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in/nuins
HOSPITALS, PATIENT CARE
UNITS AND WARD
MANAGEMENT
MR. SUJITH KURIAKOSE
LECTURER
DEPARTMENT OF COMMUNITY HEALTH NURSING
NITTE USHA INSTITUTE OF NURSING
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INTRODUCTION
DEFINITION
WHO: 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.
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OBJECTIVES OF A HOSPITAL
1. 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 problems
5. To detect, diagnose and treat illness at the earliest
6. To provide tertiary care including disability limitation and
rehabilitation
7. To maintain standards and provide quality care
8. To educate and train the health care providers
9. To enhance staff development activities
10. To promote biomedical research.

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SCOPE OF HOSPITALS
1. Coordinated health care team approach
2. Holistic care
3. Comprehensive care or specialized carfe
4. Integrated care
5. Research based or Evidence based care
6. Continuous care

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


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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




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



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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




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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




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ORGANIZATION AND FUNCTIONS
OF HOSPITALS
Nursing department Nurse Patient ratio
1. N-P Ratio for teaching hospital : 1:5
2. N-P Ratio for non-teaching hospital : 1:3
3. General ward: 1:6
4. Special wards (burns, neurology .): 1:4
5. NICU 2:1
6. ICU 1:1
7. LT 1:1 Per table
8. Major OT : 2:1 per table
9. Minor OT: 1:1 per table
10. Casualty 1 nurse for every 100 patients per day


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ORGANIZATION AND FUNCTIONS
OF HOSPITALS
Nursing department Function of NS
1. Staffing
2. Preparation of duty roster
3. Supervision and monitoring
4. Prepare job descriptions
5. Reporting to higher authority
6. Conduct nursing rounds
7. Nursing audit
8. Performance appraisal
9. Public relations



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ORGANIZATION AND FUNCTIONS
OF HOSPITALS
Central sterile and supply department
1. Supply sterile equipments to the
departments
2. Maintaining incoming, stock and outgoing
registers




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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


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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

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CLASSIFICATION OF HOSPITALS
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

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CLASSIFICATION OF HOSPITALS
Based on the system
Allopathic
Ayurvedic
Homeopathic
Unani
Sidha
Naturopathy
Yoga


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WARD MANAGEMENT
Wards are the local units of hospitals
Headed by the head nurse
Head nurse
Ward in charge
Staff nurse
Interns
Students
Attendant
sweepers
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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
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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
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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
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