this slide upload for increase the knowledge of nursing student's, and by the help of this students learn about the various roles and responsibilities of nurse in Medical Surgical Setting.

1. PRESENTED BY –
Mr. Suhel Khan
Department of Medical &
Surgical Nursing

6. MANAGER
•As a manager the nurse coordinates the activities of other
members of health team such as nutritionist and physical
therapist when managing care for a group of clients.
•Before giving care the nurse should plan the action by
deciding the best approach for each client.

21. ROLE AND RESPONSIBILIES OF
NURSE IN OPD

29. Types of Out Patient
1.General Outpatient
All the patients other than emergencies who report directly to the
OPD
2. Emergency Outpatient
A person given emergency medical care for condition which is
real or perceived emergency.
3. Referred Outpatient
A person referred to an OPD by his attending
medical/dental practitioner for specific diagnostic/treatment
procedure.

30. Role of nurse in OPD
Direct Care
Nurses provide direct care to patients in the form of treatments
and dispensing of medication, as directed by a physician. In
outpatient settings, nurses may operate testing equipment,
assist with rehabilitative treatments and administer intravenous
fluids.

31. The nurses role focuses on the provision of direct care to
people in an outpatient or clinic environment. The nurse may
work with people of all ages and with different health and
social care needs.
•assess needs, plan, implement and evaluate evidence-based nursing
care;
•provide healthcare advice through educating patients, carers and
families;
•carry out clinical nursing procedures;
•work collaboratively with other members of the health and social care
team;
•supervise other staff and students;
•contribute to the dissemination of good practice by participating in
teaching and learning activities.

32. Charting
Just like in the hospital setting, nurses in outpatient environments
keep detailed records of their work. They must record their findings
after administering tests and keep a careful log of their patients’
progress. They record test findings as they return from the lab and
document observations of patients’ conditions. Nurses record patient
symptoms before the doctor arrives to streamline the process of
patient care in outpatient facilities.

33. Education
Nurses are involved in patient education in outpatient settings and
often are the primary contact between patients and their caregivers in
home health situations. They may teach patients how to administer
their own medicines and manage physical therapy requirements.
Nurses teach patients about nutrition and pain management as well as
how to recognize symptoms and complications. Outpatient nurses hold
seminars and community meetings on specific health care concerns
and teach family caregivers how to manage their loved ones’
conditions.

34. Communication
Communication in every health care situation is crucial, and nurses
play a vital role in maintaining the flow of information between
patients, caregivers and physicians. In Hospitals, clinics and doctors’
offices, nurses must clearly communicate the history and symptoms
presented by patients so doctors can diagnose and treat patients
appropriately.

42. Role of Nurse in IPD
Inpatient care nurse consultants play a major role in ensuring
complete recovery for patients admitted into a hospital by
offering palliative care.
•they handle health information technology, which deals with
auditing medical records for errors and coordinating
corrections.
•They also serve as health educators, teaching patients with
chronic illnesses skills to help manage their illnesses.

43. Clinical Responsibilities
Inpatient care nurses’ main goal is to improve patients' quality of life
while ensuring they're comfortable.
•Palliative care includes treatment of symptoms, such as pain,
nausea, loss of appetite, the stress of illness and discomfort.
Other duties involve
•carrying out assessments of a patient’s condition, issuing medication,
evaluation and physical assistance, if necessary.
•Nurses ensure admissions and discharges of patients occur promptly
by collaborating with relevant departments.

44. Managerial Responsibilities
Inpatient nurses' duties extend to managerial levels.
•They maintain patient files, update patient statistics and provide
reports to doctors and other staff members when necessary.
•For admissions, inpatient nurse consultants verify member coverage
and ensure accuracy of member information.
•Inpatient nurses also serve as representatives of the health care
facility in nursing forums and meetings that discuss issues such as the
facility’s quality of health care.

45. Personnel Responsibilities
•Inpatient care nurse consultants engage in staff placements in the
inpatient department.
•The mandate extends to conducting regular staff performance reviews
and ensuring standards of inpatient care remain high.
•Coordinating inpatient care services and providing expert advice also
falls within their responsibilities. Such professionals also assist in
identifying signs of employees' stress and provide the necessary
support.

46. Research and Development Responsibilities
•Inpatient care nurse consultants work with other staff members to
ensure delivery of proper palliative care.
•They aid in providing feedback on improving working conditions.
•They assist in implementing strategies that ensure provision of fast
and effective health care.
•Nurse consultants are also in charge of facilitating the training of
inpatient staff to improve service.

52. Duties and Responsibility of ICU nurse:
•Monitor exact, detailed reports and records of the critical ICU patients.
•Monitor and record symptoms and changes in patients’ conditions and
information to the physician.
•Order, interpret and evaluate diagnostics tests to identify and assess the
patient’s condition.
•Carefully observe and document patient medical information and vital signs.
•Document patients’ medical histories and assessment findings.

53. •Document patients’ treatment plans, interventions, outcomes, or plan revisions.
•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.
•Monitor the critical patients for changes in status and indications of conditions
such as sepsis or shock and institute appropriate interventions.
•Administering intravenous fluids and medications as per doctor’s order.
•Monitor patients’ fluid intake and output to detect emerging problems such as
fluid and electrolyte imbalances.
•Monitor all aspects of patient care, including diet and physical activity.

54. •Treating wounds and providing advanced life support.
•Assist physicians with procedures such as bronchoscopy, endoscopy,
endotracheal intubation, and elective cardioversion.
•Ensuring that ventilators, monitors, and other types of medical equipment
function properly.
•Ensure that equipment or devices are properly stored after use.
•Collaborating with fellow members of the critical care team.
•Responding to life-saving situations, using nursing standards and protocols for
treatment.
•Critical care nurses may also care for pre-and post-operative patients when
those patients require ICU care.

55. •Assess patients’ pain levels and sedation requirements.
•Prioritize nursing care for assigned critically ill patients based on assessment
data and identified needs.
•Acting as a patient advocate.
•Providing education and support to patient families.
•ICU nurses should have enough knowledge about GCS (Glasgow Coma
Scale) and also the evaluation capacity of patient condition.

56. PRESENTED BY –
Mr. Suhel khan