ROLE AND RESPONSIBILITIES OF NURSE IN MEDICAL
SURGICAL SETTING
UNIVERSITY INSTITUTE OF NURSING
INTRODUCTION
◾The primary role of nurse is to provide care . Medical
surgical nurses provide direct care to adult patients in
numerous settings.
◾Medical surgical nursing is the largest group of professional
in the field of nursing .
◾Medical surgical settings include hospitals , clinics , home ,
surgical centres.
MEDICALSURGICALSETTING
1.
◾It is defined as a part of hospital with alloted physical facilities , medical
and other staffs with regularly scheduled hours to provide care for patients
who are not registered as inpatients.
◾A hospital department where patients receive diagnosis , follow up care or
treatment but don’t stay overnight.
◾It is first point of contact between a patient and hospital
OBJECTIVESOFOPD
FUNCTIONS OF OPD
◾Provide a major source of specialist medical opinion.
◾Screening for admission to hospital
◾Early diagnosis , curative , preventive and rehabilitative care
◾Follow up care and care after discharge
◾Promotion of health by health education
Types of OPD
 A. Based on type of service
1. Centralized outpatient service
2. Decentralised outpatient
service
 B. Based on type of patient
1. General outpatient
2. Emergency outpatient
3. Referred outpatient
role and responsibility of nurses in ipd opd icu.pptx
role and responsibility of nurses in ipd opd icu.pptx
ROLE OF NURSE IN OPD
◾Nurse provide direct care to patient in the form of medicine and
treatment as directed by physician
◾Nurse participate in setting up the care plan for patient and
administer , take vital signs and change dressing .
◾In clinics nurse work directly with patient by getting their medical history ,
monitoring vital signs and performing blood draws.
◾Provide healthcare advises through educating patient and family
members.
Conti..
◾Nurse work with all age groups and with different healthcare and social
care needs.
◾Nurse also organises health camp and provide routine and
emergency care to camper .
2. IPD – INPATIENT DEPARTMENT
◾An inpatient department is a unit of a hospital or a healthcare facility where
patients are admitted for medical condition that require appropriate care
and attention.
◾Any patient is admitted for short and long term depending on severity of their
diseases.
FUNCTIONS OF IPD
◾To provide the highest possible quality of medical and
nursing care for the patients .
◾To provide necessary equipment , essential drugs
and all other stores required for patient in an
organized manner
◾To furnish most desirable environment substituting as
temporary home for patients
◾To provide facilities to meet the needs of the visitors
and attendants
8.
ROLE OF NURSE IN IPD
◾Clinical responsibility - Inpatient care nurses ‘ main goal is to
improve patients’ quality of life while ensuring they are comfortable. In
addition , nurses ensure admissions and discharge of patients.
◾Managerial responsibility- inpatient nurses’ maintain patient files
, update patient statistics and provide reports to doctor and other staff
members.
conti..
◾Personnel responsibility – inpatient care nurses consultants engage in
staff placements in inpatient department. Coordinating inpatient care
services and providing expert advice also falls within their responsibilities.
◾Research and development responsibility – inpatient care nurse
consultants work with other staff members to ensure delivery of proper
palliative care.
3. ICU – INTENSIVE CARE
◾An ICU also known as an intensive therapy unit where a
specialised treatment is given to patient who are acutely unwell
and require critical medical care.
◾ICU provide the critical care and life support for ill and
injured patient.
TYPES OF ICU
Neonatal ICU
Special care nursery
Pediatric ICU
Coronary care unit
Cardiac surgery ICU
Neuro surgery ICU
Burn ICU
Trauma ICU
General
•Medical ICU
•Surgical ICU
•Medical Surgical ICU
Specialised
ROLE OF NURSE IN ICU
◾Monitor exact , detailed reports and records of critical ICU patient .
◾Monitor and record symptoms and changes in patients‘ conditions and
 inform to physician .
◾Order , interpret and evaluate diagnostics tests to identify and assess
 patient’s condition .
◾Carefully observe and document patient medical information and vital
signs.
Conti..
◾Consult and coordinate with health care team members about whole
patient care plans.
◾Modify patient treatment plans as indicated by patient’s response and
conditions.
◾Assist physicians with procedures such as bronchoscopy ,
endoscopy , etc
◾Critical care nurses may also care for pre and post operative
patients when those patients require ICU care
4. HOME HEALTH CARE
◾Home health care is the provision of medically, para professional services
and equipments to individuals and their families in their place of
residence for the purpose of promoting maintaining , or restoring health
or of minimising the effects of illness and disability .
◾Home healthcare nurses must have :
Strong knowledge base
Communication principles
knowledge of family dynamics
role and responsibility of nurses in ipd opd icu.pptx
◾Community health nursing is a synthesis of nursing practice and public
health practice applied in promoting and preventing the health of
population .
◾It is established on recognized needs and functioning within the total
health programme.
QUALITIES OF CHN
 Provide care to disabled ones
 Teaching
 Advocating
 Maintaining healthy environment
 Collaborating
 Preventing and reporting
 Participate in professional development activities
 Identifying the need and referring for service
 Ensuring quality nursing research and engaging in nursing research
SUMMARY
Today we have discussedabout role and responsibilitiesof nursein medicalsetting
whichincludevariousdepartments such as OPD , IPD , ICU , Home and Community
and its nursingmanagement
role and responsibility of nurses in ipd opd icu.pptx
THANKS

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role and responsibility of nurses in ipd opd icu.pptx

  • 1. ROLE AND RESPONSIBILITIES OF NURSE IN MEDICAL SURGICAL SETTING UNIVERSITY INSTITUTE OF NURSING
  • 2. INTRODUCTION ◾The primary role of nurse is to provide care . Medical surgical nurses provide direct care to adult patients in numerous settings. ◾Medical surgical nursing is the largest group of professional in the field of nursing . ◾Medical surgical settings include hospitals , clinics , home , surgical centres.
  • 4. 1. ◾It is defined as a part of hospital with alloted physical facilities , medical and other staffs with regularly scheduled hours to provide care for patients who are not registered as inpatients. ◾A hospital department where patients receive diagnosis , follow up care or treatment but don’t stay overnight. ◾It is first point of contact between a patient and hospital
  • 6. FUNCTIONS OF OPD ◾Provide a major source of specialist medical opinion. ◾Screening for admission to hospital ◾Early diagnosis , curative , preventive and rehabilitative care ◾Follow up care and care after discharge ◾Promotion of health by health education
  • 7. Types of OPD  A. Based on type of service 1. Centralized outpatient service 2. Decentralised outpatient service  B. Based on type of patient 1. General outpatient 2. Emergency outpatient 3. Referred outpatient
  • 10. ROLE OF NURSE IN OPD ◾Nurse provide direct care to patient in the form of medicine and treatment as directed by physician ◾Nurse participate in setting up the care plan for patient and administer , take vital signs and change dressing . ◾In clinics nurse work directly with patient by getting their medical history , monitoring vital signs and performing blood draws. ◾Provide healthcare advises through educating patient and family members.
  • 11. Conti.. ◾Nurse work with all age groups and with different healthcare and social care needs. ◾Nurse also organises health camp and provide routine and emergency care to camper .
  • 12. 2. IPD – INPATIENT DEPARTMENT ◾An inpatient department is a unit of a hospital or a healthcare facility where patients are admitted for medical condition that require appropriate care and attention. ◾Any patient is admitted for short and long term depending on severity of their diseases.
  • 13. FUNCTIONS OF IPD ◾To provide the highest possible quality of medical and nursing care for the patients . ◾To provide necessary equipment , essential drugs and all other stores required for patient in an organized manner ◾To furnish most desirable environment substituting as temporary home for patients ◾To provide facilities to meet the needs of the visitors and attendants
  • 14. 8.
  • 15. ROLE OF NURSE IN IPD ◾Clinical responsibility - Inpatient care nurses ‘ main goal is to improve patients’ quality of life while ensuring they are comfortable. In addition , nurses ensure admissions and discharge of patients. ◾Managerial responsibility- inpatient nurses’ maintain patient files , update patient statistics and provide reports to doctor and other staff members.
  • 16. conti.. ◾Personnel responsibility – inpatient care nurses consultants engage in staff placements in inpatient department. Coordinating inpatient care services and providing expert advice also falls within their responsibilities. ◾Research and development responsibility – inpatient care nurse consultants work with other staff members to ensure delivery of proper palliative care.
  • 17. 3. ICU – INTENSIVE CARE ◾An ICU also known as an intensive therapy unit where a specialised treatment is given to patient who are acutely unwell and require critical medical care. ◾ICU provide the critical care and life support for ill and injured patient.
  • 18. TYPES OF ICU Neonatal ICU Special care nursery Pediatric ICU Coronary care unit Cardiac surgery ICU Neuro surgery ICU Burn ICU Trauma ICU General •Medical ICU •Surgical ICU •Medical Surgical ICU Specialised
  • 19. ROLE OF NURSE IN ICU ◾Monitor exact , detailed reports and records of critical ICU patient . ◾Monitor and record symptoms and changes in patients‘ conditions and  inform to physician . ◾Order , interpret and evaluate diagnostics tests to identify and assess  patient’s condition . ◾Carefully observe and document patient medical information and vital signs.
  • 20. Conti.. ◾Consult and coordinate with health care team members about whole patient care plans. ◾Modify patient treatment plans as indicated by patient’s response and conditions. ◾Assist physicians with procedures such as bronchoscopy , endoscopy , etc ◾Critical care nurses may also care for pre and post operative patients when those patients require ICU care
  • 21. 4. HOME HEALTH CARE ◾Home health care is the provision of medically, para professional services and equipments to individuals and their families in their place of residence for the purpose of promoting maintaining , or restoring health or of minimising the effects of illness and disability . ◾Home healthcare nurses must have : Strong knowledge base Communication principles knowledge of family dynamics
  • 23. ◾Community health nursing is a synthesis of nursing practice and public health practice applied in promoting and preventing the health of population . ◾It is established on recognized needs and functioning within the total health programme.
  • 25.  Provide care to disabled ones  Teaching  Advocating  Maintaining healthy environment  Collaborating  Preventing and reporting  Participate in professional development activities  Identifying the need and referring for service  Ensuring quality nursing research and engaging in nursing research
  • 26. SUMMARY Today we have discussedabout role and responsibilitiesof nursein medicalsetting whichincludevariousdepartments such as OPD , IPD , ICU , Home and Community and its nursingmanagement