Chapter 1 Job Description/Duties and Responsibilities a. Chief Nurse/Nursing Director b.

Assistant Chief Nurse for Training and Education c. Assistant Chief Nurse for Clinical Research d. Nursing Supervisor e. Clinical Instructor f. Head Nurse g. Staff Nurse

Chief Nurse Title: Chief Nurse Job Descrition Approved Signature(s):

Section: Nursing Service Purpose: To define the job description and guidelines for the nursing service Chief Nurse Policy: The individual identified to serve the nursing service department as the Chief Nurse will fit into the following Job Title: Chief Nurse

Description: The chief nurse is an administrative position at a hospital or any medical center. Registered nurses advance to this position after proving great responsibility and providing excellent service. Generally, a chief nurse is responsible for mentoring and supervising the entire nursing staff. Essential Functions: 1. Carries full administrative responsibility and authority for the entire nursing service of the hospital; 2. Participates in formulating hospital policies, in developing and

evaluating programs and services; 3. Assumes full authority and responsibility for development of nursing service policies; 4. Organizes, directs, coordinates, evaluates activities of the Nursing Service Staff which allow for satisfaction and profession growth; 5. Provides means and methods by which nursing personnel can interpret the goals and policies of hospital and nursing service to the patient and to the public; 6. Initiates and directs studies, evaluates procedures for the

improvement of nursing in relation to the total care of patients; 7. Directs planning and implementation of staff development programs for different categories of nursing personnel;

8. Directs nursing personnel in functions related to the clinical training program of nursing students and other affiliates; 9. Prepares with her supervisory staff budget proposal for the nursing personnel; 10. Defines job description for each category of nursing personnel; 11. Recruits and recommends personnel for appointment, promotion or dismissal depending on staffing needs of the services.

Specific and actual functions and activities 1. Plans, organizes and supervises the nursing service in order to provide adequate nursing care to patients. 2. Coordinates all activities of the nursing service department with other services. 3. Prepares nursing service budget to provide adequate personnel, equipment and physical facilities needed and submits to Administrative office. 4. Interviews and screen all applicants for the nursing service and evaluates their qualifications and experiences. 5. Observes and evaluates the performance of personnel, as well as analyzes and evaluates the nursing activities to determine whether they are meeting desired standards.

6. Formulates and recommended policies for improvement of patient care, participates in planning of personnel policies, and interprets to the Chief of Hospital the needs and interests of the nursing personnel. 7. Promotes individual growth by maintaining a program of staff education; conducts monthly meetings of nurses and nursing aids. 8. Promotes and maintains cordial relationship with patients, their families and the community and provides opportunities for nursing staff to work with other groups so that the aims of the hospital can be interpreted to mean good interpersonal and interdepartmental

relationships. 9. Participates in the hospitals outreach program. 10. Participates in professional meetings as the representative of the nursing service personnel, and provides for healthful living conditions of nursing personnel. 11. Subject to call as the need arises. 12. Daily ward rounds. To gain an insight to the problems and needs as presented by the patient and the family, the nurses and other health disciplines. 13. Approves schedule of Duties and Off Duties prepared by the Assistant Chief Nurse. 14. Signs daily time records. 15. Perform other duties as required by the Chief of Hospital.

16. Attends seminars, workshops locally and nationally as the need arises.

Supervision: This position receives direction and supervision from the Hospital Director. Education and Experiences: Bachelors Degree in Nursing. Preferred: Masters Degree in Nursing or related field. Experience in clinical and administrative practice. Five years experience in health care management and in the practice of nursing in a clinically complex tertiary care center. Working knowledge of Quality Improvement Process and Joint Commission standards. Others may also require an additional degree related to management. Skills, Characteristics, Personalities: A chief nurse must possess strong communication skills, patience, and self-confidence. This trait is critical to work effectively with clinical and administrative staff. He/She should have the makings of a leader and display strong leadership skills and commitment to service improvement in all departments.

 The ideal chief nurse should have a sense of urgency and presence of mind to act on emergency situations and resolve them rationally. He/She should be knowledgeable in his profession and must be familiar with every aspect of health care in various departments. Managerial experience: * Clinical management * Fiscal management * Human Resources management

b. Assistant Chief Nurse for Training and Education Title: Assistant Chief Nurse for Training and Education Job Description Approved Signature(s):

Section: Nursing Service Purpose: To define the job description and guidelines for the nursing service Assistant Chief Nurse for Training and Education Policy: The individual identified to serve the nursing service department as the Assistant Chief Nurse for Training and Education will fit into the following:

Job Title: Assistant Chief Nurse for Training and Research Description: The Assistant Chief Nurse for Training and Research is responsible for assisting the Chief Nursing Officer in planning, implementing and evaluating the nursing services to ensure the delivery of adequate and competent patient care. He/ she evaluate the educational needs of military and civilian nursing personnel and provide in-service education programs at professional and nonprofessional levels. Essential Functions:
1.

Assists in the formulation of plans, programs, guidelines and standard operating procedures for nursing services.

2.

Renders advisory services to nursing service administrators and educators.

3. 4.

Provides training to field offices. Assists the nursing consultant in various activities to improve operations and management of hospital nursing service.

5.

Conducts field visits to determine problems and needs of nursing services and personnel.

6. 7. 8.

Contribute to organizational goals and direction. Work to ensure nurses provide quality, evidence-based patient care. Ensure proper allocation of financial resources, and monitor

department budgets and spending.

9. 10. 11.

Evaluate and implement special projects. Assist nurse management with leadership and decision-making. Assess the organizations nursing practices to promote better safety and patient-care delivery.

12. 13. 14.

Oversee record-keeping and documentation. Monitor service quality and procedures, and evaluate outcomes. Analyze areas of planning and operational efficiency and make recommendations for improvement.

15. 16.

Assist in planning new services and programs. Represent the organization at professional and community-related events.

17. 18. 19.

Collaborate with other departments and units to improve services. Evaluates the efficiency and effectiveness of hospital nursing services. Conduct field visit to determine problems and needs of nursing personnel.

20.

Conduct periodic dialogues, meetings/conferences with nursing service administrators and educators.

21. 22. 23.

Participate in various committees in the DOH. Formulates plans and programs for nursing service. Coordinates with other bureaus, offices and other agencies to identify areas where nursing personnel can maximally contribute to the effective delivery of health care.

24.

Providing

leadership,

vision

and

guidance

in

the

assessment,

development, implementation and evaluation of nursing research initiatives, and in defining and developing knowledge and skill requirements for all nursing staff
25.

Monitoring and ensuring the quality of nursing research through standards and policy development and dissemination

26. 27.

Supporting and evaluating nursing research roles. Enhancing nursing research and practice, as well as the profession of nursing, through academic and other partnerships

28.

Promoting

nursing

research

initiatives

at

local,

national

and

international levels
29. 30.

Fostering trans-disciplinary research Representing the Chief Nursing Officer in nursing research venues, both internal and external to provide advice and ensure the continuity of strategic directions, programs and linkages.

Supervision: This position receives direction and supervision from Chief Nurse to the Hospital Director. Education and Experiences: Bachelors Degree in Nursing. Preferred: Masters Degree in Nursing or related field. Experience in clinical and administrative practice.

 Five years experience in health care management and in the practice of nursing in a clinically complex tertiary care center. Working knowledge of Quality Improvement Process and Joint Commission standards.

Skills, Characteristics, Personalities: Established record of progressive administration and leadership

responsibility in a comprehensive tertiary health care facility. Managerial experience: * Clinical management * Fiscal management * Human Resources management Ability to plan strategically and implement new processes and programs through data analysis and cost effective interactions.

c. Assistant Chief Nurse for Operation and Staffing Title: Assistant Chief Nurse for Operation and Staffing Approved Signature(s):

Section: Nursing Service

Purpose: To define the job description and guidelines for the nursing service Assistant Chief Nurse for Operation and Staffing Policy: The individual identified to serve the nursing service department as the Assistant Chief Nurse for Clinical/ Research will fit into the following: Job Title: Assistant Chief Nurse for Operation ad Staffing Description: The Assistant Chief Nurse for Operation ad Staffing is responsible for assisting the Chief Nursing Officer in planning, implementing and evaluating the nursing services to ensure the delivery of adequate and competent patient care. He/ she evaluate the educational needs of military and civilian nursing personnel and provide in-service education programs at professional and nonprofessional levels. Essential Functions: 1. 2. Identifies the type and amount of service needed by agency client. Determines the personnel categories that have the knowledge and skill

to perform needed service measures. 3. Predicts the number of personnel in each job category that will be

needed to meet anticipated service demands. 4. Obtains budgeted positions for the number in each job category

needed to service for the expected types and number of clients.

5. 6. 7. 8. 9.

Recruits personnel to fill available positions. Selects and appoints personnel from suitable applicants. Combines personnel into desired configurations by unit and shift. Orients personnel to fulfill assigned responsibilities. Assigns responsibilities for client services to available personnel.

Supervision: This position receives direction and supervision from Chief Nurse to nursing director. Education and Experiences: Bachelors Degree in Nursing. Qualify for a valid license as a registered nurse Masters Degree in Nursing or related field. Experience in Clinical and administrative practice. Five years experience in health care management and in the practice of nursing in a clinically complex tertiary care center. Working knowledge of Quality Improvement Process and Joint Commission standards. Skills, Characteristics, Personalities: Established record of progressive administration and leadership

responsibility in a comprehensive tertiary health care facility. Managerial experience:

* Clinical management * Fiscal management * Human Resources management Ability to plan strategically and implement new processes and programs through data analysis and cost effective interactions.

d. Assistant Chief Nurse for Equipment and Supplies Title: Assistant Chief Nurse for Equipment and Supplies Approved Signature(s):

Section: Nursing Service Purpose: To define the job description and guidelines for the nursing service Assistant Chief Nurse for Equipment and Supplies. Policy: The individual identified to serve the nursing service department as the Assistant Chief Nurse for Clinical/ Research will fit into the following: Job Title: Assistant Chief Nurse for Equipment and Supplies Description: The Assistant Chief Nurse for Equipment and Supplies is responsible for assisting the Chief Nursing Officer in planning, implementing

and evaluating the nursing services to ensure the delivery of adequate and competent patient care. He/ she evaluate the educational needs of military and civilian nursing personnel and provide in-service education programs at professional and nonprofessional levels. Essential Functions:
1. 2. 3.

Deliberates, finalizes and approves budget proposal. Make a general inventory of the hospital supplies and equipment. Assists in the formulation of plans, programs, guidelines and standard operating procedures for nursing services.

4.

Renders advisory services to nursing service administrators and educators.

5. 6.

Provides training to field offices. Assists the nursing consultant in various activities to improve operations and management of hospital nursing service.

7.

Conducts field visits to determine problems and needs of nursing services and personnel.

8. 9. 10.

Contribute to organizational goals and direction. Work to ensure nurses provide quality, evidence-based patient care. Ensure proper allocation of financial resources, and monitor

department budgets and spending.

11. 12.

Evaluate and implement special projects. Assist nurse management with leadership and decision-making.

13.

Assess the organizations nursing practices to promote better safety and patient-care delivery.

14. 15.

Monitor service quality and procedures, and evaluate outcomes. Analyze areas of planning and operational efficiency and make recommendations for improvement.

16. 17. 18. 19.

Assist in planning new services and programs. Collaborate with other departments and units to improve services. Evaluates the efficiency and effectiveness of hospital nursing services. Conduct field visit to determine problems and needs of nursing personnel.

20.

Conduct periodic dialogues, meetings/conferences with nursing service administrators and educators.

21. 22. 23.

Participate in various committees in the DOH. Formulates plans and programs for nursing service. Coordinates with other bureaus, offices and other agencies to identify areas where nursing personnel can maximally contribute to the effective delivery of health care utilizing hospitals equipment and supplies.

24.

Providing

leadership,

vision

and

guidance

in

the

assessment,

development, implementation and evaluation of nursing research initiatives, and in defining and developing knowledge and skill requirements for all nursing staff

Supervision: This position receives direction and supervision from Chief Nurse to nursing director. Education and Experiences: Bachelors Degree in Nursing. Qualify for a valid license as a registered nurse Masters Degree in Nursing or related field. Experience in Clinical and administrative practice. Five years experience in health care management and in the practice of nursing in a clinically complex tertiary care center. Working knowledge of Quality Improvement Process and Joint Commission standards.

Skills, Characteristics, Personalities: Established record of progressive administration and leadership

responsibility in a comprehensive tertiary health care facility. Managerial experience: * Clinical management * Fiscal management * Human Resources management

 Ability to plan strategically and implement new processes and programs through data analysis and cost effective interactions.

e. Nursing supervisor Title: Nursing Supervisor Job Description Approved Signature(s):

Section: Nursing Service Purpose: To define the job description and guidelines for the Nursing Supervisor Policy: The individual identified to serve the nursing service department as the Nursing Supervisor will fit into the following: Job Title: Nursing Supervisor Description: Under general direction, provides nursing care of patients; plans and oversees satisfaction regulations. Essential Functions: 1. Supervision of Patient Care departmental and staff to nursing policies, activities, ensuring customer and

adherence

procedures,

standards,

1.1 Checks the Head Nurses plans for patient care and sees to it that they are properly executed. 1.1.1 Keeps herself informed of patients needs and problems 1.1.2 Reinforces health instructions given to patients and their families as the need arises. 1.1.3 Verifies implementation of requests for referrals to

evaluate continuity of care. 1.1.4 Serves as consultant and adviser to the Senior Nurse in developing, devising and adopting work techniques and methods for the solution of problems related to patient care. 2. Personnel Management 2.1 Interprets standard operating and new procedures and policies, reviews work performance of personnel to determine if it conforms to recognize standards. 2.2 Plans the program and work for all the nursing personnel of the unit. 2.3 Directs the arrangements of schedule of work hours, office duties, vacation leaves, etc. of all nursing person not assigned in the unit. 2.4 Evaluates work accomplished by each nursing employee in the ward.

2.5 Prepares the plans for counseling of co-workers; this is done individually especially to personnel with problems Example: Habitual absenteeism and alcoholism. 2.6 Renders harmonious relationship and self-discipline among nursing personnel under her supervision. 3. Helps in providing an adequate and safe environment to patients and personnel by guiding and helping Head nurses in providing and maintaining a safe, orderly and clean environment for patient and personnel. 4. Helps in providing adequate supplies and equipment by: 4.1 Determining needs for supplies and equipment based upon past experience and future plans for program of patient care. 4.2 Making proper presentation to the administration of the needs of the department. 4.3 Coordinating with specialty department (maintenance and

property) to meet the needs for supplies and equipment for the department. Supervision: This position receives direction and supervision from Assistant Chief Nurse , Chief Nurse, to Hospital Director. Education and Experiences: Be a registered nurse in the Philippines;

 Have at least two 3 years experience in nursing practice Possess a degree of Bachelors of Science in Nursing, with at least nine (9)units in management and administration courses at the graduate level; and Be a member of good standing of the accredited professional organization of nurses

Skills, Characteristics, Personalities:

Knowledge of health care and medical procedures, including terminology

Interpersonal/human relations skills Attentiveness to detail Supervisory skills Accounting and budgeting skills Ability to prioritize duties and delegate responsibilities Ability to use protective equipment and respond to emergency situations

Ability to exert average physical effort

f. Head Nurse Title: Head Nurse Job Description Approved Signature(s):

Section: Nursing Service Purpose: To define the job description and guidelines for the nursing service Head Nurse Policy: The individual identified to serve the nursing service department as the Head Nurse will fit into the following: Job Title: Head Nurse Description: Head nurses act as the supervisors of a facility's nursing staff. They allocate duties and evaluate the performance of other nurses. They also train any newly hired nurses. Head nurses also work directly with patients. They ensure that patients' conditions remain stable and that doctors' treatment instructions have been properly carried out. Essential Functions: 1. Makes patient rounds and sees to it that all patients in her ward get the necessary care. 2. Sees to it that all equipment are in order and properly kept and supplies are available. 3. Makes weekly schedule and daily assignment of her staff. 4. Checks and countersigns recording done by staff nurses.

5. Assists the clinical instructor, prepares the students assignments for their clinical experiences and assists in the evaluation of their performance. 6. Sees to it that doctors orders are carried out properly and intelligently by the staff. 7. Plans and supervises all nursing activities in her ward. 8. Evaluates performance of her staff every six months. 9. Coordinates ward activities in the administration of nursing service with all other hospital services. 10. Directs and supervises activities of non-professional workers in the ward. 11. Participates in the orientation of new staff and nursing students. 12. Interprets hospital philosophy, objectives and policies to staff, patients and their families and students. 13. Represents her ward in the nursing service meetings and other hospital meetings when necessary. 14. Acts as supervising nurse when so delegated. 15. Renders direct nursing care if the unit is understaffed. 16. Supervises cleanliness and orderliness of the ward. 17. Provides/maintains adequate facilities, equipment and supplies

necessary for good patient care for her unit.

18. Provides an environment that is conducive to the physical, spiritual and emotional well-being of patients and personnel. 19. Participates in formulating/interpreting/implementing philosophy,

objectives and policies of the nursing services. 20. Establishes, promotes and maintains good interpersonal relationship. 21. Evaluates nursing staff in her unit, and gives them assignments according to their capacity. 22. Identifies nursing problems in the ward. 23. Acts as a liaison between patient and members of the health team.

Supervision: This position receives direction and supervision from Supervisor, assistant chief nurse, Chief Nurse, to nursing director. Education and Experiences: Bachelors Degree in Nursing. Qualify for a valid license as a registered nurse Masters Degree in Nursing or related field. Experience in Clinical and administrative practice. Head nurses should also have serviced as nurses for more than 3 years. Skills, Characteristics, Personalities:

 In order to successfully carry out the duties of a head nurse, an individual must be a good leader, a self-starter, observant, a good communicator and possess good people skills.

g. Staff Nurse Title: Staff Nurse Job Description Approved Signature(s):

Section: Nursing Service Purpose: To define the job description and guidelines for the nursing service Staff Nurse Policy: The individual identified to serve the nursing service department as the Staff Nurse will fit into the following: Job Title: Staff Nurse Description: Staff nurses are responsible for the treatment of patients,

administration of medication and injections, health education, assistance during diagnostic testing, and follow-up. Essential Functions: 1. Gives direct nursing care.

2. Identifies nursing needs of patients. 3. Plans, gives and evaluates nursing care. 4. Admits patients. 5. Performs such nursing activities such as bathing and oral hygiene. 6. Assists patient in moving, maintaining proper alignment of patients body and utilizing good body mechanics. 7. Takes and record vital signs. 8. Observes medical asepsis. 9. Observes sign and symptoms, institute remedial action when

appropriate and records in chart. 10. Reports observation to the physician. 11. Observes and responds to patients emotional and spiritual needs. 12. Acts as a liaison between patients and hospital personnel. 13. Interprets to the patient and his family their roles in promoting successful therapy and rehabilitation. 14. Prepares patients for, and assists physician with, diagnostic and therapeutic procedures. 15. Carries out doctors legal orders. 16. Assists physicians when examining patients. 17. Performs irrigations, catheterizations and gives enemas. 18. Administers and charts medications and patients reactions to medications.

19. Instruct patients and families. 20. Sees to it that equipment receive proper care and maintenance. 21. Discharges patients. 22. Performs post-mortem care. 23. Teaches and directs non-professional nursing personnel. 24. Acts as a senior nurse when so delegated. 25. Receive and endorsed ward equipment and supplies. 26. Interprets hospital policies and procedures. 27. Gives health teachings. 28. Maintains good relationships with hospital personnel. 29. Charts accurately medications and treatment given. 30. Attends meetings and conferences.

Supervision: This position receives direction and supervision from Head Nurse, Supervisor, Assistant Chief Nurse, Chief Nurse, to Hospital Director director. Education and Experiences: Bachelors Degree in Nursing. Qualify for a valid license as a registered nurse Masters Degree in Nursing or related field. Experience in Clinical and administrative practice. Supplemented with one (1) year related experience.

Skills, Characteristics, Personalities:

Knowledge of medical terminology Customer service skills Ability to maintain confidentiality Ability to instruct/teach/tutor Ability to receive telephone inquiries in a tactful, helpful manner Ability to respond to emergency situations and unpleasant elements