NURSING SERVICES

DUTIES AND FUNCTIONS A job description helps clarify delegated functions and authority; it is the basis for determining the nature of development desired for the position. A written job description provides information including the tasks of job as well as the job relation to the other job. Chief Nurse the executive head of the Nursing Service. Asst. Chief Nurse assist the Chief Nurse in planning, setting up and supervision of Staff and Education Program of the Nursing Service. Supervisor (OR) responsible to the Chief Nurse in the management and supervision of nursing and related operating room activities. In our set up, she is also responsible in the management and supervision of nursing and related delivery room, labor room, recovery room, Nursery (NICU) and Central Supply Room activities, in general, the whole of the Operating Room Complex. Supervisor (Ward) responsible in the management of nursing care and services in all in-patient units. Supervisor (ER/OPD) - responsible in the management and supervision of all nursing activities in the Emergency Room, Out-Patient department. Senior Nurse (OR) responsible in the administration and supervision of nursing activities in the operating room. Makes assignment of the OR nurses and does assistance during operation. Senior Nurse (Ward) responsible in the administration of a particular unit. Maintains the standard of patient care. Supervises the nursing activities in her unit. Senior Nurse (OPD) responsible in the management and supervision of nursing and related Out-Patient department activities. Senior Nurse (ER) responsible in the management of nursing activities in the Emergency Room. Senior Nurse (ICU/CCU) responsible in the planning of an effective nursing care plan system for the critically ill patient in her unit. She should be aware that ICU requires the highest form of cooperation and coordination of activities from nursing, medical, hospital administrator and other support services, so a clear understanding of their respective responsibilities and continuous staff development is basic to the health team, specially the professional nurses assigned in this unit.

Senior Nurse (DR/LR) responsible in the administration and supervision of nursing activities in the delivery room. Makes assignment of the DR nurses and does assistance during operation. Operating Room Nurse responsible in extending assistance to various type of surgical operation and does other related work in the operating room. Responsible for assisting during operation, setting up of operating room, instruments, and supplies which vary according to type of operation to be perform. Observes patient during surgical operation/procedures. Clean and observe aseptic technique in the handling of sterile equipments in the operating room. Maintain required records and reports. Clean and pack OR linens, instruments and supplies for sterilization. Takes care of the specimen for examination. On call for emergency cases. Staff Nurse (DR) responsible in the management and supervision of nursing and related activities in the delivery room. Supervises Nursing Aides in the delivery room and labor room. Provides assistance and guidance in observing asepsis in her unit. Staff Nurse (NICU) responsible in the management and supervision of all nursing activities in the Nursery (NICU) Coordinates with resident physicians regarding routines. Supervise nursing personnel assigned in her unit and sees to it that asepsis is observed. Responsible also in providing continuous supply of emergency drugs, supplies and linens. Coordinates with the Supervisor of OR complex of her needs and problems arising in the NICU. Staff Nurse (ICU/CCU) responsible for monitoring and total nursing care of the critically ill patient assigned to her. Assist in the maintenance of equipments within the unit. Responsible in the observance of asepsis and disinfection of equipments used by the patient. Administers medicines prescribed by the physician. Follows up laboratory report and inform physician of recent laboratory results. Charts and records all pertinent data collected. Staff Nurse (Ward) responsible in rendering nursing care of patients, supportive and restorative of life and well being. Assess, plans, and implement nursing activities based on identified health problems, through case findings, health teaching and counseling. Participate in the orientation of new personnel and non-nursing personnel in their respective unit. Assist in the improvement of nursing care. Act as a team leader and performs her duty to the best of her ability for quality and patient care. Must be able to carry out doctors order within hospital policy and legal limitations, maintains records, nursing notes and individual care. Maintains good relationship with hospital personnel and public. Actual Work Performance 1. Gives direct nursing care.

2. Identifies nursing needs of patients. 3. Plan, gives and evaluate nursing care. 4. Admits patient. 5. Performs nursing activities like baths and oral hygiene. 6. Takes TPR and vital signs and record them. 7. Set up and carries out medical asepsis. 8. Observes sign and symptoms, institutes remedial action when necessary. 9. Does charting and recording. 10. Observes and responds to patients emotional and spiritual needs when necessary. 11. Communicates and act as liaison between patients, hospital staff and public. 12. Prepares and assist s physician during examination. 13. Assist physician during diagnostic and therapeutic procedures. 14. Keep patients chart and nursing care plan. Discharges patient as ordered. 15. Gives post mortem care. 16. Keep and maintains equipment of the unit. 17. Supervises non-professional nursing personnel. 18. Act as in-charge in the absence of the Senior Nurse. 19. Makes round and sees to it that all the patient in her unit get the necessary care. Central Supply Room Nurse responsible in the management and supervision of the CSR. Engaged in requisitioning, storing, preparation and issuance of supplies for all the clinical areas. Supervises the cleaning, packing, sterilization and storing of supplies which will be needed in the clinical areas. Keep inventory records and consumptions. Health Education and Promotion Officer (HEPO) responsible in planning and implementation of the Health Education Program of the hospital based on identified needs. Organize and conduct health education classes among, personnel, patients, watchers, visitors and community as well. Nursing Attendants is one who operates at a level of workers trained on the job, to assist professional nurses by performing routine duties in taking care of hospitalized patients. Actual Work Performance 1. 2. 3. 4. 5. Escorts newly admitted patient. Takes TPR and record. Bathes bed patient, assist in dressing, stores patients clothing and valuables. Combs hair, clean and cut patients nails, gives shampoo oral hygiene Gives alcohol rub, drapes female patients for examination.

6. Gives enema, irrigation and do catheterization. 7. Serves and empty bedpans, sputum cup and urinals. 8. Feeds bed ridden patients. Assist with their needs. 9. Keeps record of intake and output when ordered. 10. Assist patient in walking, transport and turning. 11. Clean and discharge patients room. 12. Change linens of patient and collect soiled linens. 13. Collects chart, reports and records. 14. Helps with post mortem care. 15. Performs delegated nursing care procedure for which she has been trained. 16. Assists nurses in patients care. 17. Clean and sterile instruments and equipments. 18. Stand as errand to nursing staff. 19. Assist in deliveries and routine newborn care. 20. Gives health teaching to patient, especially on personal hygiene. Institutional Worker- Non-professional nursing personnel who have been trained to do some procedures related to patient care. Actual Performance 1. Escorts newly admitted patient to the ward/ or assigned bed at the clinical area. 2. Assists patient in walking and transport patient to the different hospital units by means of a wheel chair and stretcher. 3. Wheels oxygen tank to patient bedside and replace empty oxygen tanks. 4. Mops and clean delivery and operating rooms every after each use. 5. Scrubs walls of OR/DR during weekends when not in use. 6. Helps in cleaning instruments, equipments and semi-expendable supplies. 7. Autoclaves and sterilizes instruments. 8. Assists physicians during application of cast. 9. Helps in cleaning and disinfection of patient area. 10. Helps in linen distribution and may prepare bed if nurses and nursing aides are busy. 11. May prepare minor bedside procedures under the supervision of a staff nurse. Ex. Enema, shaving, baths and shampoos. 12. Assist in post-mortem care and transport cadaver to morgue properly identified. 13. Run errands for physician and nurses, relative to patient care. 14. Helps in cleaning furnitures and bed of discharged patient. 15. In charge of bringing patient (cadaver) to the morgue, with complete identification.