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- 1. ADMINISTRATION AND MANAGEMENT OF PSYCHIATRIC UNITS Ms. KAJAL MORE 2ND YEAR M.SC NURSING SCON,PUNE
- 2. INTRODUCTION Modern psychiatric hospitals evolved from, and eventually replaced the older lunatic asylum. The development of the modern psychiatric hospital is also the story of the rise of organized institutional psychiatry. Mental health institution has various administrative functions like staffing, planning equipment, supplies and making policies and procedure.
- 3. PSYCHIATRY HOSPITALS Psychiatric hospitals, also known as mental hospitals,are hospitals specializing in the treatment of serious mental disorders. Psychiatry hospitals vary widely in their size and grading. Some hospitals may specialise only in short-term or outpatient therapy for low risk patients. Other hospitals specialise in the temporary or permanent care of residents who,as a result of a psychological disorder ,require routine assistance,treatment,or a specialised and controlled environment.
- 4. STAFFING PATTERN OF PSYCHIATRIC UNIT: The minimum essential staff recommended for mental hospital as follows: • Doctors • Clinical psychologist • Psychiatric social worker • Nurse • Ward aids • Sweeper • Dietician • Cook • Laundry supervisor • Pharmacist • Medical records officer • Occupational therapist • Electrician
- 5. THE NURSE PATIENT RATIO AS PER TNAI AND INC FOR 500 BED: 1. Chief nursing officer 2. Superintendent 3. DNS 4. ANS 5. Ward sister ; 1 for 25-30 beds 6. Staff nurse ; 1 for 3 beds 7. OPD ; 1:100 8. ICU ;1:1
- 7. PLANNING EQUIPMENTS AND SUPPLIES: Functional ,accurate and safe clinical equipment is an essential requirements in the provision of health services. Well maintained equipment will give nurses greater confidence in the reliability of its performance and contribute to a high standard of client care, equipment management is an important issue for cost and safety in hospital operations.
- 8. DEFINTION OF PLANNING EQUIPMENT AND SUPPLIES: Planning of equipment and supplies is defined as process of selection and organization of the articles or items used in the diagnosis ,treatment and monitoring of patients in order to ensure that they are safe,available,accurate,and affordable.
- 9. NEED OF PLANNING EQUIPMENT AND SUPPLIES: Ensure that equipment and supplies used in patients care are operational,safe,and properly configured to meet the mission of the medical treatment facility. Manage safety and cost of articles. Stabilize fluctuations in consumption. Provide reasonable level of client services.
- 10. GENERAL UTILITY SERVICES IN THE HOSPITAL:
- 11. ROLE OF NURSING MANAGERS IN MAINTAINING EQUIPMENT AND SUPPLY: INPUT: Take active part in estimating the demand of equipment and supply. Be aware of hospital policy for requirement ,identing stock et. Nursing norms for equipment and supply as per nursing council
- 12. PROCESS: Maintain current inventory of functional line working order equipment and supplies. Do proper distribution for evening ,night shift. Conduct supervisory round.
- 13. OUTPUT: All the staff should be aware of policy;hospital ward related to equipment and supply. There should be adequate supply of equipment and supplies without any interruption. Equipment should be in working order.
- 14. HOSPITAL POLICIES AND PROCEDURE: Elements Quality assurance Written policy program 1.Referral process 2.programme rules for patient 3.both medical non medical referral services
- 15. QUALITY ASSURANCE DEFINITION: Quality assurance is a management system designed to give maximum guarantee and ensure confidence that the service provided is up to the given accepted level of quality,the standards prescribes for that service which is being achieved with a maximum of total expenditure. A quality assurance programme is an ongoing systemic process designed to evaluate and promote excellence in health care provided to the clients. - kozier
- 16. OBJECTIVES: i. To ensure the delivery of quality client care. ii. To demonstrate the efforts of the health care provider to provide the best possible results.
- 18. ASSESSMENT OF QUALITY ASSURANCE: 1) Training the nursing staff 2) Performing the audit 3) Analysis of medical record data 4) Peer view
- 19. NURSING AUDIT : DEFINITION: Nursing audit is defined as “an evaluation of patient care and analysis of the written records maintained by nurses in patients treatment profile”. TYPES OF NURSING AUDIT: 1. Concurrent nursing audit – patient care is observed as it is given. 2. Retrospective nursing audit - in this patient care Is evaluated only after the discharge of the patient.
- 20. MODEL OF QUALITY ASSURANCE: ANA MODEL OF QUALITY ASSURANCE:
- 21. QUALITY ASSURANCE PROCESS 1. Establishment of standard or criteria 2. Identify the information relevant to criteria 3. Determine ways to collect information 4. Collect and analyse the information 5. Compare collected information with established criteria 6. Make a judgment about quality 7. Provide information and if necessary, take corrective action regarding finding of appropriate sources 8. Determine ways to collect the information
- 22. PRACTICE STANDARD FOR PSYCHIATRIC NURSING: Standards of care pertain to professional nursing activities that are demonstrated by the nurse through the nursing process.These involve assessment,diagnosis,outcome identification,planning,implementation,and evaluation.The nursing process is the foundation of clinical decision making and encompasses all significant action taken by nurses in providing psychiatric mental health care to all client.
- 23. COMPONENTS OF PRACTICE STANDARDS: I. ASSESSMENT II. DIAGNOSIS III.PLANNING IV.IMPLEMENTATION V. EVALUATION
- 24. PATIENT RECORDS: This document describes standards for the structure and content of patient records, covering hospital referral letters, inpatient clerking, handover communications, discharge summaries and outpatient letters. They have been developed using published evidence and consultation with doctors, patients, nurses and allied healthcare professionals.
- 25. RESEARCH EVIDENCE: STATEMENT : To study the role of nurse administrators and managers in quality psychiatric care in psychiatry hospitals in Japan. (j.med.invest.February,2011). ABSTRACT: Psychiatric nurse administrator and manager greatly influence the quality of services .to improve treatment this article present the role of nurse administrator and manager in improving the quality of japnese psychiatric healthcare services RESULT: Data revealed that 275(22.7%) of 1213 hospitals that jpined these association and participated in the hospital functional evaluation.