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The Role of a Nurse in The Management of Material: An Integrative Review
Dr. Rangappa. S. Ashi
Associate Professor
SDM Institute of Nursing Sciences,
Shri Dharmasthala Manjunatheshwara University
rangappa.ashi@gmail.com
Introduction
MATERIALS:
 Materials might be characterized as hardware, mechanical assembly and supplies
obtained, loaded and used by an association. Webster defined the word Materials as
“relating to the production and distribution of economics, goods and social relationships
of owners and labourers”.
 Material means things needed for doing or making something or the substance or
substances out of which a thing is or can be made. Materials might be characterized as
gear, mechanical assembly and supplies obtained, loaded and used by an association.
 It is arranging, coordinating, controlling and organizing that large number of exercises
worried about material and stock from the initiation to their presentation into the
assembling processes.
 It incorporates every one of the exercises of store from phase of estimating of
necessities to usage to the last removal. Store needed by the medical clinic differs from
straightforward housekeeping materials to modern gear.
 It is worried about giving the medications, supplies and gear by the staff to convey
medical services administrations.
 It is additionally considered to be a logical strategy worried about arranging,
coordinating and controlling the progression of materials from their underlying buy,
inward activities to the appropriation at administration point.
 As indicated by Judith A, material administration is the administration and control of
clinical, careful, administrative, interdepartmental administrations and hardware from
procurement on floor to demeanour.
 Housely characterized material administration as "the administration and control of
products, administrations and hardware from procurement to demeanor".
AIM:
1. Right nature of material
2. Right amount of provisions of materials
3. Ideal opportunity
4. Ideal spot
5. Right expense
OBJECTIVES:
To stay away from overflow of material
 To have suitable capacity and simple to recover
 To guarantee dispersion to the place of use at whatever point required
 To guarantee compelling and productive use of accessible assets
 To upgrading the utilization of assets to address the issues in a productive way
 To acquire right nature of materials at most minimal conceivable cost
PURPOSES:
 To acquire economy in buying
 To fulfill the interest during time of recharging
 To convey hold stock to keep away from stock out
 To balance out variances in utilization
 To give healthy degree of customer administrations
FUNCTIONS:
 Material planning and programming
 Purchasing and outsourcing
 Inventory control
 Storekeeping and warehousing
 Standardization and evaluation of all products
 Transportation and material handling
 Inspection and quality control
 Cost reduction through value analysis
 Disposal of surplus / obsolete material
 Distribution
ELEMENTS:
 Material planning
 Purchasing
 Receiving & Warehousing
 Store keeping
 Inventory Control
 Value Analysis
 Standardization
 Production control
 Transportation
 Material Handling
 Disposal scrap
PRINCIPLES:
 Effective Management and Supervision
 Based on sound purchasing methods
 There should be skilful and hard poised negotiations
 Effective purchase system
 It should be simple
 It must not increase other costs
 There ought to be straightforward stock control program
MANAGEMENT TECHNIQUES USED:
 Right Item :Value Analysis, Standardization
 Right Quantity :Inventory Control
 Right Price :Cost / Benefit Analysis, Value Analysis
 Right Source :Vendor Research
 Right Method :ABC, VED etc., Analysis
 Right Delivery: Operation Research
PROCEDURE:
Figure 1: show about the following the inventory control cycle of material operation
COST BALANCE:
 Carrying cost and order costs is the economic order supply.
 Economic order quantity = √2AS / I
A = Annual Consumption
S = Ordering Cost
I = Inventory Cost (Carrying Cost)
 Optimum Review Period is the number of orders that should be given.
 Optimum Review Period =
√288 x Cost / Order / Inventory Cost x Carrying Cost
 To balance these costs is the Aim of Material Management
MATERIAL SPECIFICATION:
 Classification of Material
 Facilitation of Work
 Lessen the purchase procedure
Demand
Estimation
Procuremen
Purchasing
Receipt and
Inspection
Inventory
Control
Storage, Issue
and
Distribution
Disposal /
Condemnation
Maintenance
and Repair
PROCUREMENT:
 Selecting the vendors
 Arranging upon the purchase price
 Time and Place of delivery
 Verifying deliveries
 Settlement and installment of sellers' compensation guarantee
RECEIPT AND INSPECTION:
Figure 2: shows the schematic representation of procurement plan
Actions are taken as per the
terms of the MOU
Item / s is / are returned
immediately
Reciept of Supply in Specific Location
Verification of Supply against Suppliers Invoice
Is Verification Cleared ?
Yes / No
NO YES
Supplier Invoice is not
acknowledged
Supplier’s Invoice is
forwarded to the security
department for clearance
Store Incharge approve the
invoice and forward it for
recording
Transaction is recorded in the
goods inward register
Invoice is forwarded to
account for payment and the
same is recorded in the bill
dispatch counter
<NAME OF THE HOSPITAL / CLINIC / HOMECARE /
NURSING HOME>
<Business Address>
<Business Contact No.>
<Website / URL>
LOGO
(Business Slogan, if any)
INVOICE
Patient Name Date
Address Number
Contact No. Due Date
Gender
Age
Sl.
No.
Description MU Qty Price Amount
Terms and Conditions: Sub-Total
Tax Rate
Tax
Discount / s
Insurance Claim
Total Amount Due
<State Total Amount due in Words>
________________________________
Signature
<Prepared by>
<Designation>
INVENTORY CONTROL OR STORAGE, ISSUE AND DISTRIBUTION:
Figure 3: reveal about storage and distribution of the product
ACCOUNTING AND INFORMATION SYSTEM
DISPOSAL AND CONDEMNATION
PROCEDURE FOR CONDEMNATION:
 A condemnation committee comprising of three or more members is constitute
 The board of trustees individuals delve into subtleties through stock records. The
Committee will announce the things denounced and make suggestion for additional
removal of things.
 The sentenced things are to be obliterated.
 The things especially prescriptions which are harmful and can't be discarded by
entombment or according to the important set down rules under the subject of garbage
removal.
Store receives request and items searched
NO YES
Procedure for purchase of
the item is followed
Items are issued
Items are collected by the
department / housekeeping
staff
Transaction is recorded in the
material issue register
The effective measures are taken for disposal: -
 A list of surplus material is circulated among the hospital staff / user units requesting
them to pay special attention for mobilizing such items and giving priority to this
category of items.
 The surplus materials are transferred to other hospitals where these may be required.
 The surplus materials are offered to the manufacturer / suppliers for buy back.
 If there should arise an occurrence of materials other than drugs like supplies,
instruments any such articles are treated as rescue or scrap, regardless, move is made
in like manner:
a. The materials might be sold by welcoming delicate. Open auctions of items through
authorized auctioneers
 Some more procedures:
 Identification of need
 Foundation of principles and particular, character, quality with full depiction
 Readiness of order or indents in the predesigned
 Choice of the right source that is provider
 Decide right value, accessibility and conveyance time
 Position of procurement request
 Follow up
 Orchestrating of receipt, examination, dismissal swap for imperfect pieces
 Verification of invoices
 Payment of bills
 Maintenance of record.
PROCUREMENT:
 Procurement is the sourcing and purchasing of goods and services for business use. It
is the acquisition of goods or commodities by a company, organization, institution, or
a person. This simply means the purchase of goods from suppliers at the lowest possible
cost.
 It is likewise characterized as the most common way of acquiring labor and products
from readiness and handling of a demand through to receipt and endorsement of the
receipt for installment.
 According to Defense Acquisition University, it is the act of buying goods and services
for the government.
OBJECTIVES:
 Acquire needed supplies
 Obtain high quality supplies
 Assure prompt and dependable delivery
 Distribute the procurement workload
 Optimize inventory management
PROCUREMENT PROCESS:
Figure 4: exhibit the chain of procurement cycle.
FLOW OF PROCUREMENT DECISION:
 Need Assessment
 Finding the Budget
 Prioritization of purchase of equipment, machinery, etc.
 Standards and specification development
 Placing of indent by the Head of the Department
 Consideration of indent
 Choose procurement method
 Receipt of tenders
Step 1
Need
Recognition
Step 2
Specific
Need
Step 3
Source
Options
Step 4
Price and
Terms
Step 5
Purchase
Order
Step 6
Delivery
Step 7
Expediting or
Follow Up
Step 8
Receipt and
Inspection of
Purchases
Step 9
Invoice
approval
and payment
Step 10
Record
Maintenance
 Opening of tenders
 Evaluation of tenders
 Placement of orders
 Follow up of orders
 Receipt and inspection of material
 Invoice approval and payment.
PROCUREMENT METHODS:
 The Open Tender Method
 The limited restricted tender method
 Negotiated tender
 Direct procurement
 Rate Contract
 Spot purchase
PROCUREMENT DECISION PROCESS:
Purchase order
/ contract
Purchase Order
/ Contract
Purchase Order
/ Contract
Purchase Order
/ Contract
Drugs received checked against purchase order / contract specifications &
cleared for distributions
Call for Offers Request offers from
eligible suppliers
Locate reliable
suppliers
Contact reliable
supplier
Evaluate &
select supplier
Evaluate offers &
select suppliers
Negotiate price &
supply conditions
Establish price
Purchase
Requirements
Open Tender
Restricted
Tender
Negotiated
Tender
Direct
Purchase
NO NO NO
YES YES YES YES
Government
Production
YES
Determine Drugs &
Drug requirements
Adjust Quantities
NO
Adjust Quantities
NO
DonationSource Determine Drugs &
Drug requirements
YES
Figure5: the illustration of diagrammatic picture shows about the decision process of
procurement
PURCHASING:
 Buying means to purchase different materials by paying cash or its identical from
providers/merchants.
STEPS:
 Buy/Requisition
 Provider Selection
 Buy Order
 Satisfaction
 Request Receipt
 Provider Invoice/Payment
POINTS TO REMEMBER WHILE PURCHASING:
 Legitimate Specification
 Welcome Quotation from presumed Suppliers
 Examination of offers dependent on essential value, cargo and protection, assessments
and tolls
 Amount and installment limits
 Installment terms
 Conveyance period, ensure
 Merchant notoriety
 Short posting for better exchange terms
 Look for request affirmation.
POINTS TO REMEMBER WHILE PURCHASING EQUIPMENT:
 Most recent innovation
 Accessibility of support and fix office, with least personal time
 Post guarantee fix at sensible expense
 Upgradeability
 Rumored producer
 Accessibility of consumables
 Low working expenses
 Establishment
 Appropriate establishment according to rules
WHAT IS INVENTORY?
 Stock is characterized as the obstructed working capital of an association as materials.
As this is the obstructed working capital of association, in a perfect world it ought to be
zero. However, we are keeping up with Inventory.
 It is stock to guarantee continuous supplies, the inactive assets which have future
financial worth and pad among assessed and real interest of materials
 Inventory is “anything that is bought and held prior to use.”
IMPORTANCE:
 Provides and maintains good customers service
 Enables smooth flow of materials
 Provides protection against the uncertainty of demand and supply
 Ensures a reasonable utilization of equipment and effort
 Possibility of discount
INVENTORY CONTROL:
 Stock Control is the cycle by which stock is estimated and managed by foreordained
standards, for example, financial parcel size for request, security stock, least level, most
extreme level, request level, and so on
 Stock Control is about item accessibility and adjusting the expenses of proprietorship
with the expenses of obtaining, which incorporates buying, getting and paying (Dave
Kaczmarek)
 Stock Control is the method of keeping up with the size of the stock at some ideal level
keeping in view the best financial interest of an association.
OBJECTIVES:
 To supply the materials on schedule
 To give most extreme customers administration
 To decrease or limit interest in inventories
 To limit inactive time
 To keep away from deficiency of stock
 To limit the misfortunes
 To satisfy unexpected future need
 To average out request changes
 To adjust different stock expenses
IMPORTANCE OF INVENTORY CONTROL:
 To give greatest stockpile administration, steady with most extreme productivity and
ideal speculation.
 To give pad between guage and real interest for a material.
 To have ideal degree of stock: not excessively huge, not little
 To dispose of duplication in requesting
 To deal with vacillations sought after and lead time
 To deal with expanding value inclination of items or refund in mass purchasing.
 To build transportation proficiently
 To limit the stock expenses
 To limiting holding up time
 To give a check against the deficiency of material
 To better usage of stocks accessible
 To work with cost bookkeeping exercises
 To find and arranges latent and outdated store things.
TYPES OF INVENTORY COSTS:
 Requesting Cost
 Stock Carrying (holding) Cost
 Unavailable/Shortage Cost
 Different Costs
MAJOR ACTIVITIES OF INVENTORY CONTROL:
 Arranging
 Acquirement
 Getting and Inspection
 Putting away and giving the inventories
 Recording the receipt and giving of inventories
 Actual check
 Follow up capacities
 Material normalization and replacement
SETTING UP OF VARIOUS STOCK LEVELS
 Least Level
 Greatest Level
 Reorder Level
 Hold Stock
MINIMUM LEVEL
 Least Level is the base stock to be kept up with for smooth creation
 Least Level = Reorder Level – Average utilization per period X normal chance to get
conveyance
 It is the degree of stock, past which the stock isn't kept up with Maximum level =
Reordering level – Expected minimum consumption in units during the least time to
obtain delivery + Reorder quantity
REORDER LEVEL
 It is the stock level at which a request ought to be put
 Reorder level = Maximum reorder period x greatest use
 Average Stock level = Maximum level + Minimum level
2
RESERVE STOCK:
 Excess usage requirement during normal lead time
BASIC PRINCIPLES OF INVENTORY CONTROL:
 Safety Stock (SS)
 Lead Time (LT)
 Average Inventory: INVAVG
 Reorder Point
 Safety Stock
SS = [WCS – AWU] LT
 Lead Time (LT)
(a) Logic
(b) Effective
(c) Attainable
(d) Dependable
 Average Inventory: INVAVG
INVAVG = SS + ½ x RCQ
 Reorder Point
ROP = SS + (AWU x LT)
TECHNIQUES OF INVENTORY CONTROL
 Items Quality : Value analysis, standardization, codification
 Quantity : Purchasing balancing of inventories EOQ
 Prize : Cost Price value analysis
 Source : Market Research, Purchasing techniques selection
 Delivery : Procurement technique, Follow up PERT / Operational
Research
 Methods : Work Study System Analysis: ABC Analysis etc.
 People : Organization Analysis
INVENTORIES CLASSIFICATION
 ABC Analysis (Always Better Control)
 VED Analysis (Vital, Essential, Desirable)
 FSN Analysis (Fast, Slow Moving and Non-Moving)
 SDE Analysis (Scarce, Difficult, Easy)
 HML Analysis (High, Medium, Low)
 XYZ Analysis
 GOLF Analysis
 SOS Analysis
ABC ANALYSIS (ALWAYS BETTER CONTROL):
 Basic Supply Chain Technique
 “Always Better Control”
PARETO’S THEORY:
 According to Pareto’s Theory 10% items consume about 70% of budget (Group A).
The following 20% burn-through 20% of monetary assets (Group B) and staying 70%
things represent only 10% of financial plan (Group C).
Table 1 : Average pattern of percentage of items and percentage of their
respective values
Items Percentage of Items Percentage of Rupee Value
A 10 70
B 20 20
C 70 10
‘A’ ITEMS:
 Small in Number
 Consume large amount of resources
 Managed by Top Management
 Tight Control, Rigid estimate of requirements, Strict & Closer Watch
 Require low safety stocks
 Consume major portions of funds.
‘B’ ITEMS:
 Moderate Control
 Purchased based on rigid requirements
 Strict watch and control
 Management is done by middle level managers
‘C’ ITEMS:
 Larger in number
 Consume lesser amount of resources
 Ordinary control measures
 Purchase is based on usage estimates
 Require high safety stocks
1 High consumption value Has moderate value Has low consumption value
2 Very strict control Moderate control Loose control
3 No or very low safety stock Low safety stocks High safety stocks
4 Frequent ordering Once in three months Bulk ordering once in 6
months
5 Maximum follow up &
expediting
Periodic follow up Follow up & expediting in
exceptional cases
6 Weekly control statement Monthly control reports Quarterly control reports
7 Maximum value analysis Moderate value
analysis
Minimum value analysis
8 Accurate forecasting in
material management
Estimation based on
past record
Rough estimation
9 Many sources for each item Two or more reliable
sources
Two reliable sources
10 Minimization of waste,
obsolete and surplus
Quarterly control over
surplus and obsolete
items
Annual review over surplus
and obsolete items
11 Central purchasing Combination
purchasing
Decentralized purchasing
12 Maximum effort to reduce
lead time
Moderate effort to
reduce lead time
Minimized clerical efforts
13 Handled by top management Can be handled by
middle management
Can be fully delegated
PROCEDURAL STEPS
 Gather every one of the information of stock and set up a rundown of the
multitude of things of stores demonstrating the unit cost of every thing and
yearly utilization.
 Ascertain their yearly utilization in Rs. (Yearly utilization in units x unit costs
in Rs. = Annual utilization esteem)
 For stores, it will be Quantity given x unit pace of every thing
 Organize this multitude of things in the diving request of all out worth of yearly
utilization of every thing in Rupees.
 Notice the thing numbers against their yearly utilization.
 Ascertain aggregate yearly utilization esteem
 Ascertain aggregate yearly utilization esteem rate
 Sort things according to the utilization esteem (cost) rate.
Table 2: ABC Analysis
Item
No.
Annual
Consumption
Units
Unit
Cost
in
(Rs)
Annual
Consumption
Value
(Rs)
Annual
Consumption
Value
(Rs) in
descending
order
Item
No.
Cumulative
Annual
Consumption
Value
(Rs)
Cumulative
Percentage
Category
&
Cost
Percentage
1 20000 0.25 5000 24000 7 24000 46.28 A
70%
2 30000 0.20 6000 10000 5 34000 65.57 A
3 10000 0.10 1000 6000 2 40000 77.14 B
20%
4 500 0.30 150 5000 1 45000 86.78 B
5 5000 2.00 10000 4500 9 49500 95.47 C
6 8000 0.05 400 1000 3 50500 97.39 C
7 6000 4.00 24000 700 8 51200 98.14 C 10%
8 700 1.00 700 400 6 51600 99.51 C
9 9000 0.50 4500 150 4 51750 99.81 C
10 50 2.00 100 100 0 51850 100.00 C
ADVANTAGES:
 Interest in stock can be kept up with.
 Simple to control the wastage of expensive things
 Helps in keeping up with wellbeing to the complete expense
 Simple to keep up with stock and turnover rate
 Assists with practicing specific control
 Excuses the quantity of orders, number of things and decrease the stock
 Shows apparent outcomes in a limited ability to focus time
 Trough can handle the inventories exceptionally controlling 'A' things
 Helps in diminishing administrative expenses.
DISADVANTAGES:
 Appropriate normalization and codification of stock things is required
 Considers just the cash esteem not the significance of things for working
 Intermittent audits become troublesome if by some stroke of good luck ABC
examination is reviewed
VED ANALYSIS:
 Crucial, Essential and Desirable
 Materials are arranged dependent on criticality
 'V' is for Vital things without which a clinic can't work
 'E' for Essential things without which a foundation can work however may influence
the nature of the administrations
 ‘D’ stands for Desirable items, unavailability of which will not interfere with
functioning because they can be easily purchased as and when required.
ADVANTAGES:
 Valuable for checking and control of stores and extras stock by grouping them into 3
classes viz., Vital, Essential and Desirable.
 Decide the fundamentally of a thing and its impact on creation and different
administrations.
 It is uncommonly utilized for arrangement of extra parts/things
 It is valuable in controlling and keeping up with the supply of different sorts.
COMBINATION OF ABC AND VED ANALYSIS:
ITEM COST
V E D
A AV AE AD Category 1 10 70%
B BV BE BD Category 2 20 20%
C CV CE CD Category 3 70 10%
Table 3 Is About Combination Of ABC And VED Analysis:
V Items E Items D Items
‘A’ Items Constant Control Moderate Stocks Nil Stocks
Regular Follow Up
‘B’ Items Moderate Stocks Moderate Stocks Low Stocks
‘C’ Items High Stocks Moderate Stocks Very Low Stocks
FSN ANALYSIS:
 ‘Fast Moving, Slow Moving and Non-Moving’
 Based on the consumption pattern of the Items
 Method
Date of receipt or last date of issue whichever is later, is required to decide the quantity of
months which has passed since the last exchange. The things are typically assembled in times
of a year. Immobile things should be occasionally evaluated to forestall expiry.
ANALYSIS:
 For examination, the giving of things in beyond a few years are thought of.
 Assuming there is no giving of thing during that period, it is marked 'N' thing
 Then, at that point, up as far as possible say 10-15 issues in that period, the thing is 'S'
Item
 The things surpassing such constraints of quantities of issues during that period is 'F'
thing.
ADVANTAGES
 Assists with keeping away from interest in immobile or slow things
 Works with opportune control
 Helpful in controlling out of date quality.
SDE ANALYSIS
 Scant, troublesome, simple to get
 'S' means 'scant' things, those which are hard to get and for the most part require source
improvement, by and large imported, and those which are hard to find, oversaw by high
level administration.
 'D' means 'troublesome' things which are accessible natively yet are troublesome things
to obtain.
 'E' means 'simple' things which are not difficult to get and which are promptly
accessible in the nearby business sectors.
ADVANTAGES
 Vital to the lead time analysis
 Useful in the context of scarcity of supply
 To determine the method of buying and to fix up the responsibilities of buyers.
HML ANALYSIS
 High, Medium, Low
 The fundamental basis of HML arrangement is the unit worth of the thing.
ADVANTAGES
 Used to keep control over consumption at departmental level
 For deciding the frequency of physical verification
XYZ ANALYSIS
 In view of the worth of the stock put away
 X things are those whose stock qualities are high
 Z things are those whose stock qualities are low
 Y things are those which have moderate stock stockmen.
Table 4: classify the item analysis
Class of Item A B C
X
Efforts are made to
reduce the stock to
the Z Category
Efforts are made to
convert the stock to
the Y Category
Steps to be taken to
dispose of the surplus
stocks
Y
Efforts are made to
convert the stock to
the Z Category
-
Control may be
further tightened
Z -
Stocks levels may be
Reviewed twice a
year
-
GOLF ANALYSIS
 Government, Ordinary, Local, Foreign
 Basis of source of material
SOS ANALYSIS
 ‘S’ stands for Seasonal and ‘OS’ stands for Off Seasonal items
Table 5: shows about the types of items and following their strategy
Types of Items Strategy
Seasonal items (s) which are available only
for a limited period
Procure and stock for meeting the needs of
the full year
Seasonal items available throughout the
year
The quantity required should be compared
with the cost savings on account of lower
prices, if purchased during season
Off Seasonal Items (OS)
Quantity is determined on different
consideration
INVENTORY MODEL FOR QUANTITY & INVENTORY REPLENISHMENT
 Economic Order Quantity (EOQ)
Total procurement and inventory procurement cost, inventory costs per item = Number
of order X S + Average inventory X 1 = √2AS / 1 = EOQ
 EOQ Model
EOQ = √2AS / IU
 ROL (Reorder Limit) Method
ROL = Safety Stock + Lead Time requirements
R = Safety Stock + Rate of Consumption (Lead Time + Review Period / 2)
i.e., R = B + SD (L+P/2)
 Periodic Ordering Method
M = Safety Stock + Consumption Rate (Lead Time + Review Period)
 Optimum Review Period
Optimum Review Period = 288Co
Aci (in units)
= 288 x Cost per Order in Rs.
Annual Usage x Unit Cost (in Rs.) x Annual
Inventory Carrying Cost
 Safety Stocks
 When consumption variation is very high
Security Stock = (Maximum pace of utilization – Normal pace of Consumption)
x Lead Time
 At the point when Lead time variety is extremely high
Safety Stock = Normal consumption rate x (Maximum Lead time – Normal
Lead time)
INVENTORY ACCOUNTING SYSTEM
 Perpetual Inventory System
 Periodic Inventory System
PERPETUAL INVENTORY SYSTEM
Ceaseless stock framework might be characterized as a technique for recording stores adjusts
later every receipt and issue to work with normal checking and to block shutting down for stock
taking.
PARTS
 Bin Card
 Store Ledgers
 Continues Stock Taking
BIN CARD
Description: Minimum Level:
Material Code: Maximum Level:
Location Code: Ordering Level:
Bin No. Ordering Quantity:
RECEIPTS ISSUES BALANCE AUDIT
Date
G. R.
No.
Quantity Date
Regn.
No.
Quantity Quantity Date Initials
Form No. ………………………………… Folio No. ………………………………
RAM CO. LTD.
STORES LEDGER
Grade: Material: Maximum Level:
Unit: Code No.: Minimum Level:
Bin No. Ordering Level:
Receipts Issues Balance Stock on Order
Verifier’s
Signature
Remarks
Date
Challan
or
G.R.R.
No.
Qty Date
Requisition
No.
Qty Qty Qty
Date
Expected
PERIODIC INVENTORY SYSTEM
An intermittent stock framework infers when the amount of stock not set in stone on
occasionally like one time per month, quarterly or toward the start and end of every year, and
doesn't have an exact record of the inventories in the middle of these places.
FEATURES
 All securing of stock during the bookkeeping time frame are recorded by charges to a
buys account.
 The all out in the buys account toward the finish of the agreeing time frame added to
the expense of the bookkeeping time frame added to the expense of the stock available
toward the start of the period.
 Stock auxiliary record isn't refreshed later each acquisition of stock.
 Stock amounts are not refreshed ceaselessly rather refreshed on an intermittent premise.
PLANNING EQUIPMENTS AND SUPPLIES FOR NURSING CARE UNIT AND
HOSPITAL
MATERIAL MANAGEMENT CYCLE
Figure 6: shows of slide of material management cycle
HOSPITAL MATERIAL MEDICAL SIDE
Perfusion Material
 Careful Disposables
 Instruments
 Drugs, Medicine, Oxygen, Linen
 Biomedical Equipment
 Cleaning Items
 PCs, Telephone and Fax
FOOD AND BEVAAGE MATERIALS
 Sedative Equipment
 Electro Medical Equipment
 Glass product, Dental Machines
 Careful Dressing Utensils
 Fake appendages, swathes, beds for patient, furnishings
Designing things and numerous others
Emergency clinic MATERIAL MANAGEMENT SIDE
PC, Fax, Telephone, Stationery things
Demand Estimation
Receiving & Inspection
Stocking
Inventory Control
Distribution
Public location things overhead projector
General media frameworks
Acquisition OF SUPPLIES AND EQUIPMENT
Corner store
Dietary division and
Drug store division
Table 6: safety catalog scarch terms by categories and sub categories
Category
Apparel – Personal or Protective
Clothing
Eye, Face, Head, Foot, Hearing Protection,
Respiratory Protection
Personal Protective Equipment (PPE)
PPE response kits (A, B, C, D) Example: first responder level C kit
Clinical Diagnostics Clinical Diagnostics; Sample Collection /
Transportation; Swabs, Wipes
Decontamination Spill Control
Detection; Monitoring Detection instruments; Personal Alarm Kits; Gas
Detection instruments
Fire Equipment Extinguishers
First Aid Blankets, Kits
Mail handling products Powder-free gloves, bags
Monitoring Operations; Traffic Safety Crowd Control, flashlights, signs, barricades
Safety First Aid, Personal Protection
Surge Capacity Temporary negative pressure units
Training Resources Health & training services, respiratory protection
training, hearing and biological screening
ROLE OF NURSE MANAGER
 Guaranteeing standard and sufficient progression of supply
 Checking quality and wellbeing of the materials
 Indenting, getting, putting away, checking for all important gear and supply
 Keeping up with of crisis stocks
 Organizing and aiding Audit
 Support in arrangement making for material administration Assessing the viability of
the material administration framework continued specifically nursing unit.
 Ensure that all the staff in the ward ought to be plainly realize who might involve ward
articles and types of gear and who accepts accountability for it.
 The head nurture should be cautious and forestall waste or abuse by teaching the staff
in the practical and fitting utilization, all things considered, and materials
References:
1. Basvanthappa, B.T. (2000), Nursing Administration, Istedn., New Delhi, Jaypee
Brothers Medical Publishers, 263-277.
2. Francis, c.M., Desouz! Mario, c., (2000), Hospital Administration, 3rd edn., New Delhi,
Jaypee Brothen Medical Publisher, 247-270.
3. Goel, S.L., Kumar, R. (2000), Hospital Administration and Management, volume l,
lstedn., New Delhi, and Deep Publication, 233-253.
4. TNAI (2000), Nursing Administration and Management, lstedn., New Delhi, Academy.
5. Castilho V, Castro LC, Couto AT, Maia FOM, Sasaki NY, Nomura FH, et al. Survey
of the major sources of waste in the health care units of a teaching hospital. Rev Esc
Enferm USP [Internet]. 2011 [cited 2014 May 15];45(n.spe):1613-20. Available from:
http://www.scielo. br/pdf/reeusp/v45nspe/en_v45nspea12.pdf

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The Role of a Nurse in the Management of Material in Health Care Settings: Dr. Rangappa. S. Ashi

  • 1. The Role of a Nurse in The Management of Material: An Integrative Review Dr. Rangappa. S. Ashi Associate Professor SDM Institute of Nursing Sciences, Shri Dharmasthala Manjunatheshwara University rangappa.ashi@gmail.com Introduction
  • 2. MATERIALS:  Materials might be characterized as hardware, mechanical assembly and supplies obtained, loaded and used by an association. Webster defined the word Materials as “relating to the production and distribution of economics, goods and social relationships of owners and labourers”.  Material means things needed for doing or making something or the substance or substances out of which a thing is or can be made. Materials might be characterized as gear, mechanical assembly and supplies obtained, loaded and used by an association.  It is arranging, coordinating, controlling and organizing that large number of exercises worried about material and stock from the initiation to their presentation into the assembling processes.  It incorporates every one of the exercises of store from phase of estimating of necessities to usage to the last removal. Store needed by the medical clinic differs from straightforward housekeeping materials to modern gear.  It is worried about giving the medications, supplies and gear by the staff to convey medical services administrations.  It is additionally considered to be a logical strategy worried about arranging, coordinating and controlling the progression of materials from their underlying buy, inward activities to the appropriation at administration point.  As indicated by Judith A, material administration is the administration and control of clinical, careful, administrative, interdepartmental administrations and hardware from procurement on floor to demeanour.  Housely characterized material administration as "the administration and control of products, administrations and hardware from procurement to demeanor". AIM: 1. Right nature of material 2. Right amount of provisions of materials 3. Ideal opportunity 4. Ideal spot 5. Right expense
  • 3. OBJECTIVES: To stay away from overflow of material  To have suitable capacity and simple to recover  To guarantee dispersion to the place of use at whatever point required  To guarantee compelling and productive use of accessible assets  To upgrading the utilization of assets to address the issues in a productive way  To acquire right nature of materials at most minimal conceivable cost PURPOSES:  To acquire economy in buying  To fulfill the interest during time of recharging  To convey hold stock to keep away from stock out  To balance out variances in utilization  To give healthy degree of customer administrations FUNCTIONS:  Material planning and programming  Purchasing and outsourcing  Inventory control  Storekeeping and warehousing  Standardization and evaluation of all products  Transportation and material handling  Inspection and quality control  Cost reduction through value analysis  Disposal of surplus / obsolete material  Distribution ELEMENTS:  Material planning  Purchasing  Receiving & Warehousing  Store keeping  Inventory Control  Value Analysis  Standardization  Production control  Transportation
  • 4.  Material Handling  Disposal scrap PRINCIPLES:  Effective Management and Supervision  Based on sound purchasing methods  There should be skilful and hard poised negotiations  Effective purchase system  It should be simple  It must not increase other costs  There ought to be straightforward stock control program MANAGEMENT TECHNIQUES USED:  Right Item :Value Analysis, Standardization  Right Quantity :Inventory Control  Right Price :Cost / Benefit Analysis, Value Analysis  Right Source :Vendor Research  Right Method :ABC, VED etc., Analysis  Right Delivery: Operation Research
  • 5. PROCEDURE: Figure 1: show about the following the inventory control cycle of material operation COST BALANCE:  Carrying cost and order costs is the economic order supply.  Economic order quantity = √2AS / I A = Annual Consumption S = Ordering Cost I = Inventory Cost (Carrying Cost)  Optimum Review Period is the number of orders that should be given.  Optimum Review Period = √288 x Cost / Order / Inventory Cost x Carrying Cost  To balance these costs is the Aim of Material Management MATERIAL SPECIFICATION:  Classification of Material  Facilitation of Work  Lessen the purchase procedure Demand Estimation Procuremen Purchasing Receipt and Inspection Inventory Control Storage, Issue and Distribution Disposal / Condemnation Maintenance and Repair
  • 6. PROCUREMENT:  Selecting the vendors  Arranging upon the purchase price  Time and Place of delivery  Verifying deliveries  Settlement and installment of sellers' compensation guarantee RECEIPT AND INSPECTION: Figure 2: shows the schematic representation of procurement plan Actions are taken as per the terms of the MOU Item / s is / are returned immediately Reciept of Supply in Specific Location Verification of Supply against Suppliers Invoice Is Verification Cleared ? Yes / No NO YES Supplier Invoice is not acknowledged Supplier’s Invoice is forwarded to the security department for clearance Store Incharge approve the invoice and forward it for recording Transaction is recorded in the goods inward register Invoice is forwarded to account for payment and the same is recorded in the bill dispatch counter
  • 7. <NAME OF THE HOSPITAL / CLINIC / HOMECARE / NURSING HOME> <Business Address> <Business Contact No.> <Website / URL> LOGO (Business Slogan, if any) INVOICE Patient Name Date Address Number Contact No. Due Date Gender Age Sl. No. Description MU Qty Price Amount Terms and Conditions: Sub-Total Tax Rate Tax Discount / s Insurance Claim Total Amount Due <State Total Amount due in Words> ________________________________ Signature <Prepared by> <Designation>
  • 8. INVENTORY CONTROL OR STORAGE, ISSUE AND DISTRIBUTION: Figure 3: reveal about storage and distribution of the product ACCOUNTING AND INFORMATION SYSTEM DISPOSAL AND CONDEMNATION PROCEDURE FOR CONDEMNATION:  A condemnation committee comprising of three or more members is constitute  The board of trustees individuals delve into subtleties through stock records. The Committee will announce the things denounced and make suggestion for additional removal of things.  The sentenced things are to be obliterated.  The things especially prescriptions which are harmful and can't be discarded by entombment or according to the important set down rules under the subject of garbage removal. Store receives request and items searched NO YES Procedure for purchase of the item is followed Items are issued Items are collected by the department / housekeeping staff Transaction is recorded in the material issue register
  • 9. The effective measures are taken for disposal: -  A list of surplus material is circulated among the hospital staff / user units requesting them to pay special attention for mobilizing such items and giving priority to this category of items.  The surplus materials are transferred to other hospitals where these may be required.  The surplus materials are offered to the manufacturer / suppliers for buy back.  If there should arise an occurrence of materials other than drugs like supplies, instruments any such articles are treated as rescue or scrap, regardless, move is made in like manner: a. The materials might be sold by welcoming delicate. Open auctions of items through authorized auctioneers  Some more procedures:  Identification of need  Foundation of principles and particular, character, quality with full depiction  Readiness of order or indents in the predesigned  Choice of the right source that is provider  Decide right value, accessibility and conveyance time  Position of procurement request  Follow up  Orchestrating of receipt, examination, dismissal swap for imperfect pieces  Verification of invoices  Payment of bills  Maintenance of record. PROCUREMENT:  Procurement is the sourcing and purchasing of goods and services for business use. It is the acquisition of goods or commodities by a company, organization, institution, or a person. This simply means the purchase of goods from suppliers at the lowest possible cost.  It is likewise characterized as the most common way of acquiring labor and products from readiness and handling of a demand through to receipt and endorsement of the receipt for installment.  According to Defense Acquisition University, it is the act of buying goods and services for the government.
  • 10. OBJECTIVES:  Acquire needed supplies  Obtain high quality supplies  Assure prompt and dependable delivery  Distribute the procurement workload  Optimize inventory management PROCUREMENT PROCESS: Figure 4: exhibit the chain of procurement cycle. FLOW OF PROCUREMENT DECISION:  Need Assessment  Finding the Budget  Prioritization of purchase of equipment, machinery, etc.  Standards and specification development  Placing of indent by the Head of the Department  Consideration of indent  Choose procurement method  Receipt of tenders Step 1 Need Recognition Step 2 Specific Need Step 3 Source Options Step 4 Price and Terms Step 5 Purchase Order Step 6 Delivery Step 7 Expediting or Follow Up Step 8 Receipt and Inspection of Purchases Step 9 Invoice approval and payment Step 10 Record Maintenance
  • 11.  Opening of tenders  Evaluation of tenders  Placement of orders  Follow up of orders  Receipt and inspection of material  Invoice approval and payment. PROCUREMENT METHODS:  The Open Tender Method  The limited restricted tender method  Negotiated tender  Direct procurement  Rate Contract  Spot purchase PROCUREMENT DECISION PROCESS: Purchase order / contract Purchase Order / Contract Purchase Order / Contract Purchase Order / Contract Drugs received checked against purchase order / contract specifications & cleared for distributions Call for Offers Request offers from eligible suppliers Locate reliable suppliers Contact reliable supplier Evaluate & select supplier Evaluate offers & select suppliers Negotiate price & supply conditions Establish price Purchase Requirements Open Tender Restricted Tender Negotiated Tender Direct Purchase NO NO NO YES YES YES YES Government Production YES Determine Drugs & Drug requirements Adjust Quantities NO Adjust Quantities NO DonationSource Determine Drugs & Drug requirements YES
  • 12. Figure5: the illustration of diagrammatic picture shows about the decision process of procurement PURCHASING:  Buying means to purchase different materials by paying cash or its identical from providers/merchants. STEPS:  Buy/Requisition  Provider Selection  Buy Order  Satisfaction  Request Receipt  Provider Invoice/Payment POINTS TO REMEMBER WHILE PURCHASING:  Legitimate Specification  Welcome Quotation from presumed Suppliers  Examination of offers dependent on essential value, cargo and protection, assessments and tolls  Amount and installment limits  Installment terms  Conveyance period, ensure  Merchant notoriety  Short posting for better exchange terms  Look for request affirmation. POINTS TO REMEMBER WHILE PURCHASING EQUIPMENT:  Most recent innovation  Accessibility of support and fix office, with least personal time  Post guarantee fix at sensible expense  Upgradeability  Rumored producer  Accessibility of consumables  Low working expenses
  • 13.  Establishment  Appropriate establishment according to rules WHAT IS INVENTORY?  Stock is characterized as the obstructed working capital of an association as materials. As this is the obstructed working capital of association, in a perfect world it ought to be zero. However, we are keeping up with Inventory.  It is stock to guarantee continuous supplies, the inactive assets which have future financial worth and pad among assessed and real interest of materials  Inventory is “anything that is bought and held prior to use.” IMPORTANCE:  Provides and maintains good customers service  Enables smooth flow of materials  Provides protection against the uncertainty of demand and supply  Ensures a reasonable utilization of equipment and effort  Possibility of discount INVENTORY CONTROL:  Stock Control is the cycle by which stock is estimated and managed by foreordained standards, for example, financial parcel size for request, security stock, least level, most extreme level, request level, and so on  Stock Control is about item accessibility and adjusting the expenses of proprietorship with the expenses of obtaining, which incorporates buying, getting and paying (Dave Kaczmarek)  Stock Control is the method of keeping up with the size of the stock at some ideal level keeping in view the best financial interest of an association. OBJECTIVES:  To supply the materials on schedule  To give most extreme customers administration  To decrease or limit interest in inventories  To limit inactive time  To keep away from deficiency of stock  To limit the misfortunes  To satisfy unexpected future need  To average out request changes  To adjust different stock expenses
  • 14. IMPORTANCE OF INVENTORY CONTROL:  To give greatest stockpile administration, steady with most extreme productivity and ideal speculation.  To give pad between guage and real interest for a material.  To have ideal degree of stock: not excessively huge, not little  To dispose of duplication in requesting  To deal with vacillations sought after and lead time  To deal with expanding value inclination of items or refund in mass purchasing.  To build transportation proficiently  To limit the stock expenses  To limiting holding up time  To give a check against the deficiency of material  To better usage of stocks accessible  To work with cost bookkeeping exercises  To find and arranges latent and outdated store things. TYPES OF INVENTORY COSTS:  Requesting Cost  Stock Carrying (holding) Cost  Unavailable/Shortage Cost  Different Costs MAJOR ACTIVITIES OF INVENTORY CONTROL:  Arranging  Acquirement  Getting and Inspection  Putting away and giving the inventories  Recording the receipt and giving of inventories  Actual check  Follow up capacities  Material normalization and replacement SETTING UP OF VARIOUS STOCK LEVELS  Least Level  Greatest Level  Reorder Level
  • 15.  Hold Stock MINIMUM LEVEL  Least Level is the base stock to be kept up with for smooth creation  Least Level = Reorder Level – Average utilization per period X normal chance to get conveyance  It is the degree of stock, past which the stock isn't kept up with Maximum level = Reordering level – Expected minimum consumption in units during the least time to obtain delivery + Reorder quantity REORDER LEVEL  It is the stock level at which a request ought to be put  Reorder level = Maximum reorder period x greatest use  Average Stock level = Maximum level + Minimum level 2 RESERVE STOCK:  Excess usage requirement during normal lead time BASIC PRINCIPLES OF INVENTORY CONTROL:  Safety Stock (SS)  Lead Time (LT)  Average Inventory: INVAVG  Reorder Point  Safety Stock SS = [WCS – AWU] LT  Lead Time (LT) (a) Logic (b) Effective (c) Attainable (d) Dependable  Average Inventory: INVAVG INVAVG = SS + ½ x RCQ  Reorder Point ROP = SS + (AWU x LT) TECHNIQUES OF INVENTORY CONTROL
  • 16.  Items Quality : Value analysis, standardization, codification  Quantity : Purchasing balancing of inventories EOQ  Prize : Cost Price value analysis  Source : Market Research, Purchasing techniques selection  Delivery : Procurement technique, Follow up PERT / Operational Research  Methods : Work Study System Analysis: ABC Analysis etc.  People : Organization Analysis INVENTORIES CLASSIFICATION  ABC Analysis (Always Better Control)  VED Analysis (Vital, Essential, Desirable)  FSN Analysis (Fast, Slow Moving and Non-Moving)  SDE Analysis (Scarce, Difficult, Easy)  HML Analysis (High, Medium, Low)  XYZ Analysis  GOLF Analysis  SOS Analysis ABC ANALYSIS (ALWAYS BETTER CONTROL):  Basic Supply Chain Technique  “Always Better Control” PARETO’S THEORY:  According to Pareto’s Theory 10% items consume about 70% of budget (Group A). The following 20% burn-through 20% of monetary assets (Group B) and staying 70% things represent only 10% of financial plan (Group C).
  • 17. Table 1 : Average pattern of percentage of items and percentage of their respective values Items Percentage of Items Percentage of Rupee Value A 10 70 B 20 20 C 70 10 ‘A’ ITEMS:  Small in Number  Consume large amount of resources  Managed by Top Management  Tight Control, Rigid estimate of requirements, Strict & Closer Watch  Require low safety stocks  Consume major portions of funds. ‘B’ ITEMS:  Moderate Control  Purchased based on rigid requirements  Strict watch and control  Management is done by middle level managers ‘C’ ITEMS:  Larger in number  Consume lesser amount of resources  Ordinary control measures  Purchase is based on usage estimates  Require high safety stocks
  • 18. 1 High consumption value Has moderate value Has low consumption value 2 Very strict control Moderate control Loose control 3 No or very low safety stock Low safety stocks High safety stocks 4 Frequent ordering Once in three months Bulk ordering once in 6 months 5 Maximum follow up & expediting Periodic follow up Follow up & expediting in exceptional cases 6 Weekly control statement Monthly control reports Quarterly control reports 7 Maximum value analysis Moderate value analysis Minimum value analysis 8 Accurate forecasting in material management Estimation based on past record Rough estimation 9 Many sources for each item Two or more reliable sources Two reliable sources 10 Minimization of waste, obsolete and surplus Quarterly control over surplus and obsolete items Annual review over surplus and obsolete items 11 Central purchasing Combination purchasing Decentralized purchasing 12 Maximum effort to reduce lead time Moderate effort to reduce lead time Minimized clerical efforts 13 Handled by top management Can be handled by middle management Can be fully delegated PROCEDURAL STEPS  Gather every one of the information of stock and set up a rundown of the multitude of things of stores demonstrating the unit cost of every thing and yearly utilization.  Ascertain their yearly utilization in Rs. (Yearly utilization in units x unit costs in Rs. = Annual utilization esteem)  For stores, it will be Quantity given x unit pace of every thing  Organize this multitude of things in the diving request of all out worth of yearly utilization of every thing in Rupees.  Notice the thing numbers against their yearly utilization.  Ascertain aggregate yearly utilization esteem  Ascertain aggregate yearly utilization esteem rate  Sort things according to the utilization esteem (cost) rate.
  • 19. Table 2: ABC Analysis Item No. Annual Consumption Units Unit Cost in (Rs) Annual Consumption Value (Rs) Annual Consumption Value (Rs) in descending order Item No. Cumulative Annual Consumption Value (Rs) Cumulative Percentage Category & Cost Percentage 1 20000 0.25 5000 24000 7 24000 46.28 A 70% 2 30000 0.20 6000 10000 5 34000 65.57 A 3 10000 0.10 1000 6000 2 40000 77.14 B 20% 4 500 0.30 150 5000 1 45000 86.78 B 5 5000 2.00 10000 4500 9 49500 95.47 C 6 8000 0.05 400 1000 3 50500 97.39 C 7 6000 4.00 24000 700 8 51200 98.14 C 10% 8 700 1.00 700 400 6 51600 99.51 C 9 9000 0.50 4500 150 4 51750 99.81 C 10 50 2.00 100 100 0 51850 100.00 C ADVANTAGES:  Interest in stock can be kept up with.  Simple to control the wastage of expensive things  Helps in keeping up with wellbeing to the complete expense  Simple to keep up with stock and turnover rate  Assists with practicing specific control  Excuses the quantity of orders, number of things and decrease the stock  Shows apparent outcomes in a limited ability to focus time  Trough can handle the inventories exceptionally controlling 'A' things  Helps in diminishing administrative expenses. DISADVANTAGES:  Appropriate normalization and codification of stock things is required  Considers just the cash esteem not the significance of things for working  Intermittent audits become troublesome if by some stroke of good luck ABC examination is reviewed
  • 20. VED ANALYSIS:  Crucial, Essential and Desirable  Materials are arranged dependent on criticality  'V' is for Vital things without which a clinic can't work  'E' for Essential things without which a foundation can work however may influence the nature of the administrations  ‘D’ stands for Desirable items, unavailability of which will not interfere with functioning because they can be easily purchased as and when required. ADVANTAGES:  Valuable for checking and control of stores and extras stock by grouping them into 3 classes viz., Vital, Essential and Desirable.  Decide the fundamentally of a thing and its impact on creation and different administrations.  It is uncommonly utilized for arrangement of extra parts/things  It is valuable in controlling and keeping up with the supply of different sorts. COMBINATION OF ABC AND VED ANALYSIS: ITEM COST V E D A AV AE AD Category 1 10 70% B BV BE BD Category 2 20 20% C CV CE CD Category 3 70 10% Table 3 Is About Combination Of ABC And VED Analysis: V Items E Items D Items ‘A’ Items Constant Control Moderate Stocks Nil Stocks Regular Follow Up ‘B’ Items Moderate Stocks Moderate Stocks Low Stocks ‘C’ Items High Stocks Moderate Stocks Very Low Stocks
  • 21. FSN ANALYSIS:  ‘Fast Moving, Slow Moving and Non-Moving’  Based on the consumption pattern of the Items  Method Date of receipt or last date of issue whichever is later, is required to decide the quantity of months which has passed since the last exchange. The things are typically assembled in times of a year. Immobile things should be occasionally evaluated to forestall expiry. ANALYSIS:  For examination, the giving of things in beyond a few years are thought of.  Assuming there is no giving of thing during that period, it is marked 'N' thing  Then, at that point, up as far as possible say 10-15 issues in that period, the thing is 'S' Item  The things surpassing such constraints of quantities of issues during that period is 'F' thing. ADVANTAGES  Assists with keeping away from interest in immobile or slow things  Works with opportune control  Helpful in controlling out of date quality. SDE ANALYSIS  Scant, troublesome, simple to get  'S' means 'scant' things, those which are hard to get and for the most part require source improvement, by and large imported, and those which are hard to find, oversaw by high level administration.  'D' means 'troublesome' things which are accessible natively yet are troublesome things to obtain.  'E' means 'simple' things which are not difficult to get and which are promptly accessible in the nearby business sectors. ADVANTAGES  Vital to the lead time analysis  Useful in the context of scarcity of supply  To determine the method of buying and to fix up the responsibilities of buyers.
  • 22. HML ANALYSIS  High, Medium, Low  The fundamental basis of HML arrangement is the unit worth of the thing. ADVANTAGES  Used to keep control over consumption at departmental level  For deciding the frequency of physical verification XYZ ANALYSIS  In view of the worth of the stock put away  X things are those whose stock qualities are high  Z things are those whose stock qualities are low  Y things are those which have moderate stock stockmen. Table 4: classify the item analysis Class of Item A B C X Efforts are made to reduce the stock to the Z Category Efforts are made to convert the stock to the Y Category Steps to be taken to dispose of the surplus stocks Y Efforts are made to convert the stock to the Z Category - Control may be further tightened Z - Stocks levels may be Reviewed twice a year - GOLF ANALYSIS  Government, Ordinary, Local, Foreign  Basis of source of material SOS ANALYSIS  ‘S’ stands for Seasonal and ‘OS’ stands for Off Seasonal items Table 5: shows about the types of items and following their strategy
  • 23. Types of Items Strategy Seasonal items (s) which are available only for a limited period Procure and stock for meeting the needs of the full year Seasonal items available throughout the year The quantity required should be compared with the cost savings on account of lower prices, if purchased during season Off Seasonal Items (OS) Quantity is determined on different consideration INVENTORY MODEL FOR QUANTITY & INVENTORY REPLENISHMENT  Economic Order Quantity (EOQ) Total procurement and inventory procurement cost, inventory costs per item = Number of order X S + Average inventory X 1 = √2AS / 1 = EOQ  EOQ Model EOQ = √2AS / IU  ROL (Reorder Limit) Method ROL = Safety Stock + Lead Time requirements R = Safety Stock + Rate of Consumption (Lead Time + Review Period / 2) i.e., R = B + SD (L+P/2)  Periodic Ordering Method M = Safety Stock + Consumption Rate (Lead Time + Review Period)  Optimum Review Period Optimum Review Period = 288Co Aci (in units) = 288 x Cost per Order in Rs. Annual Usage x Unit Cost (in Rs.) x Annual Inventory Carrying Cost  Safety Stocks  When consumption variation is very high Security Stock = (Maximum pace of utilization – Normal pace of Consumption) x Lead Time  At the point when Lead time variety is extremely high Safety Stock = Normal consumption rate x (Maximum Lead time – Normal Lead time)
  • 24. INVENTORY ACCOUNTING SYSTEM  Perpetual Inventory System  Periodic Inventory System PERPETUAL INVENTORY SYSTEM Ceaseless stock framework might be characterized as a technique for recording stores adjusts later every receipt and issue to work with normal checking and to block shutting down for stock taking. PARTS  Bin Card  Store Ledgers  Continues Stock Taking BIN CARD Description: Minimum Level: Material Code: Maximum Level: Location Code: Ordering Level: Bin No. Ordering Quantity: RECEIPTS ISSUES BALANCE AUDIT Date G. R. No. Quantity Date Regn. No. Quantity Quantity Date Initials
  • 25. Form No. ………………………………… Folio No. ……………………………… RAM CO. LTD. STORES LEDGER Grade: Material: Maximum Level: Unit: Code No.: Minimum Level: Bin No. Ordering Level: Receipts Issues Balance Stock on Order Verifier’s Signature Remarks Date Challan or G.R.R. No. Qty Date Requisition No. Qty Qty Qty Date Expected PERIODIC INVENTORY SYSTEM An intermittent stock framework infers when the amount of stock not set in stone on occasionally like one time per month, quarterly or toward the start and end of every year, and doesn't have an exact record of the inventories in the middle of these places. FEATURES  All securing of stock during the bookkeeping time frame are recorded by charges to a buys account.  The all out in the buys account toward the finish of the agreeing time frame added to the expense of the bookkeeping time frame added to the expense of the stock available toward the start of the period.  Stock auxiliary record isn't refreshed later each acquisition of stock.  Stock amounts are not refreshed ceaselessly rather refreshed on an intermittent premise. PLANNING EQUIPMENTS AND SUPPLIES FOR NURSING CARE UNIT AND HOSPITAL MATERIAL MANAGEMENT CYCLE
  • 26. Figure 6: shows of slide of material management cycle HOSPITAL MATERIAL MEDICAL SIDE Perfusion Material  Careful Disposables  Instruments  Drugs, Medicine, Oxygen, Linen  Biomedical Equipment  Cleaning Items  PCs, Telephone and Fax FOOD AND BEVAAGE MATERIALS  Sedative Equipment  Electro Medical Equipment  Glass product, Dental Machines  Careful Dressing Utensils  Fake appendages, swathes, beds for patient, furnishings Designing things and numerous others Emergency clinic MATERIAL MANAGEMENT SIDE PC, Fax, Telephone, Stationery things Demand Estimation Receiving & Inspection Stocking Inventory Control Distribution
  • 27. Public location things overhead projector General media frameworks Acquisition OF SUPPLIES AND EQUIPMENT Corner store Dietary division and Drug store division Table 6: safety catalog scarch terms by categories and sub categories Category Apparel – Personal or Protective Clothing Eye, Face, Head, Foot, Hearing Protection, Respiratory Protection Personal Protective Equipment (PPE) PPE response kits (A, B, C, D) Example: first responder level C kit Clinical Diagnostics Clinical Diagnostics; Sample Collection / Transportation; Swabs, Wipes Decontamination Spill Control Detection; Monitoring Detection instruments; Personal Alarm Kits; Gas Detection instruments Fire Equipment Extinguishers First Aid Blankets, Kits Mail handling products Powder-free gloves, bags Monitoring Operations; Traffic Safety Crowd Control, flashlights, signs, barricades Safety First Aid, Personal Protection Surge Capacity Temporary negative pressure units Training Resources Health & training services, respiratory protection training, hearing and biological screening ROLE OF NURSE MANAGER  Guaranteeing standard and sufficient progression of supply  Checking quality and wellbeing of the materials  Indenting, getting, putting away, checking for all important gear and supply  Keeping up with of crisis stocks  Organizing and aiding Audit  Support in arrangement making for material administration Assessing the viability of the material administration framework continued specifically nursing unit.  Ensure that all the staff in the ward ought to be plainly realize who might involve ward articles and types of gear and who accepts accountability for it.
  • 28.  The head nurture should be cautious and forestall waste or abuse by teaching the staff in the practical and fitting utilization, all things considered, and materials References: 1. Basvanthappa, B.T. (2000), Nursing Administration, Istedn., New Delhi, Jaypee Brothers Medical Publishers, 263-277. 2. Francis, c.M., Desouz! Mario, c., (2000), Hospital Administration, 3rd edn., New Delhi, Jaypee Brothen Medical Publisher, 247-270. 3. Goel, S.L., Kumar, R. (2000), Hospital Administration and Management, volume l, lstedn., New Delhi, and Deep Publication, 233-253. 4. TNAI (2000), Nursing Administration and Management, lstedn., New Delhi, Academy. 5. Castilho V, Castro LC, Couto AT, Maia FOM, Sasaki NY, Nomura FH, et al. Survey of the major sources of waste in the health care units of a teaching hospital. Rev Esc Enferm USP [Internet]. 2011 [cited 2014 May 15];45(n.spe):1613-20. Available from: http://www.scielo. br/pdf/reeusp/v45nspe/en_v45nspea12.pdf