Seminar presentation

1. TOPIC – ROLE AND RESPONSIBILITIES OF NURSE
IN MEDICAL SURGICAL SETTING
BSC(H) NURSING
RAKCON

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.

3. MEDICAL SURGICAL SETTING
 It includes various departments such as :
Opd Ipd ICU
Home health care Community health nursing

4. 1. OPD- OUT PATIENT DEPARTMENT
 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 , followup
care or treatment but don’t stay overnight.
 It is first point of contact between a patient and hospital

5. OBJECTIVES OF OPD

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

8. OPD PROCESS

9. TYPES OF OPD SERVICE

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. CONTD.
 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. PROCESS INIPD

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. CONTD.
 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
General
•Medical ICU
•Surgical ICU
•Medical Surgical ICU
Specialised
•Neonatal ICU
•Special care nursery
•Pediatric ICU
•Coronary care unit
•Cardiac surgery ICU
•Neuro surgery ICU
•Burn ICU
•Trauma ICU

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. CONTD.
 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

22. ROLE OF NURSE IN HOME HEALTHCARE
Assessment
Nursing diagnosis
Planning
Implementation
Documentation
Evaluation

23. 5. COMMUNITY HEALTH NURSING
 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.

24. QUALITIES OF CHN
 Educator
 Advocate
 Counsellor
 Role model
 Teacher
 Primary care provider
 Community developer

25. ROLE 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

26. SUMMARY
Today we have discussed about role and responsibilities of
nurse in medical setting which include various departments
such as OPD , IPD , ICU , Home and Community and its
nursing management

27. CONCLUSION
Medical Surgical setting provides a platform to the patient of
treatment on the basis of condition of patient nevertheless, the two
should be integrated physically and from the clinical administrative
points

28. BIBLIOGRAPHY
 Brunner- siddhant textbook of medical surgical nursing pg 15-18
 Medical surgical nursing book – Heitkemper and Mantik dewis