURSE IN ICU Monit o r ex a c t , detailed r eport s an d reco r ds of critica l IC U patient . Monit o r an d reco r d sympto ms an d change s i n patients‘ condi t ion s and inf o rm to physi c ia n . Order , interpret and evaluate diagnostics tests to identify and assess patient ’ s conditio n . Carefully observe and document patient medical information and vital signs.

20. CONTD. Consult and coordinate with health care team members about whole patient care plans. Modify patient treatment plans as indicated by patient’s response and conditions. Assist physicians with procedures such as bronchoscopy , endoscopy , etc Critical care nurses may also care for pre and post operative patients when those patients require ICU care

21. 4. HOME HEALTH CARE Home he a lt h ca r e i s th e prov i s io n o f m ed i ca l l y , par a prof e s s io n al se r v i ce s an d equ i pment s t o ind i v i dua l s an d the i r familie s i n the i r place of residence for the purpose of promoting maintaining , or restoring health or of minimising the effects of illness and disability . Home he a lth c ar e nurs e s mus t ha v e : Strong kn o wle d g e ba s e Commun i c a ti o n pri n c i p l es know l ed g e o f fami l y d y nami c s

22. R O L E O F N U R S E IN H O M E H E A L T H C A R E Assessment Nursing diagnosis Planning Implementation Documentation Evaluation

23. 5. COMMUNITY HEALTH NURSING Community health nursing is a synthesis of nursing practice and public health practice applied in promoting and preventing the health of population . It is established on recognized needs and functioning within the total health programme.

24. QUALITIES OF CHN Educator Advocate Counsellor R o l e m o d e l Teacher P ri m a r y c a re pr o v i d e r C o m m u n i ty d e v e l o p e r

25. R O L E O F C H N Provide care to disabled ones Teaching Advocating Maintaining healthy environment Collaborating Preventing and reporting Participate in professional development activities Identifying the need and referring for service Ensuring quality nursing research and engaging in nursing research

26. SUMMARY Today we have discussed about role and responsibilities of nurse in medical setting which include various departments such as OPD , IPD , ICU , Home and Community and its nursing management

27. CONCLUSION Medical Surgical setting provides a platform to the patient of treatment on the basis of condition of patient nevertheless, the two should be integrated physically and from the clinical administrative points

28. BIBLIOGRAPHY Brunner- siddhant textbook of medical surgical nursing pg 15-18 Medi c a l sur g i c a l nurs in g boo k – Heit k empe r an d Manti k dew i s