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Organization is the formal structure of authority calculated to define, distribute and provide for
the co-ordination of tasks as contribution of the whole. Nurse administrators believe that it is
possible to match employees knowledge and skills to the patient care needs in a manner that
optimizes job satisfaction and care quality.
VARIOUS NURSING PERSONNEL
STAFF NURSE
SENIOR STAFF NURSE
NURSING SUPERINTENTENT GRADE II
NURSING SUPERINDENT GRADE I
NURSING TUTOR/CLINICAL INSTRUCTOR
PRINCIPAL, SCHOOL OF NURSING
LECTURER, COLLEGE OF NURSING
ASSISTANT PROFESSOR, COLLEGE OF NURSING
PROFESSOR, COLLEGE OF NURSING
PRINICPAL, COLLEGE OF NURSING
SENIOR ASSISTANTDIRECTOR OF NURSING
PUBLIC HEALTH NURSE- DISTRICT FAMILY WELFARE BUREAU
1. STAFF NURSE:
EDUCATIONAL QUALIFICATION:
General
: Pre university course/10 + 2 or equivalent exam.
Professional: GNM/ B.Sc nursing
STANDARD NORMS AND INC (NURSE PATIENT RATIO)
General wards:
o 1:3 (hospital attached with school or college of nursing)
o 1:5 (hospital not attached with school or college of nursing)
ICU, ICCU and other specialty: 1:1 for 24 hours.
JOB SUMMARY:
Staff nurse is a first level professional nurse who provides direct patient care.
Assists in management of wards/units/special department.
She/he is directly responsible to Senior Staff nurse/ward incharge/Nursing
superintendent grade II.
DUTIES AND RESPONSIBILITIES
1. Direct patient care
Administration of medication
Assisting doctors in various medical and surgical diagnostic procedures.
Performing simple diagnostic procedure.
Collecting and sending of specimen for laboratory diagnostic procedure.
Recording of vital signs
Prepares patients for operations
Observes all patients condition and takes suitable action accordingly .
Gives expert bed side nursing to all patients.
Attends last offices in case of a patient dying during shifts and arrange to
preserve dead body in mortuary, or hand over the body with respect to
concerned family members/relatives/authority.
2.Ward/ Unit management
Helps the ward incharge to carry out his/her work during their absence.
Maintains general cleanliness of the ward and sanitary annexure
Supervises the duties of group D employees and guides them
Writes the diet register and supervise the distribution of diet.
Maintains scheduled poisonous drug register.
Supervises nursing care and other tasks carried out by the students
Maintains duty room trays, sterilizes instruments and see other procedural trays are in
readiness.
Take over from the duty nurse of the previous, new and serious patients, instruments,
supplies, drugs, etc and handover the same accordingly.
Maintains all the records pertaining to the ward/unit
Since it is a first level nursing supervisory role which needs atleast one senior staff
nurse for five staff nurse(1:5)
JOB SUMMARY:
Senior staff nurse is first level nursing supervisor who is accountable for nursing care
management of ward or a unit assigned to him/her.
She is responsible for nursing superintendent GrII for his/her ward/unit management.
She takes full charge of the ward and assigns work for various categories of nursing and
non nursing personnel working with him.her.
She is responsible for safety and comfort of the patients in her/his work.
DUTIES AND RESPONSIBILITIES
1. Direct patient care.
4. NURSING SUPERINTENDENT GR I
EDUCATIONAL QUALIFICATION :
General education : Pre university course/10 + 2 or equivalent exam.
Professional: GNM/ B.Sc nursing
Registration : registerd in INC
Experience: should have experience Nursing superintendent Gr II
STANDARD NORMS:
There should be one Nursing superintendent Gr I for 200 bedded hospital, one Nursing
superintendent Gr I for 2-4 Nursing superintendent Gr II
JOB SUMMARY:
Nursing superintendent is responsible for the medical superintendent in a hospital
having 200 or above bed strength.
She is accountable for the safe and efficient running of the various nursing departments
in the hospital.
She is assistant in carrying out her duties by the deputy nursing superintendent/
assistant nursing superintendent, ward supervisors and clerical, linen roomand domestic
staff.
DUTIES AND RESPONSIBILITES.
1. Nursing services
Participates in the formulation of philosophy of the hospital in general and those
specific to the nursing service.
Determines the goals, aims, objectives and policies of nursing services
Decides and recommends personnel and material requirement for running
various nursing services department of the hospital
Interviews and recruits nursing staff.
Takes hospital rounds with medical superintendent
Makes regular visit in hospitals and wards
Selects and secure proper equipment needed for the hospital
Prepares budgets for the nursing services department
Prepares duty roster, plans staff leave and disburses salary.
Maintains records concerning to the nursing staff, students, confidential reports and
health record etc.
Submits annual reports to the nursing service department to medical superintendent,
Indian nursing council and nurses registration council
Participates in professional and community activities.
Maintains cordial relations with public and voluntary workers.
JOB DESCRIPTION OF NURSING SUPERINTENDENT
JOB SPECIFICATIONS:
JOB TITLE: Nursing superintendent grade -1
DEPARTMENT: Nursing
QUALIFICATIONS:
Essential Qualifications:
Registered nurse with Kerala State Nurses and midwifery Council and should complete MSc
nursing programme in any specialty. BSc /Diploma Nursing with Specialization in
Administration
Preference Qualifications: certifications in any specialized area
MENTAL AND PHYSICAL CAPABILITIES:
Good emotional control, IQ, memory, judgment ability to plan, good physical stamina and motor
co-ordination
JOB POSITION SUMMARY:
Leadership accountabilities
Educational accountabilities
Communication accountabilities
Professional growth
Research accountabilities
Professional and job accountabilities
13. She will be responsible to prepare working statement of all nursing personnel and coordinate with hospital authority.
14. She will maintain various record registers such as cumulative record, leave record,
attendance register, explanation letter file, grievance file of nursing services, performance
appraisal, health record, report of serious patients, census book (daily, monthly & yearly) etc.
15. She will take action of all disciplinary problems when her Dy. Nursing Superintendent or
other subordinate staff in difficult to handle.
16. She will prepare the budget proposal for the nursing services department.
17. She will keep herself apprised of the hospital condition and will be aware of any special
patient of significant diagnosis and needing special care.
18. She will investigate the problem as asked by higher authority.
19. She will responsible for sending the names of various nursing professionals to the Nursing
Directorate for making gradation list.
In Respect Of Making Liaison
1. She will foe a member of various Hospital Committees like Diet Committee, Purchases
Committee, Disaster Management Committee, Infection control Committee, Rogi Kalyan
Samity, Condemnation Committee, Enquiry Committee, College Council Committee, Quarter
Committee etc and participate in all developmental planning for the hospital.
2. She will keep communication with the head of the institution, Nursing Directorate, College
off Nursing if any and other category of Staff for smooth hospital management.
3. She will maintain inter departmental communication & act as a liaison officer between Biowaste management System operator, Rogi Sahayak Kendra, Diet contractor, Linen contractor etc
to run the hospital smoothly.
4. She will hold periodical meeting with the hospital administrators and nursing staff to make
the nursing administration effective.
In Respect Of Patient Care
1. She will observe and take active part for maintaining cleanliness of the wards, with the help
of ward master, Asst. Superintendent, Deputy Nursing Superintendent and Ward sister.
2. She will enquire regarding presence of Gr. D, presence of nurses, light & ventilation, any
sound pollution, safety security of the patient, fire extinguisher, presence of security personnel
etc. during her every day round.
3. She will formulate the standard protocol, enforce for implementation of the standard by
encouraging the unit in charge to supervise the maintenance of developed standard, review the
standard periodically for quality patient care and maintaining clean, orderly and safe
environment.
4. She will ensure regular supply of articles and equipments for proper nursing care to the
patients and be vigilant about proper utilization of hospital properties.
5. She will initiate and encourage the staff to implement the modern technology for the patient
care.
6. She will supervise the maintenance of various records such as admission register, discharge
register, Log Book, Hospital Report and Census, various nurses notes, TPR Chart, intake &
output chart etc. of the unit.
7. She will check and ensure the proper patients diet as a member of diet committee and also to
visit the hospital kitchen periodically.
8. She will supervise the waste management, infection control and safety measures
(Universal/Standard precaution) of the hospital.
In Respect Of Staff Development And Welfare Of The Nursing Staff
1. She will be responsible to plan, organize, conduct and actively participate in in-service and
continuing education programme like Orientation & induction programme of newly posted staff .Participate in seminars workshops
directly. Select the participants for any workshop and keep records up to-date. Encourage the
nursing personnel to go for higher studies.
2. She will counsel the subordinate staff in problem and provide guidance.
3. She should ensure the comfortable physical facilities of the nursing staff in wards and guide
them as far as practicable.
4. She will ensure periodical health check up of all nursing personnel, working in the hospital,
maintain health records and take action for sick nurses.
5. She will arrange nurses sick room in the hospital for the sick nurses.
6. She shall encourage recreational programme for nurses and actively participate in all
recreational, social and professional activities.
7. She will visit the nurses hostel periodically for smooth running the hostel & mess.
8. She will submit proposal for expansion and construction of nurses hostel as and when
necessary.
9. She will ensure that all nursing staff are in tidy, clean uniform and maintain professional
etiquette.
Nursing Education and Research
1. She will participate in students selection and recruitment.
2. She will be involved in planning, implementation and evaluation of the curriculum.
3. She will keep herself apprised of the teaching programme attached to her institute.
4. She will initiate new projects/ study/ evidence based research for professional growth and
submit the proposal to Nursing Directorate.
STANDARD NORMS:
According to INC
JOB SUMMARY:
She is teacher in nursing school, responsible to the vice principal in school of nursing
Responsile for planning and implementation of teaching programme
Assist in administration of school of nursing
DUTIES AND RESPONSIBILITIES
1. Academic Function
Responsible for planning and implementation ofof teaching programme
Teaching subjects in the curriculum
Overall supervision of the clinical teaching prorgamme of subjects in hospital
community setting
Maintains class room equipments, supplies and teaching aids
Conducts test for(theory and practical) and evaluation of student assignment and
performance
Preparing teaching materials and implementing it under the guidance of other teachers
Helping the students with extra-curricular activities.
2. Administeration and Evaluation
EDUCATIONAL QUALIFICATION
General
: GNM/ BSc Nursing
Professional : Master degree in nursing recognized by INC or BSc Nursing (postcertificate)
Registration : registered with Karnataka nursing council
Experience: should have teaching experience in school of nursing not less than 5
years.
JOB SUMMARY
Principal is responsible to the medical superintendent or district surgeon of the
hospital .
Once the financial control of the school is handed to the principal. He or she is
shall be directly responsible to the directorate of medical education and
directorate of health and family welfare services.
As the head of the school he/she will be
responsible to the smooth
implementation of the INC syllabus and school administration .
DUTIES AND RESPONSIBILITIES
1, Administration
Advertising and calling for candidates for nursing programme
Scrutinizing applications, preparing merit list and calling them for interview.
Conducting interview for selecting candidates
Planning for orientation programme for new students and staffs
Maintaining student records, admission register, results, registers master roll call for
staff teachers and students etc.
Seeing the supply of audio visual aids, teaching materials as requested by the
concerned authorities of the department
Placing indents with the government for stationary, uniform for certain category of
class IV servants
Working out the philosophy and objectives of the institution
Representing the college and the profession on various committees
Holding meeting with teachers, staff offline, hostel staffs, students and their commities
Writing annually the confidential report of staff and teachers.
Sending proposal yearly for new items, staff, costly equipments etc.
Countersigning cash book after periodic verification of the cash, stamp registery every
month
3. Educational
The principal will be responsible for the smooth implementation of the prescribed syllabus,
keeping in mind the goals to be achieved. She/he is therefore responsible for the
Working out the syllabus and the curriculum
Arranging for theory and practical work for each group
Contacting agencies, institutions for arranging field visits, clinical experience etc
Initiating changes in the curriculum keeping within the guidelines of syllabus
Cooperating with the state council/board to conduct examination
Preparing and displaying weekly/monthly class schedule, clinical experience of
rotation plan etc in consultation with tutors
Maintaining records of examination results
Encourage and support co-curricular activities
Issuing transcript to the students
4. Miscellaneous
Besides her/his responsibilities in the administrative and teaching areas certain
functions are not related to these areas are also carried out
Encouraging faculty members to take up further studies, attend seminars
workshop and participate in professional activities
Encourage students to actively participate in SNA activities and join TNA I and
GNAK on graduation
Arranging graduation and candle lighting ceremonies with help from tutors
Meeting parents or guardians of the students as and when necessary
7. LECTURER, COLLEGE OF NURSING
EDUCATIONAL QUALIFICATION
General : As prescribed for staff nurse
Professional : M.Sc Nursing/MN or equivalent degree recognized by INC
Registration : Registered in state nursing council
Experience: should have experience as staff nurse not less than 5 years in government
hospitals
JOB SUMMARY:
He /she works under the direction of the departmental head and assist him in
administration, instruction and guidance activities.
DUTIES AND RESPONSIBILITIES:
1. Instruction :
Identifies the needs of the learner in terms of programme by utilizing the records of
previous experience, personal interviews, tests and observation.
Participates in the formulation and implementation of the philosophies and
objectives of the institution
Participates in the evaluation of the curriculum
Assists the learners in using problem-solving process.
Maintains and uses adequate and accurate records
Increases knowledge and skills in own curriculum areas
Devices teaching methods appropriate to objectives and content.
2. Guidence and councelling
Gives guidance in own field of competence
Helps the learner to grow in self understanding
3. Research
Assists in initiating and participating in studies for the improvement of
educational programme
Identifies problems in which research is indicated or potentially desirable
Makes data available concerning learners and concerning methods of teaching
and evaluation
Continues to develop competencies in problem-solving process
Utilizes the findings in research
Cooperates in and/ or initiates group activity in development and evaluation of
studies
JOB SUMMARY
The Assistant Professor usually works under professor and/ HOD of the
particular department of the specialty and assists him/her in administration,
teaching and guidance and counseling and research activities.
DUTIES AND RESPONSIBILITIES:
1. Administeration
Participates in determination of educational purposes and policies.
Contributes to the development and implementation of the philosophy and
purpose of the total educational programme,
Utilizes opportunities through group action to initiate improvement of the
educational programme
Interprets educational philosophy and policies to others
Directs the activities of staff working in the department.
3. Instruction
Identifying needs of learners
Develops plan for learning experiences
Participates in the formulation and implementation of the philosophy and objectives
of the programme.
Selects and organizes learning experiences which are in accordance with these
objectives
Participates in the continuing development and evaluation of the curriculum
Ascertains, selects and organizes facilities, equipment and materials necessary for
learning.
4. Helping the learners to acquire desirable attitude, knowledge and skills.
5. Evaluating learners progress
6. Recording and reporting
7. investigating ways to improve teaching
8. Guidance
9. counseling
10. assisting in selection and promotion of learners
11. Research
Initiates and participates in studies for the improvement of educational
programme
Identifies problems in which research is indicated or potentially desirable
Continues to develop competence in problem-solving process
Utilizes findings in research
Makes data available concerning learner and concerning methods of teaching
and evaluation
10. PRINCIPAL, COLLEGE OF NURSING
EDUCATIONAL QUALIFICATION
General : As prescribed for staff nurse
Professional: M.Sc Nursing/MN or equivalent degree in nursing recognized by INC
or, Ph.D in nursing with any specialty or other equivalent doctoral degree in nursing.
Registration: Registered with state nursing council/INC
Experience; Should have teaching experience in the college of nursing not less than
5 years
JOB SUMMARY
Principal college of nursing is the administrative head of the college of nursing, will be
directly responsible to the Director of medical education
Responsible for the implementation and revision of curriculum for various courses, and
research activities of the college
DUTIES AND RESPONSIBILITIES
1. Administration
Planning
Develops philosophy and objectives for educational programme
Identifies the present needs related to educational programme
Investigates, evaluates and secures resources
Selects and formulates learning experiences
2. Organizing
Determines the number of position and scope and responsibility of each faculty and
staff
Analyses the job to be done in terms of needs of education 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 plan of work load among staff members
3. Directing
Recommends appointment and promotion based on qualification and experience of the
individual staff, scope of job and total staff composition
Guides and encourages staff members in their job activities
Promotes staff participation in research
Procures and maintains physical facilities which are of standard
Provides freedom for staff to develop active training course within the framework of
curriculum
4. Co-ordinating
Co-ordinates activities relating to the programmes such as regular meetings, time
schedule. Maintain effective communication
Initiates ways of co-operation
Interprets nursing education to other related disciples and to the public
5. Controlling
Provides for continuous follow up and revision of education programme
Maintains recognition of the educational programme by accrediting bodies, university
etc, KNC, INC etc
Maintains a comprehensive system of records
Prepares periodic reports which reviews the progress and problem of the entire
programme
Prepares, secures approval of and administrates the budget
6. Instruction
Plans for participation in educational programmes for further staff development
Recognizes the need for continuous education for self and staff and provides
stimulation of opportunity for such development
Participates as teacher in the educational programme
7. 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.
11. SENIOR ASSISTANT DIRECTOR OF NURSING
EDUCATIONAL QUALIFICATION
General : As prescribed by staff nurse
Professional: M.Sc Nursing/MN or equivalent degree in nursing recognized by INC or,
B.Sc Nursing or Post certificate degree in nursing recognized by any university
Registration: Registered with state nursing council/INC
Experience; Should have about 10 years experience in nursing service, of which 5 yrs in
administration and education
JOB SUMMARY
Senior Assistant Director Of Nursing is at present rate, head of the nursing service
under Directorate of Health and Family welfare services, directly responsible to
Directorate of Health and Family welfare services and the director of medical education
Responsible for all activities concern and improvements of the nursing services in the
state of Karnataka
DUTIES AND RESPONSIBILITIES
She/he is responsible mainly to see that the nursing services in the state run smoothly
regarding
Leave
Transfer of
o Nursing personnel;
o Student nurses from one school to another in consultation with
superintendent of nursing services of the other section
Promotions and postings
Appointments in consultation with superintendent of nursing services of other sections
Review of confidential reports
Correspondence with governmental and non governmental instituition
Educational programme
Inspections
Participating in health care palnning
Deputation of B.Sc nursing, M.Sc Nursing in state or out of state and other training
higher learning progrmmes, two years or less to nursing personnel
Sanction of pre-audit bills
Granting permission for workshop/seminars and special leave thereof
No objection certificate for passport
Administrative work pertaining to nursing personnel
12. PUBLIC HEALTH NURSE DISRTICT FAMILY BUREAU
ESSENTIAL QUALIFICATION
B.Sc degree in nursing from any university or institution or certificate in Public health nursing
in any institution
PROFESSIONAL QUALIFICATION
Experience of working with rural communities
MEMBERSHIP
The PHN will be a member of the district health and family welfare team in the district health
organization and will enjoy the same status equivalent to that of the District Mass Education
and Information Officer
JOB SUMMARY: She will work in collaboration with other functionaries in the
District Family Welfare Bureau like the mass media and the Extension Officer, Health
education Officer, Statistical Officer.
DUTIES AND RESPONSIBILITIES
To help in organization of Maternal and Child Health Programme as a whole in the
implementation of the special plan scheme, centrally sponsored and otherwise in
particular like the Immunization programme, training of traditional birth attendants
(Dai ) and their other active involvement in MCH/FP work , prophylaxis against
nutritional deficiency disease etc.
To promote health and nutrition education activities through the Lady Health
Visitors, Auxiliary Nurse Midwife by providing them with taking points and
printed materials produced by various agencies
To help in developing school health programme in the district
To ensure regular supply of equipments, records, registers, drugs, vaccines and other
sundries necessary for MCH work in PHC and subcentres
To review the periodical progress reports on MCH/FP work done by the LHVs/
ANMs, female, multipurpose workers etc, and put to the District Medical Officer/
District Family Welfare Officer the point requiring attention and further action
To provide for continuing education of the female MCH/FP /Functionaries in the
district through short in-service training service
JOURNAL ARTICLE:
The Patient Safety Initiative and Hospital Nurse Staffing
Hospital nurse staffing has an important relationship to patient safety and quality of care.
Under a broad initiative focusing on patient safety issues, AHRQ has funded a group of
projects on understanding the impact of working conditions on patient safety. Researchers are
examining the critical issues of how staffing, fatigue, stress, sleep deprivation, organizational
culture, shift work, and other factors can lead to errors. The work environment for nurses and
patient safety identified key aspects of the work environment for nursesincluding extended
hours and workloadthat likely have an impact on patient safety, and identified potential
improvements in health care working conditions that could result in enhanced patient safety.
BIBLIOGRAPHY:
B.T. Basvanthappa, nursing administration, jaypee publication, new delhi, pg. 541-559
Diane.L.Huber, Leadership and nursing care management, saunders publication, 3 rd
edition, pg no. 420-425
Marquis.L.B, Leadership role and management function in nursing, 14 th edition, library
of congress cataloging, 2003 edition, pg.no. 345-349
NURSING MANAGEMENT
SEMINAR ON
DUTIES AND RESPONSIBILIES OF VARIOUS
NURSING PERSONNELS
SUBMITTED TO,
MRS.BHARATHI
ASSOC PROFESSOR
SRI.VENKATESHWARA CON
SUBMITTED BY,
RINI JOY
M.Sc NURSING IIYR
SRI VENKATESHWARACON
SUBMITTED ON : 11/7/2011