functioning of nursing department in a hospital

1. NURSING SERVICES
A hospital maybe soundly organized, beautifully situated and well equipped, but if the
nursing care is not of high quality the hospital will fail in it’s responsibility.
-Jean Barrett

2. INTRODUCTION & DEFINITION
• Most important component of hospital services
• Covers 1/3rd of the hospital costs
• Perform tasks designed to help & comfort the patients
• Managerial (decision making & leadership)
• Technical (Cure & care services)
• Nursing services as a part of total health organization aims to satisfy major
objectives of nursing which is to provide prevention of disease and promotion of
health

3. OBJECTIVES
• Prevention of disease
• Promotion of health
• Nursing care of sick patients
• In interest of their mental & physical comfort
• By reason of the disease from which they’re suffering
• Ensuring qualitative, quantitative, efficient and effective nursing care
• Dynamic, therapeutic and educative process of meeting the health care
needs of a patient.

4. ORGANISATION
Staff Nurse
Ward Sister-
Clinical
Supervisor
Asst. Nursing
Superintendent
Deputy Nursing
Superintendent
Nursing
Superintendent
Chief Nursing
Officer

5. MANPOWER PLANNING
OBJECTIVES AND IMPORTANCE
• Key to managerial functions
• Efficient utilization
• Motivation
• Better human relations
• Higher productivity
To ensure :
-Total patient care
-Optimal operation level
-Optimum utilization of nursing
-Provide a conducive environment for
the professional development.
-Encourage staff education, training
and effective participation of
all nurses through team work.
-Promote effective public relations
-Evaluate the quality of nursing
services

6. WHAT ARE THE PREREQUISITES FOR
MANPOWER PLANNING?
• Job Analysis and Job Design- Management must define what work is to be
carried out, how to carry out the task and allocate into manageable work
units.
• Job Description and specification- It refers to incumbent where a job
specification with regard to qualification and experience needed to perform
a job.
• Forecasting procedure- Forecast the number of people needed for the job.
• Internal Supply of Manpower.

7. Director
Deputy
Nursing
Superintenden
t
Deputy Nursing
Superintendent
Assistant Nursing
Superintendent
Nursing Sister
Medical
Superintendent
Chief Nursing
Officer
Nursing
Superintendent
NURSING ORGANOGRAM

8. NURSING MANAGEMENT
NURSING CARE
Standard quality
care
Maximum comfort
to patient
Need based
care
• Nursing management consists
of the performance of the
leadership functions of
governance and decision-
making within organizations
employing nurses.
• It includes processes
common to all
management like planning,
organizing, staffing, directing
and controlling.

9. NURSING DUTY
WARD
ADMINISTRATIO
N
MONITORING
AND
EVALUATION
REGISTRATIONS
AND RECORDS
MAINTENANCE
OF SUPPLIES
WARD PLANNING
AND STAFFINGHOUSE KEEPING
EDUCATIONMANAGEMEN
T
PATIENT CARE

10. NURSING MANAGEMENT PHASES
PLANNING
ORGANIZING
STAFFINGCONTROLLING
DIRECTING

11. NURSING PROCESS
• Assessment
• Planning of care
• Diagnosis

12. NURSING ASSESSMENT
• Gathering of information about a patient’s physiological ,psychological,
sociological and spiritual status.
• First stage of Nursing process.
• Nurse carries out a complete and holistic nursing assessment of every patient’s
needs ,regardless of the reason for the encounter.

13. NURSING CARE PLAN
• Outlines the nursing care to be provided to an individual/family/community.
• Intermediate stage of nursing process.
• Guides in the ongoing provision of nursing care and assists in the evaluation
of that care.

14. NURSING DIAGNOSIS
• Clinical Judgment about individual , family or community
experiences/responses to actual or potential health problems/life processes.
• Developed based on data obtained during the nursing assessment.
• Presents a problem response present at time of assessment.

15. FACTORS TO BE CONSIDERED IN
PLANNING HOSPITAL NURSING SERVICES
• Number and type of patient.
• Number of beds and type of ward.
• The services required.
• Procedures/techniques necessary for care.
• Number and type of personal needed to perform care effectively.
• Physical facilities.
• Provisional of equipment and supplies.

16. PROBLEMS AND CHALLENGES FACED
BY NURSING ADMINISTRATORS
• Lack off adequate training.
• Inadequate number of nursing staff.
• Shortage of trained manpower.
• Lack of motivation.
• No involvement in planning.
• No career mobility.
• Poor role model.
• No proper authority.
• No autonomy in nursing activities.

18. Nightingale Ward Rigs Design
WARD DESIGN

19. FLOOR PLANS

20. SPECIAL NURSING UNITS
❑Intensive Care Unit:
• The most critically ill patients require the most concentrated nursing care,
and the unit is designed with this fundamental requirement in view.
• Each bed has arrangement for screening it off from others by screens
hanging from overhead rails.
• The nursing station is constructed to allow for maximum visibility from the
nurse’s desk through use of glass partitions. For this to be effective, the
nurse’s station should be located on an elevated platform

21. ❑Infectious Diseases Ward :
• The patient accommodation is divided into one, two and four bed cubicles.
• A staff changing room where medical and nursing staff can put on
protective clothing before entering the ward is required at the entrance to
the ward.
❑Barrier Nursing :
• In nursing highly infectious disease patients, the aim is appropriate nursing
care of the sick person, preventing spread of infection to others and
preventing infection to medical and nursing personnel.
• Other applications of barrier nursing are in premature nursery and neonatal
ICU, maternity ward (septic abortion), open heart surgery cases, organ
transplant and immunosuppressed cases, septic postoperative cases,
acutely ill patients in intensive care areas, highly communicable or
contagious cases, e.g. terminally ill AIDS patients.

22. BASIC FACILITIES IN EACH NURSING UNIT
• Patient room with attached or separate toilet
• Nurse's duty room
• Treatment area
• Waiting room for relatives
• Storage of linen and other supplies and equipment

23. FUNCTIONS BY NURSING UNIT
• Meeting personnel need of the patient
• Efficient ward management
• Proper maintenance of the record of patients
• Availability of diagnostics and treatment equipment.

24. ADMINISTRATION OF NURSING
UNIT
• Assisting the patient with those physical services necessary
for his well being and comfort which he cannot do for
himself.
• Observing, recording, reporting to the physician for the 24
hr. period the physical, emotional, and mental symptoms.
• Preparing the necessary equipment for and assisting the
physician
with diagnostics tests and therapeutic measures.
• Giving medication and carrying out treatment prescribed
by the physician.
• Assisting in providing a clean, orderly , well ventilated
envoirnment for the patient , & protecting him from
infections, accidents and fire hazards

25. THANK YOU !