BY HARISHANANDA KP

1. PRESENTED BY:
DR.LAVYA BHARATH
MR.HARISHANANDA KP

2. CONTENTS
 NURSINGCARE
 HISTORYOF NURSING
 ROLES& FUNCTIONS OFNURSE
 FACTORSTOBE CONSIDERIN PLANNINGHOSPITALNURSINGSERVICES
 ORGANOGRAMOFNURSINGDEPT
 OBJECTIVESOFNURSINGIN WARD
 JOBDESCRIPTIONOF NURSE
 SIU NORMS
 NURSINGREGISTERS
 ESSENTIALNURSINGTRAINING
 NURSEBEDRATIO
 HANDWASHINGPROCEDURE
 NURSINGWARDMANAGEMENT
 COMPONENTSOF WARDMANAGEMENT
 NURSINGSTATION
 COMPONENTSINBRIEF

3. NURSINGCARE
 International Council of Nurses (1899): Nursing encompasses autonomous and
collaborative care of individuals of all ages, families, groups and communities, sick
orwell and in all settings.
 Nursing includes the promotion of health, prevention of illness, and the care of ill,
disabled and dying people. Advocacy, promotion of a safe environment, research,
participation in shaping health policy and in patient and health systems
management, andeducation arealso key nursing roles.
 WHO expert committee on nursing defines the nursing services as the part of the
total health organization which aims to satisfy major objective of the nursing
services is to provide prevention of disease and promotion of health.

4. HISTORYOF NURSING
 Florence Nightingale was an influential figure in the development of modern
nursing.
 She is called aspioneer of nursing.
 No uniform had been created when Florence Nightingale was employed during
the Crimean War. Both nursing role and education were first defined by
Florence Nightingale.
 International Nurses Day –May 12th
 Indian Nursing Council (INC) is a statutory body established by the Act of
Parliament in 1947.

6. ROLES& FUNCTIONS OFNURSE
 CARE GIVER
 DECISION MAKER
 COMMUNICATOR
 MANAGER OFCARE
 PATIENT ADVOCATOR
 TEACHER

7. FACTORS TO BECONSIDEREDIN 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.

8. ORGANISATIONALSTRUCTUREOF NURSINGDEPARTMENTINPVTHOSPITAL
DIRECTOR
MEDICAL SUPERINDENT
NURSING SUPERINDENT
DEPUTY NURSING
SUPERINDENT
NURSING SISTERS
ASSISTANT NURSING
SUPERINDENT
STAFF NURSES
AUXILLIARY NURSE &
MIDWIFE NURSE

9. OBJECTIVES OF NURSING INWARD
 Maximumcomfortand happinessby way ofpleasant
surroundings.
 Qualitative/comprehensivecaretothepatient.
 Care basedon thepatient’sneeds.
 Accurateassessmentofillness.
 Adequatematerialresources atall times.
 Healtheducationtothe patientand attendants.
 Managerialskillsas andwhen required.
 Privacy atall levels.

10. JOB DESCRIPTION OF NURSE
 Helps toclarifydelegatedfunctions& authority.
 It isthebasic for determiningthenature of development
desiredforthe position.
 A writtenjobdescriptionprovides informationincluding
thetasksofthejobaswellas the jobrelationtootherjob.

11. CHIEF NURSE
 Executiveheadofnursing service
ASSISTANT CHIEF NURSE
 Assistthechief nurse in planning,settingup ,supervisionof
staffand educationprogrammetonursing service
SUPERVISOR(WARD)
 Responsibleformanagementofnursing careand services
in allinpatientunits

12. SENIORNURSEWARD
 Responsible for administration of particular unit, Maintainsthe
standard of patient care, supervises the nursing activitiesin her unit.
STAFF NURSE
 Responsible for rendering nursing care of patients.
 Asses, plans & implement nursing activities.
 Act asa team leader.
 Must be able to carry out doctors order within hospital policy and
legal limitations, maintainrecords, nursing notes and individual care.

13. S.I.U NORMS
The Staff Inspection Unit (SIU) was set up in the year 1964 with the
objectives of securing economy in the staffing of Government
organizations consistent with administrative efficiency and evolving
performance standards and work norms.1 Nursing sister for 3:6 staff
nurses.
 1 ANS for 4:5 nursing sisters.
 1 DNS for 7:5 ANS.
 1 Nursing superintend for 250-500 beds.
 1 CNO for 500 or more beds.

14. NURSING REGISTERS
- Administrativerecords: Organogram, job description,
procedure manual
- Personnel records: personal files, records
- Patient related records: patientsrecords send to Medical
director
- Leave record, duty roster, meetingminutes,budget etc
- Miscellaneous:circular, round book, formats etc

15. ESSENTIAL NURSING TRAININGS
 Orientationtraining
 Training onBLS & ACLS
 Training onsoft skills (communicationskills, teambuilding
etc…)
 HMIS / IT Awareness training
 Trainings on quality standards
 Training on fire fighting
 Training onbio medical waste management

16. NURSE BED RATIO
Sl.
No
DEPARTMENTS INCHARGE
NURSE
STAFF NURSE
1 General Med & Surg W 1 For 25 Beds 1 For 3 Beds
2 ICU’s (Shift) 1 For each Shift 1 For each Bed/Shift
3 Labour Ward (Shift) 1 For each Shift 4 For each Bed/Shift
4 O.T (Shift) 1 For each Shift 3 For each Table/Shift
5 OBG W 1 Overall 1 For each Room
6 Paediatrics W 1 For each Shift 1 For two Beds
7 Casualty & Emergency W 1 For each Shift 2-3 Per Shift / No. of
Admns
8 Leave Reserve 30% In all category

17. HAND WASH PROCEDURE

18. NURSINGWARD MANAGEMENT

19. COMPONENTSOF WARD MANAGEMENT
 ManagementofPatientcare
 Personnel management
 ManagementofSupply and equipments
 ManagementofEnvironment cleanliness

21. COMPONENTS IN BRIEF
MANAGEMENT OF PATIENT CARE
1. ADMISSION ANDORIENTATION OF THE CLIENT
2. ASSESSMENT OF CLIENT’S NEEDS & CARE
3. PROGRESSIVE CLIENT CARE
4. PRIORITY NURSING CARE
5. PLANNING THE TIME SCHEDULES & WORK SCHEDULES
6. WARD ROUNDS
7. RECORDS ANDREPORTS
8. MANAGEMENT OF EMERGENCIES
9. CLIENT TEACHING
10. APPRAISAL OF NURSING SERVICE

22. COMPONENTS INBRIEF
1.Admissionandorientation of the client
 Hospital
 Routines of Hospital
 Rules andRegulations
 Personnel Working
 WardEquipment
 WardProcedures

23. COMPONENTS IN BRIEF
2.ASSESMENT OF CLIENT’S NEEDS & CARE
 To Establish patent airway
 To Check for adequate circulation
 To support ofactivities of daily living
 Psychological supportand spiritual needs
 Continuous monitoring ofclient
3.PROGRESSIVE CLIENT CARE
 Organizingclient care units according to client needs for
medical and nursing care.
a. Intensivecare Units
b. Intermediate care Unit
c. Self care Units

24. 4.PRIORITY NURSINGCARE

25. 5.PLANNINGTHETIME SCHEDULES& WORK SCHEDULES
ToprovideadequateNursingcareeachday
To providebestpossibleexperienceforeachpersonnel
To promotegood relationshipandsatisfaction
6.WARDROUNDS
7.RECORDS AND REPORTS
24Hours Report
CensusReport
Birth& DeathReport
AnecdotalReport
COMPONENTS IN BRIEF

26. COMPONENTS INBRIEF
8. Management of Emergencies
9. ClientTeaching
10. Appraisal of Nursing Service

27. MANAGEMENT OF THE PERSONNEL
1. Orientation of the newpersonnel
2. Supervision of the personnel& delegation of authority
3. Establishment of IPR
4. Evaluation of the personnel
5. Staff conferences
6. Staff developmentProgramme
7. Health, Safety & Welfare of the personnel

28. MANAGEMENT OF SUPPLIES & EQUIPMENT
1. Inadequate supply of materials
2. Equipmentmay be out of order
3. Supplies & Equipment maybe in accessible
4. Equipmentis in convenientlylocated

29. KEEPING AN ADEQUATE SUPPLY AT HAND
 Standard for quantity of each item
 System for replacing broken equipment
 Regular inventories
 Intelligentordering

30. MANAGEMENT OF ENVIRONMENT
1. Adequate Lighting
2. Prevention of Noise
3. Elimination of unpleasant odors (Bad Smell)
4. Dust control
5. Safe water supply
6. Safe disposal of waste
7. Freedom from insects
8. Provision of adequate privacy
9. Prevention of cross infection
10. Control of visitors