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TOPIC – ROLE AND RESPONSIBILITIES OF NURSE
IN MEDICAL SURGICAL SETTING
BSC(H)NURSING
RAKCON
INTRODUCTION
◾The primary role of nurse is to provide care . Medical surgical
nurses provide direct care to adult patients in numerous settings.
◾Medical surgical nursing is the largest group of professional in the
field of nursing .
◾Medical surgical settings include hospitals , clinics , home , surgical
centres.
MEDICALSURGICALSETTING
◾It includes variousdepartmentssuchas:
Opd Ipd ICU
Home health care Community health nursing
1. OPD-OUTPATIENTDEPARTMENT
◾It is defined as a part of hospital with alloted physical facilities ,
medical and other staffs with regularly scheduled hours to provide
care for patients who are not registered as inpatients.
◾A hospital department where patients receive diagnosis , followup
care or treatment but don’t stay overnight.
◾It is first point of contact between a patient and hospital
OBJECTIVES OF OPD
FUNCTIONS OF OPD
◾Provide a major source of specialist medical opinion.
◾Screening for admission to hospital
◾Early diagnosis , curative , preventive and rehabilitative care
◾Follow up care and care after discharge
◾Promotion of health by health education
TYPESOFOPD
A. Based on type of service
1. Centralized outpatient service
2. Decentralised outpatient service
B. Based on type of patient
1. General outpatient
2. Emergency outpatient
3. Referred outpatient
OPDPROCESS
TYPESOFOPDSERVICE
ROLE OF NURSE IN OPD
◾Nurse provide direct care to patient in the form of medicine and
treatment as directed by physician
◾Nurse participate in setting up the care plan for patient and
administer , take vital signs and change dressing .
◾In clinics nurse work directly with patient by getting their medical
history , monitoring vital signs and performing blood draws.
◾Provide healthcare advises through educating patient and family
members.
CONTD.
◾Nurse work with all age groups and with different healthcare and
social care needs.
◾Nurse also organises health camp and provide routine and
emergency care to camper .
2. IPD – INPATIENT DEPARTMENT
◾An inpatient department is a unit of a hospital or a healthcare facility
where patients are admitted for medical condition that require
appropriate care and attention.
◾Any patient is admitted for short and long term depending on severity
of their diseases.
FUNCTIONS OF IPD
◾To provide the highest possible quality of medical and nursing care for
the patients .
◾To provide necessary equipment , essential drugs and all other stores
required for patient in an organized manner
◾To furnish most desirable environment substituting as temporary home
for patients
◾To provide facilities to meet the needs of the visitorsand attendants
PROCESSINIPD
ROLE OF NURSE IN IPD
◾Clinical responsibility - Inpatient care nurses ‘ main goal
is to improve patients’ quality of life while ensuring they
are comfortable. In addition , nurses ensure admissions
and discharge of patients.
◾Managerial responsibility- inpatient nurses’ maintain
patient files , update patient statistics and provide reports
to doctor and other staff members.
CONTD.
◾Personnel responsibility – inpatient care nurses consultants engage
in staff placements in inpatient department. Coordinating
inpatient care services and providing expert advice also falls within
their responsibilities.
◾Research and development responsibility – inpatient care nurse
consultants work with other staff members to ensure delivery of
proper palliative care.
3. ICU – INTENSIVE CARE
◾An ICU also known as an intensive therapy unit
where a specialised treatment is given to patient who
are acutely unwell and require critical medical care.
◾ICU provide the critical care and life support for
ill and injured patient.
TYPES OF ICU
General
•Medical ICU
•Surgical ICU
•Medical Surgical ICU
Specialised
•Neonatal ICU
•Special care nursery
•Pediatric ICU
•Coronary care unit
•Cardiac surgery ICU
•Neuro surgery ICU
•Burn ICU
•Trauma ICU
ROLE OF NURSE IN ICU
◾Monitor exact , detailedreportsandrecordsofcritical ICUpatient.
◾Monitor andrecordsymptomsandchangesinpatients‘ conditionsand
informtophysician.
◾Order, interpretandevaluate diagnosticsteststoidentifyandassess
patient’scondition.
◾Carefullyobserveanddocumentpatient medicalinformationandvital
signs.
CONTD.
◾Consult and coordinate with health care team members about
whole patient care plans.
◾Modify patient treatment plans as indicated by patient’s response
and conditions.
◾Assist physicians with procedures such as bronchoscopy ,
endoscopy , etc
◾Critical care nurses may also care for pre and post operative
patients when those patients require ICU care
4. HOME HEALTH CARE
◾Homehealthcareistheprovisionof medically
, paraprofessional
servicesandequipmentstoindividualsandtheir familiesintheir place
ofresidencefor thepurposeofpromotingmaintaining , orrestoring
healthorofminimisingtheeffectsofillness anddisability .
◾Homehealthcarenursesmust have:
• Strongknowledgebase
• Communicationprinciples
• knowledgeof familydynamics
ROLEOFNURSEINHOM
EHEALTHCARE
◾Assessment
◾Nursing
diagnosis
◾Planning
◾Implementation
◾Documentation
5. COMMUNITY HEALTH NURSING
◾Community health nursing is a synthesis of nursing practice and
public health practice applied in promoting and preventing the
health of population .
◾It is established on recognized needs and functioning within the
total health programme.
QUALITIES OF CHN
◾Educator
◾Advocate
◾Counsellor
◾Rolem
ode
l
◾T
eacher
◾Prim
arycareprovide
r
◾Com
m
unityd
eve
lope
r
ROLEOFCHN
◾ Provide care to disabled ones
◾ Teaching
◾ Advocating
◾ Maintaining healthy environment
◾ Collaborating
◾ Preventing and reporting
◾ Participate in professional development activities
◾ Identifying the need and referring for service
◾ Ensuring quality nursing research and engaging in nursing
research
SUMMARY
◾Today we have discussed about role and responsibilities of
nursein medical setting whichincludevarious departments
such as OPD , IPD , ICU , Home and Community and its
nursingmanagement
CONCLUSION
◾MedicalSurgicalsettingprovidesaplatformtothepatientof
treatmentonthebasisofconditionofpatientnevertheless,thet
w
o
shouldbeintegratedphysicallyandfromtheclinicaladministrative
points
BIBLIOGRAPHY
◾Brunner-siddhanttextbookofmedicalsurgicalnursingpg15-18
◾Medical surgical nursingbook–Heitkemper and Mantikdewis
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Role and responsibilities of nurses in IPD,OPD,ICU.pptx

  • 1. TOPIC – ROLE AND RESPONSIBILITIES OF NURSE IN MEDICAL SURGICAL SETTING BSC(H)NURSING RAKCON
  • 2. INTRODUCTION ◾The primary role of nurse is to provide care . Medical surgical nurses provide direct care to adult patients in numerous settings. ◾Medical surgical nursing is the largest group of professional in the field of nursing . ◾Medical surgical settings include hospitals , clinics , home , surgical centres.
  • 3. MEDICALSURGICALSETTING ◾It includes variousdepartmentssuchas: Opd Ipd ICU Home health care Community health nursing
  • 4. 1. OPD-OUTPATIENTDEPARTMENT ◾It is defined as a part of hospital with alloted physical facilities , medical and other staffs with regularly scheduled hours to provide care for patients who are not registered as inpatients. ◾A hospital department where patients receive diagnosis , followup care or treatment but don’t stay overnight. ◾It is first point of contact between a patient and hospital
  • 6. FUNCTIONS OF OPD ◾Provide a major source of specialist medical opinion. ◾Screening for admission to hospital ◾Early diagnosis , curative , preventive and rehabilitative care ◾Follow up care and care after discharge ◾Promotion of health by health education
  • 7. TYPESOFOPD A. Based on type of service 1. Centralized outpatient service 2. Decentralised outpatient service B. Based on type of patient 1. General outpatient 2. Emergency outpatient 3. Referred outpatient
  • 10. ROLE OF NURSE IN OPD ◾Nurse provide direct care to patient in the form of medicine and treatment as directed by physician ◾Nurse participate in setting up the care plan for patient and administer , take vital signs and change dressing . ◾In clinics nurse work directly with patient by getting their medical history , monitoring vital signs and performing blood draws. ◾Provide healthcare advises through educating patient and family members.
  • 11. CONTD. ◾Nurse work with all age groups and with different healthcare and social care needs. ◾Nurse also organises health camp and provide routine and emergency care to camper .
  • 12. 2. IPD – INPATIENT DEPARTMENT ◾An inpatient department is a unit of a hospital or a healthcare facility where patients are admitted for medical condition that require appropriate care and attention. ◾Any patient is admitted for short and long term depending on severity of their diseases.
  • 13. FUNCTIONS OF IPD ◾To provide the highest possible quality of medical and nursing care for the patients . ◾To provide necessary equipment , essential drugs and all other stores required for patient in an organized manner ◾To furnish most desirable environment substituting as temporary home for patients ◾To provide facilities to meet the needs of the visitorsand attendants
  • 15. ROLE OF NURSE IN IPD ◾Clinical responsibility - Inpatient care nurses ‘ main goal is to improve patients’ quality of life while ensuring they are comfortable. In addition , nurses ensure admissions and discharge of patients. ◾Managerial responsibility- inpatient nurses’ maintain patient files , update patient statistics and provide reports to doctor and other staff members.
  • 16. CONTD. ◾Personnel responsibility – inpatient care nurses consultants engage in staff placements in inpatient department. Coordinating inpatient care services and providing expert advice also falls within their responsibilities. ◾Research and development responsibility – inpatient care nurse consultants work with other staff members to ensure delivery of proper palliative care.
  • 17. 3. ICU – INTENSIVE CARE ◾An ICU also known as an intensive therapy unit where a specialised treatment is given to patient who are acutely unwell and require critical medical care. ◾ICU provide the critical care and life support for ill and injured patient.
  • 18. TYPES OF ICU General •Medical ICU •Surgical ICU •Medical Surgical ICU Specialised •Neonatal ICU •Special care nursery •Pediatric ICU •Coronary care unit •Cardiac surgery ICU •Neuro surgery ICU •Burn ICU •Trauma ICU
  • 19. ROLE OF NURSE IN ICU ◾Monitor exact , detailedreportsandrecordsofcritical ICUpatient. ◾Monitor andrecordsymptomsandchangesinpatients‘ conditionsand informtophysician. ◾Order, interpretandevaluate diagnosticsteststoidentifyandassess patient’scondition. ◾Carefullyobserveanddocumentpatient medicalinformationandvital signs.
  • 20. CONTD. ◾Consult and coordinate with health care team members about whole patient care plans. ◾Modify patient treatment plans as indicated by patient’s response and conditions. ◾Assist physicians with procedures such as bronchoscopy , endoscopy , etc ◾Critical care nurses may also care for pre and post operative patients when those patients require ICU care
  • 21. 4. HOME HEALTH CARE ◾Homehealthcareistheprovisionof medically , paraprofessional servicesandequipmentstoindividualsandtheir familiesintheir place ofresidencefor thepurposeofpromotingmaintaining , orrestoring healthorofminimisingtheeffectsofillness anddisability . ◾Homehealthcarenursesmust have: • Strongknowledgebase • Communicationprinciples • knowledgeof familydynamics
  • 23. 5. COMMUNITY HEALTH NURSING ◾Community health nursing is a synthesis of nursing practice and public health practice applied in promoting and preventing the health of population . ◾It is established on recognized needs and functioning within the total health programme.
  • 25. ROLEOFCHN ◾ Provide care to disabled ones ◾ Teaching ◾ Advocating ◾ Maintaining healthy environment ◾ Collaborating ◾ Preventing and reporting ◾ Participate in professional development activities ◾ Identifying the need and referring for service ◾ Ensuring quality nursing research and engaging in nursing research
  • 26. SUMMARY ◾Today we have discussed about role and responsibilities of nursein medical setting whichincludevarious departments such as OPD , IPD , ICU , Home and Community and its nursingmanagement