ASSIGNMENT ON PREPARATION OF JOB DESCRIPTION

FOR ANY ONE CATEGORY OF NURSING PERSONNEL

SUB: NURSING MANAGEMENT

SUBMITTED TO- SUBMITTED BY-

MRS. ARCHANA DAS PRITY DEVI
MSC.NURSING 2ND YEAR
ASSOCIATE PROFESSOR ROLL NO:- 3
CPMS COLLEGE OF NURSING CPMS COLLEGE OF NURSING

P
INTRODUCTION:

There is a definite need for job descriptions, because it is learnt through some studies that most
workers function in a mechanical fashion and are not conscious of the role assigned to them .It
has been commented that lack of knowledge of one's own job and functions, and of the job other
team members, is one of the reasons for many problems arising in the functioning of the health
team. According to one study, the medical officers interviewed and observed were not clear
about their own duties and responsibilities. It is a fact that many persons who are expected to
perform certain roles according to their job specifications show deficiencies in thee therefore, it
is important and necessary that any management set-up should provide clear with ten script of
job description and work should begin with their approval through a collaborative approach.

Providing job description becomes the main responsibility of the management as highlight, the
details of work, main purpose of work, nature of work, kind of communication maintained is per
the hierarchy levels and expected job performance from each and every worker. Delineating the
nature of work to each category of staff is essential for the staff that has been recruited recently
and also for the old staff to give them a chance to acquire higher position based on the appraisal
system to judge their performance as per the job description.

Strictly adhering to job description sometimes may lead to the workers to think that they should
not do anything strictly other than what is written in the job description.description should be
utilized only as a mode of working guide and not as core principles or hard and fast rules.

DEFINITIONS OF JOB DESCRIPTION

1. Job description to define as the specification of roles and functions of the nature of a job
of each individual who has to deliver effectively in order to be retained in the institution.
2. It is a principle institutional tool used to maintain channelized communication
responsibilities, scope of authority, hierarchical relationship and the qualification
required for each job type in the institution.
3. The job description should detail the list of duties to be done. It should also elaborate on
the expected nature of the work during the working days in the week, along with the
special it occur in any day in a week, which have been clearly understood by the worker.
It is the tool to carry out the evaluation of theworker.
 The details in the job description guidelines include the following:
1. Job analysis and categorization
2. To enlist the staff
3. Delegation of responsibilities
4. Staff development
5. Staff appraisal

PURPOSE OF WRITING A JOB DESCRIPTION:

Guidelines for writing a job description are as follows:

1. To distribute the caption or title that distinguishes the kind of job.

2. To provide brief statement about the significant characteristic of the job.
3. Categorization of nature of work by enlisting pertinent sequence, drawing attention to
important task and setting duration required to complete the job.
4. Document dearly, in a legible manner to avoid confusion or uncertainty.
5. Utilize typical format for all job descriptions.
6. Perform formalassessment regularly. 

JOB DESCRIPTION FOR A CATEGORY OF NURSING PERSONNEL:

STAFF NURSE

Staff nurses are appointed to provide the direct nursing care to the patients in the bedside.
This kind of nursing care will be based on the skill, efficiency, determination and the
dedication of the staff nurse. In the nursing department, once the staff determines to be
sincere, adapts the hospital policies, frames good code of conduct and abides by the
scientific principles in nursing, the output will be quality nursing care and the staff's
satisfaction towards the nursing care. Thus, the staff nurse has the good work
environment to prove her skill and efficiency. The staff nurse helps to manage the ward
work and she will work under the direct supervision of their senior staff nurse.

Educational Qualifications

1. General: Pre-university course/10 + 2 or equivalent examination.

2. Professional: Three years General Nursing/6 to 9 months Midwifery/Psychiatric

Nursing Diploma certificate, recognized by Indian Nursing Council (INC), 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.

3. Registration: Registered with the state nursing council/Indian Nursing Council (INC).

Standard Norms and INC (Nurse: Patient Ratio)

1. General wards

a. 1:3 (hospital attached with school or college of nursing)

b. 1:5 (hospital not attached with school or college of nursing)

2. ICU, ICCU and other speciality areas 1:l for 24 hours.

3. Labour room 4 in each shift.

4. Operation theatre 3 for 24 hours per table.

5. Outpatient department I in each clinic room of the OPD. 6. Casualty and emergency
1:1 in each shift.

7. Paediatric unit 1:2 beds.

8. Additionally, 30% reserve posts of staff nurses to be kept ready.

There cannot be hard and fast rules with regard to the total number of nurses of different
categories. Requirement is influenced by the following factors:

1. Size of the hospital: (a) total bed strength, (b) occupancy and (c) turn over.

2. Types of services offered: (a) routine, (b) specialized, c) super specialty and (d)
intensive care areas.

3. Geographical distribution of beds/wards and lay out of the wards: (a) general wad (b)
cubicles, (c) sharing and (d) single special rooms.

4. Scheduling method and institutional policies as regards (a) holidays, (b) leave and (c)
overtime payment, etc

5. Availability of nursing assistants/aides or other staff for performing non-nursing

duties.

6. Level of competence based on (a) qualifications, (b) experience, (c) efficiency and (d)
sincerity.

7. General discipline and work culture of the hospital.

 8. Recommendations of Indian Nursing Council and government policy for recruitment in
public hospitals.

Although the number of nurses, i.e. nurse:bed ratio, is variable in different hospitals, general
recommendations made by the nursing council can be adopted. These are as follows:

1. In all the critical care areas, operation theatre, recovery room, medical and surgical
intensive care units, paediatric and neonatal intensive care units, trauma care unit, etc.,
1:1 ratio (1 nurse per bed) is required round the clock.

2. In intermediate-care areas, i.e. where the patients are still highly dependent and
require observation and assistance, 1:2 ratio (I nurse for 2 beds) is required.

3. In routine care areas where patients are ambulatory and fairly stable, 1:3 ratio (1 nurse
for 3 beds) is required.

4. For labour room, I nurse per delivery is recommended.

5. For operation theatre, I nurse per table is required.

6. One nurse in each outpatient clinic.

7. In casualty, depending on work load, 2-3 nurses are required.

Role and Functions :

Ward/unit Management

1. Helps the ward-in-charge to carry out her/his work or act as ward-in-charge during
her/his absence.

2. Maintains general cleanliness of the ward and the sanitation.

3. Supervises the duties of Group D employees, guides them and reports accordingly

4. Writes the diet register, supervises the distribution of diet and reports anything if
necessary.

5. Maintains scheduled poisonous drug registers.

6. Supervises nursing care and other tasks carried out by the students.

7. Maintains duty room trays, sterilizes instruments and sees that procedural trays are in
readiness.

8. Takes over from duty nurse of the previous shit, new and serious patients, instruments,
supplies, drugs, etc., and hands over the same accordingly.
 9. Maintains all the records pertaining to the ward/unit:

a. Maintains case papers, investigation reports, etc.

b. Maintains vital signs, charts, intake-output charts and other special charts, as necessary

c. Takes special care of medico legal case papers and records

d. Writes day and night orders and maintains ward statistics.

Management of Labor Room

1. Preparing expectant mother for aseptic safe delivery.

2. Conducting normal deliveries and reports.

3. Attending and assisting the doctors in all obstetrical emergencies.

4. Attending and assisting in difficult and abnormal deliveries.

5. Taking care of the newborn and premature babies.

6. Maintaining records and reports pertaining to labor room.

7. Indenting and procuring necessary drugs, supplies, linen, etc, for labor room.

Management of Postoperative/ICU/Burns Units

1. Indents and procures all the necessary equipment, drugs and O 2 cylinders required for
the units.

2. Operates ECG, EEG, cardiac resuscitation, etc., or other sophisticated high-tech

machines whenever needed, or assists the doctors in operating such machines

Management of Psychiatric Unit

1. Assists the doctors in admission and discharge of patients.

2. Prepares patient for ECT, therapies and other procedures.

3. Assists in the management of aggressive, suicidal patients. Handles their symptoms

like grief, etc.

4. Maintains records and reports of the units.

Educational Function

1. Helps in orientation of new staff and students

 2 Teaches and guides the domestic staff (Group D) for handling bedpans, urinals, etc.

3. Carries out health teaching for individuals or groups of patients.

4 Participates in clinical teaching, extending full cooperation.

5. Provides for and demonstrates methods and procedures whenever needed.

6. Participates in in-service educational programmes.

7. Plans and implements formal and informal health education programmes and teaching
programmes.

8. Assists and extends cooperation in medical and nursing research programmes.

CONCLUSION

Nursing personnel, composed of professional nurses, nurses as practitioners and nursing

assistants, constitute the largest single body of personnel in the nursing department/unit of the
hospital. Nursing care refers to the care of patients with specific regard to nursing, whereas
nursing service refers to coordinating responsibilities of the nurse, who in addition to giving
nursing care also works with members of allied disciplines such as dietetics, medical services
and social services.

BIBLIOGRAPHY

1. Joseph Sunita. Nursing administration and management. New Delhi, India: AITBS
publishers; 2015: p29 – 40
2. Basavanthappa BT .Nursing education. 2 nd edition .New Delhi, India: Jaypee Brothers
Medical Publishers (P) Ltd ;2003:p723-734
3. D C Joshi, Mamta Joshi. Hospital administration. Jaypee brothers medical publishers pvt
ltd. New Delhi. 1st edition. 2009. pg. no. 186-208.