Mgt seminar my copy

INTRODUCTION

Nursing is a vital aspect of health care and needs to be properly
organized. It is widely recognized that of all the resources needed for
running an organization. Management is a specialized activity required for
the running of all those social institutions which are composed of human
being. Personnel management is the part of management which is concerned
with increasing the effectiveness of human performance in any organization.
Nursing personnel management constitutes the care of clients and other
functions and goes to the heart of all health services. Human resource is the
most significant and valuable. Health manpower management implies that
health personnel are utilized in a manner which is corresponds to their skills
and competence and under conditions that promote effective work.
DEFINITIONS
Personnel management is a code of the ways of organizing and treating
individuals at work so that they will get the greatest possible realization of
their intrinsic abilities thus attaining maximum efficiency for themselves and
their group and there by giving to the enterprise of which they are part of its
determining competitive advantages and its optimum results.
Thoma.G.Spates (2004)
Personnel management is that activity in an enterprise whiches serves to
mould human resources into an effective organization provides opportunity
for maximum individual contribution, under desirable working conditions,
promotes individual development and encourages mutual confidence and
understanding between employees and employers as well as among
employees themselves.
Walter.D.Scoot (2000)

Personnel management is a responsibility of all those who manage people as
well as being a description of the work of those who are employed as
specialists. It is that part of management which is concerned with people at
work and with their relationship with in an enterprise. It applies not only to
industry and commerce but to all fields of employment.
International institution of personnel management(1963)

Personnel management is the part of management function which is
primarily concerned with the human relations with in an organization. Its
objective is the maintenance of those relationship on the effective working
of the undertaking.
Indian institute of personnel management(1962)
AIM OF NURSING PERSONNEL MANAGEMENT:
Nursing service administration is a complex of elements in
interaction. It results in output of clients whose health is unavoidably
deteriorating, maintained or improves through input of personnel and
material resources used in an orderly process of nursing services.
1. to employ those nurses best fitted with education, skills and
experience to perform the prescribed work.
2. to attract and attain competent professional nurses and other personnel
in order that nursing service may be effectively and economically
achieved and constantly improved.
3. to provide services which contribute to health, development of
efficient and contentment of the personnel.

OBJECTIVES OF NURSING PERSONNEL MANAGEMENT
The healthmanpower which has been planned and planned
and produced accordingly must also be properly utilized for maximal
effectiveness of the health services.
• To guarantee fairness in the maintenance in the maintenance of the
discipline.
• To up grade and promote the existing staff where ever possible.
• To take all practical steps to avoid excessive hours of work.
• To ensure the greatest practicable degree of permanent and
continuous employment.
• To maintain standards of remuneration comparable to those
prevailing in similar position elsewhere.
• To provide and maintain a high level of physical working
conditions with particular reference to prevention of accidents,
maintenance of health and rehabilitation of sick and injured
employee.
• To maintain effective methods of regular consultation between the
administration and the nurses.
• To provide maximum opportunities to nurses for individual
development to enable them to duties and make them fit for
promotions.
• To encourage social and recreational facilities for employees.
• To develop appropriate scheme for welfare of employees.
• To maintain personal records.
ELEMENTS OF PERSONNEL MANAGEMENT
The main elements of personnel management are as follows-

 Recruiting employees, who are suitable, qualified and has the
requisite skills, attitude and experience for the job and fulfilling the
objectives of the hospital.
 Retaining such employees, ensuring that each employee is
provided with a satisfactory work environment and favourable
service conditions and gets job satisfaction.
 Maintaining good interpersonal and employee relationshipthrough

a good communication system.
 Ensuring that the employee are aware of subscribe to and follow

the objective of the hospital, dealing with patients with competence
and compassion and believing in the dignity of the person under
their care records training discipline.
VARIOUS CATEGORIES OF NURSING PERSONNEL
The nursing personnel categories are mainly divided in three ways-
1. clinical area or institutional staffs
2. college of nursing staff

3. school of nursing staff

4. public health or community nursing organization staff

5. Nurses at union level

6. Nursing personnel at state level

CLINICAL AND INSTITUTIONAL STAFF:
 Nursing superintendent grade 1
 Nursing superintendent grade 2
 Assistant nursing superintendent
 Deputy nursing superintendent
 Chief nursing officer

 Ward sister /nursing sister / senior staff nurse

 Staff nurse
 Home sister.
COLLEGE OF NURSING:
 Principal
 Vise-principal
 Professor
 Assistant professor
 Senior lecturer
 Tutor
 Clinical instructors
SCHOOL OF NURSING:
 Principal
 Senior lecturer
 Tutor
 Clinical instructor
PUBLIC HEALTH / COMMUNITY NURSING PERSONNEL:
 District public health nurse
 Community health officer
 Lady health visitor
 Auxillary nurse midwife
NURSING PERSONNEL AT UNION LEVEL:
 Nursing advisor
 Deputy nursing advisor
 Nursing officer

NURSING PERSONNEL AT STATE LEVEL:
 Deputy director
 Assistant deputy director
 Gazetted assistant.

CLINICAL / INSTITUTIONAL NURSING PERSONNEL

1. NURSING SUPERINTENDENT GRADE I
Educational Qualifications
1. General : Pre-University course/10+2 or equivalent exam.
2. Professional : 3 years General Nursing/9 months/6 months Midwifery /
Psychiatric Nursing Diploma certificate, recognized by Indian Nursing
Council
or
Revised General Nursing and Midwifery/Psychiatric nursing
Diploma/Certificate Recognized by Indian Nursing Council.
or
Basic B.Sc Nursing from a Recognized University according to Indian
Nursing Council norms
3. Registration : Registered with the A.P State Nursing Council/Indian
Nursing Council (INC)
4. Experience : Should have experience as Nursing Superintendent Gr II.
Standard Norms
There should be one Nursing Superintendent Gr I for 200 bedded hospital,
one Nursing Superintendent Gr I for 2-4 Nursing Superintendent Gr II.

SJob Summary
Nursing Superintendent is responsible to the Medical Superintendent, in a
hospital having 200 or above bed strength. She is accountable for the safe
and efficient running of the various nursing departments in the hospital. She
is assisted in carrying out her duties, by the Deputy Nursing Superintendent/
Assistant Nursing Superintendent, ward supervisors and clerical, linen room
and domestic staff.
Nursing Services
1. Participates in the formulation of the philosophy of the hospital in
general and those specific to the nursing service.
2. Determines goals, aims, objectives and policies of the nursing
services.
3. Implements hospital policies and rules through various nursing
units.
4. Decides and recommends personnel and material requirement for
running various nursing services departments of the hospital.
5. Interviews and recruits nursing staff.
6. assists in student selection and recruitment of other auxiliary staff
whose duties are related to nursing.
7. Ensures the safe and efficient care rendered in the various nursing
departments of the hospital.
8. Makes regular visits in hospitals and wards.
9. Checks if standard of care is maintained and patients are nursed in a
clean, orderly and safe environment.
10. Takes hospital rounds with Medical Superintendent.
11. Selects and secures proper equipment needed for the hospital or
nursing home.

12. Looks after the welfare of the patients, their relatives and the
nursing staff.
13. Prepares budgets for the nursing services department.
14. Functions as a member of the condemnation board for linen and
other hospital or nursing home equipments.
15. Prepares duty roster, plans staff leave and disburses salary.
16. Gives counseling and guidance to the subordinate staff.
17. Maintains discipline among nurses and other auxiliary staff.
18. Enforces implementation of the hospital rules, regulation and
policies.
19. Participates in hospital and inter-hospital meetings/conferences.
20. Investigates complaints and takes necessary steps.
21. Evaluates confidential staff reports and recommends for promotion
or higher studies.
22. Plans staff development programmes and arranges for in-service
education and orientation programmes etc.
23. Inspects hospital kitchen and dietary services of the hospital.
24. Arranges students clinical experience and council examinations.
25. Initiates and participates in nursing research.
26. Supervision, Guidance and Control of Group “D” employees of the
hospital.
General and Office Duties
1. Attends to general correspondence
2. Maintains necessary records concerning the nursing staff, students,
confidential reports and health records etc.

3. Submits annual reports of the nursing service departments to
Medical Superintendent, Indian Nursing Council and Nurses
Registration Council.
4. Participates in professional and community activities.
5. Maintains cordial relations with public and voluntary workers.

2. NURSING SUPERINTENDENT GR II
Council
or
or

3. Registration: Registered with A.P State Nursing Council.
4. Experience: Should have experience as senior staff nurse.

Standard Norms
Since it is the second level nursing supervisory role, it needs at lest the
Nursing Superintendent Gr II for three senior staff nurses (1:3).

Job Summary
She/he is responsible for developing and supervising nursing services of a
department or a floor consisting of two or more wards or units managed by
the senior staff nurses. These units may be inpatient wards, out-patient
department clinics, operation theatres, obstetric units, central supply
department etc. she/he is responsible to the Nursing superintendent Gr I.

Patient Care and Ward/Unit Management
1. Organises and plans nursing care activities of the department of
floor according to the hospital policies and service needs.
2. Plans staffing pattern and the other necessary requirements of
her/his department.
3. Complies and submits nursing statistics to the concerned
authorities.
4. Conducts and attends to the departmental and interdepartmental
meetings/conferences from time to time.
5. Makes regular rounds of her/his department.
6. Ensures to the safety and general dealings of the department.
7. Looks into general comforts of the patient and his/her relatives.
8. Receives report from the Night Supervisor of her/his departments.
9. Evaluates nature and quantum of care required in each unit/ward.
10. Makes rotation plan for the nursing staff and domestic staff under
her/his jurisdiction.
11. Plans ward management with the each ward/unit.
12. Reinforces the principles of good ward management in ward.
13. Helps ward/unit supervisors to procure their ward/unit.

14. Supervises the proper use and care of the equipment and supplies in
the department.
15. Acts as the public relation officer of the unit and deals with the
problems faced by the ward supervisor if any, specially with Group
“D” employees, patient attenders.
16. Keeps the nursing superintendent Gr I and office informed of the
needs of the nursing units/wards under her/his charge and of any
special problem/problems.
17. Officiates in the absence of Nursing Superintendent Gr I.

Educational Function
1. Arranges classes and clinical teaching of nursing students in the
departments, related to the specially experience.
2. Implements the ward teaching programme and clinical experience
of the students with the help of doctors and nurses.
3. Does counseling and guidance of staff and students.
4. Arranges and conducts staff development programmes of her/his
department.
5. Assists in planning for and participation in the training of auxiliary
personnel.

General
1. Escorts, Nursing Superintendent Gr I, Medical Superintendent, and
special visitors for hospital rounds.
2. Arranges and participates no professional and social function of
staff and students.

3. Acts as a Liaison officer between the nursing department and
higher hospital authorities.
4. Carries out any other duties delegated by the Nursing
Superintendent Gr I.

3. ASSISTANT NURSING SUPERINTENDENT
She is responsible for developing and supervising nursing
services of a depertment of a floor consisting of two or more wards or
units managed by the ward supervisors. These units may be in patient
ward, out patient departments / clinics, operation theater, obstetrics,
central supply department etc. she is responsible to the nursing
superintendent and deputy nursing superintendent.
1.patient care and ward management-
 Organize and plan nursing activities of the department of floor
according to the hospital policies and services.
 Plans staffing pattern and other necessary requirements of her
department.
 Compiles and submit nursing statistics to the concern autrorities.
 Conduct and attend to departmental and inter departmental meeting
conferences etc.
 Makes regular rounds.
 Seeks to the safety and general cleanliness of the department.
 Looks into general comfort of the patient.
 Receives report from the night superintendent.
 Plans ward management.
 Reinforces the principal of good ward management.

 Act as public relations officer.

2.Educational functions-
 Arranges classes and clinical teachings for the students.
 Implement the ward teachings for the students
 Does counseling guidance to the staff and students.
 Arranges and conduct staff development programmes.
 Assist in planning for and participation in the training of
auxillary personnel
 Writes the confidential reports.

3.General-
 Escorts the nursing superintendent / deputy nursing superintendent
and special visitors in the departments.
 Participate in various professional activities.
 Acts as liason between the nursing department and higher hospital
authorities.
 Carries out any other duties delegated by the nursing
superintendent.

4. DEPUTY NURSING SUPERINTENDENT
Job summary-
Responsible for nursing superintendent and assists her in the nursing
service administration of the hospital. She is independently in charge of
nursing service department.
1.nursing service-
• Officiates in the absence of the nursing superintendent.
• Participates in the recruitment of nursing services, philosophies,
objectives, and policies.

• Assist in the recruitment of the staff and students.
• Makes master duty roste of the nursing staff.
• Helps in allocation of nursing personnel to various nursing services
departments.
• Keeps records and reports of the nursing services.
• Assist in planning and organizing the new units.
• Maintains confedential reports.
• Interpret the policies and procedures of the hospital.
• Acts as a liason between the nursing superintendent and the
nursing staff.
• Receives night reports from the night supervisors.
2. Educational functions-
• Does counseling guidance to the staff and students.
• Arranges and conduct staff development programmes.
• Maintains disciplines among the nursing personnel.
• Organizes experience programmes among staff members.
• 3.General duties-
• Escorts the nursing superintendent / deputy nursing superintendent
and special visitors in the departments.
• Participate in various professional activities.
• Acts as liason between the nursing department and higher hospital
authorities.
• Carries out any other duties delegated by the nursing
superintendent.

5. CHIEF NURSING OFFICER
Job summary
The chief nursing officer will have the role of co-ordination
and overall supervision and guidance. She is responsible to the director of
the institution. She is accountable for the staff and efficient running of
the nursing services in the main hospital and the centers of the
institutions.
Nursing services-
 Participates in the formulation of the philosophy of the institutions
in general and those specific to the nursing service.
 Determine goals, aims, objectives, policies of the nursing services.
 Implement institutions policies and rules through hospital.
 Interview and recruits nursing staff.
 Ensure safe and efficient nursing care rendered to the patients of
the hospital.
 Ensure standards of care is maintained.
 Ensure the welfare of the patients their relatives.
 Gives counseling and guidance to the sub-ordinates.
 Maintains discipline among nursing staff.
 Participates in the hospital meetings and conferences.

6. SENIOR STAFF NURSE/ WARD SISTER/ NURSING SISTER

Council
or
or
3. Registration: Registered with A.P State Nursing Council/Indian Nursing
Council.
4. Experience: Should have experience as staff nurse of not less than 5 years.

Standard Norms
Since it is a first level nursing supervisory role which needs at least one
senior staff nurse for five staff nurses. (1:5).
Job summary
Senior staff nurse is a first level nursing supervisor who is accountable for
nursing care management of a ward or a unit assigned to her/him. She/he is
responsible to the Nursing Superintendent Gr II for her/his ward/unit
management. She/he takes full charge of the ward and assigns work for
various categories of nursing and non-nursing personnel working with
her/him. She/he is responsible for safety and comforts of the patients in
her/his ward.

Direct Patient Care
1. Ensures proper admission, discharge of patients.

2. Plans nursing care and makes patient assignments as per their
nursing needs.
3. Assists in the direct care/provides direct care to patients as and
when required.
4. She/he sees that total health needs of his/her patients are met.
5. Ensures safety, comfort and good personal hygiene of her/his
patient.
6. Ensures safety, comfort and good personal hygiene of her/his
patient.
7. Ensures that helpless patients are regularly fed as per direction.
8. Ensures that proper observation records of the patients are made
and necessary information imparted to the concerned authorities.
9. Takes nursing rounds with staff and students.
10. Makes rounds with doctors, assisting them in diagnosis and
treatment of patients.
11. Implements doctors instructions concerning patient treatment.
12. Assists patient and his/her relatives to adjust in the hospital and its
routine.
13. Co-ordinates patient care with other departments.

Supervision and Administration
1. Ensures safe and clean environment for the ward/unit/special
department.
2. Makes duty and work assignments.
3. Indenting and procurement of ward supplies and equipments and
keeps records.
4. Does regular inventory checking of her/his ward/unit.

5. Makes list for condemnation of articles and submits it to all the
concerned.
6. Assists in making ward requirement.
7. Establishes and reinforces standards prescribed in the procedures
and manuals of hospital and policies that are in force.
8. Acts as a liaison officer between ward staff and hospital
administration.
9. Maintains good public relations in her/his ward/unit.
10. Ensures that ward statistics are regularly submitted.
11. Maintains discipline among the personnel working in the particular
ward/unit, e.g., staff nurses, students and domestic staff.
12. Deals appropriately with any adverse situation that occurs in the
ward/unit and report to the concerned authorities.
13. Reports about any medicolegal case in the ward/unit.
14. ensures that students get desired learning experience in the
ward/unit.
1. Organises orientation programmes for new staff
2. Organiss formal and informal ward teaching, conducts bedside
clinics and demonstration etc.,
3. Conducts ward conferences/meetings.
4. Gives incidental teaching to patient, relatives, staff nurses, students
and the domestic staff.
5. Guides in formulation of nursing care studies, and nursing care
plans etc.
6. Evaluates the students performances and submit reports to the
school authorities.

7. Helps in medical and nursing research.
8. Encourages staff development programme in her/his ward/unit.

7. STAFF NURSE
a) General: Pre-University course/10+2 or equivalent exam.
b) Professional: 3 years General Nursing/9 months/6 months
Midwifery /Psychiatric Nursing Diploma certificate, recognized by
Indian Nursing Council
or
or
c) Registration: Registered with the State Nursing Council/Indian
Nursing Council (INC)
Standard Norms and INC (Nurse: Patient Ratio)
1. General Wards
a. 1:3 (Hospital attached with school or college or nursing).
b. 1.5 (Hospital not attached with school or college of nursing).
2. ICU, ICCU and other specialty 1:1 for 24 hours.
3. Labour room 4 in each shift
4. Operation theatre 3 for 24 hours per table.
5. Out-patient department 1 in each clinic room of the OPD.
6. Casualty and emergency 1:1 in each shift
7. Pediatric Unit 1:2 beds

8. And 30 per cent leave reserve post of staff nurses should be maintained.

Job summary
Staff nurse is a first level professional nurse who provides direct patient care
to one patient or group of patients assigned to her/him during duty shift and
assist in management of wards/units/special departments. She/he is directly
responsible to Senior Staff Nurse or ward in change Nurse/Nursing
Superintendent Gr II.

Duties and Responsibilities
Direct Patient Care
1. Carry out the procedures of admission and discharge of the patient
2. Makes beds of serious patients and helps or guides students or Group
“D” employees to make beds, by supplying linen.
3. Maintains personal hygiene and comforts of the patient.
4. Attends to the nutritional needs of the patient and feeds the helpless
patients.
5. Maintains clean and safe environment for the patient.
6. Implements and maintains ward policies and routines.
7. Co-ordinates patient care with other team members.
8. Take rounds with the doctors when called to list new orders and see
that they are carried out.
9. performs various technical tasks related to nursing care.
a. Administration of medication, i.e., tablets, injections, infusions
and transfusion on prescription, or according to standing
instructions.

b. Assisting doctors in various medical and surgical diagnostic
procedures by preparing patients and getting ready with
required things.
c. Performing simple diagnostic procedures viz. urinalysis
hemoglobin % etc.,
d. Collecting and sending of specimens for laboratory diagnostic
procedures.
e. Recording of vital signs, i.e., temperature, pulse, respiration
and blood pressure.
f. Performing gastric lavage, giving enema etc.,
g. Prepares patients for operations and see that he/she is sent to
operation theatre with all necessary papers and medications.
h. Takes care of eyes, ears, back, bowel, bladder, perineum, and
breast etc., whenever needed.
i. Observes all patient conditions and take suitable action
accordingly and/or reports changes toward in charge and/or the
doctor.
j. Give expert bed-side nursing to all patients.
k. Attends last offices in case of a patient dying during shifts and
arrange to preserve dead body in mortuary, or hand over the
body with respect to concerned family
members/relatives/authorities.

Ward/Unit Management
1. Helps the ward in charge to carry out her/his work or act as ward in
change during their absence.

2. Maintains general cleanliness of the ward and the sanitary
annexure.
3. Supervises the duties of Group “D” employees and guides them and
reports accordingly.
4. Writes the diet register and supervises the distribution of diet and
report if any, necessary.
5. Maintains scheduled poisonous drug registers.
6. Supervises nursing care and other tasks carried out by the students.
7. Maintains duty room trays, sterilizes instruments and see that
procedural trays are in readiness.
8. Take over from duty nurse of the previous new and serious patients,
instruments, supplies, drugs etc and handover the same accordingly.
9. Maintains all the records pertaining to ward/unit.
a. Maintains case papers, investigation reports etc.
b. Maintains vital signs charts, intake-output charts and other
special charts if necessary.
c. Takes special care of medicolegal case papers and records.
d. Writes day and night orders and maintains ward statistics.

Operation Theatre Management
1. Maintains aseptic environment of the operation theatre.
2. Autoclaving of articles, instruments, gloves, linen etc. required for
various types of surgery.
3. Receives patients from the ward intact for surgery.
4. Prepares anesthetic trolley and trolley for surgery, according to
type and procedures.

5. Assist the surgeon and anesthetist in every step, skillfully while
performing various types of surgery.
6. Indenting and procuring surgical instruments, drugs, gloves,
suturing materials and O2, N2, CO2 etc. required for operation
theatre.
7. Maintains records and reports pertaining to the operation theatre.
8. Maintains safety of the Boyle’s apparatus, oxygen cylinder,
nitrogen cylinder, anesthetic drugs, and autoclave etc. in the
operation theatre.
Management of Labour Room
1. Preparation of expectant mother for aseptic safe delivery.
2. Conducts normal deliveries and reports.
3. Attends and assists the doctors in all obstetrical emergencies.
4. Attends and assists in difficult and abnormal deliveries.
5. Takes care of the newborn and premature babies.
6. Maintains records and reports pertaining to labour room.
7. Indent and procure necessary drugs, supplies linen etc. to labour
room.

Management of Post operative/ICU/Burns units
1. Indent all procurement of all the necessary equipments, drugs, O2
cylinder, which are required for the units.
2. Operates ECG, EEG, cardiac resuscitation etc. or other
sophisticated high-tech machines whenever needed or assist the
doctors in operating such machines.
Psychiatric Unit
1. Assists the doctors in admission and discharge of patients.

2. Prepares patient for ECT and other procedures, and therapies.
3. Assists in management of aggressive, suicidal as grief as other
symptoms of the patients.
4. Maintains records and reports of the units.

1. Helps in orientation of new staff and students.
2. Teaches and guides the domestic staff (Group “D”) for handling
bedpans, urinals, etc.
3. Carries out health leaching for individual or group of patients.
4. Extends co-operation and participates in clinical teaching.
5. Provides for and demonstrates methods and procedure whenever
needed.
6. Participates in in-service education programme.
7. Plans and implements formal and informal health education
programme and teaching programme.
8. Assists and extends co-operation in medical and nursing research
programme.

8. HOME SISTER
job summary
Home sister is responsible to the nursing superintendent for
such duties as are assigned to her. Her duties are as follows-
 General welfare and comfort of staff and students living in the
nurses home including councelling and recreational activities.
 Arrangements for an appetizing and balanced diet and proper
service of meals.

 Supervision guidance and discipline of domestic staff including
assignment of duties.
 Receipt storage issue and use of food stuffs and fuel and verifying
of bills.
 Maintain the stock for furniture crocery cutlery and other utensiles
 Supervise the serving of the meals.
 Reporting to the PWD for the maintenance and repair of the
building.

COLLEGE OF NUSING
PRINCIPAL
Educational Qualification and Experience
1. General: Pre-University course/10+2 or equivalent exam.

2. Professional: M.Sc, Nursing of equivalent degree
or
Ph.D, In nursing or other equivalent doctoral degree.
3. Registration: Registered with A.P State Nursing Coucil/INC.
4. Experience: Teaching experience in college not less than 5 years.

Standard Norms
As per Indian Nursing Council.

Job Summary
Principal, College of Nursing is the administrative head of the college of
nursing, will be directly responsible to the Director of Medical
Education/Director of Health and Family Welfare Services and responsible

for implementation and revision of curriculum for various courses, and
research activities of the college of nursing.

Duties and Responsibilities of Nursing
Administration
1. Planning
2. Develops philosophy and objectives for educational programme.
3. Identifies the present needs related to educational programme.
4. Investigates, evaluates and secures resources,
5. Formulates the plan of action.
6. Selects and organizes learning experience.
Organizing
1. Determines the number of position and scope and responsibility of
each faculty and staff.
2. Analyses the job to be done in terms of needs of education
programme.
3. Prepares the job description, indicate line of authority,
responsibility in the relationship and channels of communication by
means of organizational chart and other methods.
4. Considers preparation, ability and interest personally in equating
responsibility.
5. Delegates authority commensurate with responsibility.
6. Maintains a plan of work load among staff members.
7. Provides and organizational framework for effective staff
functioning such as meeting of the staff etc.

Directing

1. Recommends appointment and promotion based on qualification
and experience of the individual staff, scope of jon and total staff
composition.
2. Subscribes and encourages developmental aspects with reference
to welfare of staff and students.
3. Directs activities of staff working uner.
4. Provides adequate orientation of staff members.
5. Guides and encourages staff members in their job activities.
6. Consistently makes administrative decision based on established
policies.
7. Facilitates participation in community, professional and
institutional activities by providing time opportunity for support
for such participation.
8. Creates involvement in designing educationally sound programme.
9. Maintenance of attitude rightly acceptable to staff and learners.
10. Provides for utilization in the development of total programme and
encourages their contribution.
11. Provides freedom for staff to develop active training course within
the framework of curriculum.
12. Promotes staff participation in research.
13. Procures and maintains physical facilities which are of a standard.

Co-ordinating
1. Co-ordinates activities relating to the programmes such as regular
meetings, time schedule, maintaining effective communication etc.,
2. Initiates ways of co-operation.

3. Interprets nursing education to other related disciplines and to the
public.
Controlling:
1. Provides for continuous follow-up and revision of education
programme.
2. Maintains recognition of the educational programme by accrediting
bodies. University etc, APNC, INC, etc.,
3. Maintains a comprehensive system of records
4. Prepares periodic report with reviews the progress and problems of
the entire prorgramme and presents plans for its continuous
development.
5. Prepares, secures approval of and administrates the budget.

Instruction (Teaching)
1. Plans for participating in educational programme for further staff
development.
2. Recognizes the needs for continuing education for self and staff and
provides stimulation of opportunities for such development.
3. Participates as a teacher in the educational programme.

Guiding
1. Provides for systematic guidance programme for staff members and
students.
2. Encourages studies, research and writing for publication.
3. Provides and maintains a programme for recruitment, selection and
promotion of students.
2.VICE-PRINCIPAL

The vice principal assists the principal in directing the staff of
the college in conducting teaching programmes. She assists the principal and
professor of nursing in assessing planning, implementing, and evaluating
educational programmes.

1. Financial responsibilities-

o Assists principal in carrying out financial activities
o In operating government and private accounts
o Planning and revising budget
o Monitoring college expenditure
o In the absence of principal performs all the functions listed
above and also acts as drawing and disbursing officer.
2. Educational-
o Assists the principal in monitoring the educational programmes of
the college
o Assists principal and professor of nursing in assessing, planning,

implementing, and evaluating educational programmes.
o Assists the principal in identifying needs for professional
development of faculty and facilities.
o Participates in various teaching activities.
o Acts as a member of committee of courses.
o Assists in conducting examinations and admissions.
o Guides faculty in day to day academic activities of all educational
programmes.
o Reviews students progress reports and activities.
3. Supervisory-

o shares responsibility with the principal and professor in
supervision of teaching and non-teaching.
o Plans academic staff assignments in consultation with principal
and professor.
o Participates in orientation programmes.
o Writes staff performance report and reviews evaluation reports of
assigned staff.
o Assists principal in administration and supervision of library.
o Monitors all leave privileges of staff.

4. Recruitment and Promotion-

o Acts as member of departmental promotion and selection
committee for appoinmnt of teaching and non-teaching staff.
o Assists principal in reviewing recruitment and promotion policies
of teaching and non-teaching staff.
o Assists principal in maintaining discipline in the college.
5. Establishment-
o Assists principal in maintaining law and order in the college.
o Supervises overall functioning of the staff and students.
o Assists principal in facilitating work of maintenance departments.
6. Interpersonal-
o Assists principal in matters related to educational programmes
conducted in the college.
o Assists in matters of personal and work policies of the staff.
o Identify conflict among staff members initiates solution and report
to principal when necessary.

o Communicates with staff in explaining administrative constaints.
o Inform students of changes in college policies procedures and
standards.
o Inform parents about students progress and status.
o Does any other responsibility assigned by the principal.

3. PROFESSOR
Educational Qualifications and Experience
1 General: Pre-University course/10+2 or equivalent exam.
2. Professional: M.Sc, Nursing/M.N or equivalent doctoral degree in
nursing.
3. Registration: Registered with A.P State Nursing Council/INC.
4. Experience: Should have teaching experience in the college of nursing not
less than 5 years.

Standard Norms
As per Indian Nursing Council.

Job Summary
The professor is overall in charge of the Department and thereby responsible
for administration, teaching activity and guidance of that particular
department.

Administration
1. Participating in determination of educational purposes and policies.

2. Contributes to the development and implementation of the
philosophy and purposes of the total educational programme.
3. Utilizes opportunities through group action to initiate improvement
of the educational programme.
4. Interprets educational philosophy and policy to others.
5. Directs the activities of staff working in the department.

Instruction
1. Identifying needs of learners.
2. Identifies the needs of the learners in terms of objectives of the
programme by utilizing records of previous experience, personal
interviews, tests and observations.
3. Assists learners in identifying their needs.
4. Develops plan for learning experience.
5. Participates in the formulation and implementation of the
philosophy and objectives of the programme.
6. Selects and organizes learning experiences which are in accordance
with these objectives.
7. Participates in the continuous development and evaluation of the
curriculum.
8. Plans within the educational unit. With the nursing services and
allied groups.
9. Ascertains, selects and organizes facilities, equipment and materials
necessary for learning.

Helping the Learners to Acquire Desirable Attitudes, knowledge and
Skill

1. Seeks to create a climate conducive to learning.
2. Assists learners in using problem-solving techniques.
3. Uses varied and appropriate teaching methods effectively.
4. Uses incidental and planned opportunities for teaching.
5. Encourages learners to assume increasing responsibility for own
development.

Evaluating Learner’s Progress
1. Recognizes individual differences in appraising the learners
progress.
2. Uses appropriate devices for evaluation.
3. Measures and describes quality of performance objectively.
4. Helps learners for self-evaluation.
5. Participates in staff evaluation of learners progress.

Recording and Reporting
1. Maintains and uses adequate and accurate records.
2. Prepares and channels clear and concise reports.
3. Shares information about learner’s needs and achievements with
other concerned with instruction and guidance.
4. Participates in the formulation and maintenance of comprehensive
record system.

Investigating Ways of Improving Teaching
1. Measures effectiveness of instruction by use of appropriate devices.
2. Analysis and evaluates resource material.
3. Analyses and evaluates resource material.

4. Devices teaching methods appropriate to objectives and content.

Guidance
1. Co-operating in guidance programme.
2. Increases knowledge and skill in own curriculum area.

Counselling

Research
1. Initiates and participates in studies for the improvement of
2. Identifies problems in which research is indicate or potentially
desirable.
3. Continues to develop competence in problem-solving process.
4. Co-operates in and/or initiates group activities in development and
evaluation of studies.
5. Utilizes findings of research.
6. Makes data available concerning learners and concerning methods
of teaching and evaluation.

4. ASSISTANT PROFESSOR


2. Professional: M.Sc, Nursing/M.N. or equivalent degree in Nursing
recognized by INC.
or
Ph.D, in Nursing with any speciality or other equivalent doctoral degree in
nursing.
3. Registration: Registered with A.P State Nursing council/INC.
4. Experience: Should have teaching experience in the College of Nursing
not less than 5 years.

Standard Norms
As per Indian Nursing Council

Job Summary
The Assistant Professor usually works under professor and/HOD of the
particular department of specialty and assists him/her in administration,
teaching and guidance and councelling and research activities.

Administration
 Participates in determination of educational purposes and policies.
 Contributes to the development and implementation of the philosophy
and purposes of the total education programme.
 Utilizes opportunities through group action to initiate improvement of
the educational programme.
 Interprets educational philosophy and policy to others.

 Directs and activities of staff working in the department.

Instruction
1. Identifying needs of learners.
2. Identifies the needs of the learners in terms of the objectives of the
programme by utilizing records.
3. Assists learners in identifying their needs.
4. Develops plan for learning experience.
5. Participates in the formulation and implementation of the
philosophy and objectives of the programme.
6. Selects and organizes learning experience which are in accordance
7. Participates in the continuing development and evaluation of the
curriculum.
8. Plans within the educational unit, with the nursing services and
allied groups.
9. Ascertains, selects and organizes facilities, equipment and materials

Helping the Learners to Acquire Desirable Attitudes, Knowledge and
Skill.
1. Seeks to create a climate conducive to learning.
2. Assists learners in using problem-solving techniques.
3. Uses varied and appropriate teaching methods effectively.
4. Uses incidental and planned opportunities for teaching.
5. Encourages learners to assume increasing responsibility for own
development.

Evaluation Learner’s Progress
1. Recognizes individual differences in appraising the learners
progress.
2. Uses appropriate devices for evaluation.
4. Helps learners for self-evaluation.
5. Participates in staff evaluation of learners progress.

Recording and Reporting
2. Prepares and channels clear and concise reports.
3. Shares information about learner’s needs and achievements with
others concerned with instruction and guidance.
4. Participates in the formulation and maintenance of comprehensive
record system.

Investigating ways of improving Teaching

Guidance
1. Co-operating in guidance programme.
2. Shares in planning, developing and using guidance programme.
3. Gives guidance within own field of competence.

4. Helps the learner with special problems to seek and use additional
help as indicated.

Counselling
1. Helps the learner to grow in self-understanding
2. Promotes continuous growth and development towards maturity.

Assisting in Selection and Promotion of Learners
Participates in development of criteria for selection and promotion of
learners.

Research
1. Initiates and participates in studies for the improvement of
2. Identifies problems in which research is indicated or potentially
desirable.
4. Co-operate in and/or initiates group activity in development and
5. Utilizes findings of research.
6. Makes data available concerning learners and concerning methods

5. LECTURER
Educational Qualification and Experience

2.Professional: M.Sc. Nursing/M.N. or equivalent degree recognized by
the Indian Nursing Council.
3.Registration: Registered with A.P State Nursing Council.
4.Experience: Should have experience as staff nurse not less than 5
years in government hospitals.

Standard Norms
He/she works under the direction of the departmental head and assists him in
administration, instruction and guidance activities.

Instruction
1. Identifies the needs of the learners in terms of the programme by
utilizing the records of previous experience, personal interviews,
tests and observation.
2. Assists the learners in identifying their needs.
3. Participates in formulation and implementation of the philosophies
and objectives of the post.
4. Selects and organizes learning experience which are in accordance
5. Participates in evaluation of the curriculum.
6. Plans with the educational unit with Nursing Services and allied
groups.
7. Ascertains, selects and organizes facilities equipment and materials
8. Assists the learners in using problem-solving process.

11. Prepares clear and concise reports.
12. Shares information about learners needs and achievements with
others concerned.

Guidance and Counselling
1. Gives guidance within own field of competence.
2. Helps the learner to grow in self understanding

Research
1. Assist in initiating and participating in studies for the improvement
of educational programme.
2. Identifies problems in which research is indicated or potentially
desirable.
3. Make data available concerning learners and concerning methods
5. Co-operative in and/her initiates group activity in development and
6. Utilizes the findings of research.

NURSING TUTOR/CLINICAL INSTRUCTIONS

2. Professional: B.Sc, Nursing (Post-graduate) or M.sc, Nursing or
equivalent examination.
4. Experience: Should have experience as staff nurse not less than 5 years.

Standard Norms
According to Indian Nursing Council

Job Summary
She/he is teacher in nursing school, responsible to the vice
principal/principal of the nursing school and responsible for planning and
implementation of teaching programme and assists in administration of
school of nursing.

Academic Function
1. Responsible for planning and implementation of teaching programme.
2. Teaching subjects in the curriculum.
3. Overall Supervision of clinical teaching programme of subjects in
hospital/community health setting.
4. Maintains classroom equipments, supplies and teaching aids.
5. Conduct test for (theory and practical) and evaluation of student
assignment and performance.
6. Preparing teaching materials and implanting it under the guidance of
other teachers.
7. Helping the students with extra-curricular activities.

Administration and Evaluation

1. Assisting in the administration of the school of nursing.
2. Supervision of student health, welfare and security.
3. Assisting the selections of students and administration.
4. Assisting in examination, tests (sessionals and terminals)/
5. Supervision of living condition of students in the hostel.
6. Assist in teaching of other categories of personnel in the hospital
and community.
7. Assisting in the procurement of school supplies and equipment.
8. Assisting the library work.
9. Assisting in maintaining school records.
10. Planning and implementation and evaluation of specification
courses.
11. Shall carry out any other duties assigned by the principal or head of
the department in the interest of education.

SCHOOL OF NURSING
PRINCIPAL
2. Professional: Master degree in nursing recognized by Indian Nursing
Council.
or
B.Sc, Nursing (Post-Certificate).
4. Experience: Should have teaching experience in school of Nursing not
less than 5 years.
Standard Norms

As per Indian Nursing Council

Job Summary
Principal, the administrative head of the General Nursing School will be
responsible to the Medical Superintendent or District Surgeon of the
Hospital. Once the financial control of school handed over to the principal,
he/she shall be directly responsible to the Directorate of Medical Education
and Directorate of Health and Family Welfare Services. As the head of the
school she/he will be responsible for the smooth implementation of the INC
syllabus and school administration.

Duties and Recommendation
Administrative
1. Advertising and calling for candidates for nursing programme.
2. Scrutinising applications, preparing merit lit and calling them for
interview.
3. Conducting interview through the set-up committee and selecting
candidates and informing them.
4. Planning for orientation programme for new students and staff.
5. Distributing teaching work load and departments to each tutor
along with teaching materials connected with that, e.g., nursing
arts, anatomy, physiology, etc.
6. Carrying out correspondence with other departments, agencies, or
individuals in connection with the programme.
7. Maintaining students records, admission register, results, registers
master roll call for staff, teachers and student etc.,

8. Countersigning records of each department, library and hostel after
annual verification by the concerned in charge of the department
and the warden in case of the hostel.
9. Seeing to the supply of audio visual aids, teaching material as
requested by the concerned department incharge.
10. Placing indents with the government for stationery, uniform for
certain category of Class IV servants.
11. Purchasing lines, furniture, equipments, books and journals as per
requirement of the office, hostel and nursing department.
12. Authorising repairs of vehicles and purchase of oil, petrol and
minor parts for replacement.
13. Sending proposals yearly for new items, staff, costly equipments,
etc.,
14. Countersigning cash book after periodical verification of cash.
15. Seeing that monthly pay bills are send in time, so also TA bills or
any other type of bills.
16. Assisting the auditors to their job well, and replying to the
complying with audit paras.
17. Countersigning stamp register every month.
18. Seeing that office-timings and other rules of service are observed.
19. Writing annually the confidential report of staff and teachers.
20. Holding meetings with teachers, staff of office, hostel staff,
students and their committees.
21. Representing the college and the profession on various committees.
22. Working out the philosophy and objective of the institution.

Educational

The principal/Principal Nursing Officer will be responsible for the smooth
implementation of the prescribed syllabus, keeping in mind the goal to be
achieved. She/he will therefore, be responsible for:
1. Working out the syllabus and the curriculum keeping within the
framework laid down by the Indian Nursing Council.
2. Arranging for theory and practical work for each group, with the
help of tutor/clinical Instructors so as to meet the laid down
objectives.
3. Contacting agencies, institutions, for arranging field visits, clinical
experience, etc. so that the students get the best possible experience
in that area.
4. Initiating changes in curriculum keeping within the guidelines of
the syllabus.
5. Co-operating with the State Council/Board to conduct examinations
by providing all facilities.
6. Guiding students in filling examination forms, registration fees, and
seeing that they are submitted to the Council in time.
7. Taking classes in her/his subjects.
8. Preparing and displaying weekly/monthly class, schedule, clinical
experience of relation plan, etc. in consultation with tutors.
9. Communicating to the Council any relevant information regarding
students.
10. Communicating to the Council any relevant information regarding
students.
11. Encouraging teachers to experiment with newer methods of
teaching and to find out newer clinical areas which would provide
the best possible exposure of students, to that area.

12. Encourage and supporting co-curricular activities.
13. Issuing transcripts to students.

Miscellaneous
Besides her/his responsibilities in the administrative and teaching areas
certain functions not related to these two areas are also carried out.
1. Encouraging faculty members to take up further studies, attend
seminars workshops and participate in professional activities.
2. Participating in activities of the professional organization.
3. Encouraging students to actively participate in SNA activities and
to join TNAI and GNAK on graduation.
4. Arranging graduation and candle lighting ceremonies with help
from tutors.
5. Meeting visitors and discussing issues, pertaining to the school
programme.
6. Meeting parents or guardians of the students as and when
necessary.
7. Preparing for the co-operation with inspectors from the State level
bodies (Council or Directorate) or National Council.

Note
The principal, General Nursing School is an overall in charge of the school.
However, for smooth running of the institution, it is necessary for her/him to
delegate the responsibility of the hostel, library, laboratories, nursing
sciences, nutrition community health, to the senior most person in the

department or the Warden or tutor-in-charge of that subject/area, e.g. Tutor
teaching Phy should be made responsible for charts, models, wet specimen,
skeleton, etc.,

5. SENIOR TUTOR-
 Responsible for planning and implementation of teaching
programmes.
 Teaching subjects of the curriculum.
 Overall supervision of the clinical teaching programmes.
 Assists in the administration of the school of nursing.
 Supervise and guide the junior teaching staff.
 Supervise students health status welfare and security.
 Assisting in the selection of students and admissions.
 Supervise the living condition of the students.
 Participate in student guidance activities.
 Assisting the principal tutor into the general administration of
the school.
 Assisting in the library.
 Planning, implementing, and evaluating the specific courses.
 Officiating as principal tutor in her absence.
6. TUTOR
 Responsible for planning and implementation of
teaching programme.
 Teaching subjects in the curriculum.
 Overall Supervision of clinical teaching programme of
subjects in hospital/community health setting.

 Maintains classroom equipments, supplies and teaching
aids.
 Conduct test for (theory and practical) and evaluation of
student assignment and performance.
 Preparing teaching materials and implanting it under
the guidance of other teachers.
 Helping the students with extra-curricular activities.
 Assisting in the administration of the school of nursing.
 Supervision of student health, welfare and security.
 Assisting the selections of students and administration.
 Assisting in examination, tests (sessionals and
terminals)/
 Supervision of living condition of students in the hostel.
 Assist in teaching of other categories of personnel in
the hospital and community.
 Assisting in the procurement of school supplies and
equipment.
 Assisting the library work.
 Assisting in maintaining school records.
 Planning and implementation and evaluation of
specification courses.
 Shall carry out any other duties assigned by the
principal or head of the department in the interest of
education.

7. CLINICAL INSTRUCTOR

• supervision and teaching of students in the clinical
public health field.
• Planning and supervision of clinical teaching
schedule including assignment of the patients.
• Supervise and guide patients care activities carried
out by students.
• Assisting in evaluation of students progress.
• Helping students with extra curricular activities.
• Maintaining records related to clinical experience
and teaching guidance of the students.
• Assists in the practical examinations.

PUBLIC HEALTH / COMMUNITY HEALTH PERSONNEL

1. DISTRICT PUBLIC HEALTH NURSE
Bhore committee recommended posting of PHN at the primary
health centers but unfortunately most states have failed to do so. The only
posting of PHN is at the district level is DPHN.
 To help in organization of maternaland child health programmes as a
whole and in the implementation of the special plan scheme, centrally
sponcered and othervise in particular like the immunization
programme, training of traditional birth attendants and their active
involvement in MCH, FP etc.

 To promote health and nutrition educative activities through the lady
health visitors, ANMs by providing them with taking points and
printing materials produced by various agencies.
 To ensure that the lady health visitors / MHW female multi purpose
workers etc integrated MCH FP and health nutrition education in their
day to day activities.
 To help in developing school health porgrammes in the district.
 To ensure regular supply of equipment records register drugs vaccines
and other sundries necessary for MCH work in the primary health
centers and sub centers by assisting store keeper in procuring and
distributing the supplies.
 Ensure the maintenance of prescribed records.
 To help the statistical officer in the district family welfare bureau in
compiling the periodical progress reports of MCH activities.
 To review the periodical progress reports of MCH activities FP work
done by the LHV/ MPHW.
 To give technical guidance supervision and support to the female
MPHW LHV PHN working in the PHC.
 To investigate into complaints against female medical personnel in the
district and submit reports to the district M.O.
 To provide continuining education of the female MCH / FP in the
district through in service education sources.
 To work together with the functioneres of other govt dept like social
welfare, rural development, education engaged in programmes for
women and children.

 To co oprate MCH / FP activities undertaken through the voluntary
organization in the district and provide health inputs to the possible
extent for mothers and children.
 To tour for minimum 15 days in a month and visit primary health

centers, subcenters, villages, dais, balwadi, mahila mandals etc
according to an advance programmes duly approves by the DMO.
 Attending to problems reffered to her.
 Provides health services to the community according to its policies of
the department in the area of preventive, promotive, curative and
rehabilitative care.

2. COMMUNITY HEALTH OFFICER

One community health officer will be posted at each new primary
health center and will cover 30,000 population. She will be under direct
administrative and technical control of MO-incharge of PHC.

DUTIES AND RESPONSIBILITIES-
Control of communicable diseases-
o Ensure that all necessary steps are being taken for the control of the
communicable diseases in the village.
o She should report any outbreak of an epidemic to Medical Office in-
charge.
o Assist the Medical Officer of the primary health centre in taking the
necessary action in case of any epidemic in the PHC area.
Maternal and child health-

o Supervise and guide the health assistant and health workers and
actively involve the health guides and trained dais in the effective
implementation of the programme for maternal and child health.
School health-
o Visit schools in the phc area at regular interval and arrange for
medical checkups by MO PHC immunization environmental
sanitation and health education.
o Make arrangements for the treatment and follow-up of those students
found to have defects.

Universal immunization programme-
o Supervise and guide the health assistants and health workers and
actively involve the health guides and trained dais the effective
implementation of the expanded programme of immunization.
Family planning-
o Supervise and guide the health assistants and health workers and
actively involve the health guides and trained dais the effective
implementation of the family planning programme.
Nutrition
o Supervise and guide the health assistant and workers and actively
involve the health guides and trained dais the effective
implementation of the nutritional programme such as administration
of vitamin A and iron and folic acid tablets.
Environmental sanitation-

o Help to ensure that all the steps are being taken to provide safe
drinking water and for the improvement of environmental sanitation
in the village.
Treatment for minor disorders-
o Provide guidance to the health assistant health workers and primary
school teachers in the treatment of minor disorders.
Community involvement and health education-
o Participate in the village committee or village panchayat meetings to
assess the health needs of the community
o To discuss the health programmes with the community and to enlist
their co-operation in these programmes.
o Maintain close liason between the Block development officer and her
staff.
o Work closely with the community leaders and community
organizations.
o Organize camps, meetings, health educations, demonstrations,displays
of posters,exhibitions,films and involve all health care workers.
Training of health personnel and community level workers-
o Educate community about health guide schemes
o Organize and conduct the training programme for health guides,
teachers, dais.
o Be primarily responsible for the continuing education of health
guides, teachers.
o Assist the M.O PHC in staff development programmes
o Be actively involved in the field training components of training
programmes conducted by the health and family welfare.

Management and supervision-
o Assist the M.O, PHC in conducting field investigations
o Ensure that the subcenters are properly maintained and managed by
the health workers and health assistants.
o Ensure about supplies and equipment to PHC
o Ensure the regular replenishment of kits and supplies.
o Scrutinize the work plans of health assistanta and health workers.
o Supervise and maintain prescribed records.
o Organize meetings at regural intervals.
o Keep notes of all her activities in the PHC.
o Any other duty assigned by the M.O should be carried out by the
CHO.

3. LADY HEALTH VISITOR

Health visitors are registered nurses who have undertaken further
training to work as part of a primary health care team. As their name
suggests, their role is to promote mental, physical and social well-being in
the community by giving advice and support to families in all age groups.
Limited resources and staff within the NHS have traditionally meant that
their work has been focused on childhood development, but the scope to
expand their roles is slowly improving. The Healthy Child Programme
published in October 2009 influences the service available to families. It is
presented in three key documents: The First Five Years, The Two Year
Review and The Healthy Child Programme for 5-19 year olds.

They usually work with mothers once postpartum care is handed over from
the midwives, advise on feeding, care and support to both infants and
parents, provide routine child development checks and have responsibility
for child protection issues. They are also able to help people of any age who
suffer from chronic illness or live with a disability. They may run health
promotion schemes such as stop-smoking clinics.

AREA OF WORK-

Clinics, fields, maternity homes, and hospitals, family planning camps,
emergency duties in flood and epidemic areas.

Clinics-

Organizes antenatal clinics and postnatal clinics, well baby and family
planning clinic,

runs full time clinic in the absence of the doctor supervises and guides
ANMs dais FP etc principal motivator for achieving net family planning
targets independently rns 20 beds or more maternity homes assists doctors in
the insertion of iud and other emergencies responsible for error of audit,
condemnation.

In the ward-

Managers maternity ward in the maternity home which are 20 beded or more
bedded. Her duties are similar to the duties of a ward sister in any other

hospital, concerning patient care, taking charge of the ward stock,
maintaining the cleanliness and safety of the ward.

Field duties-

o Provides health care to all individuals families and community in any
field that she is appointed.
o Trains supervises and guides the health workers in the delivery of
health care services to the community.
o Plans health and family welfare programmes along with health
workers.
o Carries coordinate the work of male and female health workers and
other personnel.
o Arranges educational programmes for the community.
o Assists in identifying areas requiring study research approved by the
community health department.
o Assists in conducting medical examinations.

4. AUXILIARY NURSE MIDWIFE (ANM)

The roles of Auxiliary Nurse Midwife (ANM) and ASHA have
been integrated in various ways. The ANM will hold weekly/fortnightly
meeting with ASHA, and provide on-job raining by discussing the activities
undertaken during the week/fortnight and provide guidance in case ASHA
encounters any problem. ANMs will also act as resource persons for the
initial and periodic training and also ensure that during the training ASHA
gets the compensation for performance and also TA/DA for attending the
training schedule.

She will also guide ASHA in bringing the beneficiary to the outreach
session. She will utilize ASHA in motivating the pregnant women for
coming to the Sub-Centre for initial check-ups and also take ASHA’s help in
bringing married couples to sub centres and motivating pregnant women for
taking full course of Iron and Folic Acid (IFA).

o She assists in conducting MCH and FP clinics
o Surveying the area and maintaining contact with local dais.
o Supervision of work of local dais.
o Regular home visits.
o Antenatal intranatal and postnatal care.
o Maintaining records of daily work.
o Assisting in registration of birth and death.
o Providing medical care aspects.
o Does any other duties assigned by the PHN.

NURSES AT UNION LEVEL

1. NURSING OFFICER-

At the central level there is a post of nursing adviser in the
medical division of directorate general of health services. The advisor is
directly responsible to the deputy director general. The nursing advisor is
assisted-by nursing and support staff for all her work.

 She advices the DGHS ministry health family welfare as well as other
ministers, departments.

 The nursing advisor also takes care of administrative aspects of Raj

Kumari Amrit Kaur college of nursing and lady hardinge health
school both in delhi.
 Nursing advisor being the head of the nursing services in the country
responsible for advising the govt of India on all matters concerning
nursing service nursing education and specialization in nursing.
 Guides supervises and co ordinates nursing services and nursing
education in the states.
 Plans total nursing manpower requirements of the country in the area

of nursing service, nursing education and continuning education etc in
co operation and co ordination with state govt units and voluntary
agencies.
 Responcible for developing the national and international projects
concerning nursing in India.
 She is programme officer for nursing section in the office of the
DGHS which involves components of all the national health
programmes.

2.DEPUTY NURSING ADVISOR-

 Training of various categories of nursing personnel in family
on an all India basis
 periodical assessment of the needs nursing personnel working
in terms of quality
 advising state the situation
 advising the government of India in terms of policy making as
reguard nursing training

3. NURSING OFFICER

 Assists nursing advisor in all matters of nursing
 Relieving nursing advisor as and when required
 International assistance UNICEF equipment and supplies and
vehicles for all training institutions of nurses / ANM.
 Organize and conduct refresher courses on and all India basis
 Representing on committees gives advice and teaching as and when
required specially in the area of public health nursing.

NURSING PERSONNEL AT STATE LEVEL

1. DEPUTY DIRECTOR

Council
or
or

• She is responsible mainly to see that the nursing services run
smoothly
• Promotions and postings.

• Appointments in consultation with superintendent of nursing services
of other sections.
• Review of confidential reports
• Correspondence with government and non governmental institutions.
• Educational programs.
• Proposals to government.
• Participation in health care planning .
• Deputation of Bsc nursing Msc nursing in state or out of stste and
oythr training higher learning programmes.
• Sanction of pre audit bills.
• No objection certificate for passport.
• Administrative work pertaining to nursing personnel.
• She makes plan for continuous improvement of job satisfaction of the
nursing staff as well for better patient care

2. ASSISTANT DEPUTY DIRECTOR

• She will work under the direct supervision of the deputy director in
the nursing .
• She will assist the Dy. Director in all the matters o the nursing
colleges.
• In times of the need he may go over to the colleges and inspect the
way of teaching and put before the Director of medical education.

3. GAZETTED ASSISTANT

An officer in the category of Lay secretory and Treasure grade 1 posting as
gazetted assistant in the Directorate.

• He will work under the administrative control of the Director of
medical education.
• He will assists the addl.director of medical education in all planning
and evaluation of the results of all plan schemes.
• He will attend to any other duty assigned by the director of medical
education.
• He will assist the deputy director in conducting general nursing
examinations while guiding the deputy director in the administrative
matters.
• He will attend to any other work entrusted by the director of medical
education.

RESEARCH STUDIES

JOB SATISFACTION AND TURNOVER AMONG NURSES:
INTEGRATING RESEARCH FINDINGS ACROSS STUDIES

Abstract

A meta-analytic study investigated the causal relationships among job
satisfaction, behavioral intentions, and nurse turnover behavior. A
theoretical model was proposed in which behavioral intentions were viewed
as a direct antecedent to turnover behavior. Job satisfaction was expected to
be indirectly related to turnover by virtue of the mediating role of behavioral

intentions. Consistent with these expectations, a strong positive relationship
was indicated between behavioral intentions and turnover; a strong negative
relationship between job satisfaction and behavioral intentions; and a small
negative relationship between job satisfaction and turnover. The results of
the modifier analysis suggested that effect sizes are fairly robust to
differences in study designs, response rates, and methods of measuring job
satisfaction, but the manner in which behavioral intentions were
operationalized appeared to moderate the relationship between behavioral
intentions and turnover and job satisfaction. Of variables related to nursing
job satisfaction, work content and work environment had a stronger
relationship with job satisfaction than economic or individual difference
variables.

THE DELIVERY OF QUALITY NURSING CARE: A GROUNDED
THEORY STUDY OF THE NURSE’S PERSPECTIVE

This grounded theory study explored and described the delivery of quality
nursing care from the perspective of nurses. Data were gathered by tape
recorded interviews, published literature and some participant observation.
Ten registered nurses from an acute-care public hospital located in Perth,
Western Australia were interviewed. Twelve additional transcripts from
interviews conducted by postgraduate students were also used. Quality
nursing care was perceived to relate to the degree to which patients’
physical, psychosocial, and extra care needs were met. The consequences of
quality care were interpreted as ‘therapeutic effectiveness’, where the
therapy provided by nurses was perceived to positively affect patients’

healing. This was gauged by the patient’s psychosocial and physical
response to illness, safety, and satisfaction. Therapeutic effectiveness was
facilitated by the development of positive relationships between nurses and
patients, nurse’s positive attributes and competent practices, as well as a
functional nursing team. The problem of nurses’ inability to consistently
provide quality nursing care to all patients was identified. Insufficient time
(caused by a lack of human and physical resources) was perceived as the
main reason for this. Dissatisfaction and stress in nurses was related to this
problem. To deal with this, nurses used a process named ‘selective
focusing’. Work was planned to most effectively utilize the time available,
within the parameters of safety. Implications for nursing practice, education
and management are discussed, and directions for further research are
provided.

NURSE-STAFFING LEVELS AND THE QUALITY OF CARE IN
HOSPITALS
Jack Needleman, Ph.D., Peter Buerhaus, Ph.D., R.N., Soeren Mattke, M.D.,
M.P.H., Maureen Stewart, B.A., and Katya Zelevinsky
N Engl J Med 2002; 346:1715-1722May 30, 2002

Background It is uncertain whether lower levels of staffing by
nurses at hospitals are associated with an increased risk that patients
will have complications or die.
Methods We used administrative data from 1997 for 799
hospitals in 11 states (covering 5,075,969 discharges of medical
patients and 1,104,659 discharges of surgical patients) to examine the

relation between the amount of care provided by nurses at the hospital
and patients' outcomes. We conducted regression analyses in which
we controlled for patients' risk of adverse outcomes, differences in the
nursing care needed for each hospital's patients, and other variables.
Results The mean number of hours of nursing care per patient-
day was 11.4, of which 7.8 hours were provided by registered nurses,
1.2 hours by licensed practical nurses, and 2.4 hours by nurses' aides.
Among medical patients, a higher proportion of hours of care per day
provided by registered nurses and a greater absolute number of hours
of care per day provided by registered nurses were associated with a
shorter length of stay (P=0.01 and P<0.001, respectively) and lower
rates of both urinary tract infections (P<0.001 and P=0.003,
respectively) and upper gastrointestinal bleeding (P=0.03 and
P=0.007, respectively). A higher proportion of hours of care provided
by registered nurses was also associated with lower rates of
pneumonia (P=0.001), shock or cardiac arrest (P=0.007), and “failure
to rescue,” which was defined as death from pneumonia, shock or
cardiac arrest, upper gastrointestinal bleeding, sepsis, or deep venous
thrombosis (P=0.05). Among surgical patients, a higher proportion of
care provided by registered nurses was associated with lower rates of
urinary tract infections (P=0.04), and a greater number of hours of
care per day provided by registered nurses was associated with lower
rates of “failure to rescue” (P=0.008). We found no associations
between increased levels of staffing by registered nurses and the rate
of in-hospital death or between increased staffing by licensed practical
nurses or nurses' aides and the rate of adverse outcomes.

Conclusions A higher proportion of hours of nursing care provided
by registered nurses and a greater number of hours of care by
registered nurses per day are associated with better care for
hospitalized patients

SUMMARY

Till now we have discussed about the duties and responsibilities of
various categories of nursing personnel that includes aims of nursing
personnel management, objectives of nursing personnel, various categories
of personnel – clinical or institutional level, college level, school level and at
community level.

CONCLUSION

Personnel management means the task of dealing human relationships
with in an organization. Aim of nursing personnel management is to employ
those nurse best fitted with education, skill and experience to perform the
prescribed work. Objectives are to guarantee fairness in the maintenance of
discipline and to upgrade and promote the existing staff wherever possible.

BIBLIOGRAPHY

 Anderson, E. T., and McFarlane, J. (1996). Community as Partner:

Theory and Practice in Nursing, revised edition. Philadelphia, PA:
Lippincott.
 Buhler-Wilkerson, K. (1993). "Bringing Care to the People: Lillian

Wald's Legacy to Public Health Nursing." American Journal of Public
Health 83(December):1778–1786.
 Bt.Basavanthappa , (2005) Nursing Administration, 2nd edition, jaypee

brothers medical publications, New Delhi, page no-292-340.
 ANN Marrier Tomey, (2000) Guide to Nursing Management 4th

edition, Mosby company, USA, Page no- 232.
 Trained nurses association of India (2007) Nursing Administration

and Management 1st edition New delhi page no-33-35.
 R.C. Gupta (2002) Principles and practices of management 7th edition

Kalyan publications pageno- 113-114.
 L.M. Prasad (2004) Principals and practices 7th edition sultan chand,

page no-45-50.
 Vanitha vani (2009) text book of nursing administration 1st edition

Florence publications page no- 56-60.

JOURNALS

 Amrican Journal of Nursing (2010) January the clinical nurse leader

an update on the controversial nursing role page no 110.
 American Public Health Association Public Health Nursing Section

(1996). The Definition and Role of Public Health Nursing.
Washington, DC: Author.

 Keller, L. O.; Strohschein, S.; Lia-Hoagberg, B.; and Schaffer, M.

(1998). "Population-Based Public Health Nursing Interventions: A
Model from Practice." Public Health Nursing 15(June):207–215.
 Kosidlak, J. G. (1999). "The Development and Implementation of a
Population-Based Intervention Model for Public Health Nursing
Practice." Public Health Nursing 16(October):311–320.

WEB SITES

• www.google.com
• www.yahoo.com
• www.ask.com
• www.pubmed.com

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