Module 3M Professional Responsibilities and Roles of a Nurse PDF

CLO 1 (GREEN) MODULE 3M – PROFESSIONAL RESPONSIBILITIES AND ROLES OF A NURSE CONCEPTS OF A PROFESSION not limited...

CLO 1 (GREEN) MODULE 3M – PROFESSIONAL RESPONSIBILITIES AND ROLES OF A NURSE CONCEPTS OF A PROFESSION not limited to, nursing care during conception, labor, delivery, infancy, childhood, toddler, preschool, school a profession is an organization of an occupational group age, adolescence, adulthood and old age based on the application of special knowledge which establishes its own rules and standards for the protection of as independent practitioners, nurses are primarily the public and the professionals. attuned and responsive to responsible for the promotion of health and prevention of local and global challenges. illness. As members of the health team, nurses shall a profession serves all of society and not the specific collaborate with other health care providers for the curative, interest of a group. preventive, and rehabilitative aspects of care, restoration of the aims of a profession are altruistic rather than health, alleviation of suffering, and when recovery is not materialistic. possible, towards a peaceful death. PROFESSIONAL NURSING In the practice of nursing in all settings, the nurse is duty- bound to observe the Code of Ethics for nurses to uphold the standards of safe nursing practice. is an art and a science, dominated by an ideal of service in which certain principles are applied in the skillful care of the the nurse is required to maintain competence by continual well and the ill, and through relationship with the learning through continuing professional education to be client/patient, significant others, and other members of the provided by the accredited professional organization or any health team. recognized professional nursing education. Provided, that the program and activity for the continuing professional PROFESSIONAL NURSE education shall be submitted to and approved by the Board. is an individual who has acquired the art and science of nursing through her basic education, who interprets her role DUTY OF A NURSE in nursing in terms of the social ends for which it exists – the health and welfare of society and who continues to add provide nursing care through utilization of the nursing her knowledge, skills and attitudes through continuing process. Nursing care includes, but not limited to, education and scientific inquiry (research) or the use of the traditional and innovative approaches, therapeutic use of results of such inquiry. self, executing health care techniques and procedures, essential primary health care, comfort measures, health teachings, and administration of written prescription for LEGAL REQUIREMENTS TO WORK AS A NURSE IN THE PHILIPPINES treatment, therapies, oral, topical and parenteral a graduate of Bachelor of Science in Nursing medications, internal examination during labor in the must pass the Nurses’ Licensure Examination conducted absence of antenatal bleeding and delivery. In case of CLO 5 by the Professional Regulations Commission (PRC) to suturing and perineal lacerations, special trainings shall be acquire the PRC license (current). provided according to protocol established; establish linkages with community resources and THE PHILIPPINE NURSING ACT OF 1991 coordination with the health team; also known as Republic Act No. 9173 provide health education to individuals, families and communities The State hereby guarantees the delivery of basic quality teach, guide and supervise students in nursing education health services through an adequate nursing personnel programs including the administration of nursing services system throughout the country. in varied settings such as hospitals and clinics; undertake consultation services; engage in such activities that SCOPE OF NURSING PRACTICE require the utilization of knowledge and decision-making skills of a registered nurse; a person shall be deemed to be practicing nursing within the meaning of this Act when he or she singly or in undertake nursing and health human resource development training and research, which shall include, collaboration with another, initiates and performs but not limited to, the development of advance nursing nursing services to individuals, families and practice communities in any health care setting. It includes, but  MODULE 3M – PROFESSIONAL RESPONSIBILITIES AND ROLES OF A NURSE NURSING ROLES OF A NURSE according to the American Nurses’ Association, nursing is GIVER OF CARE (CAREGIVER) the diagnosis and treatment of human responses to actual o the nurse helps the client regain health through the healing process. and potential health problems. CLO 4 o the nurse addresses the holistic health NURSING FOCUSES ON THE FOLLOWING: care needs of the client including measures to restore emotional, spiritual o diagnosis and treatment of the person with the and social well-being. disease (Nursing diagnosis) o the caregiver helps the clients and o responses of the patient families set goals and meet those goals ▪ pain due to medical condition with minimal cost of time and energy. ▪ depression due to a diagnosis o CARING CARE: communicates respect of terminal illness of man’s individual uniqueness; consistent of man’s holistic needs; On the other hand, medicine is concerned of the disease, efficient, effective and safe treatment of disease LEADER OR MANAGER o the nurse through the process of contemporary nursing requires that the nurse possesses interpersonal influence helps the client knowledge and skills for a variety of professional roles and make decisions in establishing and responsibilities. achieving goals to improve his well-being o the nurse plans, gives directions, Principal role of nurses: Provide care and comfort as they develops staff, monitors operations, carry out specific nursing functions. gives rewards fairly, and represents both staff members and administration as Expanded role emphasized on health promotion and illness needed. prevention, as well as concern for the client as a whole. o delegates nursing activities to ancillary AUTONOMY workers and other nurses and supervises and evaluates performance. an essential element in nursing It means that a person is reasonably independent and self- RESEARCHER - the nurse as researcher or co- governing in decision-making and practice. researcher participates in scientific investigation and CLO refers to the ability to act according to one’s knowledge and uses research findings in practice for the promotion of 2 judgment, providing nursing care within the full scope of health. practice as defined by existing professional, regulatory, and organizational rules. ADVOCATE the nurse is accountable for keeping current and competent o assistance in the clients’ human and in technical skills and informed of the knowledge needed to legal rights. perform nursing care. o the nurse also defends the clients’ rights in a general way by speaking out against ACCOUNTABILITYY policies and/or actions that might endanger their wellbeing or conflict with it means that the nurse is responsible, professionally and their rights. legally, for the type and quality of nursing care provided. o nurses act as patient advocate by helping the American Nurses Association’s Code of Ethics defines clients make an informed decisions about professional accountability as being “ANSWERABLE TO their health, including helping them ONESELF AND OTHERS FOR ONE’S OWN ACTIONS.” navigate a complex medical system, composed of four (4) pillars: professional, ethical, lawful translating medical terms and helping and employment/contractual. patients make ethical decisions Traditional roles of nurse (purple) (6) CLO #6  MODULE 3M – PROFESSIONAL RESPONSIBILITIES AND ROLES OF A NURSE EDUCATOR ADVANCED PRACTICE NURSES (APN) o the nurse explains to clients concepts and o The most independent functioning nurse. facts about health. Under APN o An APN has master’s degree in nursing, o the nurse uses teaching methods that match (red) (8) advanced education in pharmacology the client’s capabilities and incorporates other and physical assessment as well as resources such as the family in teaching certification and expertise in a plans. specialized area of practice. o The APN may practice in primary, acute COMMUNICATOR or restorative care settings. o the role of the communicator is central to all o A primary health care center provides nursing roles and activities. services which are usually the first point o nursing involves communication with clients, of contact with a health professional. families and other nurses with health care o Primary health care includes services professionals, resource persons and the provided by general practitioners, community. dentists, community nurses, pharmacists and midwives among others. CHANGE AGENT - the nurse initiates change and assists o ACUTE CARE: Level of health care in the clients make modifications in the lifestyle to promote which a patient is treated for a brief but health several episodes of illness, for conditions that are the results of trauma or disease COLLABORATOR - The nurse works in a combined effort or during recovery from surgery with all those involved in care delivery, for a mutually acceptable plan to be obtained that will achieve THEIR FACILITIES INCLUDE: common goals; initiates actions within the health team. o Hospital (General Acute Care as well as Psychiatric, Specialized and COUNSELOR Rehabilitation Hospitals) o helps the client recognize and cope with stressful o Ambulatory Care Facility psychological or social problems. o Home Health Agency o the role includes providing emotional, intellectual o End-Stage Renal Disease Facility and psychologic support. (Dialysis Center) o Hospice CLO 7 DIFFERENT CAREER DEVELOPMENT FOR NURSES CLINICAL NURSE SPECIALIST (APN – CNS) CLINICIAN o an APN with nursing expertise in a o GOAL: provide direct patient care in hospital, clinic specialized area of practice and may or another healthcare setting work in any practice setting. o uses the nursing process and critical thinking skills o functions as: expert clinician, educator, o FOCUS: restorative and curative case manager, consultant, researcher o Provides education to the client and family to promote health maintenance and self-care. NURSE PRACTITIONER (APN – NP) o job duties include preparing charts, providing o Provides health care for clients, usually direct patient care, communicating with other in and outpatient, ambulatory or medical staff, and making sure treatment is community-based setting. administered correctly o provides care to clients with complex o in collaboration with other health care team problems providing a more holistic members, the clinical nurse focuses on returning approach, attending to the symptoms of the client to his or her home and usual state of non-pathologic conditions, comfort and health. comprehensiveness of care.  MODULE 3M – PROFESSIONAL RESPONSIBILITIES AND ROLES OF A NURSE ADULT NURSE PRACTITIONER o nurse anesthetists provide surgical anesthesia o provides primary care to adults with non-emergent under the guidance and supervision of an acute or chronic illness and in some tertiary care anesthesiologist, a physician with advanced settings. knowledge of surgical anesthesia o they work collaboratively with one or more primary care physicians. NURSE EDUCATOR o Works primarily in a school of nursing, staff PEDIATRIC NURSE PRACTITIONER development and departments of health care o provides care to infants and children. agencies and client education departments. o they practice in hospitals, ambulatory care, o requires experience in clinical practice to provide them with practical skills and theoretical emergency care and physician’s offices knowledge. o Nurse educators in nursing schools are usually ACUTE CARE NURSE PRACTITIONER required to have graduated degrees in nursing o functions in collaboration with a physician or and additional educational process. house staff physician in acute health care settings, o the primary focus of the nurse educator in an such as hospital or specialty clinic. agency’s department of client education is to o they are generalist, usually based in internal teach ill or disable clients and their families how medicine, focusing on the care of hospitalized to provide care in the home. patients. NURSING ADMINISTRATOR GERIATRIC NURSE PRACTITIONER o Manages client care and the delivery of specific o specialized on caring for older adults. nursing services within a health care agency. o they are trained in special needs of the aging o begins with positions such as the charge nurse or adult, with emphasis on health promotion, health assistant nurse managers. maintenance and functional status. o experience and additional education may lead to o works with the client and family to manage existing middle-management positions such as nurse health problems to promote independence. manager of a specific patient care area or director of the nursing service. CERTIFIED NURSE MIDWIFE o RNs who are also educated in midwifery QUALIFICATIONS OF NURSING SERVICE o the practice of nurse-midwifery involves providing ADMINISTRATORS ACCORDING TO RA 9173 independent care for women during normal pregnancy, labor and delivery as well as care of a person occupying supervisory or managerial positions newborn. requiring knowledge in nursing must: o practices with a health care agency that provides medical consultation, collaborative management o Possess a degree of Bachelor of Science in and referral Nursing with at least nine (9) units in THEIR SERVICES INCLUDE: management and administration course at the graduate level; and o assisting in normal vaginal delivery o Be a member of good standing of the accredited o doing routine newborn care professional organizations of nurses. o routine Papanicolaou (Pap) smears a person occupying the position of Chief Nurse or Director o family planning of Nursing Service shall, in addition to the foregoing o treatment for minor vaginal infections qualifications, possess: o At least five (5) years of experience in a CERTIFIED REGISTERED NURSE ANESTHETIST supervisory or managerial position in nursing; o they are RNs who has received advanced and training in an accredited program in o a master’s degree major in nursing anesthesiology.