extended and expended role of nurse
TRANSCRIPT
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
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