CRIMEAN FEDERAL UNIVERSITY EXTENDED AND EXPANDED

ROLE OF NURSES

BY-RUSHI DAVE

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)

QUALITIES OF A PROFESSIONAL NURSE

N- Nobility, knowledge.U- Usefulness, understandingR- Righteousness,

responsibility.S- Simplicity, sympathy.E- Efficiency, equanimity

SCOPE OF NURSING

ROLE OF NURSES

Care giverDecision makerClient protector and advocateManager and coordinatorCommunicator

ROLE OF NURSES

EducatorCounselorCollaboratorRehabilitatorComforter

EXPANDED ROLE OF NURSES

DEFINITION

“The functions of a nurse that are not specified in the traditional limits of nursing practice legislation.”

EXPANDED ROLE OF NURSES

1.Advanced practice nurses

Clinical Nurse Specialists Certified nurse midwife Certified registered nurse

anesthetist. Nurse practitioners

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

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.

EXPANDED ROLE OF NURSES

2. Nurse educatorPROFESSIONAL ROLES OF NURSE

EDUCATOREducationClinical supervisionRole model and mentorContinuing educationResearch

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..

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

ROLE OF NURSE IN DIFFERENT PRACTICE SETTINGS

1. Hospitals

2. Skilled nursing facilities

3. Restorative care facilities

4. Home care

HOME HEALTH CARE SERVICES

Wound careRespiratory careEliminationNutritionRehabilitationMedications Intravenous therapyLaboratory studies

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

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

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

LEVELS OF PREVENTION

Primary preventiono health promotion’o environmental protectiono specific protection

against disease or injurySecondary preventionTertiary prevention

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.

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.

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.

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

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.

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.

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

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.

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.

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

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.

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.

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.

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.

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

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.

DIVERSITY IN NURSING

Forensic nursingTelemetry nursingSpace nursingTravel nursing Military nursing

THANK YOU