Professional Documents
Culture Documents
MANAGEMENT
BY
MS. SUSMITA BHAUMIK
LECTURER,
POST GRADUATE INSTITUTE OF
HOSPITAL ADMINISTRATION
Hospital ward - block forming a
division of a hospital (or a suite of
rooms) shared by patients who need a
similar kind of care; "they put her in a
4-bed ward"
Hospital in patient services basically covers 1/3 rd of the total
hospital complex. The functions of inpatient services are
•To render nursing care to all patients
•To provide necessary equipments, essential drugs and all other
stores requirements for patients care in an organized manner in the
wards
•It provides opportunity for training medical, nursing and
paramedical, nursing and medical staffs besides conducting
research work.
CONSTITUENTS
Patient space
Nursing space
corridors
Types of wards
General wards
Speciality wards
Factors to be kept in mind while designing a
ward
Movement space
Number of beds in a room
Bed spacing
Position of nursing station
Category of the ward
Ancillary rooms
Ratio of toilet accommodation
PLANNING AND DESIGNING-PHYSICAL
FACILITIES
AREA
LOCATION
SIZE
SHAPE
ANCILLARY ACCOMODATION
WATER AMD ELECTRICITY SUPPLIES
COMMUNICATION
AIR-CONDITIONING
Physical facilities
Area requirement per bed= 70-90 sq. feet
Rectangular shaped
Can have single/double corridor
Advantages
1.Patient beds not visible to outside visitors except for visiting hours
2. Gives a more clean and tidy look
3. It provides as a barrier against psychological shock for other patients
during emergency situations.
4. More privacy
Disadvantages
1.Communication between nurses and patient becomes more difficult
2. Patients deprived of direct observation from nurses
3. Wards become longer, consequently nurses have to run more
4. More nurses are required
5. Costly to build and maintain
ANCILLARY ACCOMODATION
•Nursery
•Premature 230
•Septic 150
•Normal 150
•Nurses station with toilet 190
•Doctors room 190
•Breastfeeding room 115
•Store 115
•Phototherapy room 115
•Sluice room 115
Duties and responsibilities of personnel for effective
functioning of wards
Nursing personnel
Endorse patients and give attention to patients’ comfort and safety
Delivers clean medical supplies to patient care units and collect used
supplies, instrument sets, rubber goods, etc.
Makes general assessment of patients in the recovery room and
confers with head nurse nursing management of each patient
Accompanies physician on rounds to answer questions, receives
instructions and notes patients’ care requirements. Reports to
replacement on next tour on condition of patients or of any untoward
or unusual actions taken. May render professional nursing care and
instruct patients and members of their families in techniques and
methods of home care after discharge
•Assigns duties to professional and ancillary nursing personnel based on
patients’ needs, available staff, and service needs. Supervises and
evaluates work performance in terms of patient care, staff relations and
efficiency of service. Provides for nursing care and cooperates with other
members of medical care team in coordinating patients’ total needs.
Identifies and studies nursing service problems and assists in their
solutions. Observes nursing care and visits patients to insure that nursing
care is carried out as directed and treatment is administered in
accordance with physician’s instructions and to ascertain needs for
additional or modified services. Maintains safe environment for patients.
Operates or supervises operation of specialized equipment assigned to
unit and provides assistance and guidance to nursing team as required.
•Visit clinical nursing divisions to oversee nursing care and to ascertain
condition of patients. Gives advice for treatments medications, and
narcotics, in accordance with medical staff policies in absence of
physician. Arranges for emergency operations and relocations of
personnel during emergencies. Admits or delegates admissions of new
patients.
•Cooperates with individual/group in other departments or services in
carrying forward the work of the hospital as a whole.