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Ward Management Nursing Administration

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0% found this document useful (0 votes)
52 views27 pages

Ward Management Nursing Administration

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© © All Rights Reserved
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WARD MANAGEMENT

AND
NURSING ADMINISTRATION

BY
DR.AMIT PRASAD, CMO(SG)
DEFINITION
• Nurse
A Nurse is a person who has
completed basic nursing education and is
qualified and authorized in her country, to
be the most responsible services of nursing
for promotion of health prevention of
diseases and care of the sick.
NURSING

• Nursing is a dynamic, therapeutic and educative


process in meeting the health needs of the society.

• It is an art which involves the whole patient body,


mind and spirit, promotes his physical, mental and
spiritual health by reaching and by stressing health
education to the patient his family and community
for restoration and preservation of health.
HISTORY OF NURSING
• Florence Nightingale was an influential figure in the
development of modern nursing.

• She is called as pioneer 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 OF NURSE

• CARE GIVER
• DECISION MAKER
• COMMUNICATOR
• MANAGER OF CARE
• PATIENT ADVOCATOR
• TEACHER
FACTORS TO BE CONSIDERED IN 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
ORGANISATIONAL STRUCTURE OF
NURSING DEPARTMENT
DIRECTOR

MEDICAL SUPERINDENT

NURSING SUPERINDENT

DEPUTY NURSING ASSISTANT NURSING


SUPERINDENT SUPERINDENT

STAFF NURSES
AUXILLIARY NURSE &
NURSING SISTERS MIDWIFE NURSE
OBJECTIVES OF NURSING IN WARD

• Maximum comfort and happiness by way of pleasant surroundings.

• Qualitative/comprehensive care to the patient.

• Care based on the patient’s needs.

• Accurate assessment of illness.

• Adequate material resources at all times.

• Health education to the patient and attendants.

• Managerial skills as and when required.

• Privacy at all levels.


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

• Administrative records: Organogram, job description,


procedure manual
• Personnel records: personal files, records

• Patient related records: patients records send to


Medical director, Leave record, duty roster, meeting
minutes, budget etc..
• Miscellaneous: circular, round book, formats etc..
ESSENTIAL NURSING TRAININGS

• Orientation training
• Training on BLS & ACLS
• Training on soft skills (communication skills, team
building etc…)
• HMIS / IT Awareness training
• Trainings on quality standards
• Training on fire fighting
• Training on bio medical waste management
NURSE BED RATIO
WARD MANAGMENT
COMPONENTS OF WARD MANAGEMENT

• Management of Patient care

• Personnel management

• Management of Supply and equipment

• Management of Environment cleanliness


NURSING STATION
MANAGEMENT OF PATIENT CARE

1. ADMISSION AND ORIENTATION 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 AND REPORTS
8. MANAGEMENT OF EMERGENCIES
9. CLIENT TEACHING
10. APPRAISAL OF NURSING SERVICE
1.ADMISSION AND ORIENTATION OF THE CLIENT

• Hospital
• Routines of Hospital
• Rules and Regulations
• Personnel Working
• Ward Equipment
• Ward Procedures
2.ASSESMENT OF CLIENT’S NEEDS & CARE

• To Establish patent airway


• To Check for adequate circulation
• To support of activities of daily living
• Psychological support and spiritual
needs
• Continuous monitoring of client
3.PROGRESSIVE CLIENT CARE

• Organizing client care units according to


client needs for
• Medical and nursing care.
• a. Intensive care Units
• b. Intermediate care Unit
• c. Self care Units
5.PLANNING THE TIME SCHEDULES & WORK
SCHEDULES

• To provide adequate Nursing care each day


• To provide best possible experience for each
personnel
• To promote good relationship and satisfaction

6.WARD ROUNDS
7.RECORDS AND REPORTS

• 24 Hours Report
• Census Report
• Birth & Death Report
• Anecdotal Report
8. Management of Emergencies

9. Client Teaching

10. Appraisal of Nursing Service


MANAGEMENT OF THE PERSONNEL

1. Orientation of the new personnel


2. Supervision of the personnel & delegation
of authority
3. Establishment of IPR
4. Evaluation of the personnel
5. Staff conferences
6. Staff development Programme
7. Health, Safety & Welfare of the personnel
MANAGEMENT OF SUPPLIES & EQUIPMENT

1. Inadequate supply of materials

2. Equipment may be out of order

3. Supplies & Equipment may be in

accessible

4. Equipment is inconveniently located


KEEPING AN ADEQUATE SUPPLY AT HAND

• Standard for quantity of each item

• System for replacing broken equipment

• Regular inventories

• Intelligent ordering
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

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