DR.AMIT PRASAD, CMO(SG)

1. WARD MANAGEMENT AND NURSING ADMINISTRATION BY DR.AMITPRASAD, CMO(SG)

2. 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.

3. 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.

4. 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.

5. ROLES & FUNCTIONS OF NURSE • CARE GIVER • DECISION MAKER • COMMUNICATOR • MANAGER OF CARE • PATIENT ADVOCATOR • TEACHER

6. 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

7. ORGANISATIONAL STRUCTURE OF NURSING DEPARTMENT DIRECTOR MEDICAL SUPERINDENT NURSING SUPERINDENT DEPUTY NURSING SUPERINDENT ASSISTANT NURSING SUPERINDENT STAFF NURSES AUXILLIARY NURSE & MIDWIFE NURSE NURSING SISTERS

8. 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.

9. 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.

10. 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..

11. 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

12. NURSE BED RATIO

13. WARD MANAGMENT

14. COMPONENTS OF WARD MANAGEMENT • Management of Patient care • Personnel management • Management of Supply and equipment • Management of Environment cleanliness

15. NURSING STATION

16. 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

17. 1.ADMISSION AND ORIENTATION OF THE CLIENT • Hospital • Routines of Hospital • Rules and Regulations • Personnel Working • Ward Equipment • Ward Procedures

18. 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

19. 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

20. 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

21. 7.RECORDS AND REPORTS • 24 Hours Report • Census Report • Birth & Death Report • Anecdotal Report

22. 8. Management of Emergencies 9. Client Teaching 10. Appraisal of Nursing Service

23. 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

24. 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

25. KEEPING AN ADEQUATE SUPPLY AT HAND • Standard for quantity of each item • System for replacing broken equipment • Regular inventories • Intelligent ordering

26. 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