These are some of the value added and non value added nursing activities identified in a Private hospital in Bangalore,by conducting a time motion study
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Value and Non Value Added NSG Activities
These are some of the value added and non value added nursing activities identified in a Private hospital in Bangalore,by conducting a time motion study
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Categories Value Added Activity Non value added activity
Communication with Physician-Repeated reminder
calls to Physician regarding Medication order, Filling request forms for various procedures, Insurance forms, Initial assessment, Site marking for patients, Home food request by patient Initial assessment and reassessment Communication with other departments-Repeated Vital signs monitoring reminder calls to - Radiology department-When there is delay in Medication administration diagnostic procedures, In patient reports DIRECT NURSING ACTIVITY Sample collection - Lab-Investigations reports Hygienic care - Pharmacy-When there is need for emergency Back care and positioning medicines Nutritional needs - NG feeding, PEG feeding - Following it up F&B, Engineering & IT even after Suctioning, Wound care, Catheter care raising it through Treatwell. IV Cannulation - PCS Staffs-Discharge summary and pink file & Communication completion, Patient files Teaching & education Improper medicine indenting - Extra medicines, Multiple indenting, Wrong indenting Communication between care teams due to miscommunication-Improper shift handover Login issue with HIS Call bell regarding non clinical/non nursing activities- Documentation in patient case files Delay in transferring the patient to various Communication with Physician – Referral, Critical value departments (eg. OT as PAC is not done, To Physio as reporting GDAs are not available) Communication with other departments - F&B, Physio, Equipment failure(Pneumatic chute is not working in Clinical Nutrition, Housekeeping, Engineering, Billing, the department(5C) Pharmacy, Lab Equipment shortage-No Paediatric pulse monitor- INDIRECT NURSING ACTIVITY Attending rounds with Physician where paediatric patients are admitted Raising Investigations in HIS Request to repair equipments Investigations file completion-Collecting reports, Lab print Shortage of consumables-Eg.Venflon outs Spending more time in HIS-as not familiar with the Indenting and returning of medicines process Using Treatwell for food ordering, Raising complaints Looking for patient case files- Discharge patients files Attending Call bell, Clarifying patient’s and relative’s with PCS staffs .Files are getting misplaced. queries Looking for persons (GDA) Admission and discharge co ordination Looking for equipment(Eg.Glucometer) Biomedical waste management and Infection control BUSINESS NON VALUE ADDED ACTIVITIES activities Maintainance of various records and reports in the department- Participation in various quality improvement activities Participation in training programmes NURSING INTERVIEW- BEHAVIOURAL QUESTIONS
1. Tell me about yourself.
2. Why Did You Choose a Career in Nursing? 3. What do you find rewarding about this job? 4. What’s the hardest thing about being a nurse ? 5. How do you handle the stress of the job? 6. Tell me what you feel your greatest skill as a nurse is. 7. Would you call yourself a team player? 8. Are you comfortable working with other doctors and nurses 9. Tell me about a time you worked with a difficult co-worker. 10. Why are you leaving your current position? 11. Why do you want to work here? 12. Why should we hire you? 13. Tell me about a time you effectively educated a patient or their family. 14. Describe a time when you handled a leadership role. 15. How you deal with someone who isn’t satisfied with your patient care? 16. Where do you see yourself in 5 years? 17. Do you have any questions for us?