Sub: Nursing Management & Administration

Assignment on

Job Description
of
Various Category of Nursing
Personnel

Submitted to, Submitted by,

Madam Mani Nandy Mitra Shreya Putatunda
Senior Lecturer MSc Nursing Part-II
CON, NBMCH CON, NBMCH
 INTRODUCTION
A nursing organization, like any other organization, viewed as a structure that provides a
framework of duties and responsibilities of nursing personnel. It is a group of nurses working
together at different levels as a team to accomplish a single common objective of nursing
services. It is a process or a system where nurses at different levels carry out many activities
by utilizing various resources to ensure the best possible client care.

CATEGORIES OF NURSING PERSONNEL

Community health Hospital Nursing

nursing Services

District Public Health Chief Nursing

Nursing Officer Administrative Officer/Nursing
superintendent/Matron

Public Health Nurse Deputy/Assistant

Nursing Superintendent

Supervisory

Health Assistant
Sister In charge,
Female/Male, Urban
ANM Grade I

ANMs/ Health worker Staff Nurse, Grade II

Male/Female, ASHA at Operational
subcenter level
Hospital nursing organization is like a pyramid, broad at the base and tapering toward the top.
The organization follows a line of hierarchy. Based on the hierarchy, their position and
relative responsibilities, there are three categories or level of nursing personnel:
administrative, supervisory and operational level.

Administrative level

In a hospital setting, nursing personnel at the top or administrative level are concerned with
formulating and executing policies, goals, objectives and procedures for nursing services.
They plan and co-ordinate various executive and managerial activities. They give instructions
to nurses at supervisory and operational levels. Every teaching hospital with 150 bed strength
should have one nursing superintendent assisted by one deputy nursing superintendent and
two assistant nursing superintendents.

Supervisory level

The nursing personnel at the supervisory level concern with middle management of nursing
services. They are the heads of either department or nursing unit or ward.

Operational levels

Operational level management comprises nurses at the operational category or first line
managers designated as staff nurses or sister grade II. They work in different wards, nursing
units, operation theatres, OPDs and other units, such as blood bank, infection control and
injection room. The job responsibilities vary according to the nature of work.

Community Health Nursing

There is no formal hierarchy of nursing organization in a community setting. Various

categories of nursing personnel working at district, community health centres, family welfare,
subcentre and periphery level.

At district level, District Public Health Nursing Officer (DPHNO) is responsible for
supervising activities related to health and family welfare services.

At PHC and CHC level, Public Health Nurse, female or male supervisor are responsible for
the health and public Health programme issues.

At subcentre level, ANM/health worker female is responsible 3000-5000 rural population for
their health-related preventive and promotive services.
At village level. Under NRHM, ASHA in the ratio of 1:1000 population supervise the
authorised village area and in Urban area U- ASHA covers 1000-2500 population and
visit 200-500 household.

JOB DESCRIPTION

The job description is communicating written statement of duties and responsibilities. It

usually covers the following:

 Job title and location- The title of the job or designation, department code number
 Education and qualification
 Job Summary
 Job activities/ duties
 Reporting relationship-reporting and responsible for whom

Job Description of Hospital Nursing Personnel

The list below shows the job description of hospital nursing personnel:

CHIEF NURSING OFFICER

Job title: Chief nursing officer

Place of work: Nursing office

Responsible to: Medical superintendent/ medical officer

Responsible for: Nursing Superintendent

Job Summery (Roles)

Chief nursing officer is overall in-charge of administration and management of nursing

services. Her primary role is in planning, organizing, and implementation a high standard of
nursing care.

Duties and Responsibilities

1. Chief nursing officer does plan, coordination, supervision, controlling, reporting to higher
medical officer & delegating the work schedules to other nurses & allocate the
 required staff at the right place & time. Explains the job description, supervision and delegating
responsibilities to each staff nurse.
2. Provides Nursing Services for patients according to policies of Hospital and the
nursing services department.
3. Determines the Philosophy, objectives and policies of the nursing department in
accordance with those of the hospital.
4. Plans for total patient care with the administration, the medical staff, other
department of the hospital. Coordinating the interdepartmental activities
5. Develops standard nursing care in harmony with accepted philosophy, objectives and
policies.
6. Identifies needs and provides resources for nursing services. Maintaining the
supplies and the equipment, budgeting and keeping records and reports.
7. Defines functions and qualifications for nursing services personnel, prepares written job
descriptions and assigns responsibilities with commensurate authority. Make all staff
observe & follow code of ethics & regulation of the hospitals.

8. conducts round in the hospital regularly to check out functioning, cleanliness of the
hospital. Takes attendance, plan & implement the duty roster for the staff nurses.
Recruits the staff needed, coordinates work with the entire department. Determines
categories and number of nursing services personnel required to meet the nursing needs
of the patients.
9. Conducts in-service education, encourages continuing education.
10. Develops and implements a programme of performance evaluation of Nursing Services
personnel. Plans for and implements a programme of in-service education for nursing
service personnel.
11. Conducts nursing audit, does anecdotal reporting to evaluate nursing care. Encourages
and participates in all round development of nurses, especially in nursing research
activities.
12. Initiates and/or participates in studies or research in nursing services and other health
services. Identifies areas requiring study or research and defines problems for
investigations.
 NURSING SUPERINTENDENT

 Job title - Nursing Superintendent

 Place of work- Nursing office
 Responsible to-Medical Superintendent/ medical officer
 Responsible for-DNS/ANS/Nursing sisters

Job Summary – She is responsible for the efficient running of the various nursing
departments in the hospital for 24 hours.
Line of Authority – she is accountable to Chief Nursing Officer (CNO), if there is no CNO
she is responsible to the Medical Superintendent (Director).

Duties of Nursing Superintendent

 Planning and organizing nursing services.
 Nursing Services Administration
 Miscellaneous
Planning and Organizing Nursing Services
• Participates and prepares in formulation of the Philosophy, objectives for the
nursing department in accordance with those of the hospital.
• Responsible for delegation of duties to nursing personnel working under her at
various levels.
• Responsible for allotment and rotation of the nursing staff to the various wards and units
in planned manner depending on the suitability and qualification as well as the need of the
hospital.
• Assists the authorities during emergencies in setting up special nursing squads words or
any other machinery as required.
• Plans and organizes to setup a new ward or department in a hospital.

Nursing Services Administration

• Responsible for adequate and qualitative nursing care of the patients receiving treatment
in the indoor or the out-door.
• Interview and recruits nursing staff and other staff whose duties are related to nursing.
 • Prepares annual statistics and projects manpower needed for patient care.
• Attending the correspondence related to nursing service from outside agencies
and individuals.
• Investigates complaints, prepares reports and takes disciplinary action or recommends
the same.
• Conducts supervisory rounds of wards and departments every day and ensures that all
serious patients are looked after by the supervisory staff.
• Prepares proposals for special equipment’s required for nursing services, giving
specification and participates in purchase committee meeting as a member.
• Prepares budget for the nursing service department.
• Holding departmental meetings allowing free exchange of ideas and reviewing
ward staffing.
• Sanctions or recommends leave to nursing personnel.
• Maintains individual cumulative records of all nursing staff.
• Writing reports- confidential reports of nursing staff, annual report of the nursing
department depleting achievements, future plans of expansion-any other report that may be
required to be submitted.
• Analyses daily reports/census on hospital situation, e.g. admission, discharge etc. in
order to replace nursing manpower or submit reports to higher authority.
• Takes active interest in staff development programme.
• Provides guidance and counseling to the subordinate staff.
• Serve on several hospital committees, such as purchase committee, hospital
infection control committee, hospital management committee etc.

Miscellaneous
• Responsible that linen, bedding and clothing of all patients are clean and in good repair.
• Responsible to all matters pertaining to leave (including sick leave), dismissal and
enrolment of the nursing staff, ward attendants and other staff under her
(safaiwalas, mazdoors, malies etc.)
. • Countersigns all indents made by the ward sister and satisfy herself that the indents are
properly complied and that the articles asked for are necessary in accordance with the ward
stock.
• Inspects all unserviceable articles of the wards and satisfy herself that such articles
are beyond repair before they are brought for the final condemnation.
 • Makes surprise round of the hospital once weekly.
• Ensures that all ward attendants (Male & Female), barbers and other serving under her
are acquainted with all standing order which affect them or their duties.

• Participates in meetings, workshops, seminars of local and state level.

• Carry out researches or cooperates/encourages others to conduct researches, pilot projects in
patient care area.
• Provides all help and guidance so that the training institute programme can operate
smoothly.
• Encourages and helps nurses to write papers on case- studies, nursing procedures etc.
• Any other duties assigned by the seniors from time to time.

DEPUTY NURSING SUPERINTENDENT

Job title: Deputy Nursing superintendent

Place of work: Nursing office

Responsible to: CNO/ Nursing Superintendent

Responsible for: ANS/nursing sisters

Job summery

Deputy Nursing superintendent is responsible to CNO /NS/for all administrative

activities. In absence of NS, she is overall in charge of nursing services and is
responsible to the NS. She carries out managerial activities, education, teaching
and general duties of nursing.

Responsibilities:

Nursing service- related activities

 Assists in the formulation of the philosophy, mission, objectives and policies of

nursing services.
  Assists in recruitment and selection of nursing staff in various unit and department.
 Prepare master rotation plan of ANS and nursing sisters.
 Assist Ns and involves in keeping and maintaining records and reports.
 Participates in planning of new nursing units in the hospital.
 Takes regular hospital round and participates in various hospital committees.
 Co-ordinates with NS and subordinates about policies and standard procedure of
hospital.
 Maintenance attendance, leave record, and cumulative record, annual confidence
report and other documents of nurses.
 Receive night report from night supervisor and visit sick nurses in the hostel or wards.
 Conduct regular physical verification of stock maintenance and initiates
condemnation of worn-out articles and procurement of new articles.

Education and teaching related function

• Participates in planning orientation, skill training and other staff development

program for nurses.
• Guides and counsels nursing staff and maintain discipline among nursing staff.

General duties

• Accompanies NS, MS or any special visitors for hospital round.

• Organize and participants in professional and social functions of the nursing staff.
• Maintain good public relation.

Assistant Nursing Superintendent

 Job title -Assistant Nursing Superintendent

 Place of work- Nursing office
 Responsible to- DNS/NS
 Responsible for-ward sister /Nursing sisters
 Job Summary

Assistant Nursing Superintendent is accountable for nursing service administration and has a
indirect relationship with hospital administrator. She carries out managerial, education,
teaching and general duties in hospital area.

Responsibilities

According to deputy nursing Superintendent she also responsible for-

 Ward management activities

 Supervisory activities
 Education- teaching related activities
 General activities

Nursing Sister/ Ward sister

Job title: Nursing Sister/ Ward sister

Place of work: Hospital

Responsible to: Medical superintendent/ medical officer Responsible

for: Nursing Superintendent

Job Summery (Roles)

Nursing supervisor is accountable for the nursing care management of a ward or a unit
assigned to her/him. She is responsible to the nursing superintendent/assistant nursing
superintendent for her ward management.

Responsibilities
1. Direct patient care:
• Ensures proper admission, discharge of her patients.
• Plans nursing care makes patient’s assignment as per their nursing needs.
• Assists in the direct care of the patient as and when required.
• She/he sees that total health need for her /his patients are met.
• Sees that proper observation records of the patients are made and necessary information
imparted to the concerned authority.
 • Makes rounds with doctors.
• Implements doctors’ instruction concerning patient’s treatment.
• Assists patient and her relatives to adjust in the hospital and its routines.
• Coordinates patient care with another department.
2. Supervision and administration:
• Ensures safe and clean environment for the ward /unit/special departments.
• Makes duties and work assignments.
• Does regular inventory check of her/his wards/units.
• Assist in, making ward requirements.
• Establishes and reinforces standards prescribed in the procedures and manuals of hospitals and
policies that are in force.
• Acts as a liaison officer between ward staff and hospital administration.
• Maintains good public relations in her/his ward/units.
• Ensure that wards statistics are regularly submitted.
• Maintain discipline among the personnel working in the particular ward/units, e.g. staff nurses,
students and domestic staff.
• Deals appropriately with any adverse situation that occurs in the ward/unit and report to the
concerned authorities.
• Reports any medico legal cases in the ward/units.
• Ensure that students get desired learning experience in the wards/units.
Educational function:
• Organizes orientation programme for new staff nurses.
• Give teaching to the patient.
• Conduct wards conference and meeting.
• Evaluates the students’ performance and submit reports to the school authority.
• Helps in medical and nursing research.
• Encourages staff development programme.

STAFF NURSE

Minimum of two years of experience in a hospital. Working hours: 7 am-3 pm Morning shift
3 pm-l 0 pm Evening shift 10 pm-7 am Night shift
 Job description:

Staff nurse is 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 Gr.II.

Responsibilities

• Direct patient care.

• Ward unit management
• Operation theater management.
• Management of labour room.
• Management of post operative /ICU/burn unit.
• Psychiatric units.
• Educational function.
1. Direct patient care:
• Carry out the procedure of admission and discharge of the patient.
• Makes bed of serous patients and help or guides students or group d employee.
• Maintain personal hygiene and comfort of the patients.
• Attends all needs of the patients.
• Implement and maintains ward policies and routine.
• Coordinate patients care with other team members.
• Take rounds with the doctors when called to list new orders and see that they
are carried out.
• Perform various technical task related to nursing care.
2. Ward /unit management:
• Helps the ward in charge to carry out her/his work of act as ward in charge during
her absence.
• Maintain general cleanliness of the ward.
• Supervises the duties of group d employee.
• Writs the duties registers and supervises the distribution of diet and report if
any, necessary.
3. Maintain scheduled poisonous drug registers.
• Supervises nursing care and other tasks carried out by the students.
 • Maintain duty room tray and sterilizes instruments and see that procedural tray
are in readiness.
• Take over from duty nurse of the previous, new and serious patients,
instruments, supplies, drugs etc.
• Maintain all records pertaining toward/unit
4. Operation theatre management:
• Maintain aseptic environment of the operation theatre.
• Autoclaving of articles, instruments, gloves, linen etc.
• Receives patients from wad intact for the surgery.
• Prepare aesthetic trolley and trolley for surgery.
• Assist the surgeon and aesthetic in every step, skilfully while performing various
types of surgery.
• Indenting and procuring surgical instruments, drugs, suturing materials etc.
require to Operation Theatre.
• Maintains records and reports pertaining to the operation theatre.
5. Management of labour room
• Preparation of expectant mother for aseptic safe delivery.
• Conduct normal delivery and reports.
• Attends and assist the doctors in all obstetrical emergencies.
• Attained and assists in difficult and abnormal deliveries.
• Takes care of the new born and premature babies.
• Maintains records and reports pertaining to the labour rooms.
• Indent and procure necessary drugs, supplies, linen etc. to labour room.
6. Management of postoperative/ICU/burn units
• Indent and procurement of all the necessary equipments, drugs, which are
required for the units.
• Operates ECG, EEG, cardiac resuscitation etc. or other sophisticated high-tech
machines whenever needed or assist the doctors in operating such machines.

7. Psychiatric unit
• Assist the doctors in admission and discharge of the patient.
• Prepare patient for ECT and other procedure, and therapies.
• Assist in management of aggressive, suicidal as other symptoms of the patients.
• Maintain records and reports of the units.
8. Educational function
• Helps in orientation of the new staff and students.
• Teaches and guides the domestic staff for handling bedpans, urinals, etc.
• Carries out health teaching for individual and group of patients.
• Extends cooperation and participates in clinical teaching.
• Provides for and demonstrates methods and procedure wherever needed.
• Participates in in-service education program.
• Plan and implements formal and informal health education programme and teaching programme.
• Assists and extends co-operation in medical and nursing research programme.

COLLEGE OF NURSING:

PRINCIPAL (COLLEGE OF NURSING)

Principal, the administrative head of the college of nursing will be responsible directly
responsible to the directorate of medical education and directorate of health and family
welfare services. As the head of the college, she/he will be responsible for the smooth
implementation of the INC syllabus and college administration.

Duties and responsibilities are:

Administration:
• Planning.
• Develops philosophy and objectives for educational programme.
• Identifies the present needs related to educational programme.
• Investigates and secure resources.
• Formulates the plan of action.
• Selects and organizes learning experiences.
Organizing:
• Determines the number of position and scope and responsibilities of each faculty and staff.
• Analyses the job to be done in term of needs of educational programme.
• Prepares the job description, indicate line of authority, responsibility in the relationship and
channels of communication by means of organizational charts and other methods.
• Maintains a plan of work load among staff members.
Directing:
• 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.
• Promotes staff participation in research.
Co-ordinating:
• Co-ordinate’s activities relating to the programme such as regular meeting, time
schedule, maintaining effective communication etc.
• Initiates way of co-operation.
• Interprets nursing education to other related disciplines and to the public.
Controlling:
• Provides for continuous follow up and revision of education programme.
• Maintains recognition of the education programme by accrediting bodies, university,
INC etc.
• Maintains a comprehensive system of records.
• Prepares periodic reports.
Instruction:
• Plans for participating in the educational programmes for further staff development.
• Recognizes the need for continuing education for self and staff and provides stimulation
of opportunities for such development.
• Participates as a teacher in the educational programme.
Guiding:
• Provides for systematic guidance programme for staff members and students.
• Encourages studies, research and writing for publication.
• Provides and maintains a programme for recruitment, selection and promotion of students.
 PROFESSOR, COLLEGE OF NURSING:
The professor is overall in charge of the department and there by responsible for
administration, teaching activity and guidance of that particular department.

Duties and responsibilities are:

• Administration.
• Instruction.
• Helping the learner to acquire desirable attitudes, knowledge and skill.
• Evaluating learner’s progress.
• Recording and reporting.
• Investigating ways of improving teaching.
• Guidance.
• Counseling.
• Assisting in selection and promotion of learners.
• Research.

ASSISTANT PROFESSOR, COLLEGE OF NURSING

The assistant professor usually works under professor and /HOD of the particular
department of specialty and assist him / her in administration, teaching and guidance and
counselling and research activity.
Duties and responsibilities:
Administration:
• Participates in determination of the education purpose and policies.
• Utilizes opportunities through group action to initiate improvement of the
educational programme.
• Directs the activities of the staff working in the department.
Instruction:
• Identifies needs of the learner.
• Plans within the educational units.
• Develop plan for learning experience.
• Participate in the continuing development and evaluation of the curriculum.
• Helping the learner to acquire desirable attitudes, knowledge and skill.
• Evaluating learner’s progress.
 • Recording and reporting.
• Investigating ways of improving teaching.
Guidance.
• Counseling.
• Assisting in selection and promotion of learners.
• Research.

LECTURER, COLLEGE OF NURSING:

Duties and responsibilities are:

• He/she works under the direction of the departmental head and assists him in
administration, instruction and guidance activity.
• Instruction:
• Identifies the needs of the learners.
• Selects and organizes learning experiences which are in accordance with these activities.
• Increases knowledge and skill in own curriculum area.
• Prepare clear and concise reports.
• Devices teaching methods appropriate to objectives and contents.
Guidance and counselling:
• Gives guidance within own field of competency.
• Helps the learner to grow in self-understanding.
Research:
• Assist in initiating and participating in studies for the improvement of the
education programme.
• Makes data available concerning learner and concerning methods of learning
and evaluation.
• Continue to develop competence in problem- solving process.
• Utilizes the finding of research

NURSING TUTOR/CLINICAL INSTRUCTORS

Roles and responsibility:
Academic function:
• Responsible for the planning and implementation of the programme.
 • Overall supervision of the teaching programme in subjects in hospital/community
health setting. • Teaching subject in the curriculum.
• Maintains classroom equipment’s, supplies and teaching aids.
• Conducts test and evaluation of student’s assignments and performance.
• Helping the students with extracurricular activities.
Administration and evaluation:
• Assisting in the administration of the school of nursing.
• Supervision of the student’s health, welfare and security.
• Assisting in the selection of students and administration.
• Assisting in examination and test.
• Supervision of living condition of the students in the hostel.
• Assisting the teaching of other category of the personnel in the hospital and community.
• Assisting in maintaining school record.
• Planning and implementation and evaluation of the specification of the course.

SCHOOL OF NURSING:
PRINCIPAL SCHOOL OF NURSING:
Duties and responsibilities:
• 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 to the principal. he/she shall be directly responsible to the directorate 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.
• Some of the duties and responsibilities are divided in three parts-
• Administrative
• Educational.
• Miscellaneous.
The principal general nursing school of nursing is an overall in charge of the school,
however, for smooth running of the institution, it is necessary for him/her 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 etc.

SENIOR TUTOR:
• Responsible for planning and implementation of teaching programme.
• Teaching subjects in the curriculum.
• Overall supervision of the clinical teaching programme/
• Assisting in the administration of school of nursing.
• Assisting in examination, tests.
• Supervision of living condition of the students in the hostel.
• Guiding students in extracurricular activities.
• Assisting the principal in the general administration of the nursing school.
• Planning, implementation of specific course.

TUTOR:
Activities of tutor-
• Teaching nursing subjects.
• Supervision of student nurses in clinical field.
• Arrangements for external lecture.
• Participation in clinical teaching.
• Guidance and counselling of students.
• Evaluation of students’ assignments.
• Any other duties assigned.

PUBLICHEALTH/ COMMUNITY NURSING ORGANIZATION (AT

COMMUNITYLEVEL):

DISTRICT PUBLIC HEALTH NURSING OFFICER

Job title: District public health Nursing officer

Place of work: At District Health Office

Responsible to: District Health Officer

Responsible for: Community staff at block and PHCs

Job Summery (Roles)

District public health Nursing officer is a supervisor of PHN staff in a district under directly
under district health officer and indirectly to the nursing officer at the state level. They are
responsible for planning, organizing and supervising all the community health’s of the
district. She also participates in policy making activities, and evaluates the performance of
community staff.

The Qualifications
• University degree in nursing.
• Experience in community nursing is highly desirable.
• Strong problem-solving skills.
• Expertise in specialties such as mental health and geriatrics are important assets.

Duties and responsibilities

Main functions are:
1. Managerial and administrative activities
2. Supervision and guidance related activities
3. Teaching and education related activities
4. Service-related activities

Managerial and administrative activities

• Provides health services to the community according to the policies of the department in the
area of preventive, promotive, curative and rehabilitative care.
• Determines the philosophies and objectives of the community health department of
the assigned areas.
• Gives leadership in the organizing and implementing the various health schemes.
 Takes the initiative in planning staff requirement and attends regular meeting at
the district level.

Supervision and guidance related activities

 Supervise each staff at block and PHC level and guides health worker for planning
and organizing their work and conduct regular meetings with them.
 Checks registers such as home visits, eligible couples, family planning, MCH,
malaria, birth and death registers and carries out weekly field visit in subcentre and
PHC.
 Provide expert and specialized case management advice and perform comprehensive and
complex nursing assessments.
• Monitor and evaluate the quality of care delivered in long-term care facilities.
 Listen and solves work related and personal problems of health workers and discussion
with MO of the PHC.
 Send annual reports for all the visits with recommendation for improvement.

Teaching and education related activities

 Plans and organize In -service and staff development program, workshops and
seminar for the staff.
• Train departmental staff on a variety of health-related issues.
• Deliver training to other departmental staff on a variety of health-related issues.

Service related
 Participates in various national health program and participates in health camp.
• Provides effective health supervision and guidance to the member of the health team and
evaluate the performance of staff.
• Contributes to research planed by other health services, plans and implements
community education programme.

PUBLIC HEALTH NURSING OFFICER/SUPERVISOR

Duties and responsibility
• Public health nursing supervisor is directly responsible to district public health nurse,
medical officer for the provision, supervision and improvement of community health
care within the assigned area.
• She carries out preventive, promotive, curative and rehabilitative care.
• Assists in determining the philosophies and objectives of the community
health programme.
 • Gives leaderships in planning total health care to all individuals, families and
community and in all fields that she is appointed.
• Assists in preparation of budget for the community health department.
• Major responsibility in guidance and supervision of PHN/LHV/ANM/ students who
are under her.
• Organizes educational programme for the community member including school
children, mothers and other interested group in her area.
• Ensures that the worker under her maintain proper records and achieve their regard of work.

PUBLIC HEALTH NURSE (PHN):

Job title: Public health Nursing officer

Place of work: At PHC and CHC

Responsible to: MO/MS

Responsible for: Health Supervisor, Health workers/ANMs

Job Summery (Roles)

Public Health Nurse is a midwife. She provides preventive and promotive srvices, monitors
and supervises the work of health supervisors and ANMs at the field.

Duties and responsibilities:

Main functions are:
1. Managerial and administrative activities
2. Supervision and guidance related activities
3. Health counselling and teaching
4. Environmental sanitation related activities
5. Subcentre action plan related
6. Field and other activities
To fulfil these responsibilities their activities are:
• To Helps in organization of maternal and child health programme.
• To promote health and nutrition education activities through the lady health
visitors, auxiliary nurse midwives.
• To help in developing school health programme in the district.
 • To ensure regular supply of equipment’s for MCH work.
• To help the statistical officer in the district family welfare bureau in compiling
the periodical progress report of MCH activities.
• To review the periodical progress report 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 provide for continuing education regarding family care, family planning in the district
through short in-service training sources.
• Provides health care to all individual, families and community in any field that she
is appointed.
• Trains, supervises and guides health workers in the delivery of health care services to
the community.
• Plans health and family welfare programmes among with health worker.
• Carries out supervisory health visits in the area covered by the health worker.
• Coordinate the work of the male and female health worker and the personnel.
• Assists in conducting medical examination of the school children.

Health Assistant/Supervisor

Job title: Health Supervisor Place

of work: At PHC Responsible

to: Medical Officer

Responsible for: ANM, ASHA, TBA

Job Summery (Roles)

Health assistant act as a supervisor for four to six subcentres and its health worker. She is
posted at PHC level and responsible for MCH related activities and maintenance of proper
records and reports in subcentre and send them weekly or monthly at CHC or PHC level. She
also conducted training for dais and ASHAs with the help of ANM.

Responsibilities

Main function of health assistant females are;

 1. Supervision and guidance of ANM and others health workers.
2. Coordinating activities of health worker and conducts regular meeting with them.
3. Maintain records and reports of authorized subcentre.
4. Checks equipment, supplies and maintenance of subcentre related activities.
5. Conduct training program for ASHA and dais and assist MO in organizing
training program.
6. Involves in MCH and FP related activities and camo.
7. Involves in Universal immunization program, nutritional program, school health
program, communicable and non-communicable program.

Auxiliary Nurse Midwife (ANMs)/ Health worker (Female):

Job title: Auxiliary Nurse Midwife

Place of work: At subcenter

Responsible to: Medical Officer

Responsible for: ASHA/Dais/traditional birth attendants

Job summery
Auxiliary Nurse Midwife is the village level health worker. She is working in 3000-5000
rural population. She performs various activities related to national program, including
MCH, FP, Medical termination of pregnancy, nutrition, immunization, communicable and
non- communicable diseases. She also acts as a facilitator of ASHA workers. Same rural
ANM, urban ANM also working in urban slum area under NURM.

Duties and responsibilities:

Maternal and child health

 Registers all pregnant cases, ensures at least four visits by them, first visit within
12 weeks.
 Tests urine and blood and identifies high risk pregnancy and provides care for them.
 Distribute iron and folic acid tablets to the pregnant mothers.
 Refers to BPHC for institutional delivery to prevent complication.
 Identifies beneficiaries under Janani Suraksha Yojana.
  Provides antenatal and postnatal and new-born care in subcentre and community
level provides treatment in diarrhoea and ARI and refers when required.
 Teaching mothers regarding MCH care, FP, nutrition and immunization,
breast feeding.
 Maintain maternity records, register of antenatal cases, eligible couple register,
children register up to date.
FP and medical termination of pregnancy
 Arrange and help M.O.in conducting MCH and FP clinics at the sub-center.
 Distributes contraceptives to the couple and insertion and removal of intra
uterine device as a family planning method.
 Identify and refers to women for requiring MTP and discourage unsafe
abortion methods.
Activities related health programs
She involved in various national health related program and try to full fil the national
targeted. Different type of national programme which can be goal oriented or eliminated
program or eradicated program, she involved with its full potentialities. Such as-
Universal Immunization program, Kala azar eradication program, malaria elimination
program.
Nutrition
 Assesses children under five for malnutrition and identify low birth weight cases.
 Distribution of iron and folic acid to under-five children, adolescent girl and
pregnant women.
 Arrange village health nutrition day in community level.

Communicable and non-communicable disease

 Notify MO regarding any case of diarrhoea, fever or any type of
communicable diseases.
 Provides treatment with medicine and prophylaxis and refers if necessary and follow
up care.
 Perform special duties as per guidelines in endemic areas of filaria, dengu, JE or kala-
azar.
 Maintain record and register in subcenter level.
  Uses information, education and communication methods to impart health
education and make them aware of prevention, healthy lifestyle and early detection
of communicable and non-communicable disease.
 Prepare survey list of all identified cases and conducting screening camp.

Records and reports

Maintain all documents, including birth and death register, eligible couple register, pregnant
women register, under 5 register, family planning and others.

Coordinating and team activities

 Attend various meeting at PHC and CHC level.
 Co ordinate with ASHA and plan for organize health days.
 Organize house to house survey.
 Participants in health camp and campaigns.

ASHA (Rural)
ROLES & RESPONSIBILITIES
ASHA will be a health activist in the community who will create awareness on health and its
social determinants and mobilize the community towards local health planning and increased
utilization and accountability of the existing health services. She would be a promoter of
good health practices. She will also provide a minimum package of curative care as
appropriate and feasible for that level and make timely referrals. Her roles and
responsibilities would be as follows:
• ASHA will take steps to create awareness and provide information to the community
on determinants of health such as nutrition, basic sanitation & hygienic practices, healthy
living and working conditions, information on existing health services and the need for
timely utilization of health & family welfare services.
• She will counsel women on birth preparedness, importance of safe delivery,
breastfeeding and complementary feeding, immunization, contraception and prevention of
common infections including Reproductive Tract Infection/Sexually Transmitted Infection
(RTIs/STIs) and care of the young child.

• ASHA will mobilize the community and facilitate them in accessing health and health
related services available at the village/sub-center/primary health centers, such as
Immunization, Ante Natal Check-up (ANC), Post Natal Check-up (PNC), ICDS,
sanitation and other services being provided by the government.
• She will work with the Village Health & Sanitation Committee of the Gram
Panchayat to develop a comprehensive village health plan.
• She will arrange escort/accompany pregnant women & children requiring
treatment/ admission to the nearest pre-identified health facility i.e. Primary Health
Centre/ Community Health Centre/ First Referral Unit (PHC/CHC /FRU).
• ASHA will provide primary medical care for minor ailments such as diarrhoea,
fevers, and first aid for minor injuries. She will be a provider of Directly Observed
Treatment Short-course (DOTS) under Revised National Tuberculosis Control
Programme.
• She will also act as a depot holder for essential provisions being made available to
every habitation like Oral Rehydration Therapy (ORS), Iron Folic Acid Tablet (IFA),
chloroquine, Disposable Delivery Kits (DDK), Oral Pills & Condoms, etc. A Drug Kit
will be provided to each ASHA. Contents of the kit will be based on the
recommendations of the expert/technical advisory group set up by the Government of
India.
• Her role as a provider can be enhanced subsequently. States can explore the
possibility of graded training to her for providing newborn care and management of a
range of common ailments particularly childhood illnesses.
• She will inform about the births and deaths in her village and any unusual health
problems/disease outbreaks in the community to the Sub-Centres/Primary Health
Centre.
• She will promote construction of household toilets under Total Sanitation Campaign.
• Fulfilment of all these roles by ASHA is envisaged through continuous training
and upgradation of her skills, spread over two years or more.

Anganwadi worker/AWW

Job title: Anganwadi worker

Place of work: At the Anganwadi centre or ICDS centre

Responsible to: Anganwadi supervisor

Job Summery (Roles)

The AWW is a health worker, chosen from the community and have to go 4 months of
training of health, nutrition, and childcare and an AWW covering 1000 rural population.

Role and responsibilities of AWWs

 To elicit community support and participation in running the programme.

 To weigh each child every month, record the weight graphically on the
growth card, use referral card for referring cases of mothers/children to
the sub-centres/PHC etc., and maintain child cards for children below 6
years and produce these cards before visiting medical and para-medical
personnel.

 To carry out a quick survey of all the families, especially mothers and children in
those families in their respective area of work once in a year.
 To organise non-formal pre-school activities in the anganwadi of
children in the age group 3-6 years of age and to help in designing and
making of toys and play equipment of indigenous origin for use in
anganwadi.

 To organise supplementary nutrition feeding for children (0-6 years) and expectant
and nursing mothers by planning the menu based on locally available food and local
recipes.

 To provide health and nutrition education and counseling on breastfeeding/ Infant &
young feeding practices to mothers. Anganwadi Workers, being close to the local
community, can motivate married women to adopt family planning/birth control
measure.

 AWWs shall share the information relating to births that took place
during the month with the Panchayat Secretary/Gram Sabha
Sewak/ANM whoever has been notified as Registrar/Sub Registrar
of Births & Deaths in her village.

 To make home visits for educating parents to enable mothers to plan an

 effective role in the child's growth and development with special emphasis
on new born child.
 To maintain files and records as prescribed.
 To assist the PHC staff in the implementation of health component of the
programme viz. immunisation, health check-up, ante natal and post natal
check etc.
 To assist ANM in the administration of IFA and Vitamin A by keeping
stock of the two medicines in the Centre without maintaining stock
register as it would add to her administrative work which would effect
her main functions under the Scheme.
 To share information collected under ICDS Scheme with the ANM.
However, ANM will not solely rely upon the information obtained
from the records of AWW.
 To bring to the notice of the Supervisors/ CDPO any development in the
village which requires their attention and intervention, particularly in
regard to the work of the coordinating arrangements with different
departments.
 To maintain liaison with other institutions (Mahila Mandals) and
involve lady school teachers and girls of the primary/middle schools in
the village which have relevance to her functions.
 To guide Accredited Social Health Activists (ASHA) engaged under
National Rural Health Mission in the delivery of health care services
and maintenance of records under the ICDS Scheme.
 To assist in implementation of Kishori Shakti Yojana (KSY) and
motivate and educate the adolescent girls and their parents and
community in general by organzing social awareness programmes/
campaigns etc.
 AWW would also assist in implementation of Nutrition Programme
for Adolescent Girls (NPAG) as per the guidelines of the Scheme and
maintain such record as prescribed under the NPAG.
 Anganwadi Worker can function as depot holder for RCH Kit/
contraceptives and disposable delivery kits. However, actual
distribution of delivery kits or administration of drugs, other than OTC
(Over the Counter) drugs would actually be carried out by the ANM or
ASHA as
 decided by the Ministry of Health & Family Welfare.
 To identify the disability among children during her home visits and
refer the case immediately to the nearest PHC or District Disability
Rehabilitation Centre.
 To support in organizing Pulse Polio Immunization (PPI) drives.
 To inform the ANM in case of emergency cases like diahorrea,
cholera etc.

Above different cattgories of nursing personnel in hospital and community level there
are others categories of nursing personals according to their duties and
responsibilities. Such as—
1. Pre-operative nurse
2. Pediatric oncology nurse
3. Ambulatory care nurse
4. Critical care nurse
5. Holistic nurse
6. Infusion nurse
7. Long term care nurse
8. Recovery nurses
9. Mental health nurse
10. Radiology nurse
11. Rehabilitation nurses
12. Nephrology nurse
13. Cardiovascular nurse
14. Orthopaedic nurse

CONCLUSION:
Nursing and non-nursing personals in hospitals and field level plays an important role in
patient care and improve the standard of care. All of them provides their own responsibilities
according to their grade and helps to preventive, promotive and curative care in community.
These are maintaining a chain system to continuing departmental work smoothly and
successfully.
REFERENCES:
1. K.Deepak, A comprehensive Textbook on Nursing Management,2nd
edition,2019,EMMESS Medical Publisher, page-188-201.
2. Vati Jogindra, Principles and practice of nursing Management Administration,
second edition,2020, jaypee Brothers Medical Publishers, page-306-325.
3. https://www.slideshare.net/KittuRoy/duties-and-responsibilities-of-the-nursing-
personnel -