A SEMINAR ON DUTIES AND RESPONSIBILITIES OF VARIOUS CATEGORY OF NURSING PERSONNEL

1. A SEMINAR ON DUTIES AND RESPONSIBILITIES OF VARIOUS CATEGORY OF NURSING PERSONNEL PRESENTED BY MRS.SANTOSHI SHRESTHA OBG NURSING M.Sc. II YEAR

2. INTRODUCTION

3. TERMINOLOGIES • Standing Instructions: Orders, Rules, Regulations or procedures prepared by the professional staff. • Sophisticated: Discriminating in taste and judgment. • Authorities: The power or right to enforce obedience, An expert in a subject. • Quantum: A required or allowed amount. • Jurisdiction: The administration of justice, A legal or other authority.

4. TERMINOLOGIES • Recruit: A service man or a service woman newly enlisted and not yet fully trained, a new member of a society. • Condemn: Find guilty • Disburse: Expend money, Defray a cost. • Cordial relations: Heartfelt, sincere, warm, friendly. • Scrutining applications: A close investigations or examination of details.

5. VARIOUS CATEGORY OF NURSING PERSONNEL

6. VARIOUS CATEGORY OF NURSING PERSONNEL

7. VARIOUS CATEGORY OF NURSING PERSONNEL

8. Staff NurseTitle: Staff Nurse Educational Qualifications • General preuniversity 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 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. c. Registration: Registered with the Karnataka State Nursing Council/Indian Nursing Council (INC)/Respective State Nursing Councils.

9. Standard Norms Inc (Nurse – Patient Ratio) • General Wards • 1:3 (Hospital attached with school or college of nursing) • 1:5 (Hospital and attached with school or college of nursing) • ICU, ICCU and other specialty 1:1 for 24 hours. • Labour room 4 in each shift. • Operation Theater 3 for 24 hours/ table • Outpatient Department 1 in each clinic room of the OPD • Casualty and emergency 1:1 in each shift • Pediatric unit 1:2 beds

10. DUTIES AND RESPONSIBILITIES • Carry out the procedures of admission and discharge of the patient. • Makes beds of serious patients and helps or guide students or Group “D” employees to make beds, by supplying linen. • Maintains personal hygiene and comforts of the patient. • Attends to the nutritional needs of the patient and feeds the helpless patients. • Maintains clean and safe environment for the patient. • Implements and maintains ward policies and routines. • Coordinate patient care with other team members.

11. DUTIES AND RESPONSIBILITIES 8. Take round with the doctors when called to list new orders and see that they are carried out. 9. Performs various technical task related to nursing care. 10. Takes care of eyes, ears, back, bowel, bladder, perineum, and breast, etc, whenever needed. 11. Observers all patients conditions and take suitable actions accordingly and /or reports changes to ward incharge and /or doctor. 12.Give expert bedside nursing to all patients.

12. Ward/Unit Management • Helps the ward in charge to carry out her/his work or act as ward in charge during their absence. • Maintains general cleanliness of the ward. • Supervise the duties of Group “D” employees and guides them and reports accordingly. • Writes the diet register and supervises the distribution of diet and report if any, necessary. • Maintains scheduled drug registers.

13. Ward/Unit Management 6. Supervises nursing care and other tasks carried out by the students. 7. Maintains duly 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.

14. Operation Theater Management • Maintains aseptic environment of the operation theater. • Autoclaving of articles, instruments, gloves, linen etc. required for various types of surgery. • Receives patients from the ward and make ready for the surgery. • Prepares anesthetic trolley and trolley for surgery, according to type and procedures. • Assist the surgeon and anesthetist in every step, skillfully while performing various types of surgery. 6. Maintains safety of the oxygen cylinder, nitrogen cylinder, anesthetic drugs and autoclave, etc in the operation theater.

15. Management of Labour Room • Preparation of expectant mother for aseptic safe delivery. • Conducts normal deliveries and reports. • Attend and assists the doctors in all obstetrical emergencies. • Attend and assists in difficult and abnormal deliveries. • Takes care of the newborn and premature babies. • Maintains records and reports pertaining to labour room. • Indent and procure necessary drugs, supplies linen, etc. to labour room.

16. PSYCHIATRIC UNIT • Assists the doctors in admission and discharge of patients. • Prepares patient for ECT and other procedures, and therapies. • Assists in management of aggressive, suicidal as grief as other symptoms of the patient. • Maintains records and reports of the units.

17. Educational Function • Helps in orientation of new staff and students. • Carries out health teaching for individual or group of patients. • Extends cooperation and participates in clinical teaching. • Provides for and demonstrates methods and procedure whenever needed. • Participates in in-service education programs. • Plans and implements formal and informal health education program and teaching program. • Assists and extends cooperation in medical and nursing research program.

18. Senior Staff NurseTitle: Senior Staff Nurse Educational Qualifications • General: As prescribed for staff nurse. • Professional : As prescribed for staff nurse • Registration: Registered with Karnataka Nursing Council/ Indian Nursing Council. • Experience: Should have experience as staff nurse of not less than 5 years.

19. Direct Patient Care • Ensure proper admission, discharge of patients. • Plans nursing care and make patients assignments as per their nursing needs. • Assists in the direct care/ provides direct care to patients as when required. • Ensures safety, comfort and good personal hygiene of her/his patient. • Assists in planning and administration of the therapeutic diet to his/her/patient. • Ensures the helpless patients are regularly fed as per direction.

20. Direct Patient Care Cont…….. • Takes nursing rounds with staffs and students. • Makes rounds with doctors, assisting them in diagnosing and treatment of patients. • Implements doctors instructions concerning patient treatment. • Assists patient and his/her relatives to adjust in the hospital and its routine. • Coordinates patient care with other departments.

21. Supervision and Administration • Ensures safe and clean environment for the ward/Unit/Special department. • Makes duty and work assignment. • Identifying and procurement of ward supplies and equipments and keep records. • Makes list of articles and submits it to all the concerned. • Assists in making ward requirement.

22. Supervision and Administration • 8. Maintains good public relations in her/his ward/unit. • 9. Ensures that ward statistics are regularly submitted. • 10. Maintains discipline among the personnel working in the particular ward/unit, e.g. staff nurses, students and domestic staffs. • 11. Deals appropriately with any adverse situation that occurs in the ward/unit and report to the concerned authorities. • 12. Reports about any medico legal cases in the ward/unit. • 13. Writers and submit confidential reports of the staff . • 14. Ensures that students get desired learning experience in the ward/ unit.

23. Educational Function • Organizes orientation programs for new staff. • Organizes formal and informal ward teaching, conducts beside clinics and demonstration, etc. • Conducts ward conferences/meetings. • Gives incidental teaching to patient, relatives, staff nurses, students and the domestic staff. • Guides in formulation of nursing care studies, and nursing care plans etc. • Evaluates the students performances and submit reports to the school authorities. • Helps in medical and nursing research.

24. B. Nursing Superintendent Grade II • Professional education:- • As prescribed for staff nurse. • General education:- • As prescribed for staff nurse. Educational Qualifications • Registration: - As prescribed for staff nurse, registered with Karnataka Nursing Council/INC ISNC (State Nursing Council) • Experience:- Should have experience as senior staff nurse.

25. Patient Care and Ward/Unit Management • Organizes and plans nursing care activities of the department of floor according to the hospital polices and service needs. • Plans staffing pattern and the other necessary requirements of her/his department. • Complies and submits nursing statistics to the concerned authorities. • Conducts and attends to the departmental and interdepartmental meetings/conferences time to time. • Make regular rounds of her/his department. • Ensures to the safety and general dealings of the department. • Receives report from the night supervisor of her/his departments.

26. Patient Care and Ward/Unit Management • Makes rotation plan for the nursing staff and domestic staff. • Plans ward management with the each ward/unit. • Helps ward/unit supervisors to procure their ward/unit. • Supervise the proper use and care of the equipment and supplies in the department. • Acts as the public relation officer of the units and deals with the problems faced by the supervisor. • Keeps the Nursing Superintendent Grade I and office informed of the needs of the nursing wards under her/his charge and of any special problems. • Officiates in the absence of nursing superintendent Grade I.

27. Educational Function • Arranges classes and clinical teaching of nursing students in the departments, related to the specially experience. • Implements the ward teaching program and clinical experience of the students with the help of doctors and nurses. • Does counseling and guidance of staff and students. • Arranges and conducts staff development programs of her/his department. • Assists in planning for and participation in the training of auxiliary personnel.

28. C. Nursing Superintendent Grade I Educational Qualifications General: As prescribed for staff nurse. b. Professional: As prescribed for staff nurse d. Experience: Should have experience as nursing superintendent Grade II. c. Registration: As prescribed for staff nurse.

29. Nursing Services • Participates in the formulation of the philosophy of the hospital in general and those specific to the nursing service. • Determines goals, aims, objectives and policies of the nursing services. • Implements hospital policies and rules through various nursing units. • Decides and recommends personnel and materials requirement for running various nursing services departments of the hospital. • Interviews and recruits nursing staff. • Ensures the safe and efficient care rendered in the various nursing departments of the hospital. • Makes regular visits in hospitals and wards. • Checks if standard of care is maintained and patients are nursed in a clean, orderly and safe environment.

30. Nursing Services Cont………… • Takes hospital rounds with Medical Superintendent. • Selects and secures proper equipment needed for the hospital of nursing home. • Looks after the welfare of the patients, their relatives and the nursing staff. • Prepares budgets for the nursing services department. • Prepares duty roster, plans staff leave and disburses salary. • Gives counseling and guidance to the subordinate staff. • Maintains discipline among nurses and other auxiliary staff.

31. Nursing Services Cont………… • Enforces implementation of the hospital rules, regulations and policies. • Participates in hospital and interhospital meetings/ conferences. • Investigates complaints and takes necessary steps. • Evaluates confidential staff reports and recommends for promotion of higher studies. • Plans staff development program and arranges for inservice education and orientation programs, etc. • Inspects hospital kitchen and dietary services of the hospital. • Initiates and participates in nursing research. • Supervision, guidance and control of group “D” employees of the hospital.

32. General and Office Duties • Maintains necessary records concerning the nursing staff, students, confidential reports and health records, etc. • Submits annual reports of the nursing service departments of Medical Superintendent, India Nursing Council and Nurses Registration Council. • Participates in professional and community activities. • Maintains, cordial relations with public and voluntary.

33. D. Nursing Tutor and Clinical Instructors Educational Qualifications and Experience General:- As prescribed for staff nurse. Professional :- B.Sc. Nursing (Postgraduate) or M.Sc. Nursing or equivalent examination. Experience: - Should have experience as staff nurse not less than 5 years. Registration:- Registered with Karnataka State Nursing Council.

34. Academic Function • Responsible for planning and implementation of teaching program. • Teaching subjects in the curriculum. • Overall supervision of clinical teaching program of subjects in hospital/community health setting. • Maintains class room equipments, supplies and teaching aids. • Conduct tests for (theory and practical and evaluation of students assignments and performance of other teachers. • Helping the students with extracurricular activities. • Preparing teaching materials and implementing it under the guidance of other teachers.

35. Administration and Evaluation • Assisting in the administration of the school of nursing. • Supervision of student health, welfare and security. • Assisting the selections of students and administration. • 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 school supplies and equipment. • Assisting in the library work. • Assisting in maintaining school records. • Planning and implementation and evaluation of specification courses.

36. E. Principal, School of Nursing and Principal, College of Nursing Educational qualifications and Experience • General: As prescribed for staff Nurse. • Professional: Master degree in Nursing recognized by Indian Nursing Council. 0r • BSc Nursing (Post –Certificate) • Registration: Registered with Karnataka State Nursing Council. • Experience: Should have teaching experience in school of nursing not less than 5 years.

37. Administrative Duties and Responsibilities • Advertizing and calling for candidates for nursing program. • Scrutining applications, preparing merit list and calling them for interview. • Conducting interview through the set up committee and selecting candidates and informing them. • Planning for orientation program for new students and staff. • Distributing to each tutor and departments along with teaching materials connected with that e.g. nursing arts, anatomy, psychology, etc. • Carrying out correspondence with other departments, agencies, or individuals in connection with the program. • Maintaining students records, admission, register, results, registers master roll call for staff, teachers and student, etc.

38. Administrative Duties and Responsibilities Cont… 9. Seeing to the supply of audio-visual aids, teaching materials as requested by the concerned department incharge. 10. Placing indents with the government for stationary, uniform for certain category of Class – IV servants. 11. Purchasing lines, furnitures, equipments, books and journals as per requirement of the office hostel and nursing department. 12. Authorizing repairs of vechicles and purchase of oil, petrol and minor parts for replacement. 13. Sending proposals yearly for new items stall, costly equipments etc. 14. Countersigning cash book after periodical verification of cash. 15. Seeing that monthly pay bills are sent in time, so also TA bills or any other type of bills.

39. Administrative Duties and Responsibilities Cont… 16. Assisting the auditors to do their jobs well. 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. Holdings 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 institution.

40. Educational • Working out the syllabus and the curriculum keeping within the framework lay down by the Indian Nursing Council. • Arranging for the theory and practical work for each group, with the help of tutor/clinical instructors so as to meet the laid down objectives. • Contacting agencies, institutions, for arranging field visits, clinical experience etc, students get the best possible experience in that area. • Initiating changes in curriculum keeping within the guidelines of the syllabus. • Cooperating with the State Council/Board to conduct examinations by providing all facilities.

41. Educational Cont…….. 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. Maintaining records of examination results. 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.

42. Principal, College of Nursing Educational Qualification and Experience • General: As prescribed for staff Nurse. • Professional M.Sc. Nursing or equivalent degree Or • PhD in nursing or other equivalent doctoral degree through convocation. • Registration: Registered with Karnataka State Nursing Council/INC. • Experience: Teaching experience in college not less than 5 years.

43. Duties and Responsibilities of Nursing Administration Organizing PRINCIPAL( COLLEGE OF NURSING) Directing Coordinating Controlling Guiding Instruction (Teaching)

44. Administration • Planning • Develops philosophy and objectives for educational program. • Identifies the present needs related to educational program. • Investigates, evaluates and secures resources. • Formulates the plan of action. • Selects and organizes learning experience.

45. Organizing • Determines the number of position and scope and responsibility of each faculty and staff. • Analyses the job to be done in terms of needs of education program. • Prepares the job description, indicate line of authority, responsibility in the relationship and channels of communication by means of organizational chart and other methods. • Considers preparation, ability and interest personally in equating responsibility. • Delegates authority with responsibility. • Maintains a plan of work load among staff members. • Provides an organizational framework for effective staff functioning such as meeting of the staff, etc.

46. Directing • Recommends appointment and promotion based on qualification and experience of the Individual staff, scope of job and total staff composition. • Subscribes and encourages developmental aspects with reference to welfare of staff and students. • Directs activities of staff working under. • Provides adequate orientation of staff members. • Guides and encourages staff members in their job activities. • Consistently makes administrative decision based on established policies. • Facilitates participation in community, professional and institutional activities by providing time, opportunity for support for such participation.

47. Directing Cont………. • Creates involvement in designing educationally sound program. • Maintenance of attitude rightly acceptable to staff and learners. • Provides for utilization in the development of total program and encourages their contribution. • Provides freedom for staff to develop active training course within the framework for curriculum. • Promotes staff participation in research. • Procures and maintains physical facilities which are of a standard.

48. Coordinating • Coordinates activities relating to the programs such as regular meetings, time schedule, maintaining effective communication, etc. • Initiates ways of cooperation. • Interpretes nursing education to other related disciplines and to the public.

49. Controlling • Provides for continuous follow up and revision of education program. • Maintains recognition of the educational program by accrediting bodies. University, etc, KNC, INC, etc. • Maintains a comprehensive system of records. • Prepares periodic report which revives the progress and problems of the entire program and presents plans for its continuous development. • Prepares, secures approval and administrates the budget.

50. Instruction (Teaching) • Plans for participating in educational programs for further development. • Recognizes the needs for continuing education for self and staff provides stimulation of opportunities for such development. • Participate as a teacher in the educational program.