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HOSPITAL NURSING SERVICE  DR.N.C.DAS
HOSPITAL NURSING SERVICE   <ul><li>The nurse is the hub of all activities in a hospital centered around the patient. </li>...
ORGANIZATION  -  The organization is an effective tool delineating the channels of communication ,  supervisory responsibi...
HOSPITAL SERVICES   NURSING  DUTY WARD ADMINISTRATION   MONITORING & EVALUATION  REGISTRATION & RECORDS  MAINTENANCE OF  S...
ORGANOGRAM  MEDICAL SUPERINTENDENT   NURSING SUPERINTENDENT   DY. N.S DY. N.S ANS  WARDS   SISTER I/C STAFF  NURSE  GROUP ...
ADMINISTRATIVE RESPONSIBILITY <ul><li>Smooth functioning of the Nursing Services  </li></ul><ul><li>To over see and organi...
ADMINISTRATIVE RESPONSIBILITY <ul><li>Procedure manual of patient care at various areas  </li></ul><ul><li>Advisory respon...
SIU NORMS FOR NURSING STAFF   (AIIMS NURSING   SERVICES) 1 Nursing Sister for 3-6 Staff Nurses.  1 ANS for 4-5 Nursing Sis...
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...
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 NU...
FUNCTIONAL METHOD   <ul><li>Task oriented method. Each nurse assigned specific task like drug, injection </li></ul><ul><li...
PATIENT CARE METHOD   <ul><li>- Each nurse allotted one or two beds. </li></ul><ul><li>Responsible for complete care  </li...
TEAM METHOD   <ul><li>Nursing Staff divided in teams  </li></ul><ul><li>Each item has team leader  </li></ul><ul><li>Team ...
OTHER FUNCTIONS   FUNCTIONS  WARD  MANAGEMENT  EVALUATION  OFF STATION  MONITORING & SUPERVISION   HOUSE KEEPING  CLERICAL...
WARD MANAGEMENT   The objective of ward management is-   <ul><li>Optimum utilization of ward resources to produce maximum ...
FUNCTIONS OF WARD SISTER IN CHARGE : (WARD MANAGEMENT) <ul><li>Good nursing  care of patient assured  </li></ul><ul><li>Ca...
STRATEGIC MANAGEMENT   <ul><li>Providing strategic direction to ward staff.  </li></ul><ul><li>Assessment of level of reso...
EVALUATION  FACTORS INFLUENCING  PATIENT CARE  EFFECTIVE USE  OF BEDS  WORK  LOAD  LEVEL OF  SERVICE  FACILITIES  HOSPITAL...
EVALUATION  INDICATORS  PATIENT CARE  FACTORS  SANITATION  EDUCATION  LEVEL  PRACTICAL  SKILL  NURSING  AUDIT  RETROSPECTI...
HOSPITAL ADMINISTRATION MADE EASY http//hospiad.blogspot.com An effort solely to help students and aspirants in their atte...
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Hospital nursing service

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Nursing Services and Management in the Hospital Administration

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Transcript of "Hospital nursing service"

  1. 1. HOSPITAL NURSING SERVICE DR.N.C.DAS
  2. 2. HOSPITAL NURSING SERVICE <ul><li>The nurse is the hub of all activities in a hospital centered around the patient. </li></ul><ul><li>Nursing is a dynamic, therapeutic and educative process in meeting the health care needs of the patient. </li></ul><ul><li>It ensures timely and continuous care for the sick. </li></ul><ul><li>- Ensures qualitative, quantitative, efficient and effective nursing care. </li></ul>
  3. 3. 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
  4. 4. HOSPITAL SERVICES NURSING DUTY WARD ADMINISTRATION MONITORING & EVALUATION REGISTRATION & RECORDS MAINTENANCE OF SUPPLIES PATIENT CARE MANAGEMENT EDUCATION HOUSE KEEPING WARD PLANNING & STAFFING
  5. 5. 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
  6. 6. ADMINISTRATIVE RESPONSIBILITY <ul><li>Smooth functioning of the Nursing Services </li></ul><ul><li>To over see and organize proper nursing care to the patients </li></ul><ul><li>Ensure the implementation of hospital policies in patient care </li></ul><ul><li>Deployment of Nursing Staff in various area of the hospital </li></ul><ul><li>- 1:6 in general wards </li></ul><ul><li>- 1:4 in teaching hospitals </li></ul><ul><li>- 1:1 in special areas </li></ul><ul><li>Assignment of task among various nurses </li></ul><ul><li>Supervision of nursing care at various areas </li></ul><ul><li>Reporting to higher authorities </li></ul>
  7. 7. ADMINISTRATIVE RESPONSIBILITY <ul><li>Procedure manual of patient care at various areas </li></ul><ul><li>Advisory responsibility, planning and budgeting </li></ul><ul><li>Nursing training and research in services </li></ul><ul><li>Recruitment, promotion and development of Nursing Staff </li></ul><ul><li>Staff meetings, monitoring and evaluation of service </li></ul><ul><li>Maintenance of discipline, reward and punishment </li></ul><ul><li>Welfare measures, residential accommodation, health promotion, recreation, cretch, </li></ul><ul><li>other utility services like canteen, bank etc. </li></ul>
  8. 8. 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 .
  9. 9. 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
  10. 10. PATIENT CARE SERVICES NURSING CARE MAXIMUM COMFORT TO PATIENT NEED BASED CARE STANDARD QUALITATIVE CARE
  11. 11. 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
  12. 12. FUNCTIONAL METHOD <ul><li>Task oriented method. Each nurse assigned specific task like drug, injection </li></ul><ul><li>and care. </li></ul><ul><li>- This method is called efficient method. </li></ul>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
  13. 13. PATIENT CARE METHOD <ul><li>- Each nurse allotted one or two beds. </li></ul><ul><li>Responsible for complete care </li></ul><ul><li>Medication, support, investigation ,attend to complaints. </li></ul><ul><li>Hands over the patients to next on duty. </li></ul>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
  14. 14. TEAM METHOD <ul><li>Nursing Staff divided in teams </li></ul><ul><li>Each item has team leader </li></ul><ul><li>Team leader assigns duty </li></ul><ul><li>Team leader responsible to sister in charge </li></ul>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
  15. 15. OTHER FUNCTIONS FUNCTIONS WARD MANAGEMENT EVALUATION OFF STATION MONITORING & SUPERVISION HOUSE KEEPING CLERICAL & DIET MAINTENANCE OF RECORDS & REGISTRATION EDUCATION SUPPLY MAINTENANCE OF EQUIPMENTS
  16. 16. WARD MANAGEMENT The objective of ward management is- <ul><li>Optimum utilization of ward resources to produce maximum output. </li></ul><ul><li>Better patient care, correct treatment and early recovery. </li></ul><ul><li>Personal training and advancement of patient care services . </li></ul>MANAGEMENT WARD MANAGEMENT STRATEGIC MANAGEMENT OBJECTIVE MANAGEMENT
  17. 17. FUNCTIONS OF WARD SISTER IN CHARGE : (WARD MANAGEMENT) <ul><li>Good nursing care of patient assured </li></ul><ul><li>Carrying out the doctors instructions </li></ul><ul><li>Supervision, guidance </li></ul><ul><li>Proper orientation of ward staff </li></ul><ul><li>Monitoring and evaluation of ward function </li></ul><ul><li>Proper ward management with house keeping and sanitation </li></ul><ul><li>Indent, storage and utilization </li></ul><ul><li>Maintenance of proper records and registers </li></ul>
  18. 18. STRATEGIC MANAGEMENT <ul><li>Providing strategic direction to ward staff. </li></ul><ul><li>Assessment of level of resources, constraints, objectives and planning of </li></ul><ul><li>ward functioning. </li></ul><ul><li>Setting up the standard of nursing care. </li></ul><ul><li>Arranging training programmes of staff, students and other ward staff. </li></ul>OPERATIONAL MANAGEMENT <ul><li>Ensures implementation of strategic objectives. </li></ul><ul><li>Implementation of standard nursing care in ward. </li></ul><ul><li>Improvement and establishment of a system in smooth </li></ul><ul><li>ward functioning as indicated in ward management . </li></ul>
  19. 19. 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
  20. 20. EVALUATION INDICATORS PATIENT CARE FACTORS SANITATION EDUCATION LEVEL PRACTICAL SKILL NURSING AUDIT RETROSPECTIVE (Medical Records) INTROSPECTIVE ( Performance Evaluation Of above factors) EVALUATION
  21. 21. HOSPITAL ADMINISTRATION MADE EASY http//hospiad.blogspot.com An effort solely to help students and aspirants in their attempt to become a successful Hospital Administrator. hospi ad DR. N. C. DAS

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