B.SC Nursing Ward Management Topic (Management)

Hospital ward– is a block (or area) forming a division of a hospital (or a suite of rooms) shared by patients who need a similar kind of care.

It might be a large room, or combining couples of rooms, or assimilation of some coups under single management.

In-charge– is s/he, who shoulders these responsibilities of a ward. An In- charge is responsible for managing ward under her/his custody as a whole.

Goal of Ward Management

· To provide highest quality nursing care for patient.

· To provide a clean, well ventilated environment for patient and protect her/him from infection, accidents and hazards.

· To help the staff in achieving highest degree of job satisfaction.

· To provide facilities to meet the needs of patient and their attendants.

Components of Ward Managements

· Patient care;

· Personnel Management;

· Ensure supply and equipment;

· Environment Cleanliness;

· Follow of policies and procedures

Actions for ward management

· Evaluate nursing needs of patient and skill of person.

· Prepare monthly, weekly and daily time table for staff nurses.

· Give teaching and guidance to juniors.

· Develop good human relations.

· Evaluate personnel.

· Maintain inventories, requesting for supplies and services.

· .... Assign tasks to nurses.

· Coordinate with other departments for effective patient care.

· Gain co-operation from subordinates and supervisors.

· Delegate responsibility for patient care.

Role of In-Charge Nurse

In the health care delivery systems where the health status of the client is considered stable, implementation of the plan of care may be carried out by the in-charge nurse.

Monitoring

An in-charge is always a supervisor. Monitoring is her/his prime duty allover the time as defined by the Board/Council. Supervisors are first leader-level nurses, who are appropriately qualified and experienced and have received some preparation for the role. Supervisors can also be other, except in-charge nurse, who have sufficient training and experience in supervisory skills. They also to be supervised

Documentation and Record Keeping

Accurate record keeping and careful documentation is an essential part of nursing practice. The Nursing Council state that good record keeping helps to protect the welfare of patients and institution’ – which of course is a fundamental aim for nurses everywhere.

The concept and ideology of record keeping are-

Better information maintain

· Automatic form and report creation

· Avoid drudgery of repetitive typing

· Eliminate Writing and problems of poor handwriting

More Efficiency

· Eliminates paperwork and the need for getting a range of letterheads and stationery

· Speedy analysis of data.

Quality record keeping helps providing skilled and safe care wherever you are working. Registered nurses have a legal and professional duty of care according to the nursing and midwifery council guidelines, so your record keeping and documentation should demonstrate:

A full description of your assessment and the care planned and given.

Relevant information about your patient or client at any given time and what you did in response to their needs.

You have understood and fulfilled your duty of care, which you have taken all reasonable steps to care for the patient.

Documentation

You will see lots of different charts, forms and documentation. Every hospital, care home and community nursing service will have the same basic ones, but with small variations that work best locally.

The common documents that you will use include some of the following.

§ To act as a working document for day-to-day recording of patient care

§ To store a chronological account of the patient’s life, illnesses, its context and who did what and to what effect

§ To enable the clinician to communicate with him or herself

§ To aid communication between team members

§ To allow continuity of approach in a continuing illness,

§ To record any special factors that appear to affect the patient or the patient’s response to treatment

§ To record any factors that might render the patient more vulnerable to an adverse reaction to management treatment

§ To record risk assessments to protect the patient

§ To record the information received from others, includingcareers

§ To store a record to which the patient may have access

§ To inform medico-legal investigations

§ To inform clinical audit, governance and accreditation

§ To inform bodies handling complaints and inquiries

§ To inform research

§ To inform analyses of clinical activity.

§ To allow contributions to national datasets.

Nursing Assessment Sheet

The nursing assessment sheet contains the patient’s biographical details (e.g. name, age etc.), the reason for admission, the nursing needs and problems identified for the care plan, medication, allergies and medical history.

· Specific

· Measurable

· Achievable

· Realistic

· Urine flow

· Weight

· Bowel

· Fluid-intake

· Output