ROLES AND FUNCTION OF A CHIEF NURSE, HEAD NURSE, AND STAFF NURSE
Ø Organizes and administers the department of nursing.
Establishes objectives for the department of nursing and the organizational structure for achieving these of objectives. Interprets and puts into effect administrative policies established by the governing authority. Assists in preparing and administering budget for the department. Selects and recommends appointment of nursing staff.
Directs and delegates management of professional and ancillary nursing personnel. Plans and conducts conferences and discussions with administrative and professional nursing staff to encourage participation in formulating departmental policies and procedures, promote initiative, solve problems, and interpret new policies and procedures. Coordinates activities of various nursing units, promoting and maintaining harmonious relationships among nursing personnel and with medical staff. Analyzes and evaluates nursing related services rendered to improve quality of patient care and plan better utilization of staff time and activities. Participates in community educational health programs.
The Chief Nurse must be a nurse who:
· Understands both patient care and nurses; has demonstrated stature in the nursing profession; has had some influence in the nursing field; has kept abreast of changes in the profession.
· Plans for the department; establishes goals and directions for the department and helps the hospital establish its own goals; ensures that nursing has proper influence on the total institutional goals and that nursing goals and directions complement and support the total.
· Has integrity and can be relied on to speak frankly and not waste time playing games; is respected for his or her opinions.
· Is a leader who can measure, evaluate, act, motivate, and deal with people; can calculate trouble in advance and steady the organization; excludes unnecessary interference in the internal operations of the department by being a strong and effective manager
· Is an interpreter for the nursing and hospital, both intramurally and extramurally; speaks for quality and can motivate people in general; understands elements of human behavior.
· Thinks independently; is knowledgeable in the field and willing to draw upon that knowledge to establish a position; can say no and then find a productive alternative.
· Is a member of the management team with a business mind and attitude; is able to delegate responsibility so that the available resources are utilized; keeps decision making close to the patient and thus responds to patient needs and not professional resentment; demonstrates warmth and concern for the people as individual and has an interest in total patient care; above all, has a sense of humor and is able to supply a light touch when the going gets rough.
DUTIES OF A CHIEF NURSE
· Establishes and implements standards which assure safe and therapeutically effective nursing care of patients.
· Provides for the participation of nursing staff members in the formulation of the nursing care of patients.
· Make provisions for all members of Nursing Service Department to know the standards and their personal responsibilities in upholding them.
· Establishes a plan by which each patient’s nursing care is planned, given or supervised, and evaluate by a professional nurse.
· Develops nursing service policies, which focus on the care of the patients and high quality nursing care.
· Participates in the establishment and promotion of administrative policies and the practice which pertain to the practice of nursing.
· Introduces Nursing Service applicants and recommend to the Administration appointments, promotions, transfers, disciplinary actions, termination of nursing service department personnel.
· Establishes the function and qualifications of each nursing position.
· Determines a staffing plan which will accomplish the stated objectives and standards of nursing service and promote the maximum utilization of nursing personnel.
· Participates in reviewing and recommending personnel policies as related to nursing personnel.
· Directs the personnel and the activities of the nursing department. Conducts investigation of complaints or irregularities involving the nursing service staff and submit findings and recommendations to the administrator.
· Organizes the nursing service department to delineate authority, functional responsibilities, lines of relationship and communication to provide the safe and therapeutically effective Nursing Care.
· Evaluates Nursing Care and the Climate in which it is practice to identify the achievements and problems to provide data for forecasting and planning.
· Develops and maintains an effective system of nursing record and report.
· Collaborates with the administrative staff, and representatives of allied group in planning for coordinative services to patients.
· Determines and recommends a department’s budget to implement stated objectives and control and evaluate same.
· Plans with administration and other appropriate groups for the development of new and effective use of existing facilities needed to attain service and educational objectives.
· Initiates, promotes and participates when necessary in studies and research design to assess nursing administration practices, and nursing care, and promotes their utilization.
· Participates in activities which promote professional growth and development.
· Head nurses direct and supervise nursing staff in provision of nursing care and ensure the availability of support services which facilitate this care. The first-line nurse administrator serves as a resource to staff , interpreting philosophy, goals, standards, policies and procedures. The head nurse participates in varying degrees in policy formation and decision making with other member of nursing administration. These administrators are the vital link between the nursing management and the staff that delivers care to the patient.
· Head nurses are responsible for delivering care that is therapeutically effective and safe as well as cost-effective. They accomplish this by effective utilization of resources through the administrative process. Usually, a head nurse is responsible for a nursing unit.
· Activities that received the most votes by head nurses as most representative of their responsibilities were identified in one survey.
· Supervises and coordinates all patient care on the unit, including communication with physician.
· Assumes 24-hour responsibility of the unit.
· Confronts and resolves conflicts involving staff, physician, patients, and personnel.
· Schedules daily activities of the unit, including assignment planning, scheduled meal and break time, and conferences.
· Provides feedback to each employee on a planned basis, including a yearly observation.
· Meets regularly with nursing administration f0r feedback and problem solving.
· Aids in the implementation of new policies and procedures.
· Implements, evaluates, and revises plans to meet the unit goals.
· Renders professional nursing care to patients within an assigned unit of a hospital, in support of medical care as directed by medic!l staff and pursuant to objectives and policies of the Hospital.
· Performs nursing techniques for the co-fort and well being of the patient. Prepares equipment and assist physician during trEatments and examinations of patients. AdministeRsprescribed medications, orally, aNd by inJections; Prov des treatment using therapeutic equipment; observes patients’ reactions to medications and treatments; observes progress of intravenous infusions ant subcutaneouS in&iltra4ions; chaNges or as3ist physician in changing dressings and cleaning wounds or incisions; takes temperature, pulse, respiration rate, blood pressure, and heart beat to detect deviations from normal and gauge progress of patient, following physician’s orders and approved nursing care plan. Observes, records, and reports to supervisor or physician patients’ condition and reaction to drugs, treatments, and significant incidents.
· Maintains patients’ medical records on nursing observations and actions taken, such as medications and treatments given, reaction, tests, intake and emission of liquids and solids, temperature, pulse and respiration rate. Records nursing needs of patients on nursing care plan to ensure the continuity of care.
· Observes emotional stability of patients, expresses interest in their progress, and prepares them for continuing care after discharged. Explains procedures and treatments ordered to gain patients’ cooperation and allay apprehension.
· Rotates on day, evening, and night tours of duty may asked rotate among the various clinical and nursing services of institution. Each service will have specialized duties, and staff nurse may be known by the section to which assigned, such as Staff Nurse, Obstetrics or Staff Nurse, Pediatrics. May serve as a team for a group of personnel rendering nursing care to a number of patients.
· Assist in planning, supervising, and instructing midwives, nursing aides and students. Demonstrates nursing techniques and procedures, and assist non-professional nursing care personnel in rendering nursing care unit.
· May assist with operations and deliveries by preparing rooms, sterilizing instruments, equipments, and supplies, and handling them, in order of use, to surgeon or other medical specialist.