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Institutional Nursing / Hospital Nurses work with a health team Setting is most likely hospitals, hospices, clinics and

d nursing homes, rehabilitation, lying-in, etc. ADVANTAGES Presence of a supervisor Updated with new trends in Nx care Undergo rotation to different units 8 hr duty and 40 hr wk duty and 2 day rest day DISADVANTAGES Understaffing Some do not find time to improve their skills Administrative problems and overwork w/c leads to dissatisfaction Community Health Nursing Nurses are exposed to the community set-up wherein their clients are individuals, families or groups. usually deals with families and communities. (No confinement, OPD only) Example: Health Center ADVANTAGES Focus: family and community health Maximizes efforts to improvise where there are no sufficient facilities, supplies, and equipment Focus of care: educational and preventive aspects DISADVANTAGES Cases are limited mostly to chronic and or communicable diseases More hazards No fixed hours of work Some claim that it is not as exciting nor as glamorous as hospital work Limited facilities limited skills May not be immediately aware of changes or new trends No immediate supervisor to consult in case of emergency School health nursing Nurses are responsible primarily in the welfare of students as well as the faculty. They responsible in health care activities and services by the school. Aims: promoting the health of school children Preventing health problems that would hinder their learning and performance of their developmental tasks Target: family, student, teachers, supportive personnel, community

School Health Triad Service Education Environment School health team:

Psychologist/counselor, teacher, nutritionist, nurse, social workers, maintenance personnel

Roles of the School Nurse Educator o Health teaching as a support to the classroom teacher Consultant/Researcher o Collects information and data specific to the types of services needed and wanted within the school community Student, family and staff advocate Health Screener Provider of Emergency Care Organize Health programs Common Health Concerns of School Children Drug and alcohol use Teenage pregnancies Dermatological disorders Nutrition

Sexually transmitted disease Mental health Respiratory conditions Dental health

Occupational Health or Industrial Nursing Nurses here work with companies and clients here are workers in a certain company. It is required to have previous exposure to hospitals since emerging situations may arise. Settings: a nurse working in factories, office, companies, mining, accounting firms Nursing in the workplace The specialty practice that provides for and delivers health care services to workers Focus: Promotion, protection, and restoration of workers health Emphasis on optimizing health, preventing illness and injury, and reducing health hazards

Nursing Responsibilities of the Occupational Health Nurse Assists/Participates in developing an adequate health program for workers and laborers, including sound health education activities Encourage periodic physical examination Cooperates with occupational medical programs in the prevention of accidents, and in the promotion of good working atmosphere and relationship in the place of work. Helps in teaching others to give good nursing care to the sick and handicapped in their own homes

Private Duty Nursing privately hired Private duty nurse private nurse practitioner special duty nurse private duty nurse specialist Gives a comprehensive Nx care to a client on a one-to one ratio

2 categories: GENERAL PRIVATE DUTY NURSE -capable of providing basic nursing care PRIVATE DUTY NURSE SPECIALIST -same as general private duty nurse + demonstration of some competencies

Qualifications: RN Documents: >professional tax receipt >PRC card >Residence certificate At least 2 yrs experience of bedside nursing experience in a general hospital Be acceptable to the director of nursing Service as suitable for orientation to do private duty nursing Be a full time PDN Preferably have undergone a Critical Care Nursing course A certified I.V. Therapist by the Association of Nursing Science Administrators of the Philippines ADVANTAGES Opportunity to make real friends through close association w/ the patient and his family Chance to travel DISADVANTAGES Can create a situation in which pts become totally dependent on them Little assistance is given by the head nurse Very little time or no participation in professional activities Occupational health nursing Delivers health care to workers Must often work alone and must possess maturity, experience and wise judgement Focus: promotion, protection and supervision of workers health within the context of a safe healthy environment Nursing education Nurses working in school, review center and in hospital as a CI. Nurses here are also teachers and molders of the future of nursing.

They equip young minds in order to be competent nurses later on.

Qualifications RN 1 year clinical practice Member of an accredited professional organization of nurses Holder of a masters degree in nursing, or other allied medical and health sciences Dean: Masters Degree in Nursing and must have 5 years of experience in teaching EXPANDED ROLE AS OF THE NURSE 1. Clinical Specialists provides expert care to individuals, participates in educating health care professionals and ancillary acts as a clinical consultant and participates in research. Plans, directs, guides, supervise 2. Nurse Practitioner She is skilled at making nursing assessments, performing P. E., counseling, teaching and treating minor and self- limiting illness. 3. Nurse-midwife a nurse who has completed a program in midwifery; provides prenatal and postnatal care, and Delivers babies to woman with uncomplicated pregnancies. All processes associated with childbirth 4. Nurse anesthetist a nurse who completed the course of study in an anesthesia school and carries out pre-operative status of clients.
5. Nurse Educator A nurse usually with advanced degree, who beaches in clinical or educational settings

teaches theoretical knowledge, clinical skills and conduct research. 6. Nurse Entrepreneur a nurse who manages health-related business.
7. Nurse administrator a nurse who is responsible for the management and administration of resources and

personnel involved in giving patient care.

Clinic nursing Nurses works with a doctor and serves as the receptionist, data gatherer and organizer. Scheduling of appointments organizing the patients files Nurse acts as

receptionist, answers phone, does the billing, changes dressings, gives injection, immunizations or suturing of wounds and assist in PA Military Nursing Nurses working in a military base. Nurses here are specially trained for medical services during war or peace. They are responsible on healths of civilians and military men as well as people considered as enemies. Nurses who are responsible for treating army **This kind of field demands endurance of the rapid activity and action on the unpredictable field of work. Functions: To Provides comprehensive and quality nursing care to all military personnel, their dependents and authorized relatives To meet the nursing needs of todays patients in AFP medical facilities To prepare each Nurse Corps Officer for future assignments as a higher level responsibility in the diff. Stations and gen. Hospitals in times of peace and war To train and teach each personnel who perform nursing functions under supervision Independent Nursing Practice private practice, BP monitoring, home service. Specialised nurses are here to help women and men, from adolescence to mature age, in those areas of your life which are often the most difficult to talk about.
Contraception, Menopause, Contraceptive advice, Hormonal issues, STI checks, Breast checks, Period problems, Infertility

Emergency Nursing Nurses in this field work with emergency cases. Pediatric Nursing Nursing of little babies, teenagers Anesthetist Nursing Provision of anesthesia to surgical, obstetrical, and trauma patients This is said to be one of the most lucrative careers in the U.S., considering the mind-blowing salary figures of nurse anesthetists. Geriatric Nursing Taking care of old people, either at hospital or at the patients' homes Cardiac Care Nursing Nurses who take care of patients suffering from heart diseases Dermatology Nursing

For taking care of all problems and diseases associated with the skin, dermatology nurses specialize in this field of nursing.

Benner's Stages of Clinical Competence Stage 1: Novice Beginners have had no experience of the situations in which they are expected to perform rules are taught to help them perform. novices have no "life experience" in the application of rules. "Just tell me what I need to do and I'll do it." Stage 2: Advanced Beginner demonstrate marginally acceptable performance, those who have coped with enough real situations to note, or to have pointed out to them by a mentor, the recurring meaningful situational components Stage 3: Competent has been on the job in the same or similar situations two or three years, develops when the nurse begins to see his or her actions in terms of long-range goals or plans of which he or she is consciously aware conscious, deliberate planning that is characteristic of this skill level helps achieve efficiency and organization The competent person does not yet have enough experience to recognize a situation in terms of an overall picture or in terms of which aspects are most salient, most important. Stage 4: Proficient Proficient nurses understand a situation as a whole because they perceive its meaning in terms of long-term goals. The proficient nurse uses maxims as guides which reflect what would appear to the competent or novice performer as unintelligible nuances of the situation Stage 5: The Expert The expert performer no longer relies on an analytic principle (rule, guideline, maxim) to connect her or his understanding of the situation to an appropriate action. with an enormous background of experience, now has an intuitive grasp of each situation