Material management is a methodical technique that includes planning strategies, systemizing and regulating the flow of material from procurement till the point of disembarkation.
It is the process of coordination and controlling the activities in an organization. It includes the responsibility of purchasing the materials, their scheduling from supply or from other internal sources, their handling, storage and movement through the organization, and their delivery.
NURSING MANAGEMENT AND EDUCATION
INVENTORY CONTROL AND PROCUREMENT OF HOSPITAL SUPPLIES, THEIR MAINTENANCE AND KEEPING THE STOCK UP TO DATE IS ONE OF THE BASIC DUTIES OF A NURSE. KNOWING ABOUT THE PRINCIPLES AND TECHNIQUES HELPS IN EFFECTIVE MANAGEMENT OF HOSPITAL SUPPLIES AND EQUIPMENT IN THE WARD.
NURSING MANAGEMENT AND EDUCATION
INVENTORY CONTROL AND PROCUREMENT OF HOSPITAL SUPPLIES, THEIR MAINTENANCE AND KEEPING THE STOCK UP TO DATE IS ONE OF THE BASIC DUTIES OF A NURSE. KNOWING ABOUT THE PRINCIPLES AND TECHNIQUES HELPS IN EFFECTIVE MANAGEMENT OF HOSPITAL SUPPLIES AND EQUIPMENT IN THE WARD.
It is defined as the specification of roles and functions of the nature of job of each individual who has to deliver effectively in order to be retained in the institution.
Patient ASSIGNMENT does not only mean that dividing the patient among available staff nurses but it is assigning an individual patient or group of patients to nurses according to the required nursing care needs and nurses capability to provide the quality care
Nursing audit assists in:
1. Evaluating Nursing care given,
2. Achieving deserved and feasible quality of nursing care,
3. Stimulating better nursing records maintenance,
4. Focuses on patient care provided and not on care provider,
5. Contributes to research in nursing.
It is defined as the specification of roles and functions of the nature of job of each individual who has to deliver effectively in order to be retained in the institution.
Patient ASSIGNMENT does not only mean that dividing the patient among available staff nurses but it is assigning an individual patient or group of patients to nurses according to the required nursing care needs and nurses capability to provide the quality care
Nursing audit assists in:
1. Evaluating Nursing care given,
2. Achieving deserved and feasible quality of nursing care,
3. Stimulating better nursing records maintenance,
4. Focuses on patient care provided and not on care provider,
5. Contributes to research in nursing.
Provides a detailed explanation of different aspects of material control. Very useful to undergraduate students of different universities and cost accounting professional students
Materials management is the process of planning and controlling material flows. It includes planning and procuring materials, supplier evaluation and selection, purchasing, expenditure, shipping, receipt processes for materials (including quality control), warehousing and inventory, and materials distribution.
“Patient Education is an individualized, systematic, structured process to assess and impart knowledge or develop a skill in order to effect a change in behavior. The goal is to increase comprehension and participation in the self-management of health care needs.”
“A restraint is any manual method, physical or mechanical device, material or equipment that immobilizes or reduces the ability of a patient to move his/her arms, legs, body or head freely” (e.g. -Safe keeper bed, Posey bed, safety mitt, soft limb restraint), or a restraint is a drug or medication when it is used as a restriction to manage the patient's behavior or restrict the patient's freedom of movement and is not standard treatment or dosage for the patient's condition A restraint does not include devices, such as orthopedically prescribed devices, surgical dressings or bandages, protective helmets, or other methods that involve the physical holding of a patient for the purpose of conducting routine physical examinations or tests, or to protect the patient from falling out of bed, or to permit the patient to participate in activities without the risk of physical harm., side rails, airways, trapeze etc.
Unit 10 Promoting Safety in Health Care Enevronment (FON).pdfKULDEEP VYAS
Healthcare environments need to provide a balance between the need for practical and clinical activities or procedures to take place within them, while creating an environment that can contribute to a good experience.
International Nurses Day
IND is celebrated around the world every May 12, the anniversary of Florence Nightingale's birth. ICN commemorates this important day each year with the production and distribution of the International Nurses' Day (IND) resources and evidence.
Fluorosis is a cosmetic condition that affects the teeth. It's caused by overexposure to fluoride during the first eight years of life. This is the time when most permanent teeth are being formed. After the teeth come in, the teeth of those affected by fluorosis may appear mildly discolored.
Evaluation is a process used to determine what has happened during a given activity or in an institution.Evaluation requires many skills that are as important as other elements of the instructional process.
Human resource management in hospital and community servicesKULDEEP VYAS
HRM is the function within an organization that focuses on recruitment ,managing and providing direction for the people working in that organization.
*It is the organizational function dealing with issues related to people such as hiring, compensation, performance management ,safety, organization development, wellness, benefits, employee motivation, communication, administration and training.
Moulding or training of the mind and character to bring about desired behaviour is known as discipline.it helps a person to have some control over another person.
Directing leading in hospital and community servicesKULDEEP VYAS
Directing is the fourth phase of the management process, it can also be called as coordinating or activating
*Here the leadership and the management skills are both required in order to accomplish the goal of the organization.
*It consists of 2 major components like guidance and supervision which is to be done during job process which help the nurses to utilize their total skills and knowledge in providing the quality care.
Commonly used Insecticides and Pesticides KULDEEP VYAS
Pesticides include insecticides, herbicides and fungicides. There are several thousand different types in use and almost all of them are possible causes of water pollution. For example, DDT, malathion, parathion, delthametrine and others have been sprayed in the environment for long periods of time for the control of disease vectors such as mosquitoes, and to control the growth of weeds and other pests.
-It is a statement of anticipated results during a designated
time period expressed financial and nonfinancial terms.
-Three essential steps in the control process are establishing standards, comparing results with standards and taking corrective action.
-Budgeting process starts when top-level management establishes the strategies and goals for the organization.
The client classification system or patient classification system is the cluster of clients that has been categorized on the specific characteristics, needs ,requirements and their severity of the disease conditions based on which patient assignment is made to provide nursing care.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Material management in hospital and community services
1. MANAGEMENT OF NURSING
SERVICES IN HOSPITAL AND
COMMUNITY-
MATERIAL MANAGEMENT
IN HOSPITAL AND
COMMUNITY SERVICES
KULDEEP VYAS
ASST.PROF HOD –
COMMUNITY HEALTH NURSING
DSSNI
2. INTRODUCTION
Material management is a methodical
technique that includes planning strategies,
systemizing and regulating the flow of
material from procurement till the point of
disembarkation.
It is the process of coordination and
controlling the activities in an organization.
It includes the responsibility of purchasing
the materials, their scheduling from supply
or from other internal sources, their
handling, storage and movement through
the organization, and their delivery.
3. OBJECTIVES OF MATERIAL MANAGEMENT
1.Primary objective: The important goals of the
material management are to achieve the high
profit with low expense in purchase and storage
of equipment, make sure the continuous supply,
have good communication with wholesale
equipment suppliers, train the personnel and
systemize the good information system.
2.Secondary objective: Material management
aims to forecast requirements, maintain inter. i
department harmony, oversee product
improvement, ensure standardization, make
decisions on buying or obtaining new material
and products.
EFFICIENT MATERIAL MANAGEMENT IN HOSPITALS
The efficient material management in hospitals
includes the following:
1.Alist of materials on the basis of present and
future needs.
2.Selection of drugs based on their efficacy,
safety, dosage, forms, shelf life and continuous
availability at affordable costs. Essential drug list
of WHO can be used as standard guidelines for
drug selection.
4. 3.Procurement of the right quantity and
quality of material within the budgetary
constrains
4. Taking an inventory of materials available,
regularly and systematically.
5.Proper procedures for receipt, inspection
and accounting of incoming and outgoing
material
6.Proper storage and protection of drugs to
prevent deterioration and maintenance/
repairs of instruments and equipment.
7.Disposal of drugs and equipment
especially of unwanted material, expired
drugs and irreparable or unusable
instruments and equipment.
5. TYPES OF MATERIALS USED IN HOSPITAL
AND COMMUNITY SERVICES
-Supplies and equipment:-
1.Frame the yardstick for each item
purchased in the ward.
2.Regularize the inventories for all the items
purchased. The head nurse has to systemize
the inventory modes for all the departments.
3. If any equipment is broken it should be
replaced immediately.
-Standards of quality and quantity of
equipment:-
Guidelines for setting up of standardized equipment
in the unit:
1.T
otal number of beds required as per the
bed strength.
2.The pattern of service provided to the
patient in the unit.
3. The age of the patient admitted.
4. The sex of the patient admitted.
6. 5. The level and extent of disease, whether it
is chronic or acute.
6.The imperishability of the items
purchased.
7. The total value of the item.
8. The duration between the purchase and
receiving the new stock.
Materials used:-
1.Drugs and medicines-Used for prevention
and treatment of various types of ailments,
including anesthetic agents, vaccines and
drugs that are required for specific purposes.
2.supplies:-Materials required in the hospital
for diagnosing and treating ailments They
include cotton, bandages, gauze or other
dressing material, syringes, needles, forceps,
splints, plasters, trays, bottles, linen, utensils,
etc., which are directly or indirectly related
to the treatment.
7. Supplies may also include items of linen like
draw sheets, bed covers, mattresses, pillows
masks, etc. A comprehensive list of supplies
has to be prepared and will need updating
and modification from time to time
depending on the type of expertise,
personnel or levels of technology available
in the hospital.
3. Equipment and instruments-These include
furniture, and instruments and equipment,
e.g, sterilizers, X-ray machines, other
diagnostic equipment like auto analyzers,
cell counters, Eliza readers, and arterial
blood gas analyzers. Oxygen and nitrous
oxide gas cylinders, cooking LPG cylinders,
mechanical laundry washing machines and
incinerators for bio waste management may
also be used as tools. Ambulances and
vehicles are also a part of supplies.
8. 4.facilities;-Normally, these are the no
movable materials used for a long term com
pared to equipment, which has a limited life
span. These include buildings, toilets, lifts,
water tanks and pumps, wells, kitchens and
cooking facilities, telephones and public
address systems.
REPLACEMENT
*The pattern of ordering the items is
important since some items should be
replaced daily, weekly, monthly and yearly.
*There should be systemized method of
replacement of items.
*All the staff in the ward should be made
aware of all the items that are purchased.
*Old stocks and expired stocks should be
rejected before ordering for new items.
*The head in-charge should present the
items required to the materials procurement
committee, where she should give report
about the rejected items and the required
items.
9. INVENTORY CONTROL
-Control of the items is done through
regularized inventory wherein the items are
piled up.
-
The items are recognized, stored, used,
transferred and replaced.
- Methodical inventory creates a maximum
balance of controlling the procured
materials.
-If the inventory is done properly, details of
the items will be clarified, viz, what is used,
stocked and what more is needed.
DEFINITION:-
1.Inventory control is the process of
maintaining the optimum needed quantity
that is sufficient for the smooth operation
of the organization.
2.Inventory management can be viewed as
the process of maintaining an adequate
supply of something so that the demand
pattern can be satisfied without hiccups.
10. Objectives:
1.Smooth production
2.Offer discounts in bulk purchases
3.Reduce financial investment
Steps in inventory control:-
Create store account which help in controlling sore room
Allocation of materials and orders according to the
classification types
The allocation of materials should be on fixed limit like issue
should be a minimum quantities
Functions:-
1.To mediate /negotiate between the predicted and
actual demand for the material
2.To provide optimum supply of services, consistent
with good effort and maximum investment.
Classification of inventory:-
Sl.no Types Description
1. Raw material inventory Raw material and semi finished goods
supplied by another firm
2. Finished goods inventory Finished goods waiting for dispatch in
the stock room
3 In process inventory Semi finished goods under
manufacturing process
4 In direct inventory Goods necessary for operations and
maintenance (spare parts)
11. Selective controls in material management:-
Refer to unit 2 material management
PROCUREMENT
It is defined as a systematic way of handling
the items where principles are framed for
ordering the materials.
Objectives:-
1.Obtain required items of less cost
2.Acquire good quantity items
3.Trsutable delivery of the items
4.Deploy items acquiring workload in order
to avoid less work or overwork.
Methods in procurement process and
negotiation strategies:-
1.Loose tender
2.Restricted or limited tender
3.Negotiated procurement
4.Direct procurement
5.Rate contract
6.Spot purchase
7.Risk purchase
8.Many suppliers strategies
12. Steps in procurement process:-
Select the items after detailed research
Decide needed number of items
Negotiate the funds needed
Determine the mode of purchase
Identify the wholesale suppliers
Be particular in selecting the items
Supervise the supply orders
Obtain the receipt and inspect the amount
spent to procure the items
13. Label with
alphabets or
numerically
Place under
lock and key
STORAGE
Always keep
the SOS
drugs in
reserve
Items
purchased
first should
be used first
Inspect the
expiry date
Always keep
the items in
2 shelves
Adequate
and enough
space to
store
14. ROLE OF NURSE IN MATERIAL
MANAGEMENT:-
1.Keeping an adequate supply of materials
in planning and management. Materials
should be in good condition and
conveniently located.
2.Assigning the responsibility of handling
supplies and equipment and supplies to the
subordinates
3.Looking for wastage or misuse and
minimize it.
4.Educating all the nurses and other
personnel in the ward in the economical use
of materials.