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HOSPITAL NURSING SERVICE  DR.N.C.DAS
HOSPITAL NURSING SERVICE   ,[object Object],[object Object],[object Object],[object Object]
ORGANIZATION  -  The organization is an effective tool delineating the channels of communication ,  supervisory responsibility and accountability.  -  The nursing service can broadly be classified into two categories.  NURSING SERVICE   NURSING CARE NURSING  EDUCATION   PRINCIPAL   NURSING  LECHTURER  TUTOR STUDENTS
HOSPITAL SERVICES   NURSING  DUTY WARD ADMINISTRATION   MONITORING & EVALUATION  REGISTRATION & RECORDS  MAINTENANCE OF  SUPPLIES  PATIENT CARE   MANAGEMENT  EDUCATION  HOUSE  KEEPING  WARD PLANNING  & STAFFING
ORGANOGRAM  MEDICAL SUPERINTENDENT   NURSING SUPERINTENDENT   DY. N.S DY. N.S ANS  WARDS   SISTER I/C STAFF  NURSE  GROUP ‘ D’ ANS  ICU  ANS  OT  ANS  CCU ANS  INV.  SERVICES  ANS OPD ANS  EMERG. ANS  CASULATY  SISTER I/C SISTERS STAFF  NURSE  GROUP ‘D’ SISTERS ANS  OT
ADMINISTRATIVE RESPONSIBILITY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ADMINISTRATIVE RESPONSIBILITY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SIU NORMS FOR NURSING STAFF   (AIIMS NURSING   SERVICES) 1 Nursing Sister for 3-6 Staff Nurses.  1 ANS for 4-5 Nursing Sister.  1 DNS for 5-7 ANS. 1 NS for 250-500 beds and above.  1 CNO for 500 > beds .
INC NORMS   HIGH POWER COMMITTEE ON NURSING DATED 21.11.09 IN INDIA   I NS for 200 beds and more Dy NS 1:30 beds  Asst. NS 1:100 Ward Sister – 1:25 beds + 30% LR Staff Nurse – 1:3 beds (1:9 for shift) 30% LR For OPD & Emergency – 1:100 patients (1 bed : 5 OPD pt) Average Annual 30% LR For ICU = 1:1 (or 1:3 beds per each shift) 30% LR 1: 2 beds in the night OT, L Room = 1:25 patients, 30% LR   Average Annual
PATIENT CARE SERVICES   NURSING  CARE  MAXIMUM COMFORT  TO PATIENT  NEED BASED  CARE  STANDARD  QUALITATIVE  CARE
NURSING CARE APPROACH   APPROACH  BASIC NURSING  CARE  PALLIATIVE CARE  (last stage) SELF CARE / ASSISTED CARE  PRIMERY NURSING  Individualized Care FUNCTIONAL NURSING  (Task Oriented) TEAM NURSING (Different Level Competence) TOTAL PATIENT CARE ( Patient Total Care) CASE MANAGEMENT (Care Beginning to end)   PPC  Progressive Care
FUNCTIONAL METHOD   ,[object Object],[object Object],[object Object],S. NO ADVANTAGE  DISADVANTAGE  1. Improves efficiency of Nurse  No satisfaction of nurse 2. More work can be done, utilization of time No accountability for patient  3. Less confusion and proper monitoring  Nursing care monotonous  4. Skill development on repeated working same task No individualized care  Patient confused and dissatisfied  Not know whom to complain
PATIENT CARE METHOD   ,[object Object],[object Object],[object Object],[object Object],S.NO ADVANTAGE  DISADVANTAGE  1. Patient get more individualized care More workers required  2. Patient is satisfied  Less work done, time utilization inadequate  3. Opportunity for patient education  Efficiency not increased  4. Less confusion  Not good developing nursing skill 5. Satisfaction of Nurse
TEAM METHOD   ,[object Object],[object Object],[object Object],[object Object],S.NO ADVANTAGE  DISADVANTAGE  1. Better Patient Care  More staff required  2. Accountability, Job satisfaction  Effective when leader is stable  3. Better patient care planning  Success if all dedicated and work as per direction  4. Member learns team spirit  5. Communication is better
OTHER FUNCTIONS   FUNCTIONS  WARD  MANAGEMENT  EVALUATION  OFF STATION  MONITORING & SUPERVISION   HOUSE KEEPING  CLERICAL & DIET  MAINTENANCE OF  RECORDS & REGISTRATION  EDUCATION   SUPPLY MAINTENANCE  OF EQUIPMENTS
WARD MANAGEMENT   The objective of ward management is-   ,[object Object],[object Object],[object Object],MANAGEMENT  WARD  MANAGEMENT  STRATEGIC  MANAGEMENT  OBJECTIVE  MANAGEMENT
FUNCTIONS OF WARD SISTER IN CHARGE : (WARD MANAGEMENT) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
STRATEGIC MANAGEMENT   ,[object Object],[object Object],[object Object],[object Object],[object Object],OPERATIONAL MANAGEMENT  ,[object Object],[object Object],[object Object],[object Object]
EVALUATION  FACTORS INFLUENCING  PATIENT CARE  EFFECTIVE USE  OF BEDS  WORK  LOAD  LEVEL OF  SERVICE  FACILITIES  HOSPITAL  SUPPLY  ADMINISTRATION   LEVEL OF  EDUCATION & TRAINING  PHYSICAL  FACILITIES  HOSPITAL  STAFF
EVALUATION  INDICATORS  PATIENT CARE  FACTORS  SANITATION  EDUCATION  LEVEL  PRACTICAL  SKILL  NURSING  AUDIT  RETROSPECTIVE  (Medical Records) INTROSPECTIVE  ( Performance Evaluation  Of above factors) EVALUATION
HOSPITAL ADMINISTRATION MADE EASY http//hospiad.blogspot.com An effort solely to help students and aspirants in their attempt to become a successful Hospital Administrator. hospi ad DR. N. C. DAS

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Hospital nursing service

  • 2.
  • 3. ORGANIZATION - The organization is an effective tool delineating the channels of communication , supervisory responsibility and accountability. - The nursing service can broadly be classified into two categories. NURSING SERVICE NURSING CARE NURSING EDUCATION PRINCIPAL NURSING LECHTURER TUTOR STUDENTS
  • 4. HOSPITAL SERVICES NURSING DUTY WARD ADMINISTRATION MONITORING & EVALUATION REGISTRATION & RECORDS MAINTENANCE OF SUPPLIES PATIENT CARE MANAGEMENT EDUCATION HOUSE KEEPING WARD PLANNING & STAFFING
  • 5. ORGANOGRAM MEDICAL SUPERINTENDENT NURSING SUPERINTENDENT DY. N.S DY. N.S ANS WARDS SISTER I/C STAFF NURSE GROUP ‘ D’ ANS ICU ANS OT ANS CCU ANS INV. SERVICES ANS OPD ANS EMERG. ANS CASULATY SISTER I/C SISTERS STAFF NURSE GROUP ‘D’ SISTERS ANS OT
  • 6.
  • 7.
  • 8. SIU NORMS FOR NURSING STAFF (AIIMS NURSING SERVICES) 1 Nursing Sister for 3-6 Staff Nurses. 1 ANS for 4-5 Nursing Sister. 1 DNS for 5-7 ANS. 1 NS for 250-500 beds and above. 1 CNO for 500 > beds .
  • 9. INC NORMS HIGH POWER COMMITTEE ON NURSING DATED 21.11.09 IN INDIA I NS for 200 beds and more Dy NS 1:30 beds Asst. NS 1:100 Ward Sister – 1:25 beds + 30% LR Staff Nurse – 1:3 beds (1:9 for shift) 30% LR For OPD & Emergency – 1:100 patients (1 bed : 5 OPD pt) Average Annual 30% LR For ICU = 1:1 (or 1:3 beds per each shift) 30% LR 1: 2 beds in the night OT, L Room = 1:25 patients, 30% LR Average Annual
  • 10. PATIENT CARE SERVICES NURSING CARE MAXIMUM COMFORT TO PATIENT NEED BASED CARE STANDARD QUALITATIVE CARE
  • 11. NURSING CARE APPROACH APPROACH BASIC NURSING CARE PALLIATIVE CARE (last stage) SELF CARE / ASSISTED CARE PRIMERY NURSING Individualized Care FUNCTIONAL NURSING (Task Oriented) TEAM NURSING (Different Level Competence) TOTAL PATIENT CARE ( Patient Total Care) CASE MANAGEMENT (Care Beginning to end) PPC Progressive Care
  • 12.
  • 13.
  • 14.
  • 15. OTHER FUNCTIONS FUNCTIONS WARD MANAGEMENT EVALUATION OFF STATION MONITORING & SUPERVISION HOUSE KEEPING CLERICAL & DIET MAINTENANCE OF RECORDS & REGISTRATION EDUCATION SUPPLY MAINTENANCE OF EQUIPMENTS
  • 16.
  • 17.
  • 18.
  • 19. EVALUATION FACTORS INFLUENCING PATIENT CARE EFFECTIVE USE OF BEDS WORK LOAD LEVEL OF SERVICE FACILITIES HOSPITAL SUPPLY ADMINISTRATION LEVEL OF EDUCATION & TRAINING PHYSICAL FACILITIES HOSPITAL STAFF
  • 20. EVALUATION INDICATORS PATIENT CARE FACTORS SANITATION EDUCATION LEVEL PRACTICAL SKILL NURSING AUDIT RETROSPECTIVE (Medical Records) INTROSPECTIVE ( Performance Evaluation Of above factors) EVALUATION
  • 21. HOSPITAL ADMINISTRATION MADE EASY http//hospiad.blogspot.com An effort solely to help students and aspirants in their attempt to become a successful Hospital Administrator. hospi ad DR. N. C. DAS