ROLES AND
RESPONSIBILITIS
OF COMMUNITY
HEALTH NURSE
National health
programmes
Understand the various problems and
programme should be planned,
organized and implemented
Familiar with the activities of the
programme
Identify the endemic problems of the
communities
Participate in community survey
Identify local agencies responsibilities
Participate in screening in high risk
cases
Ensure that the treatment is given
Follow up cases
Maintain records and reports
Referral services
Giving health education to the people
who are affected and to their family
members
Participate in regular immunization
programme
Participate in IEC achieves for people
at large, school children on various
aspects of healthful living, wrong
beliefs and practices, environmental
health, control of vectors and other
health problems when required
Supervise and train multipurpose
health workers, village health guides,
dais and anganwadi workers
Maternal and child health
and family welfare
During pregnancy
- Registration of all the pregnant mothers
- Collection of medical, health, obstetrical, past and
present history
- Test for haemoglobin, sugar, urine and blood
pressure
- Doing preliminary investigation like height,
weight and vital signs
- Administering TT, iron and folic acid tablets
- Assist medical officer during antenatal
examination
Giving health education
Referral services
Maintenance of records and reports
Follow up care
During delivery
Prepare the place for delivery
Arrange the equipment's and supplies
required during delivery
Physical and psychological preparation of
the mother
Conducting delivery
Referral services
Giving immediate care to mother and baby
after delivery
Maintain records and reports
During postnatal
Regular visits as per norms
Observation of vital signs
Examination of breast, nipple, skin colour
and eyes
Maintain mothers diet, sleep, and bowel
maintenance
Giving advice regarding temporary and
permanent methods of family planning
Training and supervision of
various categories of
health workers
Community health nurse has to
supervise the work of nursing
personnel who is working under her
responsibilities.
She has to take disciplinary actions
for any mistakes
She has to guide the person while
giving training
She has to correct their mistakes
while doing procedures
She has to encourage trainer during
training
She has to teach the right method of
Environmental
sanitation
She has to create awareness regarding
importance
of
environmental
sanitation
She has to inform the people regarding
importance of control of environmental
pollution.
She has to inform the people regarding
alternative actions in the prevention of
pollution
She must explain regarding laws
secured
to
the
environmental
sanitation
She has to co-operate with local
administrative bodies like panchayat
Minor ailments
Nurse has to do the assessment before
starting the treatment
She has to collect the history from the
patient
She has to perform physical examination
She has to find out the cause, she must
make the proper diagnosis
She has to provide treatment
She has to provide follow up care
She has to refer the causes
School health services
She has to begin the school
health services with proper
permission
She has to implement the school
health services
She has to co-operate with
school, home and community
She has to coordinate with
doctors, teachers, parents, local
leadership, NGO and voluntary
organizations
She has to give training and
guidance to school teachers in
physical examination
She has to collect the feed back
She has to do the primary health
check up
She has to provide treatment for
minor ailments
She has to conduct immunization
programme
She has to conduct clinics, camp
She has to maintain school health
records
Nurse has to give health education
Occupational health
services
The nurse should provide care to the
workers.
She has to give health education regarding
prevention and safety measures
She is the manager in the industry, so she
must have good managerial skills
She has to give counselling to the workers
She has to identify occupational risk
She has to do assessment and
examination
She has to provide first aid and
emergency care
She has to give information to
management regarding occupational
hazards
She has to refer cases to hospital
She has to maintain records and
reports
MIS: Records and
reports
Nurse has to file the records
according
to
alphabetical,
numerical
and
geographical
order
She has to maintain the records
appropriately and clearly
The collected records must be
used on facts
She has to write the sentence
clearly
Special attention should be
given in statistics the reports
Reports, if it is in the form of
written copy will be the best for
information
Reports
must
be
easily
understandable and attractive
Nurse has to maintain records
and reports confidentially
Records and reports should be
kept at correct place
Waste management
Regarding the biomedical waste management by
the govt. hospitals, the secretary to govt. health
and family welfare department was requested to
carryout the following.
- Take immediate action for the removal of the
biomedical waste at source
- To go for advanced alternative technology like
autoclaving for the treatment of biomedical
wastes at sources
- To incinerate the pathological waste alone
- To go in for a common treatment and disposal
facility for the biomedical wastes that must be
located away from any habitations and water
bodies.
Roles
Caregiver/ Clinician
Communicator
Educator
Counsellor
Trainer
Investigator
Coordinator / collaborator
Manager
Researcher
Advocate
Leader
QUALITIES OF CHN
Educational qualification:- Diploma & should be
registered with state nursing
council.
- According to new concept:
* should have passed a course
in GNM & Diploma in public
health of 9 months duration. Or
* University course in
nursing B.Sc(N)/ PCB.Sc(N).
Communication skills:- Should be a good speaker, interviewer
& a good teacher.
Observation skills:- Should have the ability to observe
physical, mental & emotional states.
- Recognize the signs & symptoms of
diseases.
- Capable of assessing the health level .
Ability to lead & take decisions:- should be able to take right &
immediate decision according to the
situation.
- Capable of taking independent
decisions.
- able to lead the health team.
Other qualities:- Should have knowledge of available
resources
&
health
problems
of
community.
- Understanding of human behavior.
- Managerial abilities.
- Physically & mentally fit.
- Sympathetic, empathetic.
- Able to work freely with different
people & different situations in the
community.
- Appreciate the effort of all people &
correct their mistakes tactfully.
- Create good IPR with colleagues &
other health workers & clients.
