ROLES AND
RESPONSIBILITIES OF
NURSES IN VARIOUS
DEPARTMENTS
The staff nurse is responsible for:
• To admit, discharge and transfer patients
• Maintain personal hygiene and comfort
• Provide psychological support
• Nutritional needs
• Maintain a clean and safe environment
• Maintain intake and output
• Maintain nurse’s notes
RESPONSIBILITIES
Direct
patient care Ward
management
OUTPATIENT DEPARTMENT
OBJECTIVES OF OPD
• To provide adequate quality care
• All modern techniques for investigation and treatment
• Creating facilities for total patient satisfaction
• Good public relation
DEFINITION
• OPD is a place where a patient goes first when he feels ill Patients
who do not need overnight hospitalization are admitted in the
outpatient department
IMPORTANCE OF OPD
Visited by a large section of the community
First point of contact between patient and hospital staff
A good OPD service reduces the load on in-patient services
It is a place for implementing preventive & promotive health
activities.
FUNCTIONS OF OPD
• Provide a major source of specialist medical opinion
• Early diagnosis, curative, preventive & rehabilitative care
• Screening for admission to the hospital
• Follow up care & care after discharge
• Promotion of health by health education
• Rendering of preventive health care
TYPES OF OPD SERVICE
1. Centralized Outpatient Services :
• All services are provided in a compact area which includes all
diagnostic and therapeutic facilities being provided in the same place.
2. Decentralized Outpatient Services :
• Services are provided in the respective departments.
OTHERS
General Outpatient
Emergency Outpatient
Referred Outpatient
ROLE OF A NURSE
Direct care
Charting
Education
communication
OPERATION THEATRE
• The OT nurse is responsible for the patient at the time of surgery.
• The circulatory nurse helps in assisting and arranging things and the
anesthesiologist.
• The scrub nurse helps in assisting the surgeon.
Before surgery
• Ensuring proper equipment
• Positioning devices
• Counting sharps and sponges along with scrub nurse
• Pulling medications such as local and antibiotics
• Reviewing patient’s charts and history
• Surgical consent
During surgery
• Charting
• Opening needs supplies to the sterile field
• Getting additional supplies
• Assisting anesthesiologist
• Handling specimens and cultures
• Performing first and final counts
After surgery
• Calling post-op, PACU for arrival
• Transferring patient onto the stretcher
• Assisting in extubating if needed
• Helping in transferring patients to PACU
COMMUNITY SETTING
ROLES
• Direct care
• Educator
• Counsellor
• Advocate
• Manager
• Advisor
• Co-Ordinator
• Observer
• Leader
• Health planner
• Epidemiologist
• Prevention of illness
• Researcher
Settings for CHN Practice
1. Home
2. Community health centers
3. Schools
4. Occupational health settings (business and industry)
5. Residential institutions: Older age residences
6. Parishes or charitable mosques related organizations
7. Community at large