Today’s Nursing Job Scenario


Nursing Job Profile:

Nursing profession is a massive and collective team work of a number of highly disciplined and hard working individuals, who have a passion to serve the ailing humanity and by their decision has carved out a very progressive and highly respected career for themselves.

Briefly the job of a Nurse is to make an assessment of patient’s health, provide solution to his problem, based on the assessment decide and carry out nursing care program. Ensure Maintaining of statutory medical records.  Offer immediate nursing care to seriously ill patient, taking care of the injured or convalescing or patient having disability. Advise to the patients regarding healthy caring by them selves and measures for prevention of disease.

The Nursing Staff undergoes prescribed training, passing out the examinations, complete statutory working experience in a hospital and get qualified for registration and Licensing from the State Health Department.

The Making of a Specialized Nurse:

As the nursing staff gets experience and continuing education in various health care departments, they are in a position to carry out minor procedures themselves, relieving the burden of the doctors. There are various designations related to their experience in a particular field like Advance Practicing Nurse, Clinical investigations Nurse, certified Midwife, Certified Anesthesia Nurse etc. They become capable of functioning independently under the supervision of the specialist doctor.

Nursing Hierarchy:

Nurse under Training:

Among all the jobs eligibilities Nursing Entrant finds very easy to get an entry into a respected and honorable profession. Any person having just passed Tenth Class diploma, with good understanding and willing to do hard work and learn, while on the job is eligible to join.

One is required to have 75 hours theoretical class room training in a school having facilities to impart the necessary training and laboratories to make the student practice clinical experience about health care and patient handling. There training schools run by community center providing vocational trainings. This training can cost $500 to $1000 or some private nursing homes arrange free training on the condition that the trained person shall work with them.

After the training is over the trainee nurse appears in a theory as well clinical examination and pass it to be placed as a Certified Nurse Assistant.

Certified Nursing Assistant (CNA):

After passing the prescribed examination the Trainee nurse gets a Certificate from the State health Department and is placed as (CNA), who functions under a Licensed Nurse. While working in the real Patient health care environment the (CNA) expands his knowledge base and experience in patient handling. One while working on the job continues further education in the field to become a Licensed Nurse.

Higher Hierarchy:

Certified Medical Assistant (CMA):

CMA’s perform their job under direct supervision of a Physician or other Specialty Doctor and offer assistance in examination of the patient and explaining the doctor’s advice to the patient and his relations for full compliance. The Doctors look at the observations made by the CMA about history of disease and other preliminary details like height, weight, Age, blood pressure and pulse rate recorded in the history sheet.

Because of long practical experience a CMA is relied for accuracy of the information recorded and deciding the treatment to be administered.

They are responsible to ensure that the room where the investigations are to be carried out is clean, hygienic and sanitized immediately before and after an examination so that it is ready before the next patient comes up for examination.

The CMA’s are sufficiently trained to draw a blood sample for carrying out the required investigations.

Clinical Nurse Specialist (CNS):

The CNS has the responsibility to make a daily routine visit to all the departments of the Health Care Facility centre and make the observation that all the instruments and equipments are working in perfect order. The CNS gives the directions to the staff working for proper health care of the patients and ensure that all the staff employed are up to date in carrying out the directions and hold the necessary proficiency expected out of them.

Director of Nursing (DON):

The Registered nurses after gaining experience, proficiency and possessing necessary aptitude and inclination become eligible to get promotion to the office of Director Nursing. The Director Nursing is a very responsible position and is over all in-charge of the proper functioning of the Health Care facility. Heads of Nursing Departments report to Director Nursing.

Director Nursing holds frequently meetings inviting all the Nursing Department heads to review the policies formulated for the establishment and takes individual Department head views for discussion and resolving the issues with and gives necessary directions ensuring that all the mandatory regulations are being followed.

Licensed Practical Nurse (LPN), Licensed Vocational Nurse (LVN):

Lens’ and Lens’ hold a valid License to provide health care, which is directly under the supervision of a registered nurse.  They participate in the Health Care program of the establishment ensuring good care and comfortable stay of the patient during indoor treatment. They follow all the new patient care concepts on arrival of the patient.

Certified Registered Nurse (Anesthesia): (CRN) (A)

(CRN) (A) is responsible to prepare the anesthetic solution as per directions of the Anesthesia Doctor of the facility and administering of the anesthesia to the patient. Before anesthesia is administered to the patient a thorough check up of the patient is done that the patient shall be in a position to withstand anesthesia without complications. Post operatively the patient is kept under observation for 24 hours.

Nurse Assistant (CNA):

(CNA) carries out it’s working under direct supervision of a registered nurse. CNAs’ are essentially back bone of the Health Care Facility, because all manual patient care work is performed by them. They are entrusted multiple tasks so as to enable them to learn and practice for achieving high degree of proficiency required out of them.

They learn to draw blood for investigation, performing ECG’s, measuring blood pressure and heart rate and viewing patient’s temperature.  They also offer their help, when medical professional is examining the patient or conducting a diagnostic test.  The basic knowledge and various standards pertaining to hospital and medical procedures are necessary to carry out the job satisfactorily.

Training of (CNA):

Training of a (CNA) is for a period of one year which is a sort of introduction to Practical Nursing Program having both Class Room and Clinical experience of patient health care in its natural settings. Class room teaching clarifies the nursing concepts being followed through out the patient care establishments.

The trainee is given theoretical knowledge of internal structure of body parts and their functioning like human anatomy, physiological processes, nursing related to medical and surgical problems, pediatric care, Gynecological diseases and obstetrics nursing, basic pharmacology, healthy nutrition and first aid.

Nursing Manager:

The Nursing Manager in a health care establishment is responsible for selection of nursing staff and ensures that they possess the required training and license to work under different nursing positions in the health care facility. They also review and revise policies of the establishment for better performance in term of services provided to the patients. They also ensure that all the applicable Federal regulations are complied with by the organization.

He plans in house training, for the staff for refreshing their nursing know-how and helps in improving their performance.

Nursing Supervisor

Nursing supervisor is subordinate to Nursing Manager and shares Administrative responsibilities with the administrative manager. The Nursing Supervisor is responsible to coordinate with other departments of the establishment in respect of matters related to nursing.

Nursing Supervisor performs nurse scheduling, matters related to staff planning. They perform evaluation of patient care by collecting feed back from the patients treated in the establishment and act upon to improve the shortfalls observed in patient care.

Nursing Supervisor is responsible to ensure efficiency and high quality of patient care. They receive lot of reports for analyzing the state of affairs of the health care establishment.

Registered Medical Assistant (RMA)

Because of their high level of competence of RMA, physicians and specialty doctors depend on their services for maintaining various patients and employees records conforming to the system prevalent in the health care establishment. They properly organize the examinations rooms so that the doctors in a position to examine the patients quickly, without asking for on the spot help from them. They are an important link between nurses, physicians and other staff. By performing their role all the activities are running smoothly.

Trauma nurses:

Trauma patients report at the Hospital emergency in case they are victim of an accident or sustained injuries in a criminal attack on them. Trauma Nurses are posted in Hospital emergency rooms and in the Ambulances, when they go out to attend an emergency call received from a patient.

They immediately give the necessary help to the patient reported in the emergency room of the hospital. Depending upon the status of the patient, he is either given first aid and discharged with follow up instructions or admitted in the hospital if the condition of the patient becomes serious.

Registered Nurse (RN)

RNs are responsible to ensure that all the day’s jobs are handled perfectly. He/she has to supervise and guide (CNA)’s and other staff working under RN. They are responsible to administer medications to the patients as well as help in conduct of laboratory tests of the patients advised by the treating doctor to the patient. RN is expected to report directly to the physician and ensure that the information conveyed is correct. They also ensure that the records are maintained in the prescribed manner. They enquire about the patients’ health. They direct and supervise the performance of under-skilled nursing health care staff or do supervision of a particular unit during one shift.

The type of direction and supervision provided differs from state to state.

Holistic Nurses:

There is American Holistic Nurses association, which regulates the working of Holistic Nurses. Holistic nurses do not consider treating a particular disease. They provide relief to the patients’ mind and whole body.  One of the ancient holistic is world famed Florence Nightingale.

Practicing Holistic Philosophy While Nursing:

There are no job specifications for a holistic nurse. There is a philosophy and acquiring of certain practices governing eligibility to become a Holistic nurse. It is more difficult than Certified Nursing Assistant. Following are the main features of holistic nursing:

Understanding Human Nature & Values:

The driving philosophy behind holistic nursing is their belief that every human being has its complexities and there is definite interconnection between body, mind, emotion, spirit, culture, relationship, context and environment.

Respecting Patient’s Individual Personality:

Holistic nurses philosophy makes them believe regarding human having individualistic personality with personal needs and desires governed by the environment he/she has been living and try to different approach while caring for their health and well being maintaining the norms required by their profession.

Preference for Alternative Medicine Therapies:

The stress of holistic nurses is to offer alternative therapies like herbal resources, meditation and yoga. Holistic nurses have the understanding of the medical background and accept the practices, rules and methods in force. The attempt is not to ignore basics specified by medical care, but prefer use of alternative medicine therapies as first choice while they care for patients.

Self Reflection:

Being a holistic nurse isn’t easy. It isn’t something that anybody can do. The holistic nurse must use self reflection on a daily basis. They must ask themselves questions like: “Why am I a nurse? Why am I trying holistic methods? What is the purpose of my job? Am I really making a difference?” The holistic nurse must understand what drives them to do what they do

Vast Existence of Job Prospects;

Replacement to the vacancies created by staff leaving the establishment permanently is a feature occurring very commonly. Most of such vacancies are filled out as and when they occur.

Recruiting of Trainee Nurses is ongoing program of the health care facilities to groom young persons wishing to adopt nursing as career to fulfill their present financial needs and progress in the profession by acquiring necessary basic training and education and follow continued education options available on the job by interaction with the experienced and well qualified health care professionals.

Persons possessing an interest, aptitude and passion for serving humanity find them selves very successful in the profession they have opted and enjoy excellent financial rewards, respect and satisfaction while performing their noble professional jobs.

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