@RubySquid, certainly in the past, things were more hands on. However, our roles as RNs have progressed...but I believe they still are pretty hands on. I'm a ward sister. Today I was in charge of the ward (my manager wasn't in today). So I ran the ward....plus worked a side. I started my shift earlier than the allotted time and finished over an hour after I should have. I washed patients, helped them with meals and toileting, did the drugs round, did some teaching (of junior doctors - showed them how to use the ventilators, manage central/art lines and take samples from them), updated relatives, did observations, made referrals, assisted with transfers, admissions and discharges, wrote A LOT(!), helped colleagues, updated some audits, verified shifts (so bank staff get paid), checked staffing for upcoming days etc etc. I didn't sit at a desk all day, hell I did over 20K steps. I didn't have a break, as we were short staffed and I needed to be on hand (I won't leave my patients). My ward has the sickest patients outside of ITU (we look after level 2 patients), so it is really all hands on deck. It has to be. Pretty much everything I did today is directly related/involved with patients or patient care. I'm not better than the HCAs I work with, I just have more responsibilities and accountability. The list that @Hmnnnnnnn gave is certainly all directly to do with the patients that she looks after. She has to do that stuff.
@Greenfood I think carers should get paid more! I promise you that not all nurses sit at desks, ignoring bells and not caring (I seldom see nurses like this - I wouldn't have that sort of behaviour on my ward). The RNs I know work bloody hard...as do the HCAs, porters, domestics etc. I think RNs should get paid more too. Hell, I think all workers should have pay rises at least in line with inflation rises.
FWIW, I don't believe in an "us and them" or a "nurses are better than carers" attitude. We're all important and our roles are important. I started out working part time jobs as an auxiliary nurse and a hospital domestic when I was at uni. So I know the jobs aren't easy at all.