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The nurse is the hub of all activities in a hospital centered around the patient.
Nursing is a dynamic, therapeutic and educative process in meeting the health care needs of the patient.
It ensures timely and continuous care for the sick.
- Ensures qualitative, quantitative, efficient and effective nursing care.
ORGANIZATION - The organization is an effective tool delineating the channels of communication , supervisory responsibility and accountability. - The nursing service can broadly be classified into two categories. NURSING SERVICE NURSING CARE NURSING EDUCATION PRINCIPAL NURSING LECHTURER TUTOR STUDENTS
HOSPITAL SERVICES NURSING DUTY WARD ADMINISTRATION MONITORING & EVALUATION REGISTRATION & RECORDS MAINTENANCE OF SUPPLIES PATIENT CARE MANAGEMENT EDUCATION HOUSE KEEPING WARD PLANNING & STAFFING
ORGANOGRAM MEDICAL SUPERINTENDENT NURSING SUPERINTENDENT DY. N.S DY. N.S ANS WARDS SISTER I/C STAFF NURSE GROUP ‘ D’ ANS ICU ANS OT ANS CCU ANS INV. SERVICES ANS OPD ANS EMERG. ANS CASULATY SISTER I/C SISTERS STAFF NURSE GROUP ‘D’ SISTERS ANS OT
Recruitment, promotion and development of Nursing Staff
Staff meetings, monitoring and evaluation of service
Maintenance of discipline, reward and punishment
Welfare measures, residential accommodation, health promotion, recreation, cretch,
other utility services like canteen, bank etc.
SIU NORMS FOR NURSING STAFF (AIIMS NURSING SERVICES) 1 Nursing Sister for 3-6 Staff Nurses. 1 ANS for 4-5 Nursing Sister. 1 DNS for 5-7 ANS. 1 NS for 250-500 beds and above. 1 CNO for 500 > beds .
INC NORMS HIGH POWER COMMITTEE ON NURSING DATED 21.11.09 IN INDIA I NS for 200 beds and more Dy NS 1:30 beds Asst. NS 1:100 Ward Sister – 1:25 beds + 30% LR Staff Nurse – 1:3 beds (1:9 for shift) 30% LR For OPD & Emergency – 1:100 patients (1 bed : 5 OPD pt) Average Annual 30% LR For ICU = 1:1 (or 1:3 beds per each shift) 30% LR 1: 2 beds in the night OT, L Room = 1:25 patients, 30% LR Average Annual
PATIENT CARE SERVICES NURSING CARE MAXIMUM COMFORT TO PATIENT NEED BASED CARE STANDARD QUALITATIVE CARE
NURSING CARE APPROACH APPROACH BASIC NURSING CARE PALLIATIVE CARE (last stage) SELF CARE / ASSISTED CARE PRIMERY NURSING Individualized Care FUNCTIONAL NURSING (Task Oriented) TEAM NURSING (Different Level Competence) TOTAL PATIENT CARE ( Patient Total Care) CASE MANAGEMENT (Care Beginning to end) PPC Progressive Care
Task oriented method. Each nurse assigned specific task like drug, injection
- This method is called efficient method.
S. NO ADVANTAGE DISADVANTAGE 1. Improves efficiency of Nurse No satisfaction of nurse 2. More work can be done, utilization of time No accountability for patient 3. Less confusion and proper monitoring Nursing care monotonous 4. Skill development on repeated working same task No individualized care Patient confused and dissatisfied Not know whom to complain
Medication, support, investigation ,attend to complaints.
Hands over the patients to next on duty.
S.NO ADVANTAGE DISADVANTAGE 1. Patient get more individualized care More workers required 2. Patient is satisfied Less work done, time utilization inadequate 3. Opportunity for patient education Efficiency not increased 4. Less confusion Not good developing nursing skill 5. Satisfaction of Nurse
S.NO ADVANTAGE DISADVANTAGE 1. Better Patient Care More staff required 2. Accountability, Job satisfaction Effective when leader is stable 3. Better patient care planning Success if all dedicated and work as per direction 4. Member learns team spirit 5. Communication is better
OTHER FUNCTIONS FUNCTIONS WARD MANAGEMENT EVALUATION OFF STATION MONITORING & SUPERVISION HOUSE KEEPING CLERICAL & DIET MAINTENANCE OF RECORDS & REGISTRATION EDUCATION SUPPLY MAINTENANCE OF EQUIPMENTS
WARD MANAGEMENT The objective of ward management is-
Optimum utilization of ward resources to produce maximum output.
Better patient care, correct treatment and early recovery.
Personal training and advancement of patient care services .
Assessment of level of resources, constraints, objectives and planning of
Setting up the standard of nursing care.
Arranging training programmes of staff, students and other ward staff.
Ensures implementation of strategic objectives.
Implementation of standard nursing care in ward.
Improvement and establishment of a system in smooth
ward functioning as indicated in ward management .
EVALUATION FACTORS INFLUENCING PATIENT CARE EFFECTIVE USE OF BEDS WORK LOAD LEVEL OF SERVICE FACILITIES HOSPITAL SUPPLY ADMINISTRATION LEVEL OF EDUCATION & TRAINING PHYSICAL FACILITIES HOSPITAL STAFF