EXPANDED ROLES OF

NURSES
 SCHOOL HEALTH NURSE

• HELPS IN PROMOTING EDUCATIONAL SUCCESS BY PROMOTING HEALTH.

• INTERVENE ACTUAL AND POTENTIAL HEALTH PROBLEMS.
• PROVIDE CASE MANAGEMENT SERVICES.
• ACTIVELY COLLABORATE WITH OTHERS TO BUILD STUDENT AND
FAMILY CAPACITY FOR ADAPTATION.
• SELF-MANAGEMENT, SELF-ADVOCACY AND LEARNING.
• IMPLEMENTATION OF SCHOOL HEALTH SERVICES.
• COLLABORATES WITH PRIMARY CARE PHYSICIANS, SPECIALISTS AND
LOCAL PUBLIC HEALTH AGENCIES.
 OCCUPATIONAL HEALTH NURSE

• OBSERVES AND ASSESS THE WORKERS’ HEALTH WITH

RESPECT TO JOB.
• HAVE KNOWLEDGE ABOUT WORKPLACE HAZARDS.
• HAVE KNOWLEDGE ABOUT TOXICOLOGY EPIDEMIOLOGY
 PRIVATE DUTY NURSE

1. PRIVATE DUTY NURSES OFFER THEIR SPECIALIZED SERVICES TO PATIENTS OF ALL AGES
FOR VARIOUS TIMEFRAMES SO THAT THEY CAN RESTORE THEIR INDEPENDENCE AND
LIVE ACTIVE, SAFE LIVES.
2. THE FIELD OF NURSING CAN TAKE NURSES TO A VARIETY OF LOCATIONS SUCH AS
CLINICS AND HOSPITALS.
3. SOME NURSES ARE MORE PORTABLE, AND THEY PROVIDE SERVICES IN THE HOMES OF
PATIENTS, ASSISTED LIVING FACILITIES, AND NURSING HOMES.
4. PRIVATE DUTY NURSES PROVIDE A VARIETY OF SERVICES TO PATIENTS, INCLUDING
COMPANIONSHIP AND BATHING.
5. MONITORING MEDICAL STATUS CHANGES OF PATIENTS
6. COOKING FOR PATIENTS
 PRIVATE DUTY NURSE
7. CLEANING FOR PATIENTS
8. HOMEMAKING SERVICES
9. PROVIDING VARIOUS OTHER DAILY LIVING ACTIVITIES
10. PRIVATE DUTY NURSES PROVIDE SERVICES TO PATIENTS THAT NEED IN-HOME MONITORING,
THOSE WHO REQUIRE ADJUSTMENTS TO TREATMENT REGIMENS OFTEN, AND PATIENTS WITH
MEDICAL CONDITIONS THAT REQUIRE FREQUENT ASSESSMENTS AND CARE PLAN CHANGES.
11. PRIVATE DUTY NURSES HAVE SEVERAL GOALS THAT INCLUDE PREVENTING MEDICAL
COMPLICATIONS THAT COULD RESULT IN FACILITY PLACEMENT, PROVIDING MEDICALLY
NECESSARY NURSING CARE TO PATIENTS IN THEIR HOMES, PROVIDING CARE FOR PATIENTS
TRANSITIONING TO IN-HOME CARE, AND ASSESSING, PROVIDING, AND MONITORING
PROFESSIONAL CARE FOR PATIENTS BY THE HOUR.
• [HTTP://WWW.REGISTEREDNURSERN.COM/PRIVATE-DUTY-NURSING-PRIVATE-DUTY-NURSE-JOB-
DESCRIPTION/]
 HOME CARE NURSE

• HOME CARE NURSES PROVIDE MEDICAL AND PERSONAL CARE TO

INDIVIDUALS WHO ARE CHRONICALLY ILL, DISABLED OR SUFFERING
FROM COGNITIVE IMPAIRMENTS.
• THEY TYPICALLY WORK FOR SENIOR CITIZENS WHO WANT TO REMAIN
AT HOME BUT NEED ASSISTANCE WITH DRESSING, BATHING AND
HOUSEWORK.
• HOME CARE NURSES ADMINISTER MEDICATION, MONITOR VITAL
SIGNS AND EDUCATE PATIENTS ON HEALTH CARE.
• THEY ARE REGISTERED NURSES, BUT SOME AGENCIES ALLOW
LICENSED PRACTICAL NURSES TO WORK FOR IN-HOME PATIENTS.
 HOSPICE CARE
• THE CARE IS FOCUSES ON THE PALLIATION OF TERMINALLY PATIENTS.
• HOSPICE CARE MAY TAKE PLACE IN A HOSPICE INSTITUTION OR THE
PATIENT’S HOME – FREQUENTLY BOTH. IT’S BASED ON THE BELIEF
THAT EVERY PERSON WHO IS TERMINALLY ILL OR INJURED HAS THE
RIGHT TO DIE WITH DIGNITY AND WITHOUT PAIN, AND THAT THE
PATIENT’S FAMILY ALSO DESERVES COMPASSIONATE CARE AND
SUPPORT.
• EACH HOSPICE PATIENT IS CARED FOR BY A TEAM OF PROFESSIONALS
WHO PROVIDE MEDICAL CARE, PAIN MANAGEMENT, AND EMOTIONAL
AND SPIRITUAL SUPPORT TAILORED TO THE PATIENT’S WISHES.
 REHABILITATION NURSE

• REGISTERED NURSES HAVE MANY CAREER OPTIONS,

INCLUDING THE SPECIALTY OF REHABILITATION
NURSING.
• SPORTS INJURIES, STROKES, AND CHRONIC DISEASES,
SUCH AS RHEUMATOID ARTHRITIS, MAY ALL REQUIRE
REHABILITATION SERVICES.
 NURSE EPIDEMIOLOGIST

• A NURSE EPIDEMIOLOGIST IS A NURSING PROFESSIONAL WHO FOCUSES ON MAKING SURE THAT

PATIENTS RECEIVE OPTIMAL CARE, BUT WHO ALSO REDUCE OVERALL INFECTION RISKS AND FOCUS
ON PREVENTION MEASURES AS WELL AS ON INFECTION CONTROL AND DIRECT PATIENT NURSING.
• SPECIFIC JOB DUTIES MAY INCLUDE THE FOLLOWING:
1. EXAMINE PATIENTS AND DETERMINE POTENTIAL PRESENCE OF INFECTION
2. ASSESS RISK FACTORS WITHIN A PATIENT, A FACILITY, OR EVEN A POPULATION
3. IDENTIFY AREAS THAT NEED TO BE MODIFIED FOR BETTER INFECTION CONTROL
4. MONITOR PATIENT CARE TO ENSURE INFECTION ISN'T TRANSMITTED THROUGHOUT THE
POPULATION
5. WORK TO DEVELOP POLICIES AND PROCEDURES THAT CAN HELP REDUCE INFECTIONS AND
CONTROL DISEASE
6. CONSULT WITH OTHER MEDICAL PROFESSIONALS AND POLICY MAKERS TO HELP REDUCE
INFECTION RISK AND PROMOTE BETTER OVERALL HEALTH
7. THEIR WORK IS FOCUSED ON BOOSTING OVERALL PUBLIC HEALTH, AND WHILE THEY CAN TREAT
INDIVIDUAL PATIENTS THEY PRIMARILY HELP TO PROTECT OTHERS FROM CONTRACTING
INFECTIOUS DISEASES – INCLUDING THEIR OWN COWORKERS.
 MILITARY NURSE

• THE MOST EXTREME WORK ENVIRONMENT FOR A MILITARY NURSE IS IN

THE MIDDLE OF AN ACTIVE WAR ZONE WHERE THEY ARE SET UP TO
PROVIDE IMMEDIATE MEDICAL ATTENTION TO SOLDIERS WHO ARE
WOUNDED IN BATTLE.
• MILITARY NURSES ALSO FIND EMPLOYMENT IN MILITARY HOSPITALS AND
VETERANS HOSPITALS THROUGHOUT THE COUNTRY.
• A MILITARY NURSE IS TRAINED TO PERFORM ALL OF THE TYPICAL DUTIES
OF A REGISTERED NURSE, INCLUDING TREATMENT OF WOUNDS,
DIAGNOSIS OF SYMPTOMS, PAIN MANAGEMENT, ADMINISTERING
MEDICINE, ASSISTING IN SURGICAL PROCEDURES, CHECKING VITAL SINGS
AND PROVIDING MEDICAL ADVICE TO PATIENTS.
 AEROSPACE NURSE

• AEROSPACE FLIGHT NURSING IS CONCERNED WITH AIR EVACUATION/TRANSPORT OF

CRITICALLY-ILL AND ACUTELY INJURED PATIENTS IN MILITARY AND CIVILIAN SETTINGS.
• SPECIALIZED TRAINING IS NEEDED SINCE THE SITES OF EVACUATION, VARIABLE STABILITY
OF THE PATIENTS, AND THE LIMITATIONS OF TRANSPORT CARE PRESENT CHALLENGES.
• FLIGHT NURSES ARE INVOLVED IN MANY PHASES OF MEDICAL LAUNCH SUPPORT FOR THE
SPACE PROGRAM, AS WELL. MEDICAL CERTIFICATION, POST-LANDING ASSESSMENT, AND
EMERGENCY PROCEDURES PLANNING AND EXECUTION, REPRESENT ONLY A FEW OF THE
FUNCTIONS FOR WHICH THEIR EXPERTISE IS ESSENTIAL.
• THEY ALSO CONTRIBUTE TO THE ACTIVITIES OF HYPERBARIC SUPPORT FOR WOUND CARE,
TOXIC EXPOSURES, AND DECOMPRESSION SICKNESS IN DIVING AND FLYING COMMUNITIES.
[HTTPS://WWW.ASMA.ORG/ABOUT-ASMA/CAREERS/AEROSPACE-NURSING]
 TELEMETRY NURSE

• TELEMETRY NURSES WORK WITH PATIENTS THAT REQUIRE SPECIAL

MONITORING, INCLUDING THOSE RECENTLY RELEASED FROM THE
INTENSIVE CARE UNIT OF A HOSPITAL.
• THE PATIENTS THEY WORK WITH ARE OFTEN AT HIGH RISK FOR
COMPLICATIONS, SO RNS IN A TELEMETRY UNIT MUST CAREFULLY REVIEW
EQUIPMENT AND DATA TO DETECT POTENTIAL SYMPTOMS OF DISTRESS OR
DANGER.
• A CAREER AS A TELEMETRY NURSE REQUIRES ADVANCED MEDICAL
KNOWLEDGE, TECHNICAL EXPERTISE, COMPASSION AND STRONG
INTERPERSONAL SKILLS TO CARE FOR PATIENTS WHO MAY HAVE LIFE-
THREATENING CONDITIONS.
• IN THE TELEMETRY UNIT OF A HOSPITAL, PATIENTS ARE OFTEN IN CRITICAL
CONDITION AND NEED CONSTANT MONITORING AND CARE.
• TELEMETRY NURSES REVIEW DATA FROM SPECIAL EQUIPMENT TO TRACK A
PATIENT’S HEART RATE, BLOOD PRESSURE, BREATHING AND OTHER VITALS.
• THEY ALSO CARRY OUT MORE TRADITIONAL NURSING DUTIES SUCH AS
ADMINISTERING MEDICATIONS AND COMMUNICATING WITH PATIENTS
REGARDING THEIR CONDITION.
• SINCE MOST OF THE PATIENTS IN A TELEMETRY UNIT HAVE SUFFERED HEART
ATTACKS OR ARE RECOVERING FROM CARDIAC SURGERY, SOME RNS SPECIALIZE
IN CARDIAC TELEMETRY AND ARE PROFICIENT IN THE USE OF
ELECTROCARDIOGRAM EQUIPMENT.
• A TELEMETRY UNIT MAY ALSO BE USED TO MONITOR PATIENTS WITH SLEEP
DISORDERS OR NEUROLOGICAL ISSUES, SUCH AS EPILEPSY.
• SINCE CONSTANT MONITORING IS REQUIRED FOR PATIENTS WITHIN A TELEMETRY
UNIT, HOSPITALS NEED TO HAVE TELEMETRY RNS ON DUTY 24/7. THESE NURSES
OFTEN WORK LONG SHIFTS, INCLUDING NIGHTS, WEEKENDS AND HOLIDAYS.
 DISASTER NURSING

• ‘DISASTER’ ALPHABETICALLY MEANS:

• D - DESTRUCTIONS
• I - INCIDENTS
• S - SUFFERINGS
• A - ADMINISTRATIVE, FINANCIAL FAILURES.
• S - SENTIMENTS
• T - TRAGEDIES
• E - ERUPTION OF COMMUNICABLE DISEASES.
• R - RESEARCH PROGRAMME AND ITS IMPLEMENTATION
 ROLE OF NURSE ADMINISTRATOR IN DISASTER MANAGEMENT

• PRESERVING OPEN LINES OF COMMUNICATION ENSURING

QUALITY PATIENT CARE PROVIDING CURRENT
EDUCATION INFLUENCING POLICY AND FINANCIAL
DECISIONS PROVIDING SECURITY FOR STAFF, PATIENTS,
AND FAMILIES
 FORENSIC NURSE

• A FORENSIC NURSE PROVIDES TREATMENT AND SUPPORT TO VICTIMS OF ASSAULT AND

OTHER CRIMES, AS WELL AS PROVIDING TESTIMONY ON THEIR BEHALF.
• FORENSIC NURSES ARE REGISTERED NURSES WHO ARE INVOLVED IN EVERY STAGE OF
THE RESPONSE TO A CRIME OF RAPE, ASSAULT OR BATTERY.
• THIS RANGES FROM ASSESSING THE VICTIM AND PRESERVING EVIDENCE TO PROVIDING
TREATMENT TO TESTIFYING IN ANY POTENTIAL LEGAL PROCEEDINGS.
• THE EDUCATIONAL BACKGROUND OF A FORENSIC NURSE IS GENERALLY BROAD, TO
ENCOMPASS ALL OF THE POTENTIAL TASKS DISCUSSED BELOW THE TABLE.
[HTTP://LEARN.ORG/ARTICLES/WHAT_ARE_THE_JOB_DUTIES_FOR_A_FORENSIC_NURSE.HTML]
 
*** “EXPANDED ROLE OF NURSE MEANS ENLARGEMENT OF NURSING WITHIN THE
BOUNDARIES OF NURSING. EXPANDED ROLE OF NURSE IS THE RESPONSIBILITY ASSUMED BY
THE NURSE WITHIN THE FIELD OF PRACTICE.”