NURSING UNIT MANAGEMENT

INTRODUCTION
• Nursing department of the hospital is to
administer high-quality, cost-effective care to
patients & families, provide health promotion
programmes to all people, maintain a
supportive environment for education of the
professional nurses & promote career
development of nursing employees.
• High quality of nursing care can best be
provided by a mixture of professional and non
professional personnel who are organized into
self directed work teams
OBJECTIVES OF NURSING SERVICE IN
HOSPITAL
• It includes Management of Nursing Care &
Services Education, Training and Staff
Development Programmes Nursing Research
& Community Health Programmes
CATEGORIES OF NURSING PERSONNEL
IN HOSPITAL
• In government setup, the categories of nursing
personnel include
• Nursing Superintendent Grade I
• Nursing Superintendent Grade II
• Head Nurse Staff Nurse
• Nursing Officer
ORGANIZATION OF NURSING SERVICE
UNIT IN HOSPITAL
• Nursing service refers to the coordinating
responsibility of the nurse who, in addition to
giving nursing care, also works with members of
allied disciplines such as dietetics, medico-social
service, pharmacy & various others in providing
a comprehensive programme of patient care.
• In a hospital , many variable factors influence
the number of nurses needed in a ward in order
to render high quality of nursing care.
 The factors include
• The type of service, ie; medical, surgical, obstetrics &
gynaecology, pediatrics etc.
• The acuteness of the service & the rate of turn over of
patients according to the degree or period of illness.
• The experience of the nurses who are to give the
patient care.
• The number of non-nurses who involved in the
patient care, the quality of their work, their stability
in service.
• The amount and quality of teaching which
proceeds the assignment of personnel to the
service as well as that gives as in-service
preparation.
• The amount & quality of supervision & ward
teaching.
• The method of appointment of the medical staff.
• Affiliation of the hospital with medical college /
nursing colleges / school.
• The plan of the ward – floor plan.
• The physical facilities.
• The amount, type & location of equipment &
supplies.
• The number of hours in the working week of nurses
& other ward personnel & the flexibility in hours.
• The morale of the worker Methods of performing
nursing procedures.
• The time required for hospital routines, ie; record
keeping and reporting.
• The method of assignment. The standards of nursing
care. Good ward-management.
 FACTORS INFLUENCING WARD
MANAGEMENT
• Ward Management is one of the pre requisites
for good nursing care.
• There are many factors involved in good ward
management, which the nurse manager need to
understand thoroughly for the good
management of the ward.
• Knowledge of the ward
• Planning the schedule of the ward
• Starting the work on time
• Preventing interruptions
• Establishment of ward routines
• Use of democratic method in establishing ward
policy
• Orientation of new personnel Orientation of
hospital
• Orientation of ward
• Maintenance of suitable environment
• Providing supplies and equipments in a
hospital
• Clear cut specific orders for medical therapy and
nursing
• Record keeping Reporting
• Maintenance of high morale among all members of
the staff
• Establishment of good working relationship
• Delegating responsibility
• Assigning duties and responsibility
• Time planning
• Good teaching
• Good Supervision
MODES OF NURSING CARE / PATTERNS
OF NURSING CARE
• A pattern of nursing care is that system used
for the delivery of nursing care to patient /
clients.
• The method selected for assignment of nursing
staff to patients directly relates to the staffing
pattern adopted by the health facility.
In nursing service 4 basic patterns exist. They
are
• Case Method / Total Patient Care
• Functional Nursing
• Team Nursing
• Primary Care
 ROLE OF NURSE
ADMINISTRATOR IN NURSING
SERVICE MANAGEMENT
 CHIEF, NURSING SERVICE OR
NURSING SUPERINTENDENT AS
ADMINISTRATOR
• Planning for An organization of nursing service
which provides for effective functioning of all
nursing service personnel.
• Appropriate numbers & categories of personnel to
meet nursing needs.
• Promotion of the personal & professional growth of
all nursing service employees.
• Directing by Utilizing sound personnel management
practices in administering the nursing service.
• Controlling by Planning budgetary requests for
nursing service and participating in planning
for supplies and equipments which affects
nursing service programmes
• Establishing channels of communication and
means for reporting nursing service activities
Coordinating by Interrelating nursing service
activities with all other hospital services
• Evaluating by Conducting continuous review
and analysis of nursing service programmes
HEAD NURSE AS ADMINISTRATOR
• The administrative responsibilities of a head nurse are
primarily concerned with activities which ensure good
patient care & make the ward run smoothly.
• They include the planning of patient care & responsibility
for clear, complete, up to date orders which lessen
mistakes, & for well organized reports between all groups
so that patients are safeguarded, time is saved & nervous
tension is kept to a minimum.
• Another administrative function of head nurse is to
delegate duties and responsibilities according to the
qualification & abilities.
 ROLE OF STAFF NURSE IN NURSING
SERVICE ADMINISTRATION
• Planning for Individualized nursing care to
patients Directing by Supervising the nursing
care given to the patients assigned to her team.
• Promote the development and self realization
of team members.
• Controlling by Serving as a leader of the nursing
care team.
• Serving as a member of the nursing care team.
• Appropriately utilizing supplies and equipments.
Maintaining effective communication.
• Coordinating by Interrelating patient care activities
with the administration of the unit nursing service,
the total nursing service and other hospital
services.
• Evaluating by Participating in the appraisal of the
effectiveness of the administration of nursing
service.
Nursing Unit Management
MANAGEMENT OF CLIENT CARE

MANAGEMENT OF THE PERSONNEL

MANAGEMENT OF SUPPLIES &

EQUIPMENT

MANAGEMENT OF ENVIRONMENT
MA NA GEMENT OF CLI ENT CARE
1. ADMISSION AND ORIENTATION OF THE CLIENT
2.ASSESMENT OF CLIENT’S NEEDS & CARE
3.PROGRESSIVE CLIENT CARE
4.PRIORITY NURSING CARE
5.ASSIGNMENT OF PERSONNEL FOR CLIENT CARE
6.PLANNING THE TIME SCHEDULES & WORK
SCHEDULES
7.WARD ROUNDS
8.RECORDS AND REPORTS
9.MANAGEMENT OF EMERGENCIES
10.CLIENT TEACHING
11.APPRAISAL OF NURSING SERVICE
 Admission and orientation of the client

•Hospital
•Routines of Hospital
•Rules and Regulations
•Personnel Working
•Ward Equipment Ward Procedures
2.ASSESMENT OF CLIENT’S NEEDS & CARE
•T o Establish patent airway
•T o Check for adequate circulation
•T o support of activities of daily living
• Psychological support and spiritual needs
•C o n t i n u o u s monitoring of client

3.PROGRESSIVE CLIENT CARE

•Organising 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. Assignment of Personnel for Client Care

Functional Nursing
Case Method
Team Nursing
Primary care
6. Planning the time schedules & work schedules
a. To provide adequate Nursing care each day
b. To provide best possible experience for each
personnel
c. To promote good relationship and satisfaction

7. Ward Rounds
8. Records and Reports
• 24 Hours Report
• Census Report
• Birth & Death Report
• Anecdotal Report
9. Management of Emergencies

10.Client Teaching

11. Appraisal of Nursing Service

II. MA NA GEMENT OF THE PERSONNEL
1.Orient at ion of t he 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
III. MANAGEMENT OF SUPPLIES AND
EQUIPMENT
 MANAGEMENT OF SUPPLIES AND
EQUIPMENT
1.Inadequate supply of materials
2. Equipment may be out of order
3. Supplies & Equipment may be in
accessible
4. Equipment is in conveniently located
 KEEPING AN ADEQUATE SUPPLY AT
HAND
1. Standard for quantity of each item

2. System for replacing broken equipment

3. Regular inventories

4. Intelligent ordering
I V. MA NA GEMENT OF
ENVIRONMENT
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
 I V. MA NA GEMENT OF
ENVIRONMENT
7. Freedom from insects

8. Provision of adequate privacy

9. Prevention of cross infection

10. Control of visitors

 CONCLUSION
• Management is the process of getting work done
through others.
• Nursing management is the process of working,
through nursing personnel to provide care, cure
& comfort to groups of patients.
• The nurse managers/supervisors task is to plan,
organize, direct & control available financial,
material & human resources in order to provide
effective, economic care to groups of patients.
THANK YOU