The Many Faces Of The Professional Nurse
The title of Nurse has many applications in modern medicine.
Each specific type of nurse has a different set of responsibilities:
Registered nurses (RNs), Nurse practitioners, Head nurses or nurse
supervisors, Licensed practical nurses (LPNs), Nursing home nurses,
Home health nurses, and Nursing aides. While there are many shared
tasks, these nursing professions require special skills, and different
levels of patient interactions. We've compiled the many nursing
job descriptions below:
Registered
Nurses Job Description (RN)
Registered nurses (RN) comprise the largest group of healthcare
workers. Most RNs work directly with patients and their families.
They are the primary point of contact between the patient and
the world of health care, both at the bedside and in out-patient
settings. RNs perform frequent patient evaluations, including
monitoring and tracking vital signs, performing procedures such
as IV placement, phlebotomy, and administering medications. Because
the RN is much more regular contact with patients than are physicians,
the RN is usually first to notice problems or raise concerns about
patient progress.
RNs also develop the day-to-day nursing care plans both in hospital,
and for care after discharge by families and visiting nurses.
While there is a national component to RN training (culminating
in the NCLEX
licensing exam), state laws determine the formal responsibilities
of the RN. Nonetheless, because of the relatively broad nursing
job description for RNs, the particular work enivironment determines
what the daily routine is.
Nurse Practitioners Job Description
Nurse practitioners are primary care givers. Several critics
of the current US healthcare system would argue that the system
need many more nurse practitioners and fewer physicians. These
nurses are often first in line to diagnose and treat illnesses
and injuries. Nurse practitioners have the right to prescribe
certain medications, with licensing and priveleges varying by
state.
With increasing specialization nurse practitioners take on some
secondary care responsibilities, including anesthesiology (certified
registered nurse anesthetists), widwifery (certified nurse-midwives),
and certain other clinical responsibilities (clinical nurse specialists).
Educational requirements to become a nurse practitioner often
require a BSN (Bachelors of Science in Nursing), followed by additional
training, sometimes requiring a Masters in Nursing.
Head Nurses or Nurse Supervisor Job Description
Head nurses supervise nursing activities in a variety of settings.
While some patient care is usually required, the nursing superviser's
new duties include setting up work schedules, assigning duties
to a nursing staff, and ensuring that each member of the nursing
team is adequately trained.
Head nurses are ultimately responsible for the performance of
the nurses on their team. This means that they must ensure that
nursing records are correctly maintained, that report is correctly
given at each shift change, and that equipment and other supplies
are in stock.
Licensed Practical Nurses (LPNs) Job Description
Licensed practical nurses (LPNs), or licensed vocational nurses
(LVNs) in Texas and California, provide the patient care on a
very personal level. They usually report directly to physicians
and RNs, and are usually responsible for taking vitals and monitoring
in-and-out volumes, treating common like bedsores, and preparing
or performing several procedures such as dressing wounds, bathing
and dressing, and giving enemas.
Because they have frequent direct contact with patients, LPNs
and LVNs are important in helping patients deal with their illness.
In some, but not all, states LPNs and LVNs may administer prescribed
medicines or start IV fluids.
Nursing Home Nurses Job Description
Nursing home nurses manage nursing care for residents with conditions
ranging from a fracture to Alzheimer's disease. Although they
often spend much of their time on administrative and supervisory
tasks, RNs also assess residents' health condition, develop treatment
plans, supervise licensed practical nurses and nursing aides,
and perform difficult procedures such as starting intravenous
fluids. They also work in specialty-care departments, such as
long-term rehabilitation units for patients with strokes and head-injuries.
Home Health Nurses Job Description
Home health nurses provide periodic services to patients at home.
After assessing patients' home environments, they care for and
instruct patients and their families. Home health nurses care
for a broad range of patients, such as those recovering from illnesses
and accidents, cancer, and childbirth. They must be able to work
independently, and may supervise home health aides.
Nursing Aides Job Description
Nursing aides, also known as nursing assistants, geriatric aides,
unlicensed assistant personnel, or hospital attendants, perform
routine tasks under the supervision of nursing and medical staff.
They answer patients' call bells, deliver messages, serve meals,
make beds, and help patients eat, dress, and bathe. Aides also
may provide skin care to patients; take temperatures, pulse, respiration,
and blood pressure; and help patients get in and out of bed and
walk. They also may escort patients to operating and examining
rooms, keep patients' rooms neat, set up equipment, store and
move supplies, or assist with some procedures. Aides observe patients'
physical, mental, and emotional conditions and report any change
to the nursing or medical staff.
(Source is U.S.
Department Of Labor)