NURSING

RESPONSIBILITIES
By Andrea Lorenz T. Pampliega
General Objectives
• 
• GENERAL OBJECTIVE: 15 minutes of ward class, the
student nurses will be able to understand the nursing
responsibilities in the ward, such as writing nursing
objectives & nurses notes, and assessing vital signs.
What are Nursing Responsibilities?
• The primary role of a nurse is to be a caregiver for
patients by managing physical needs, preventing illness,
and treating health conditions.

• To do this, nurses must observe and monitor the patient

and record any relevant information to aid in treatment
decision-making processes.
Why is it important:
• Nurses play an important role in providing care for
patients to help manage their physical needs, treat health
conditions and prevent illnesses.

• As highly trained members of the medical team, most

nurses have a broad skill set and a wide range of
responsibilities that can vary from one patient to the next. 
Lessons for Today
• Nursing Objectives
• ADPIE
• SMART
• Nurses Notes
• F-DAR
• Vital signs
• Temperature
• Pulse Rate
• Respiratory Rate
• Blood Pressure
Nursing Objectives
• What is a Nursing Objective?
• A specific expected outcome of nursing intervention as
related to the established nursing diagnosis.

• What its purpose

• Nursing objective provide direction for selection of
appropriate nursing interventions and evaluation of patient
progress.
What is the Format we use?
• In writing nursing objectives we use ADPIE
as a tool to use throughout their career
when treating patients as a form of quality
assurance.
What is ADPIE?
• Is an acronym used to remember the five
steps of the nursing process: assessment,
diagnosis, planning, implementation, and
evaluation
 The components of ADPIE
• Assessment is the first and most crucial step in the
nursing process and involves critical thinking skills for
obtaining data.

• Data falls into one of two categories: objective or

subjective.

• Subjective data is what the patient reports but is not

clearly seen. 

• Objective Data is what is actually observed or seen.

Diagnosis

•  A nursing diagnosis utilizes Maslow’s Hierarchy of Needs,

developed decades ago by American psychologist
Abraham Maslow. The hierarchy is based on the
fundamental needs of all individuals.
Planning

• A nursing care plan is developed based on the

assessment and nursing diagnosis. The plan sets SMART
goals, which means the goals should be: 
• Specific
• Measurable
• Attainable
• Realistic or relevant
• Timely or time-oriented
S.M.A.R.T
Implementation
• Implementation is the “actionable part of the process.”
Implementation provides continuity to patient care. It
involves both direct and indirect patient care.
Evaluation

• The nursing process involves constant monitoring to

determine if the care plan is appropriate.
Nurses Notes
• What is a nurses notes:
• A nursing note is a medical note that serves as a
record of nursing care including evaluation,
assessment, diagnosis, planning, delivery of care
to a patient, and evaluation of such interventions.
Purpose of writing nurses notes:
• The purpose of nursing notes is to include clear, accurate
descriptions of nursing assessments, changes in patient
conditions, the specific care provided, and all necessary
information to support optimal communication,
collaboration, and continuity of care.
• It use also use as protection and evidence for both the
nurse and the patient against legal issues.
What is FDAR:

• Focus Charting - is a method for organizing health

information in the individual's record. It is a systematic
approach to documentation, using nursing terminology to
describe individual's health status and nursing action
Why is F-DAR charting important?

• F-DAR charting is important because it shows

patients' current health and progress updates in
an organized document.

• This helps medical professionals, including

nurses and doctors, stay informed about a
patient's vital signs, treatments and progress
What does FDAR mean:
 

• F-DAR stands for Focus, Data, Action and Response.

Each category represents the following information:

• Focus: The focus is the issue that the nurse addresses

when visiting the patient. This can be a diagnosis, pain
monitoring or health lesson.
• 
• Data: Data is the information about the patient's current
status. This can include the patient's vital signs or a
noticeable change in the patient's condition or behaviour.
What does FDAR mean:
• Action: This is the action the nurse takes in response to
the data. For example, the nurse might replace a bandage
if they noticed it needed to be changed.

• Response: This is the response that the patient shows

after receiving any treatment. For example, this might
include a change in the patient's vital signs after receiving
medication.
Vital Signs
• What are Vital signs:

• Vital signs area clinical measurements,

specifically pulse rate, temperature, respiration
rate, and blood pressure that indicate the state of
a patient's essential body functions.
Purpose of Assessing Vital signs:

• To determine the course of illness, this serves as

a guide in meeting the needs of the patient, and
as well as opportunity to observe the general
condition of the patient.
Purpose of Assessing Vital signs:
 

• To determine the course of illness, this serves as a guide

in meeting the needs of the patient, and as well as
opportunity to observe the general condition of the patient.

• The components of vital signs:

• The components are pulse rate, temperature, respiration
rate, and blood pressure
Temperature
• Temperature is the balance between heat
produce and heat lose.
• The equipment use thermometer
• Locations to place thermometer:
• Auxiliary
• Oral
• Rectal
• Tympanic
Pulse Rate
• Pulse rate is the expansion of the arterial wall occurring
with each ventricular contraction.
• The equipment use is determined by the method use.
• For manual a second hand watch and stethoscope if
needed (Apical pulse)
• For electronic a pulse oximeter is used.
Blood pressure
• Blood pressure is the pumping action of the heart, it has 3
components, systolic, diastolic and pulse pressure.

• Equipment sphygmomanometer, the appropriate sized

cuff and a stethoscope.
Blood Pressure
Special Considerations
• Before Vital signs are taken, be sure that the patient has
rested.

• Remember that the frequency taking the TPR depends

upon the condition of the patient and the policy of the
agency

• Inform the physician or head nurse promptly for any

significant change in vital signs

• Explain the procedure to the patient for they feel at ease.