NURSING CARE AND

NURSING WARD MANAGEMENT

PRESENTED BY: DR.LAVYA BHARATH MR.HARISHANANDA KP

CONTENTS NURSING CARE HISTORY OF NURSING ROLES & FUNCTIONS OF NURSE FACTORS TO BE CONSIDER IN PLANNING HOSPITAL NURSING

SERVICES ORGANOGRAM OF NURSING DEPT OBJECTIVES OF NURSING IN WARD JOB DESCRIPTION OF NURSE SIU NORMS NURSING REGISTERS ESSENTIAL NURSING TRAINING NURSE BED RATIO HANDWASHING PROCEDURE NURSING WARD MANAGEMENT COMPONENTS OF WARD MANAGEMENT NURSING STATION COMPONENTS IN BRIEF

NURSING CARE International Council of Nurses (1899): Nursing

encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well 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, and education are also 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. 

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 IN PVT HOSPITAL

DIRECTOR

MEDICAL SUPERINDENT

NURSING SUPERINDENT

DEPUTY NURSING SUPERINDENT

NURSING SISTERS

ASSISTANT NURSING SUPERINDENT

STAFF NURSES

AUXILLIARY NURSE & 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.

JOB DESCRIPTION OF NURSE Helps to clarify delegated functions

& authority.

It is the basic for determining the nature of development desired for the position.

A written job description provides information including the tasks of the job as well as the job relation to other job.

CHIEF NURSE Executive head of nursing service

ASSISTANT CHIEF NURSE Assist the chief nurse in planning,

setting up ,supervision of staff and education programme to nursing service

SUPERVISOR (WARD) Responsible for management of nursing

care and services in all inpatient units

SENIOR NURSE WARD Responsible for administration of particular

unit, Maintains the standard of patient care, supervises the nursing activities in her unit.

STAFF NURSE Responsible for rendering nursing care of

patients. Asses, plans & implement nursing activities. Act as a team leader. Must be able to carry out doctors order

within hospital policy and legal limitations, maintain records, nursing notes and individual care.

S.I.U NORMSThe 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 RATIOSl. 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

NURSING WARD MANAGEMENT

COMPONENTS OF WARD MANAGEMENT

Management of Patient care

Personnel management

Management of Supply and equipments

Management of Environment cleanliness

NURSING STATION

COMPONENTS IN BRIEFMANAGEMENT OF PATIENT CARE1. ADMISSION AND ORIENTATION OF THE CLIENT2. ASSESSMENT OF CLIENT’S NEEDS & CARE3. PROGRESSIVE CLIENT CARE4. PRIORITY NURSING CARE5. PLANNING THE TIME SCHEDULES & WORK

SCHEDULES6. WARD ROUNDS7. RECORDS AND REPORTS8. MANAGEMENT OF EMERGENCIES9. CLIENT TEACHING10. APPRAISAL OF NURSING SERVICE

COMPONENTS IN BRIEF1.Admission and orientation

of the client Hospital Routines of Hospital Rules and Regulations Personnel Working Ward Equipment Ward Procedures

COMPONENTS IN BRIEF2.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

4.PRIORITY NURSING CARE

5.PLANNING THE TIME SCHEDULES & WORK SCHEDULESTo provide adequate Nursing care each dayTo provide best possible experience for each

personnelTo promote good relationship and satisfaction

6.WARD ROUNDS

7.RECORDS AND REPORTS24 Hours ReportCensus ReportBirth & Death Report Anecdotal Report

COMPONENTS IN BRIEF

COMPONENTS IN BRIEF8. Management of

Emergencies

9. Client Teaching

10. Appraisal of Nursing Service

MANAGEMENT OF THE PERSONNEL

1. Orientation of the new personnel2. Supervision of the personnel &

delegation of authority3. Establishment of IPR4. Evaluation of the personnel5. Staff conferences6. Staff development Programme7. Health, Safety & Welfare of the

personnel

MANAGEMENT OF SUPPLIES & EQUIPMENT

1. Inadequate supply of materials

2. Equipment may be out of order3. Supplies & Equipment may be

in accessible4. Equipment is in conveniently

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