ENERAL ROLE OF REGISTERED NURSES IN HOSPITAL

3. ADMINISTRATOR Recruitment and retention of physicians Overseeing quality Improvement of

processes for efficient delivery of patient care Setting standards Creating financial and business
strategies Budgets

4. MANAGER Planning Gives directions Gives rewards fairly Nursing care of individuals, groups,
families and communities Supervising and evaluates other nurses performance.

5. COUNSELOR Help new employees Take new employees round the hospital Show them
different departments and explain their functioning Explains rules and regulations of hospital and of
cafeteria Issue lockers and uniforms Introduce them to the administrator and medical superintend

6. Helps in reviewing training needs Improving better communication between employees and
employers Helps in solving personal and official problems of employees External and internal
stress, lack of training, difficulties in job, emotional deprivation can be tackled under employee
counselling

7. Create a better harmonious hospital staff environment

8. Problems to be handled by the Counsellor 1. Emotional Problem 2. Behavioural Problem 3. Personal

Problem 4. Environmental Problem 5. Organizational Problem

9. Emotional Problem fear, anger, and jealousy, which are harmful to the well-being and
development of individual employee in hospital setting.

10. Personal Problems Housing, transportation, admission of children in schools etc.

11. Behavioural and Organisational problems Lack of group cohesiveness Role conflict feeling of
inequality, role ambiguity, role over load, lack of supervisory support,

12. constraints of rules and regulations, job mismatch, inadequacy of role authority, absenteeism, job
dissatisfaction, labour turnover and job stress

13. CHANGE AGENT Identifying the problem Assessing the client‘s motivations and capacities for
change Determining alternatives Assessing resources Determining appropriate helping roles
Establishing and maintaining a helping relationship Recognizing phases of the change process

14. RESEARCHER Participates in scientific investigation Helps develop knowledge about health and
promotion of health over the full life span Care of person with health problems and disabilities

15. CASE MANAGER Coordinates the activities of other members of health care team (Nutritionists
and physical therapist)

16. COLLABORATOR The nurse initiates nursing actions within the health team

17. HEALTH EDUCATORS Educating individuals and communities about behaviors that can prevent
diseases, injuries, and other health problems Organize an event, such as a lecture, class,
demonstration or health screening Plan programs that are consistent with the goals and objectives
of their employers

18. ADVICER Act as advisor in Tech-Serve project on matters relating to hospital management
improvement in provincial hospitals, based on previous experience. Contribute to the development
of provincial hospital planning and facilitating the implementation of Standard Based Management in
the Provincial Hospitals.

19. Technical assistance to EPHS workshops conducted at the provincial and central level as well as
participate in visits to provincial hospitals for purposes of training Travel regularly to the provincial
hospitals for the purpose of supporting, training, and monitoring the activities of the hospital
leadership.

20. Act as a resource to provide models of best practice for hospital management through research,
training, document translation, and any other means as needed. Participate in and sometimes
leading quality assurance and performance improvement activities as required by the hospitals.

21. Collect statistical data as needed for the purposes of monitoring hospital performance and
providing comparative information on hospital performance

22. ADVOCATOR Clarifying treatment and medical options. Gathering information. Asking
specific questions. Note taking to make sure all the appropriate information received from
caregivers is captured and retained.

23. IMPLEMENTER Implement all of the hospital policies should implement patient care according
to the planning.

24. EVALUATOR Evaluate staff performance and give feedback about their work Helps the staff to
improve their knowledge and practice.

CoordinatorCoordinator Coordinates and plans care Piece together fragmented care Prepares pt.
for discharge Liaison in health care team

Duties and Responsibilities of an RN

Here is the list of the duties and responsibilities of a registered nurse.

 Observing and recording patients’ behaviour.

 Coordinating with physicians and other healthcare professionals for creating and
evaluating customized care plans.

 In order to provide emotional and psychological support to the patients and their
families, RNs create harmonious environment.

 Diagnosing the disease by analyzing patient’s symptoms and taking required

actions for his/her recovery.

 Maintaining reports of patients’ medical histories, and monitoring changes in

their condition.

 Carrying out the requisite treatments and medications.

 Directing and supervising LPNs and CNAs.

 Checking the stock on a regular basis for maintaining the inventory level, and
placing orders if required.

 Changing patient’s medication as indicated by their conditions and responses.

 Adhering with the protocols, norms, rules and regulations in order to maintain
complete medical records.

 Maintaining hygienic and safe working environment in compliance with the

healthcare procedures.
  Conducting research for improving the nursing practices and healthcare
outcomes.

 Providing instant care during medical emergencies, like car accidents, burns,
heart attacks and strokes.

 Discussing treatment with pharmacists and physicians in the critical cases.

 Providing necessary guidance on health maintenance and disease prevention.

 Keeping an eye on each and every aspect of patient care that includes physical
activity plus proper diet.

. It is the responsibility assumed by the nurse beyond traditional functioning of the nurse and it is the scope of
nursing outside the hospital.” 3
. 4. 1.School Health Nurse 2.Occupational Health Nurse 3.Private Duty Nurse 4.Home Care Nurse 5.Hospice
Nurse 6.Rehabilitation Nurse 4
. 5. 7. Nurse Epidemiologist 8. Military Nurse 9. Aerospace Nurse 10. Tele Nurse 11. Disaster Nursing 12.
Forensic Nurse 5
. 6. 6
. 7. Functions in School Setup. Helps in promoting educational success by promoting health Intervene
actual and potential health problems Provide case management services Actively collaborate with others
to build student and family capacity for adaptation ,Self-management , self-advocacy and learning.
Implementation of school health services. Collaborates with primary care physicians, specialists and local
public health agencies 7
. 8. Observes and assess the workers health with respect to job. Have knowledge about workplace
hazards. Have knowledge about toxicology epidemiology 8
. 9. 9
. 10. Such care is provided individually and in one to one ratio. Mostly in hospital and nursing homes.
Present mainly before intensive care units were formed. Also non medical care can be provided by the
nurse. But cannot provide skilled nursing care 10
. 11. 11
. 12. ALSO REFERRED AS DOMICIALLRY CARE OR SOCIAL CARE Care provided in patients home.
Licensed individual who assist the individual may be referred to as “CAREGIVERS”. Care givers assist
the individual in bathing, eating, cleaning home, preparing meal. 12
. 13. Hospice is a type of care that focuses on the palliation of terminally ill patients 13
. 14. Nurses are in main role to enforce infection control Practices. 14
. 15. Helps to assist the individual with disability or dysfunction to achieve maximum function. Focuses on self
care that promotes physical, psycho social and spiritual health 15
. 16. Care given to soldiers, sailors, marines and airmen. They are commissioned as second lieutenant. 16
. 17. Highly trained registered nurses that provide comprehensive prehospital, emergency and critical care
to all type of patients during aero medical evacuation or rescue operations. 17
. 18. Uses telecommunicatio n and information technology in the provision of nursing services. Exists when
there is large physical distance between Patient and nurse. 18
. 20. ‘DISASTER’ alphabetically means: D - Destructions I - Incidents S - Sufferings A - Administrative,
Financial Failures. S - Sentiments T - Tragedies E - Eruption of Communicable diseases. R - Research
programme and its implementation 20
.
.
. 23. “Expanded role of nurse means enlargement of nursing within the boundaries of nursing. Expanded role
of nurse is the responsibility assumed by the nurse within the field of practice.” 23

3. CommunicatorCommunicator Establish rapport Establish therapeutic (helping) relationship Be

aware of verbal & nonverbal communication Assertive communicator

4. TeacherTeacher Educate pt. to develop self-care abilities Provide knowledge to allow pt. to make
informed decisions Demonstrate needed skills Promote health, prevent illness, restore health &
facilitate coping
5. Teaching-Learner ProcessTeaching-Learner Process Teaching-planned method to help someone
learn Learning- process by which an individual increases their knowledge or changes their behavior
as a result of an experience

6. Learning DomainsLearning Domains Cognitive learning- acquiring new knowledge Psychomotor

learning- acquiring a new physical skill Affective learning- acquiring /changing values, feelings or
attitudes

7. Developmental ConsiderationsDevelopmental Considerations Children learn through play &

experience Take into account their motor development along with their intellectual development
Adolescents learn through their peers Take into account their intellectual, developmental, maturity
and psychosocial development

8. Developmental considerationsDevelopmental considerations (androgogy)(androgogy) Adults-

most must believe they need to learn before they are willing to learn Adults- bring life experiences
as resources for learning Adults- believe learning should be useful immediately (rather than in the
future). They Want relevance! Adults – internally motivated and capable of self-regulation

9. Developmental ConsiderationsDevelopmental Considerations (older adults)(older adults) Assess

for perceptual impairments – Visual – Auditory – Memory – Longer reaction times AND ALSO –
Generational learning differences

10. Learning StylesLearning Styles Visual Auditory Tactile Combination Concrete Versus
Abstract Active Versus Reflective Right Versus Left Brain Multiple Intelligences Verbal, Logical,
Visual, Body, Musical, Inter or Intrapersonal

11. Principles of teaching-learningPrinciples of teaching-learning Communication is important

Thorough assessment of pt. learning needs and factors affecting their learning Include pt. in
planning Use varied teaching strategies Utilize patient’s previous life experiences Utilize nursing
process

12. Barriers to LearningBarriers to Learning Language Cognitive level Lack of interest Cultural
differences Literacy Health Stress

13. Utilizing Nursing ProcessUtilizing Nursing Process Assessment: Readiness to learn Ability to
learn Learning strengths What do they know already??? Do they WANT to LEARN? Analysis:
Knowledge deficit Planning: Who, what, when, where & how. Determine whether cognitive,
psychomotor, or affective goal. Write with an “action verb” GET CLIENT COMMITMENT
Implementation: Include written, visual and tactile materials. Select strategy and methods:
Content – Sequence – Timing Demonstration?Discussion?Role Play? Evaluation: has pt.
Learned/goal met? Return Demo

14. CounselorCounselor Assist and guide pt. in solving problems or making decisions Utilize the
interpersonal (helping) relationship Nurse doesn’t tell pt how to solve the problem Guides pt to
decisions (self-determination) Utilize the nursing process “Could you just listen”

15. Plans Organizes Directs Controls Delegates ManagerManager

16. Management ProcessManagement Process Planning-Identify needs, dev. goals Organizing -

Identify resources to meet goals Directing- leading others in reaching goals Control- monitoring
ongoing evaluations Delegates

17. DelegationDelegation The five rights of delegation – Right task – Right person – Right
circumstances – Right communication – Right feedback

18. DelegationDelegation Nurse who delegates maintains accountability Only the task is delegated
NOT the accountability Who can you delegate tasks to?
19. Managers and LeadersManagers and Leaders Managers Administrators Relies on control
Short term plans Eye on bottom line Does things right Leaders Innovators Inspires trust Long
term plans Eye on the horizon Does the right thing

20. LeaderLeader Have visions to energize others Motivates others to achieve goals Encourages
others to do their best Works collaboratively Have wider variety of roles then managers

21. Leadership SkillsLeadership Skills Cognitive Knowledgable Interpersonal Genuine Inspires trust
Ethical/legal Integrity always Communication Open Problem solving Critical thinker; Out of the
box Flexible Management Organized Self-evaluation Reflects, adapts, changes

22. Characteristics of GreatCharacteristics of Great LeadersLeaders Intelligence-knowledge,

judgment & decisiveness Personality- confidence, creativity, adaptability, integrity & independent
Abilities- enlist cooperation, diplomacy, social participation & interpersonal skills A great leader
cannot be appointed!

23. Leadership StylesLeadership Styles Autocratic- leader has complete control of group
Democratic- shared leadership between leader and group Laissez-Faire- leader gives group control
Transformational- charismatic leader creates change by empowering group Situational – leader
changes style to fit situation

24. Increasing Manager/LeaderIncreasing Manager/Leader SkillsSkills Self – assessment Develop

skills- computer, cost containment etc. Think positive Maintain physical wellness Psychologically:
Strong self concept Be confident Know strengths & limitations

25. PowerPower …to possess power implies the ability to change the attitudes and behaviors of
individual people and groups…. Positive Power = “power with” NOT “power over” Types of Power:
Legitimate Reward Coercive Referent Expert

26. Building PowerBuilding Power Expand personal resources – rest and reflect Present a powerful
picture – dress, act, speak the part Pay the entry fee – stand out; do more Determine the powerful
in the organization – know chain of command, names & faces of power Learn the language/priorities
of the organization Learn mission/vision/priorities Increase professional skills & knowledge Perform
extraordinarily, continuing education

27. Building PowerBuilding Power Keep a broad view Be flexible Develop visibility and a voice in
the organization Toot your own horn Maintain a sense of humor Empower others (Marquis &
Huston 1998)

28. ChangeChange Things ALWAYS CHANGE!!!! Planned change- purposeful effect to bring change
Resistance to change- threatened, lack of understanding, personality, more work Overcoming
resistance to change- leaders use their skills to overcome resistance to change CHANGE IS
GOOD!!!!!!!!!!!!!!!!!!!!!!!!!

29. Team PlayerTeam Player Nurses are part of a team Don’t work in isolation Who are the other
team members? What does being a team player mean?

30. MotivatorMotivator Motivation- Internal impulse that allows one to take action or change
behaviors. Nurses motivate patients to make changes by: having a positive attitude, listening to
patient needs, encouraging, rewarding, and devoting time and energy to assist with changes.

31. Critical ThinkerCritical Thinker A way of looking at problems other than the obvious “Thinking
outside the box” Looking at the big picture Question why something is being done Ask, “what
if…..” Open to new ideas

32. InnovatorInnovator Takes action to make things happen Initiates change Sees a problem and
looks for solutions. Instead of , “Oh well, there’s nothing that can be done about it” the innovator will
be proactive.
33. ResearcherResearcher Collect data to improve nursing practice Provides info for
evidenced-based practice Studies are done on nursing practice, education & administration
Provides professionalism to nursing

34. AdvocateAdvocate Protect and support the pt. Patient representative for ALL pt. Assertiveness
Promote self determination

35. SummarySummary The role of the nurse is varied and complex Caring for patients requires that
nurses take on different roles at different times Nurses need to fulfill their varied roles as best as
possible by understanding their roles and knowing how to improve in each role

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the way he has suffered becausethe way he has suffered because of lack and improper healthcareof
lack and improper healthcare facilities in India. We need lots offacilities in India. We need lots of
funds manpower etc. to makefunds manpower etc. to make this vision a reality please contactthis
vision a reality please contact us. Join us as a member for aus. Join us as a member for a noble
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CoordinatorCoordinator Coordinates and plans care Piece together fragmented care Prepares pt.
for discharge Liaison in health care team

3. CommunicatorCommunicator Establish rapport Establish therapeutic (helping) relationship Be

aware of verbal & nonverbal communication Assertive communicator

4. TeacherTeacher Educate pt. to develop self-care abilities Provide knowledge to allow pt. to make
informed decisions Demonstrate needed skills Promote health, prevent illness, restore health &
facilitate coping

5. Teaching-Learner ProcessTeaching-Learner Process Teaching-planned method to help someone

learn Learning- process by which an individual increases their knowledge or changes their behavior
as a result of an experience

6. Learning DomainsLearning Domains Cognitive learning- acquiring new knowledge Psychomotor

learning- acquiring a new physical skill Affective learning- acquiring /changing values, feelings or
attitudes

7. Developmental ConsiderationsDevelopmental Considerations Children learn through play &

experience Take into account their motor development along with their intellectual development
Adolescents learn through their peers Take into account their intellectual, developmental, maturity
and psychosocial development

8. Developmental considerationsDevelopmental considerations (androgogy)(androgogy) Adults-

most must believe they need to learn before they are willing to learn Adults- bring life experiences
as resources for learning Adults- believe learning should be useful immediately (rather than in the
future). They Want relevance! Adults – internally motivated and capable of self-regulation

9. Developmental ConsiderationsDevelopmental Considerations (older adults)(older adults) Assess

for perceptual impairments – Visual – Auditory – Memory – Longer reaction times AND ALSO –
Generational learning differences

10. Learning StylesLearning Styles Visual Auditory Tactile Combination Concrete Versus
Abstract Active Versus Reflective Right Versus Left Brain Multiple Intelligences Verbal, Logical,
Visual, Body, Musical, Inter or Intrapersonal
11. Principles of teaching-learningPrinciples of teaching-learning Communication is important
Thorough assessment of pt. learning needs and factors affecting their learning Include pt. in
planning Use varied teaching strategies Utilize patient’s previous life experiences Utilize nursing
process

12. Barriers to LearningBarriers to Learning Language Cognitive level Lack of interest Cultural
differences Literacy Health Stress

13. Utilizing Nursing ProcessUtilizing Nursing Process Assessment: Readiness to learn Ability to
learn Learning strengths What do they know already??? Do they WANT to LEARN? Analysis:
Knowledge deficit Planning: Who, what, when, where & how. Determine whether cognitive,
psychomotor, or affective goal. Write with an “action verb” GET CLIENT COMMITMENT
Implementation: Include written, visual and tactile materials. Select strategy and methods:
Content – Sequence – Timing Demonstration?Discussion?Role Play? Evaluation: has pt.
Learned/goal met? Return Demo

14. CounselorCounselor Assist and guide pt. in solving problems or making decisions Utilize the
interpersonal (helping) relationship Nurse doesn’t tell pt how to solve the problem Guides pt to
decisions (self-determination) Utilize the nursing process “Could you just listen”

15. Plans Organizes Directs Controls Delegates ManagerManager

16. Management ProcessManagement Process Planning-Identify needs, dev. goals Organizing -

Identify resources to meet goals Directing- leading others in reaching goals Control- monitoring
ongoing evaluations Delegates

17. DelegationDelegation The five rights of delegation – Right task – Right person – Right
circumstances – Right communication – Right feedback

18. DelegationDelegation Nurse who delegates maintains accountability Only the task is delegated
NOT the accountability Who can you delegate tasks to?

19. Managers and LeadersManagers and Leaders Managers Administrators Relies on control
Short term plans Eye on bottom line Does things right Leaders Innovators Inspires trust Long
term plans Eye on the horizon Does the right thing

20. LeaderLeader Have visions to energize others Motivates others to achieve goals Encourages
others to do their best Works collaboratively Have wider variety of roles then managers

21. Leadership SkillsLeadership Skills Cognitive Knowledgable Interpersonal Genuine Inspires trust
Ethical/legal Integrity always Communication Open Problem solving Critical thinker; Out of the
box Flexible Management Organized Self-evaluation Reflects, adapts, changes

22. Characteristics of GreatCharacteristics of Great LeadersLeaders Intelligence-knowledge,

judgment & decisiveness Personality- confidence, creativity, adaptability, integrity & independent
Abilities- enlist cooperation, diplomacy, social participation & interpersonal skills A great leader
cannot be appointed!

23. Leadership StylesLeadership Styles Autocratic- leader has complete control of group
Democratic- shared leadership between leader and group Laissez-Faire- leader gives group control
Transformational- charismatic leader creates change by empowering group Situational – leader
changes style to fit situation

24. Increasing Manager/LeaderIncreasing Manager/Leader SkillsSkills Self – assessment Develop

skills- computer, cost containment etc. Think positive Maintain physical wellness Psychologically:
Strong self concept Be confident Know strengths & limitations
25. PowerPower …to possess power implies the ability to change the attitudes and behaviors of
individual people and groups…. Positive Power = “power with” NOT “power over” Types of Power:
Legitimate Reward Coercive Referent Expert

26. Building PowerBuilding Power Expand personal resources – rest and reflect Present a powerful
picture – dress, act, speak the part Pay the entry fee – stand out; do more Determine the powerful
in the organization – know chain of command, names & faces of power Learn the language/priorities
of the organization Learn mission/vision/priorities Increase professional skills & knowledge Perform
extraordinarily, continuing education

27. Building PowerBuilding Power Keep a broad view Be flexible Develop visibility and a voice in
the organization Toot your own horn Maintain a sense of humor Empower others (Marquis &
Huston 1998)

28. ChangeChange Things ALWAYS CHANGE!!!! Planned change- purposeful effect to bring change
Resistance to change- threatened, lack of understanding, personality, more work Overcoming
resistance to change- leaders use their skills to overcome resistance to change CHANGE IS
GOOD!!!!!!!!!!!!!!!!!!!!!!!!!

29. Team PlayerTeam Player Nurses are part of a team Don’t work in isolation Who are the other
team members? What does being a team player mean?

30. MotivatorMotivator Motivation- Internal impulse that allows one to take action or change
behaviors. Nurses motivate patients to make changes by: having a positive attitude, listening to
patient needs, encouraging, rewarding, and devoting time and energy to assist with changes.

31. Critical ThinkerCritical Thinker A way of looking at problems other than the obvious “Thinking
outside the box” Looking at the big picture Question why something is being done Ask, “what
if…..” Open to new ideas

32. InnovatorInnovator Takes action to make things happen Initiates change Sees a problem and
looks for solutions. Instead of , “Oh well, there’s nothing that can be done about it” the innovator will
be proactive.

33. ResearcherResearcher Collect data to improve nursing practice Provides info for
evidenced-based practice Studies are done on nursing practice, education & administration
Provides professionalism to nursing

34. AdvocateAdvocate Protect and support the pt. Patient representative for ALL pt. Assertiveness
Promote self determination