DUTIES AND RESPONSIBILITIES OF VARIOUS CATEGORY OF NURSING PERSONNEL INTRODUCTION

There is a need for job descriptions, because it is learnt through some studies that the most workers function in a mechanical fashion and are not conscious of the role assignment to them. It has been commented that lack of knowledge of ones job and functions and that of other team members is one of the reasons for many problems in the functioning of the health team (Delta 1978). According to one study; the medical officers interviewed and observed were not clear about their own duties and responsibilities (Ramchandran 1980). It is fact that many persons who are expected to perform certain role according to their job show some deficiencies in it. Thus it is imperative that the role of each category of health manpower should be clarified through providing written job description, training and through participative approach.

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. 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.

VARIOUS CATEGORY OF NURSING PERSONNEL

A. Staff Nurse 1. Staff Nurse 2. Senior Staff Nurse B. Nursing Superintendent Grade II 1. Nursing Superintendent Grade II

C. Nursing Superintendent Grade I 1. Nursing Superintendent Grade I D. Nursing Tutor and Clinical Instructors 1. Nursing Tutor in School of Nursing 2. Clinical Instructor in College of Nursing E. Principal, School of Nursing/College of Nursing 1. Principal, School of General Nursing/Midwifery or Psychiatry 2. Principal, College of Nursing F. Lecturer, College of Nursing 1. Lecturer, College of Nursing G. Professor, College of Nursing 1. Professor, College of Nursing 2. Assistant Professor, College of Nursing H. Joint Director of Nursing/Deputy Director of Nursing/Assisant Director of Nursing 1. Joint Director of Nursing/Deputy Director of Nursing/Assisant Director of Nursing I. Public Health Nurse-District Family Welfare Bureau.

A. Staff Nurse
1. Staff Nurse , Title: Staff Nurse Educational Qualifications a. 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. Standard Norms and Inc (Nurse Patient Ratio) a. General Wards 1:3 (Hospital attached with school or college of nursing) 1:5 (Hospital and attached with school or college of nursing) b. ICU, ICCU and other specialty 1:1 for 24 hours.

c. Labour room 4 in each shift. d. Operation Theater 3 for 24 hours/ table e. Outpatient Department 1 in each clinic room of the OPD f. Casualty and emergency 1:1 in each shift g. Pediatric unit 1:2 beds h. And 30% 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 charge nurse/ Nursing Superintendent Grade II.

Duties and Responsibilities

Direct Patient Care a. Carry out the procedures of admission and discharge of the patient. b. Makes beds of serious patients and helps or guide students or Group D employees to make beds, by supplying linen. c. Maintains personal hygiene and comforts of the patient. d. Attends to the nutritional needs of the patient and feeds the helpless patients. e. Maintains clean and safe environment for the patient. f. Implements and maintains ward policies and routines. g. Coordinate patient care with other team members. h. Take round with the doctors when called to list new orders and see that they are carried out. i. Performs various technical task 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.urine analysis hemoglobin percent, etc. d. Collecting and sending of specimens for labarotory diagnostic procedures. e. Recording of vital signs, ie.temperature, pulse, respiration and blood pressure. f. Performing gastric lavage, giving enema, etc.

g. Prepares patient for operation and see that he or she is send 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. Observers all patients conditions and take suitable actions accordingly and /or reports changes to ward incharge and /or doctor. j. Give expert bedside nursing to all patients. k. Attends last officers in case of a patient dying during shifts and arrange to preserve dead body in mortuary, or hand over the body with respect to concern family members/relatives/authorities. Ward/Unit Management a. Helps the ward in charge to carry out her/his work or act as ward in charge during their absence. b. Maintains general cleanliness of the ward and the sanitary annexure. c. Supervise the duties of Group D employees and guides them and reports accordingly. d. Writes the diet register and supervises the distribution of diet and report if any, necessary. e. Maintains scheduled poisonous drug registers. f. Supervises nursing care and other tasks carried out by the students. g. Maintains duly room trays, sterilizes instruments and see that procedural trays are in readiness. h. Take over from duty nurse of the previous, new and serious patients, intruments, supplies, drugs etc and handover the same accordingly. i. Maintains all the records pertaining to ward/unit. Maintains case papers, investigation reports, etc. Maintains vital signs charts, intake output charts and other special charts, if necessary. Takes special care of medicolegal case papers and records. Writes day and night orders and maintains ward statistics. Operation Theater Management a. Maintains aseptic environment of the operation theater. b. Autoclaving of articles, instruments, gloves, linen etc. required for various types of surgery. c. Receives patients from the ward intact for surgery.

d. Prepares anesthetic trolley and trolley for surgery, according to type and procedures. e. Assist the surgeon and anesthetist in every step, skillfully while performing various types of surgery. f. Indenting and procuring surgical instruments, drugs, gloves, sufuring materials and O 2, N2, CO2 etc. required for operation theater. g. Maintains safety of the Boyles apparatus, oxygen cylinder, nitrogen cylinder, anesthetic drugs and autoclave, etc in the operation theater. Management of Labour Room a. Preparation of expectant mother for aseptic safe delivery. b. Conducts normal deliveries and reports. c. Attend and assists the doctors in all obstetrical emergencies. d. Attend and assists in difficult and abnormal deliveries. e. Takes care of the newborn and premature babies. f. Maintains records and reports pertaining to labour room. g. Indent and procure necessary drugs, supplies linen, etc. to labour room. Management of Postoperative/ICU/Burns Units a. Indent and procurement of all the necessary equipments, drugs, oxygen cylinder, which are required for the units. b. Operates ECG, EEG, cardiac resuscitation, etc or other sophisticated high technical machines whenever needed or assist the doctors in operating such machines.

Psychiatric Unit
a. Assists the doctors in admission and discharge of patients. b. Prepares patient for ECT and other procedures, and therapies. c. Assists in management of aggressive, suicidal as grief as other symptoms of the patient. d. Maintains records and reports of the units.

Educational Function
a. Helps in orientation of new staff and students. b. Teachers and guides the domestic staff (Group D) for handling bedpans, urinals, etc. c. Carries out health teaching for individual or group of patients. d. Extends cooperation and participates in clinical teaching. e. Provides for and demonstrates methods and procedure whenever needed. f. Participates in in-service education programs.

g. Plans and implements formal and informal health education program and teaching program. h. Assists and extends cooperation in medical and nursing research program.

2. Senior Staff Nurse, Title: Senior Staff Nurse

Educational Qualifications a. General: As prescribed for staff nurse. b. Professional : As prescribed for staff nurse c. Registration: Registered with Karnataka Nursing Council/ Indian Nursing Council. d. 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 the staff nurse (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 Grade II for her/his ward/unit management. She or he takes full charge of the ward and assigns work for various categories of nursing and non nursing personnel working with her/ him. She or he is responsible for safety and comforts of the patients in her/his ward.

Direct Patient Care

a. Ensure proper admission, discharge of patients. b. Plans nursing care and make patients assignments as per their nursing needs. c. Assists in the direct care/ provides direct care to patients as and when required. d. She/he sees that total health needs of his/her patients as met. e. Ensures safety, comfort and good personal hygiene of her/his patient. f. Assists in planning and administration of the therapeutic diet to his/her/patient. g. Ensures the helpless patients are regularly fed as per direction. h. Ensures that proper observation records of the patients are made and necessary information imparted to the concerned authorities. i. Takes nursing rounds with staffs and students. j. Makes rounds with doctors, assisting them in diagnosing and treatment of patients. k. Implements doctors instructions concerning patient treatment. l. Assists patient and his/her relatives to adjust in the hospital and its routine.

m. Coordinates patient care with other departments.

Supervision and Administration

Ensures sale and clean environment for the ward/Unit/Special department. Makes duty and works assignment. Identifying and procurement of ward supplies and equipments and keep records. Does regular inventory checking of his/her ward/unit. Makes list for condemnation of articles and submits it to all the concerned. Assists in making ward requirement. Establishes and reinforces standards prescribed in the procedures and manuals of hospital and policies that are in force. Acts as liaison officer between ward staff and hospital administration. Maintains good public relations in her/his ward/unit. Ensures that ward statistics are regularly submitted. Maintains discipline among the personnel working in the particular ward/unit, e.g. staff nurses, students and domestic staffs. Deals appropriately with any adverse situation that occurs in the ward/unit and report to the concerned authorities. Reports about any medico legal cases in the ward/unit. Writers and submit confidential reports of the staff (it is not in force but should be). Ensures that students get desired learning experience in the ward/ unit.

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. Encourages staff development program in her/ his ward/unit.

B. Nursing Superintendent Grade II, Nursing Superintendent Grade II

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

Standard Norms
Since it is the second level nursing supervisory role, it needs at least the nursing superintendent Grade 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 in patient wards, out patient department clinics, operation theaters, obstetric units, central supply department, etc she/he is responsible to the nursing superintendent Grade I.

Patient Care and Ward/Unit Management

a. Organizes and plans nursing care activities of the department of floor according to the hospital polices and service needs. b. Plans staffing pattern and the other necessary requirements of her/his department. c. Complies and submits nursing statistics to the concerned authorities. d. Conducts and attends to the departmental and interdepartmental meetings/conferences time to time. e. Make regular rounds of her/his department. f. Ensures to the safety and general dealings of the department. g. Looks into general comforts of the patient and his/her relatives. h. Receives report from the night supervisor of her/his departments. i. Evaluates nature and quantum of care required in each unit/ward. j. Makes rotation plan for the nursing staff and domestic staff under her/his jurisdiction.

k. Plans ward management with the each ward/unit. l. Reindorces the principles of good ward management in ward. m. Helps ward/unit supervisiors to procure their ward/unit. n. Supervise the proper use and care of the equipment and supplies in the department. o. Acts as the public relation officer of the units and deals with the problems faced by the supervisor if any, specially with group D employees patients attenders. p. Keeps the Nursing Superintendent Grade I and office informed of the needs of the nursing wards under her/his charge and of any special problem/problems. q. Officiates in the absence of nursing superintendent Grade I.

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

General
a. Escorts nursing superintend Grade I, Medical Superintendent and special visitors for hospital rounds. b. Arranges and participates in professional and social function of staff and students. c. Acts as a liaison officer between the nursing department and higher hospital authorities. d. Carries out any other duties delegated by the Nursing Superintendent Grade I.

C. Nursing Superintendent Grade I, Title: Nursing Superintendent Grade I

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

Standard Norms

There should be one nursing superintendent Grade I for 200 bedded hospital, one nursing superintendent Grade I for 2 t0 4 nursing superintendent Grade II.

Job 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 materials requirement for running various nursing services departments of the hospital. 5. Interviews and recruits nursing staff. 6. Assists in students 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 of 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 the members of the condemnation board for linen and other hospital or nursing home equipments. 15. Prepares duly 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, regulations and policies. 19. Participates in hospital and interhospital meetings/ conferences.

20. Investigates complaints and takes necessary steps. 21. Evaluates confidential staff reports and recommends for promotion of higher studies. 22. Plans staff development program and arranges for inservice education and orientation programs, etc. 23. Inspects hospital kitchen and dietary services of the hospital. 24. Arranges students clinical experience and councils examinations. 25. Initates and participates in nursing research. 26. Supervision, guidance and control of group D employees of the hospital.

General and Office Duties

Attends to general correspondence. 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.

D. Nursing Tutor and Clinical Instructors, Title: Nursing Tutor in School of Nursing
Clinical Instructor in College of Nursing

Educational Qualifications and Experience

General: As prescribed for staff nurse. Professional : B.Sc. Nursing (Postgraduate) or M.Sc. Nursing or equivalent examination. Registration: Registered with Karnataka State Nursing Council. Experience: Should have experience as staff nurse not less than 5 years.

Standard Norms
According to 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 program and assists in administration of school of nursing.

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.

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 procurement of school supplies and equipment. Assisting in 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 departments in the interest of education.

E. Principal, School of Nursing and Principal, College of Nursing

1. Title: Principal, School of General Nursing/ Midwifery or Psychiatry

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.

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 the principal 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 Responsibilities Administrative

1. Advertizing and calling for candidates for nursing program.Scrutining applications, preparing merit list and calling them for interview. 2. Scrutining applications, preparing merit list and calling them for interview. 3. Conducting interview through the set up committee and selecting candidates and informing them. 4. Planning for orientation program 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, psychology, etc. 6. Carrying out correspondence with other departments, agencies, or individuals in connection with the program. 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 incharge of the department and the warden in case of the hostel. 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. Authorising 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.

16. Assisting the auditors to do their jobs well, and replying to and 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. 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.

Educational
1. 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: 2. Working out the syllabus and the curriculum keeping within the framework lay down by the Indian Nursing Council. 3. 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. 4. Contacting agencies, institutions, for arranging field visits, clinical experience etc, students get the best possible experience in that area. 5. Initiating changes in curriculum keeping within the guidelines of the syllabus. 6. Cooperating with the State Council/Board to conduct examinations by providing all facilities. 7. Guiding students in filling examination forms, registration fees, and seeing that they are submitted to the council in time. 8. Taking classes in her/his subjects. 9. Preparing and displaying weekly/monthly class, schedule clinical experience of relation plan etc, in consultation with tutors. 10. Maintaining records of examination results. 11. Communicating to the council any relevant information regarding students. 12. 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. 13. Encourage and supporting co curricular activities. 14. Issuing transcripts to students.

Miscellaneous
Besides her/his responsibilities in the administrative and teaching areas certain functions not reached to these two areas are also carried out. Encouraging faculty members to take up further studies, attend seminars workshops and a participate in professional activities. Participating in activities of the professional Organization. Encouraging students to actively participate in SNA activities and to join TNA I and GNAK on graduation. Arranging graduation and candle lighting ceremonies with help from tutors. Meetings visitors and discussing issues, pertaining to the school program. Meetings parents or guardians of the students as and when necessary. Preparing for the cooperation 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 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 should be made responsible for charts, models wet specimen, skeleton, etc.

2. Principal, College of Nursing, Title: Principal, College of Nursing

Educational Qualification and Experience General: As prescribed for staff Nurse. Professional M.Sc, Nursing or equivalent degree Or Ph.D, 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.

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 the 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

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.

Organising
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 commensurate 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.

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. 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.

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.

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.

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.

Guiding
Provides for systematic guidance program for staff members and students.

Encourages studies, research and writing for publication. Provides and maintains a program for recruitment, selection and promotion of students.

F. Lecturer, College of Nursing, Title: Lecturer, College of Nursing

Educational Qualifications and experience General: As prescribed for staff nurse. Professional: M.Sc, nursing/MN or equivalent degree recognized by the Indian Nursing Council. Registration: Registered with Karnataka State Nursing Council or State Nursing Council. Experience: Should have experience as staff nurse not less than 5 years in government hospitals.

Standard norms
As per Indian Nursing Council

Job Summary
He/She works under the direction of the department head and assists him in administration, instruction and guidance activities.

Instruction
Identifies the needs of the learners in terms of the program by utilizing the records of previous experience, personal interviews, tests and observation. Assists the learners in identifying their needs. Participates in formulation and implementation of the philosophies and objectives of the post. Selects and organizes learning experiences which are in accordance with these objectives. Participates in evaluation of the curriculum. Plans with the educational unit with nursing service and allied groups. Ascertains, selects and organizes facilities equipment and materials necessary for learning. Assists the learners in using problem solving process. Measures and describes quality of performance objectively. Maintains and uses adequate and accurate records.

Prepares clear and concise reports. Share information about learners needs and achievements with others concerned. Measures effectiveness of instruction by use of appropriate devices. Increases knowledge and skill in own curriculum area. Devices leaching methods appropriate to objectives and content.

Guidance and Counselling

1. Gives guidance with own field of competence. 2. Helps the learner to grow in self understanding.

Research
Assist in initiating and participating in studies for the improvement of educational program. Identifies the problems in which research is indicated or potentially desirable. Make data available concerning learners and concerning methods of teaching and evaluation. Continues to develop competence in problem solving process. Cooperate in and/ or initiates group activity in development and evaluation of studies. Utilizes the findings of research.

G. Professor, College of Nursing and Assistant Professor College of Nursing 1. Title: Professor, College of Nursing Educational Qualifications and Experience
General: As prescribed for Staff Nurse. Professional: M.Sc, Nursing/MN or equivalent degree in nursing recognized by INC. Or PhD in nursing with any speciality or other equivalent doctoral degree in nursing through convocation. Registration: Registered with Karnataka State Nursing Council/INC. 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
Participating in determination of educational purposes and policies. Contributes to the development and implementation of the philosophy and purposes of the educational program. Utilizes opportunities through group action to initiate improvement of the educational program. Interprets educational philosophy and policy to others. Directs the activities of staff working in the department.

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

Helping the Learners to Acquire Desirable Attitudes, Knowledge and Skill

Seeks to create a climate conducive to learning. Assists learners in using problem solving techniques. Uses varied and appropriate teaching methods effectively. Uses incidental and planned opportunities for teaching.

Encourages learners to assume increasing responsibility for own development.

Evaluating Learners Progress

Recognizes individual differences in apprasing the learners progress. Uses appropriate devices for evaluation. Measures and describes quality of performance objectively. Helps learners for self evaluation. Participates in staff evaluation of learners progress.

Recording and Reporting

Maintains and uses adequate and accurate records. Prepares and channels clear and concise reports. Shares information about learners needs and achievements with other concerned with instruction and guidance. Participates in the formulation and maintenance of comprehensive record system.

Investigative Way to improving Teaching

Measures effectiveness of instruction by use of the Increases knowledge and skill in own curriculum area. Analyzes and evaluates resources material. Devices teaching methods appropriate to objectives and content.

Guidance
Cooperating in guidance program. Shares in planning, developing and using guidance programme. Gives guidance within own field of competence. Helps the learner with special problems to seek and use additional helps as indicated.

Counselling
Helps the learner to grow in self understanding. Promotes continuous growth and development towards maturity. Continues to develop competence in problem solving process. Cooperates in and/or initiates group activities in development and evaluation of studies. Utilizes findings of research.

Makes data available concerning learners and concerning methods of teaching and evaluation.

2. Assistant Professor, College of Nursing, Title: Assistant Professor, College of Nursing Educational Qualification and Experience
General: As prescribed for staff nurse Professional: M.Sc, Nursing/MN or equivalent degree in Nursing recognized by INC. Or Ph.D in Nursing with any speciality or other equivalent doctoral degree in nursing through convocation. Registration: Registered with Karnataka State Nursing council/INC/State Nursing Council. 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 counseling 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 program. Utilizes opportunities through group action to initiate improvement of the total educational program. Interprets educational philosophy and policy to others. Directs the activities of staff working in the department.

Instruction
Identifying the needs of learners.

Identifies the needs of the learners in terms of the objectives of the program by utilizing records of previous experience, personal records of previous experience, personal interviews, tests and observations. Assists learners in identifying their needs. Develops plan for learning experience. Participates in the formulation and implementation of the philosophy and objectives of the program. Selects and organizes learning experience which are in accordance with their objectives. Participates in the continue development and evaluation of the curriculum. Plans within the educational, with the nursing services and allied groups. Ascertains, selects and organizes facilities, equipment and materials necessary for learning.

Helping the Learners to Acquire Desirable Attitudes, Knowledge and skill.

Seeks to create a climate conductive to learning. Assists learners using problem solving techniques. Uses varied and appropriate teaching methods effectively. Uses incidental and planned opportunities for teaching. Encourages learners to assume increasing responsibility for own development.

Evaluative Learning Progress

Recognize individual differences in appraising the learners progress. Uses appropriate devices for evaluation. Measures and describes quality of performance objectively. Helps learners for self evaluation. Participates in staff evaluation of learners progress.

Recording and Reporting

Achievement with others concerned with co Maintains and uses adequate and accurate records. Prepares and channels clear and concise reports.

Shares informations about learners needs and achievement with others concerned with instruction and guidance. Participates in the formulation and maintenance of comprehensive record system.

Investigating Ways Improving Teaching

Measures effectiveness of instruction by use of appropriate devices. Increases knowledge and skill in own curriculum area. Analyzes and evaluates resource material. Devices teaching methods appropriate to objectives and content.

Guidance
Cooperating in guidance program. Shares in planning, developing and using guidance program. Gives guidance within own field of competence. Helps the learners with special problems to seek and use additional help as indicated.

Counselling
Helps the learner to grow in self understanding. 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
Initates and participates in studiesfor the improvement of educational programs. Identifies problems in which research is indicated or potentially desirable. Continues to develop competence in problem solving process. Cooperates in and/ or initiates group activity in development and evaluation of studies. Utilizes findings of research. Makes data available concerning learners and concerning methods of teaching and evaluation.

H. Joint Director of Nursing/Deputy Director of Nursing/Assisant Director of Nursing

Title: Joint Director of Nursing/Deputy Director of Nursing/Assisant Director of Nursing

Educational Qualifications and Experience

General: As prescribed for Staff Nurse. Professional: M.Sc, Nursing or equivalent Master Degree in Nursing recognized by any University. Registration: Registered with Karnataka State Nursing Council or respective State Nursing Councils. Experience: Should have about 10 years experience in nursing service: of which 5 years in administration and education.

Standard Norms
As per Indian Nursing Council or State Nursing Council.

Job Summary
Senior Assistant: Director of Nursing is at present rate, head of the nursing service under Directorate of Health and Family Welfare Services, directly responsible to both the Director of Health and Family Welfare Services and the Director of Medical Educational as well. He/She should responsible for all activities concern and improvements of the nursing services in the State of Karnataka.

Duties and Responsibilities

She/he is responsible mainly to see that the nursing services in the State run smoothly regarding: 1. Leave 2. Transfer of: Nursing Personnel Student nurses from one school to another in consultation with superintendent of nursing services of other section. Promotion 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. Proposal to government Inspections.

Representing nursing interest on health committees. Participating in health care planning. Deputation for B.Sc, Nursing M.Sc, Nursing in State or out of state and other training higher learning programs, two years or less to nursing personnel. Sanction of preaudit bills. Granting permission for workshop seminar and special leave. No objection certificate for passport. Administrative works pertaining to nursing personnel.

I. Public Health Nurse-District Family Welfare Bureau

Title: Public Health Nurse-District Family Welfare Bureau

Essential Qualification
B.Sc degree in nursing from any University or institute or certificate in Public Health Nursing from any recognized institution.

Professional Qualification
Experience of working with rural communities.

Pay Scales
The pay scale should be the same as prescribed by the State Government for similar categories of personnel under them.

Membership
The Public Health Nurse will be a member of the District Health Welfare Team in the District Health Organization and will enjoy the status equivalent to that of the District Mass Education and information Officer.

Job Description a. Working Relationship

The public health nurse will assist the District Medical Officer/District Family Welfare Officer in planning, implementing and evaluating Material and Child Health Program undertaken in the district. She will receive technical guidance from him and under the administrative control. She will work in collaboration with other functionaries in the District Family Welfare Bureau like the Mass media and the Extension Officer, Health Education Officer, Statistical Officer, etc.

b. Duties and Functions

To help in organization of maternal and child health program as a whole and in the implementation of the special plan scheme, centrally sponsored and otherwise in particular like the immunization program, training of traditional birth attendants (Dias) and their active involvement in MCH/FP work, prophylaxis against nutritional deficiency disease, etc. To promote health and nutrition education activities through the lady health visitors, Auxiliary Nurse Midwives by providing them with taking points are printed materials produced by various agencies. To ensure that the lady health visitors/ANMs/female multipurpose workers, etc integrated MCH, Family Planning and Health and Nutrition/Education in their day to day activities. To help in developing school health program in the district. To ensure regular supply of equipment, records, registers drugs, vaccines, and other sundries necessary for MCH work in the Primary Health Centers and sub centers by assisting storekeeper in procuring and distributing the supplies. To ensure the maintenance of prescribed records and submission of periodical progress of MCH/FP/Nutrition work activities. 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 on MCH/FP work done by the LHVs/ANMs, female, multipurpose workers, etc and put up to the District Medical Officer/District Family Welfare Officer the points requiring attention and further action. To give technical guidance, supervision and support to the ANM, female multipurpose workers, LHVs, Public Health Nurse working in MCH/FP program in the district and to review the annual confidential reports in respect of these functionaries. To investigate into complaints against female paramedical personnel in the district and submit reports/recommend to the District Medical Officer/District Family Welfare Officer. To provide for continuing education of the female MCH/FP functionaries in the district through short in-service training sources. To work together with the functionaries of other government departments like Social Welfare, Rural Development and Education engaged in programs for women and children. To cooperate MCH/FP activities undertaken through the voluntary organization in the districts and provide health inputs to the possible extent for mothers and children organized in Balwadis, Anganwadis, etc.

To tour for a minimum of 15 days in a month and visit Primary Health Centers,Subcenters, Village Dais, Balwadi, Mahila Mandais etc. According to an advance program duly approved by the District Medical Officer/District Family Welfare Officer.

CONCLUSION
Thus duties and responsibilities are imperative that the role of each category of health manpower should be clarified through providing written job description, training and through participative approach. There are different health personnel in clinical and educational area.

JOURNAL ABSTRACT Abstract

The roles and responsibilities of nurses and midwives in polio eradication and measles control activities: a survey in Sudan and Zambia

Background
Nurses and midwives are the key providers of nursing and midwifery services; in many countries, they form the major category of frontline workers who provide both preventive and curative services in the community. When the skills and experience of nursing and midwifery personnel are maximized, they can contribute significantly to positive health outcomes. The study was conducted a survey among nurses and midwives working at district level in Sudan and Zambia to determine their roles and functions in polio eradication and measles elimination programmes.

Methods
Nurses and midwives practicing in four selected districts in Sudan and in Zambia completed a self-administered questionnaire on their roles and responsibilities, their routine activities and their functions during supplementary immunization campaigns for polio and measles.

Results
Nurses and midwives were found to play significant roles in implementing immunization programme activities. The level of responsibilities of nurses and midwives in their routine work related more to existing opportunities than to their job descriptions. In Zambia, where nurses reported constraints in performing their tasks, the reasons cited were an increase in the burden of disease and the shortage of health personnel. Factors identified as key to improving work performance included written job descriptions, opportunities for staff and career development and opportunities to earn extra income through activities associated with their jobs.

Other non-monetary incentives mentioned included reliable transport, resources and logistics to support routine work in the district. However, in both countries, during supplementary immunization activities or mass campaigns for polio eradication and measles control, nurses and midwives took on more management responsibilities.

Conclusion
This study shows that nurses and midwives play an important role in implementing immunization activities at the district level and that their roles can be maximized by creating opportunities that lead to their having more responsibilities in their work and in particular, their involvement in early phases of planning of priority health activities. This should be accompanied by written job descriptions, tasks and clear lines of authority as well as good supportive supervision. The lessons from supplementary immunization activities, where the roles of nurses and midwives are maximized, can be easily adopted to benefit the rest of the health services provided at district level. Kemp J.The role and responsibilities of nurses and midwives in polio eradication and measles control activities: a survey in Sudan and Zambia . Journal of Advanced Nursing; 1984, 9 (2):217-223.

BIBLIOGRAPHY

BT Basavanthappa.Nursing Administration. 2nd edition. New Delhi: Jaypee Brothers Medical Publishers; 2009. BT Basavanthappa.Nursing Administration. 1st edition. New Delhi: Jaypee Brothers Medical Publishers; 2004. Dc Joshi, Mamta Joshi.Hospital Administration. 1st edition. New Delhi: Jaypee Brothers Medical Publishers; 2009.

JOURNAL
Kemp J.The role and responsibilities of nurses and midwives in polio eradication and measles control activities: a survey in Sudan and Zambia . Journal of Advanced Nursing; 1984, 9 (2):217-223.

INTERNET
http://www.faqs.org/abstracts/Human-resources-and-labor-