2. DEFINITION OF NURSING
“Nursing encompasses autonomous and
collaborative care of individuals of all
ages, families, groups and communities sick or well
and in all settings. Nursing includes promotion of
health, prevention of illness and the care of
ill, disabled and dying people.
Advocacy, promotion of a safe
environment, research, participation in shaping
health policy and in patient and health systems
management, and education are also key nursing
roles.” (International council of nurses, 2002)
3. QUALITIES OF A PROFESSIONAL
NURSE
N- Nobility, knowledge.
U- Usefulness, understanding
R- Righteousness, responsibility.
S- Simplicity, sympathy.
E- Efficiency, equanimity
5. ROLE OF NURSES
Care giver
Decision maker
Client protector and advocate
Manager and coordinator
Communicator
6. ROLE OF NURSES
Educator
Counselor
Collaborator
Rehabilitator
Comforter
7. EXPANDED ROLE OF NURSES
DEFINITION
“The functions of a nurse that are not
specified in the traditional limits of nursing
practice legislation.”
8. EXPANDED ROLE OF NURSES
1.Advanced practice nurses
Clinical Nurse Specialists
Certified nurse midwife
Certified registered nurse
anesthetist.
Nurse practitioners
9. JOBS OF NURSE PRACTITIONER
Diagnosing, treating, evaluating and
managing a/c and c/c illness and disease.
Obtaining medical histories and conducting
physical examinations.
Ordering, performing and interpreting
diagnostic studies.
Prescribing drugs for a/c and c/c diseases.
Providing prenatal care and family planning
services
10. JOBS OF NURSE PRACTITIONER
Cont..
Providing well child care including
screening and immunisations.
Performing or assisting in minor surgeries
and procedures.
Counselling and education of patients on
health behaviours, self care skills and
treatment options.
11. EXPANDED ROLE OF NURSES
2. Nurse educator
PROFESSIONAL ROLES OF NURSE
EDUCATOR
Education
Clinical supervision
Role model and mentor
Continuing education
Research
12. EXPANDED ROLE OF NURSES
3. Nurse administrator
4. Nurse researcher
The nurse researcher investigates
problems to improve nursing care and to
further define and expand the scope of
nursing practice. The nurse researcher may
be employed in an academic
setting, hospital or an independent
professional or community service agency..
13. EXPANDED ROLES
A nurse researcher assists with collecting
data in the field of health and medical care.
The nurse may review the data and provide
information on the results. The researcher
plays a significant role in helping doctors
and scientists understand the complications
of medical conditions.
5. Nurse authors
14. ROLE OF NURSE IN DIFFERENT
PRACTICE SETTINGS
1. Hospitals
2. Skilled nursing facilities
3. Restorative care facilities
4. Home care
15. HOME HEALTH CARE SERVICES
Wound care
Respiratory care
Elimination
Nutrition
Rehabilitation
Medications
Intravenous therapy
Laboratory studies
16. ROLE OF NURSE IN DIFFERENT
PRACTICE SETTINGS
5. Rehabilitation
6. Community based practice settings
Community health centers
Schools
Occupational health settings
Hospice and palliative care nursing
Parish nursing
Telehealth nursing
17. SCHOOL NURSE
School nurses need a working knowledge of
human growth and development.
Need counselling skills.
Keep records of children required
immunisation.
Work with teachers to improve the health
concepts into the curriculum.
Conduct vision and hearing screens.
Focus on preventive aspect of child health
18. PARISH NURSING
Providing meals for families in crisis or
when returning home after
hospitalisation.
Organising prayer circles.
Volunteering in community acquired
immunodeficiency syndrome care
groups.
Holding regular grief support groups
19. LEVELS OF PREVENTION
Primary prevention
o health promotion’
o environmental protection
o specific protection against disease or
injury
Secondary prevention
Tertiary prevention
20. JOB DESCRIPTION
STAFF NURSE
Direct patient care
Carry out the procedures of admission and discharge
of the patient.
Maintains personal hygiene and comforts of the
patient.
Attends to the personal needs of the patient and feeds
the helpless patient.
Implements and maintains ward policies and routines.
Co-ordinates patient care with other team members.
Administration of medication.
21. STAFF NURSE
Assisting doctors in various medical and surgical
diagnostic procedures.
Performing simple diagnostic procedures like
urinanalysis, haemoglobin percentage etc..
Recording of vital signs.
Collecting and sending of specimens for
laboratory diagnostic procedures.
Take rounds with the doctors when called to list
new orders and see that they are carried out.
22. STAFF NURSE
Operation theatre management
Maintains aseptic environment of the
operation theatre.
Autoclaving of
articles, instruments, gloves, linen etc. required
for various types of surgery.
Receives patients from the ward intact for
surgery.
Prepares anaesthetic trolley and trolley for
surgery, according to type and procedures.
23. STAFF NURSE
Assist the surgeon and anaesthetist.
Indenting and procuring surgical
instruments, drugs, gloves, suturing
materials and O2, N2,CO2 etc. required for
operation theatre.
Maintains records and reports pertaining to
the operation theatre
24. STAFF NURSE
Management of Labour room
Preparation of expectant mother for asceptic safe
delivery.
Conducts normal deliveries and reports.
Attends and assists doctors in all obstetrical
emergencies.
Takes care of newborn and premature babies.
Maintains records and reports pertaining to labour
room.
Indent and procure necessary drugs, supplies, linen
etc. to labour room.
25. STAFF NURSE
Educational function
Helps in orientation of new staff and students..
Carries out health teaching for individual or
group of patients
Participates in in-service education
programmes.
Assists and extends co operation in medical
and nursing research programme.
26. SENIOR STAFF NURSE
Direct patient care
Ensures proper admission, discharge of patients.
She/he see that total health needs of his/her
patients are met.
Takes nursing rounds with staff and students.
Makes rounds with doctors, assisting them in
diagnosis and treatment of patients.
Co-ordinates patient care with other
departments
27. SENIOR STAFF NURSE
Supervision and administration
Makes duty and work assignments.
Indenting and procurement of ward
supplies and equipments and keeps records.
Does regular inventory checking.
Maintains discipline among the personnel
working in the particular ward.
28. SENIOR STAFF NURSE
Reports about any medico legal cases in the
ward/unit.
Maintains good public relations in his/her
ward/unit.
Ensures that students get desired learning
experience in the ward/unit.
29. SENIOR STAFF NURSE
Educational function
Organises orientation programmes for new
staff.
Conducts ward conferences or meeting.
Guides in formulation of nursing care plans
and care studies.
Helps in medical and nursing research.
Encourages staff development programmes in
his/her wards
30. NURSING SUPERINTENDENT
GRADEII
Patient care and ward/unit management
Conducts and attends to the departmental and
interdepartmental meetings/conferences from
time to time.
Makes regular rounds of her department.
Makes rotation plan for the nursing staff and
the domestic staff Organises and plans and
nursing care activities of the department.
31. GRADEII SUPERINTENDENT
Plans staffing pattern and other necessary
requirements of her department..
Supervises the proper use and care of the
equipment and supplies in the department.
Officiates in the absence of Nursing
Superintendent Gr1.
Helps ward or unit supervisors to produce their
ward/unit.
Organises and plans nursing care activities of the
department.
32. GRADEII SUPERINTENDENT
Educational function
Arranges classes and clinical teaching of nursing
students in the department.
Implements the ward teaching programme and
clinical experience of the students with the help of
doctors and nurses.
Does counselling and guidance of staff and
students.
Arranges and conducts staff development
programmes of his/her department.
33. GRADEII SUPERINTENDENT
General
Escorts Nursing Superintendent Gr 1, Medical
superintendent, and special visitors for
hospital rounds.
Arranges and participates in professional and
social function of staff and students.
Acts as a liaison officer between the nursing
department and other higher hospital
authorities.
34. NURSING SUPERINTENDENT
GRADE 1
Nursing services
Participates in the formulation of the
philosophy of the hospital in general and
those specific to the nursing service.
Determines goals, aims, objectives and
policies of the nursing services.
Interviews and recruits nursing staff.
Makes regular visits in hospitals and wards.
35. SUPERINTENDENT GRADE I
Takes hospital rounds with medical
superintendent.
Selects and secures proper equipment
needed for the hospital
Prepares duty roster, plans staff leave and
disburses salary.
Gives counselling and guidance to the
subordinate staff.
36. SUPERINTENDENT GRADE 1
Maintains discipline among nurses and
other auxiliary staff.
Participates in hospital and inter-hospital
meetings and conferences.
Investigates complaints and takes necessary
steps.
Initiates and participates in nursing
research
37. SUPERINTENDENT GRADE 1
General and office duties
Maintains necessary records concerning the nursing
staff, students, confidential reports and health
records etc.
Submits annual reports of the nursing service
departments to Medical superintendent, INC and
Nurses Registration Council.
Maintains cordial relations with public and
voluntary workers.
Participates in professional and community
activities.
38. DIVERSITY IN NURSING
Forensic nursing
Telemetry nursing
Space nursing
Travel nursing
Military nursing