one who is responsible for the administration of a single ward (unit) in the hospital (25-23) patients, a unit in a clinic service, or school health service, a unit in an operating room, labor or delivery room, emergency room, central supply service, out patient service, or an employee health service.
the head nurse is directly responsible to the assistant director in nursing service.
major responsibilities center around:
1- planning and organization:
a- estimating the numbers and categories of personnel needed to meet the needs of patients and submitting requests for same with justifications.
b- on the basis of nursing service philosophy and objectives and standards for patient care make assignment and work schedule for best utilization and patient services.
c- promoting and integrating the medical, administrative and over all division of nursing policies in to a pattern of ward policies and procedures.
d- securing the necessary supplies and equipment to facilitate the work of personnel and arranging for their maintenance and repair.
e- organization and control of the environment to provide for comfort and safety factors and promote conditions for recovery and promoting inter personal relationships conductive to co-operative effort and co-ordination of people and their services.
2- administration and co-ordination:
a- implementing policies, procedures, standards, in nursing service by supervising the activities of all nursing personnel, evaluating their effectiveness in accordance with established programs of supervision and evaluation, giving guidance as needed.
b- developing and maintaining harmonious working relationships(and schedules) with department heads who provide services, materials and equipment for use with patients advises them of the kind and amount needed to carry on the work with patients.
c- developing schedules (policies and procedures) with x-ray, laboratories, physical medicine and all treatment services so their requirements can be incorporated in the plan of care for patients and adjustments made as needed.
d- understanding and interpreting the scope and role of nursing care and services and requiring nursing personnel to remain within the limits, so maximum amount of time may be devoted to meeting patient needs for care and services on the wards (units).
e- through round making with doctors and a system of records and reports, acquaints the doctors with development in patients condition and reaction; and providing instruction to patients consisted with the medical diagnosis and plan of care.
f- preparing reports that contribute to continuity in patient care and comprehensive health services in all facilities.
g- solving problems as they arise and exercising judgement in referring matters requiring further consideration and action to the clinical area assistant director, or the assistant director in nursing service.
h- making adjustment in time schedules and assignments consistent with policies in the nursing services and needs on the ward (units).
I- teaching nursing personnel economical use of supplies and equipment used in giving care.
j- implementing personnel policies and keeping nursing personnel informed of changes as they occur, or involving them when ward decisions are to be made.
k- acquainting nursing personnel with expectations relating to the quality of work and standards in patient care, ethical conduct and uniform grooming standards of the nursing service, and including these in the work of each person.
3- education and staff development:
a- providing for orientation of patient on admission and new staff on employment.
b- developing a program of patient instruction in terms of his general needs and specifically in relation to his present illness.
c- learning the process of developing nursing care plans, and guiding nursing personnel in developing one for each patient as a basis for quality nursing care.
d- providing guidance to nursing personnel as needed in work and on request, personally.
f- recognizing leadership capabilities of nursing personnel and submitting study opportunities which would lead to promotion.
g- developing a continuing education program for self, and guiding others to plan for personal and professional advancement.