NURSING FUNCTION.VIETNAMESE TRANSLATE ENGLISH BY=THICH CHAN TANH.
1. Dai Cuong
The object of nursing is human. The quality of a nurse's service is not only determined by qualifications and knowledge but also depends on many other factors. If the former nurse had not been systematically trained, had no career organization, then the nurse was an assistant, a physician's assistant. The development of medicine has led to an increasing demand for qualifications and knowledge of medical practitioners, especially nurses.
However, a nursing profession depends on a number of basic factors:
- Circumstances, working conditions and equipment at the medical facility.
- Professional and technical qualifications of doctors and other professional staff.
- The pathological and psychological condition of the patient.
- Social conditions such as economic conditions, political regimes in each country; ethnic factors, religion, geography, the State's interest in nursing.
In any country where there is interest by the government in the organization and training of nurses, in that country, the quality of health care is improved (World Health Organization, 2005). At present, the organization, tasks and nursing functions in different countries are different, but all follow the general principles.
As recommended by the World Health Organization, nursing has 2 functions:
- Active function.
- Coordination function.
Since 1990, the Vietnamese nursing organization system has changed to accommodate nursing functions.
In 2005, the specific responsibilities, qualifications, tasks of nurses were issued.
Nursing in Vietnam has officially become a career on par with other professions in society.
2.1.2. Task of nursing room at the Ministry of Health
- Plan a nursing industry development plan for inclusion in the Ministry's annual and long-term plans. Includes manpower, training, training and equipment plans.
- Research, propose, supplement and revise regulations on professional and technical management in nursing, patient service and primary health care.
- Examining, inspecting and urging institutes to implement nursing regulations throughout the country.
- Proposing and implementing the Ministry's instructions in strengthening the organization of Nursing industry.
- Participate in the compilation and management of training and supplementing programs for nursing staff.
2.2. Organize the tasks of the head of the Department of Health Care
2.2.1. Organization
The head of the Department of Health is under the direct guidance and reporting to the Director of the Department of Health on nursing work. The head nurse is in the medical division of Health Department.
2.2.2. Duties of Department of Health Nurses
- Develop, plan, plan nursing activities in the province to include in the Department's plan.
- Checking, inspecting and evaluating the quality of nursing in hospitals and primary health care at district health centers (District).
- Implement the instructions of the Director of the Department of Health, the industry guidelines on nursing work.
- Collaborate with functional departments, hospitals and medical schools to develop and organize supplementary training for nursing staff.
- Periodically organize activities of hospital nurses and medical centers in the province.
- Periodically report nursing activities to the Director of the Department of Health and the Nursing Room - Ministry of Health.
2.3. Organization of hospital nursing room tasks
2.3.1. Organization
- The Hospital Nursing Room is under the direct direction of the Hospital Director and has a close relationship with the departments and rooms in the hospital.
- Responsible for the management and administration of nursing throughout the hospital according to the issued professional and technical standards.
- The hospital nursing room is headed by the hospital head nurse. There are mass nurses and departmental nurses to perform the function of managing the entire nursing staff in the hospital.
2.3.2. Duties of Hospital Nursing Room
- Technical management, quality of patient care.
- Manage and organize the training and supplementation for nurses in the whole hospital.
- Managing and administering human resources for nursing and public health in the hospital.
- Manage budgets, equipment and supplies within the scope of nursing work.
- Managing hygiene, order departments and health education for patients and patients' families.
2.3.3. Relationship between the Hospital Nursing Room and other functional rooms
The ward office cannot operate completely independently, separate from functional rooms and other parts of the hospital. The effectiveness of the Nursing Room depends on the quality of the relationship with the departments, departments, faculties, etc. in the hospital.
- With the head doctors: Nursing rooms and the head nurses need to direct the nurses to seriously implement all requests for treatment, monitoring and care of patients, and at the same time cooperate effectively with the doctors to improve the quality of treatment and nursing.
- Personnel department: Contribute ideas about receiving, transferring nurses and nurses before the staff organization department submits to the Director for approval. Every year, evaluate the effectiveness of work and qualifications of nurses to coordinate with agencies organizing cadres to consider the proposal of raising salary level, promotion, reward and discipline.
- With the materials and equipment management department: The hospital's head nurse makes a plan, budget, equipment, equipment for the nursing work and usage plan, supplies equipment room and submits to the hospital director approved.
- Every day, the hospital nursing room manages and coordinates the nursing force and nursing staff to suit the patient care requirements. Coordinate closely with departments and unions such as Nursing Association, trade union, youth union, women ... to encourage morale, professional conscience, encourage nursing forces to improve responsibility and Technical qualification.
3. FUNCTION OF A NUTRITION
3.1. Active function (independent function )
- The active function of a nurse is to perform basic care tasks within the scope of their trained knowledge. Nurses perform these tasks proactively.
- Perform active functions, essentially active to meet the basic needs of patients, including the needs of: respiration, nutrition, excretion, movement, maintaining body temperature, hygiene personalization, dressing, sleeping and resting, safety, communication, beliefs, labor, study, emotional support.
- Actively practice nursing techniques, in welcoming patients to medical examination and performing first aid and first aid in cases of serious illnesses, accidents and accidents.
- Modern nurses are responsible for actively and actively building nursing industry, training, training and scientific research in nursing.
3.2. Functional coordination
- The current nurse is a collaborator of the doctor (Co-Ordinator), not a helper, a helper (Dotor`s helper) of the doctor as the previous concept.
- Coordination function of nurses is shown in the execution of orders and patient status reports to the doctor. Coordinate with doctors in organizing the implementation of the care plan.
- Nurses need to coordinate with other colleagues (nurses, technicians, midwives ...) to complete their tasks.
- The World Health Organization recommends 5 basic tasks of nursing:
+ Taking care of those who are sick, sick or who need health care, meeting the needs of each individual physically, emotionally and socially in hospitals and in the community.
+ Guiding and advising patients and their family members to take care of their health.
+ Monitoring, examination, assessment of patient's condition. Detect clinical symptoms, side effects of the drug, report patient's condition to the treating physician.
+ Training for other medical staff in patient care and primary health care.
+ Collaborate with other health workers in improving the quality of nursing or managing public health well.
Based on the level of training and the position that each nurse has different specific tasks, it is necessary to perform seriously and fully the nursing functions.
4.1. Authority
As a specialized technical officer of the health sector, it is responsible for organizing the implementation of basic nursing techniques and specialized nursing techniques at health facilities.
4.2. Specific tasks
- Prepare a care plan and coordinate with doctors in organizing the implementation of a comprehensive patient care plan in accordance with professional regulations.
- Implement, monitor and supervise lower-level nurses in the implementation of doctor's orders and implement the comprehensive patient care plan.
- Fluency in basic nursing techniques and complex nursing techniques of the specialized field.
- Organize the implementation of procedures for receiving patients to come for medical examination, treatment, testing, transfer, hospital transfer and discharge and organize the implementation of care procedures when patients die in accordance with regulations. .
- Organize the monitoring, evaluation of the whole situation and record daily movements of patients, paying special attention to seriously ill patients and emergencies to adjust the care plan and promptly report to the doctor. to handle the abnormal developments of the patient.
- Organize the first aid and emergency care for accidents and care for and treatment of seriously ill patients.
- Prepare and organize adequate, correct and timely preparation of equipment, means, drugs and medical records for examination, emergency, treatment and care of patients.
- Organize the operation, maintenance, maintenance of specialized machinery and equipment. Detecting failures and proposing solutions.
- Take personal responsibility for the number of drugs and properties assigned to manage.
- Organize the implementation of counseling, health education and the maintenance of order, hygiene and disease prevention.
- Guide nursing techniques to nursing students and nursing staff at lower ranks; carry out the direction and participation in scientific research projects in the field of nursing.
- Organize the implementation of ethical regulations, professional regulations, technical processes of the health sector and legal provisions related to the field of nursing.
4.3. Knowledge
- Regarding basic medicine, nursing, pathology, hygiene and disease prevention.
- Basic nursing techniques, specialized nursing techniques in the specialty and comprehensive patient care process.
- Process of operating, preserving and maintaining basic specialized machines and equipment.
- Directions for professional and technical development of domestic nursing field.
- Regulations of rational and safe use of drugs.
- The position and duties of health officials in the field of nursing.
- Law on the protection of people's health, the State's and the health sector's regimes and policies towards the beneficiaries.
4.4. Qualification required
- Bachelor's degree in nursing.
- Use a foreign language level A; In case of working in an area with ethnic minorities, if they can use one ethnic language in their professional activities, they can replace Level A foreign languages.
- Have basic computer skills, use some software to analyze data in the process of monitoring and caring for patients. END=NAM MO SHAKYAMUNI BUDDHA.( 3 TIMES ).GOLDEN AMITABHA MONASTERY=VIETNAMESE BUDDHIST NUN=THICH CHAN TANH.AUSTRALIA,SYDNEY.30/2/2020.
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