DGN324/2 NURSING MANAGEMENT Nurhayati Mohamad Nor Msc. Clinical Science (Surgery) Bac. Nursing (Critical Care), Dip. Nsg, R.Nurse Program Kejururawatan, Pusat Pengajian Sains Kesihatan, Universiti Sains Malaysia 16150, Kota Bharu Kelantan, MALAYSIA.
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 areal so 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
1. CARE GIVER 2. DECISION MAKER 3. COMMUNICATOR 4. MANAGER OFCARE 5. PATIENT ADVOCATOR 6. TEACHER
1. Number and type of patient. 2. Number of beds and type of ward. 3. The services required. 4. Procedures/techniques necessary for care. 5. Number and type of personal needed to perform care effectively. 6. Physical facilities. 7. Provisional of equipment and supplies.
1.Maximum comfort and happiness by way of pleasant surroundings. 2.Qualitative/comprehensive care to the patient. 3.Care based on the patient’s needs. 4.Accurate assessment of illness. 5.Adequate material resources at all times. 6.Health education to the patient and attendants. 7.Managerial skills as and when required. 8.Privacy at all levels.
1.Helps to clarify delegated functions& authority. 2.It is the basic for determining the nature of development desired for the position. 3.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 in patient 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 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 1. Administrative records: Organogram, job description, procedure manual 2. Personnel records: personal files, records 3. Patient related records: patient records send to Medical director 4. Leave record, duty roster, meeting minutes, budget etc 5. Miscellaneous: circular, round book, formats etc
1. Orientation training 2. Training on BLS & ACLS 3. Training on soft skills (communication skills, teambuilding etc…) 4. HMIS / IT Awareness training 5. Trainings on quality standards 6. Training on fire fighting 7. Training on bio medical waste management
COMPONENTS OF WARD MANAGEMENT • Management of Patient care • Personnel management • Management of Supply and equipment’s • Management of Environment cleanliness
1. ADMISSION ANDORIENTATION 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 ANDREPORTS 8. MANAGEMENT OF EMERGENCIES 9. CLIENT TEACHING 10. APPRAISAL OF NURSING SERVICE
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
1. Admission and orientation of the client • Hospital • Routines of Hospital • Rules and Regulations • Personnel Working • Ward Equipment • Ward Procedures
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. PLANNINGTHETIME SCHEDULES& WORK SCHEDULES • To provide adequate Nursing care each day • To provide best possible experience for each personnel • To promote good relationship and satisfaction
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
1. Inadequate supply of materials 2. Equipment may be out of order. 3. Supplies & Equipment maybe in accessible. 4. Equipment is in conveniently located.
• Standard for quantity of each item • System for replacing broken equipment. • Regular inventories • Intelligent ordering
1. Adequate Lighting 2. Prevention of Noise 3. Elimination of unpleasant odours (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
1. Adequate Lighting 2. Prevention of Noise 3. Elimination of unpleasant odours (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