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NURSING CARE AND NURSING WARD MANAGEMENT

This document provides an overview of nursing care, including its history, roles, functions, organizational structure, objectives, job descriptions, norms, registers, training, ratios, procedures, and ward management. Key points include that nursing aims to promote health and prevent illness; Florence Nightingale is considered the pioneer of modern nursing; roles include caregiving, decision making, communicating, and teaching; factors to consider in planning include patient numbers, services needed, and facilities; and components of ward management are patient care, personnel management, supplies/equipment, and environment.

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PRESENTED BY: DR.LAVYA BHARATH MR.HARISHANANDA KP
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
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.
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.
ROLES& FUNCTIONS OFNURSE  CARE GIVER  DECISION MAKER  COMMUNICATOR  MANAGER OFCARE  PATIENT ADVOCATOR  TEACHER
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.
ORGANISATIONALSTRUCTUREOF NURSINGDEPARTMENTINPVTHOSPITAL DIRECTOR MEDICAL SUPERINDENT NURSING SUPERINDENT DEPUTY NURSING SUPERINDENT NURSING SISTERS ASSISTANT NURSING SUPERINDENT STAFF NURSES AUXILLIARY NURSE & MIDWIFE NURSE
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.
JOB DESCRIPTION OF NURSE  Helps toclarifydelegatedfunctions& authority.  It isthebasic for determiningthenature of development desiredforthe position.  A writtenjobdescriptionprovides informationincluding thetasksofthejobaswellas the jobrelationtootherjob.
CHIEF NURSE  Executiveheadofnursing service ASSISTANT CHIEF NURSE  Assistthechief nurse in planning,settingup ,supervisionof staffand educationprogrammetonursing service SUPERVISOR(WARD)  Responsibleformanagementofnursing careand services in allinpatientunits
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.
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.
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
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
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
HAND WASH PROCEDURE
NURSINGWARD MANAGEMENT
COMPONENTSOF WARD MANAGEMENT  ManagementofPatientcare  Personnel management  ManagementofSupply and equipments  ManagementofEnvironment cleanliness
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
COMPONENTS INBRIEF 1.Admissionandorientation of the client  Hospital  Routines of Hospital  Rules andRegulations  Personnel Working  WardEquipment  WardProcedures
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
4.PRIORITY NURSINGCARE
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
COMPONENTS INBRIEF 8. Management of Emergencies 9. ClientTeaching 10. Appraisal of Nursing Service
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
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
KEEPING AN ADEQUATE SUPPLY AT HAND  Standard for quantity of each item  System for replacing broken equipment  Regular inventories  Intelligentordering
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
NURSING CARE AND NURSING WARD MANAGEMENT