Hospitals Patient Care Units and Ward Management

www.nitte.edu.in/nuins

HOSPITALS, PATIENT CARE UNITS AND WARD

MANAGEMENTMR. SUJITH KURIAKOSE

LECTURERDEPARTMENT OF COMMUNITY HEALTH NURSING

NITTE USHA INSTITUTE OF NURSING


INTRODUCTION DEFINITIONWHO: Hospital is an integral part of a social and

medical organization, the function of which is to provide for the population complete health care, both curative and preventive, and whose out patient services reach out to the family and its environment; the hospital is also a centre for the training of health workers and biosocial research.


OBJECTIVES OF A HOSPITAL1. To deliver care to all patients irrespective of any status

2. To promote and restore health, and prevent illness and complications

3. To cure illness 4. To create awareness about health problems5. To detect, diagnose and treat illness at the earliest6. To provide tertiary care including disability limitation and

rehabilitation7. To maintain standards and provide quality care8. To educate and train the health care providers9. To enhance staff development activities10. To promote biomedical research.


SCOPE OF HOSPITALS1. Coordinated health care team approach2. Holistic care3. Comprehensive care or specialized carfe4. Integrated care5. Research based or Evidence based care6. Continuous care


ORGANIZATION AND FUNCTIONS OF HOSPITALS Reception: it receives patients with illness and

directs to OPD Members: receptionist and nurse Functions: – clarify the enquiry– Guide the patients to various departments– Maintain various registers and records


ORGANIZATION AND FUNCTIONS OF HOSPITALS Outpatient department: Registration History collection and physical examination Consultation with the doctor References Referral system Initial admission procedures


ORGANIZATION AND FUNCTIONS OF HOSPITALS Inpatient department: Admission and discharge of patients Provision of medical and nursing care Investigations Health education Infection control Material management Staff development


ORGANIZATION AND FUNCTIONS OF HOSPITALS Administrative department: Administrative officer Assistant officers Manager Secretary Treasury Clerks Accountants Class IV workers


ORGANIZATION AND FUNCTIONS OF HOSPITALS Administrative department: functions Staffing Maintenance of the hospital building Budgeting for the hospital Supervision Controlling and coordination among various functionaries Medical and nursing audit Performance appraisal Patient welfare activites Quality assurance Accreditation Reporting


ORGANIZATION AND FUNCTIONS OF HOSPITALS Hierarchy of hospital administration

Chief medical officer

Nursing superintendent

ANS

Head nurse

Ward incharge

Staff nurse

Interns/student nurses

Class IV


ORGANIZATION AND FUNCTIONS OF HOSPITALS Nursing department – Nurse – Patient ratio1. N-P Ratio for teaching hospital : 1:52. N-P Ratio for non-teaching hospital : 1:33. General ward: 1:64. Special wards (burns, neurology ….): 1:45. NICU – 2:16. ICU – 1:17. LT – 1:1 Per table8. Major OT : 2:1 per table9. Minor OT: 1:1 per table10. Casualty 1 nurse for every 100 patients per day


ORGANIZATION AND FUNCTIONS OF HOSPITALS Nursing department – Function of NS1. Staffing 2. Preparation of duty roster3. Supervision and monitoring4. Prepare job descriptions5. Reporting to higher authority6. Conduct nursing rounds7. Nursing audit8. Performance appraisal9. Public relations


ORGANIZATION AND FUNCTIONS OF HOSPITALS Central sterile and supply department1. Supply sterile equipments to the departments2. Maintaining incoming, stock and outgoing

registers


ORGANIZATION AND FUNCTIONS OF HOSPITALS Diagnostic department Dietary department Emergency or casualty Operation rooms ICUs Isolation units Postmortem room/

autopsy Forensic department Pharmacy Counseling department

House keeping Laundry Ambulance Public relation MRD HRD Blood bank Physiotherapy Research


CLASSIFICATION OF HOSPITALS

Based on the ownership Public hospitals Voluntary hospitals Private/ charitable/ nursing homes Corporate hospitals Based on the length of stay Short term stay – acute illness Long term stay – chronic illness



Based on the license to treat General hospitals Specialty hospitals Based on the size Teaching hospitals – 500 beds District hospitals - 200 beds Taluka hospitals -50 beds Primary health centers – 4 – 30 beds



Based on the system Allopathic Ayurvedic Homeopathic Unani Sidha Naturopathy Yoga


WARD MANAGEMENT Wards are the local units of hospitals Headed by the head nurse

Head nurseWard in charge

Staff nurseInterns

StudentsAttendant sweepers


WARD MANAGEMENT Responsibilities of head nurse Plan the duty roster Monitoring and supervision Conduct nursing rounds Maintenance of registers Ward meetings Performance appraisal Staff development activities Material management Recording and reporting Staff and patient welfare Teaching


WARD MANAGEMENT Responsibilities of

ward in charge Reporting Plan and implement

patient care Ward maintenance Ward rounds

Responsibilities of ward staff nurse

Provide individual care Recording and reporting Maintain nurses record Supervise class IV Ward maintenance Material mangement Supervise and teach

interns and students


FACTORS AFFECTING GOOD WARD

MANAGEMENT Good knowledge of ward management Well planned work schedules Punctuality Good supervision Adequacy of supplies and equipments Nurse patient ratio Staff development activities Team work


Documents

Hospitals Patient Care Units and Ward Management