This document discusses the roles and responsibilities of nurses at different levels, from staff nurses to nursing superintendents. It begins by defining nursing and outlining the qualities of professional nurses. It then explores the traditional roles of nurses as caregivers, decision-makers, and educators. The document also examines the expanded role of nurses in areas like advanced practice, research, education, and administration. It provides examples of nursing roles in various settings such as hospitals, schools, and home health care. Finally, it details typical job duties for different nursing positions.

1. CRIMEAN FEDERAL
UNIVERSITY
EXTENDED AND EXPANDED
ROLE OF NURSES
BY-RUSHI DAVE

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

4. SCOPE OF NURSING

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

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.

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

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.

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
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.

32. 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.

33. 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.

34. 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

35. 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

36. DIVERSITY IN NURSING
 Forensic nursing
 Telemetry nursing
 Space nursing
 Travel nursing
 Military nursing

37. THANK YOU