Extended and expanded role of nurses


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Extended and expanded role of nurses

  1. 1. 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)
  2. 2. QUALITIES OF A PROFESSIONALNURSE N- Nobility, knowledge. U- Usefulness, understanding R- Righteousness, responsibility. S- Simplicity, sympathy. E- Efficiency, equanimity
  4. 4. ROLE OF NURSES Care giver Decision maker Client protector and advocate Manager and coordinator Communicator
  5. 5. ROLE OF NURSES Educator Counselor Collaborator Rehabilitator Comforter
  6. 6. EXPANDED ROLE OF NURSES DEFINITION “The functions of a nurse that are not specified in the traditional limits of nursing practice legislation.”
  7. 7. EXPANDED ROLE OF NURSES1.Advanced practice nurses Clinical Nurse Specialists Certified nurse midwife Certified registered nurse anesthetist. Nurse practitioners
  8. 8. 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
  9. 9. 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.
  10. 10. EXPANDED ROLE OF NURSES2. Nurse educatorPROFESSIONAL ROLES OF NURSE EDUCATOR Education Clinical supervision Role model and mentor Continuing education Research
  11. 11. EXPANDED ROLE OF NURSES3. Nurse administrator4. 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..
  12. 12. 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
  13. 13. ROLE OF NURSE IN DIFFERENTPRACTICE SETTINGS1. Hospitals2. Skilled nursing facilities3. Restorative care facilities4. Home care
  14. 14. HOME HEALTH CARE SERVICES Wound care Respiratory care Elimination Nutrition Rehabilitation Medications Intravenous therapy Laboratory studies
  15. 15. ROLE OF NURSE IN DIFFERENTPRACTICE SETTINGS5. Rehabilitation6. Community based practice settings Community health centers Schools Occupational health settings Hospice and palliative care nursing Parish nursing Telehealth nursing
  16. 16. 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
  17. 17. 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
  18. 18. LEVELS OF PREVENTION Primary preventiono health promotion’o environmental protectiono specific protection against disease or injury Secondary prevention Tertiary prevention
  19. 19. 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.
  20. 20. 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.
  21. 21. 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.
  22. 22. 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
  23. 23. 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.
  24. 24. 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.
  25. 25. 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
  26. 26. 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.
  27. 27. 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.
  28. 28. 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
  29. 29. NURSING SUPERINTENDENTGRADEII 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.
  30. 30. 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.
  31. 31. 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.
  32. 32. 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.
  33. 33. NURSING SUPERINTENDENTGRADE 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.
  34. 34. 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.
  35. 35. 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
  36. 36. 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.
  37. 37. DIVERSITY IN NURSING Forensic nursing Telemetry nursing Space nursing Travel nursing Military nursing