NURSING DEPARTMENT

INTRODUCTION:
Nursing is a profession with in the health care sector focus on the care of
the individuals, families, and communities so they may attain, maintain, recover optimal
health and quality of life. Nurses may be differentiated from other health care provided by
their approach to patient care, training and scope of practice. Nurses practice in many
specialities with differing levels of prescription authority. Many nurses provide care with in
the ordering scope of physicians, and this traditional role as shaped the public image of
nurses as care providers. However, nurse practitioners are permitted by most jurisdictions to
practice independently in a variety of setting. In the post war period, nurse education has
undergone a process of diversification towards advanced and specialized credentials, and
many of the traditional regulations and provider roles are changing.

OBJECTIVES:
 Nursing is a dynamic therapeutic and educative process in meeting the health care
needs of patients
 It ensures timely and continuous care for sick
 Ensure qualitative, quantitative, efficient and effective nursing care

FUNTIONS OF THE DEPARTMENT:

 To assist the individual patient in performance of those activities contributing to his
health or recovery
 To help and encourage the patient carry out the therapeutic plan initiated by the
physician
 To assist other members of the health team, o assist other members of the team to plan
and carry out the total program of care

FACTORS INFLUENCING PATIENT CARE:

 The type of service
 The acuteness of the service & the rate of turnover of patient
 The experience of the nurses
 The number & quality of teaching
 The amount of appointment of the medical staff
 The plan of ward floor plan
 The physical facilities
STRUCTURE:
LOCATION:
 It is located from second floor to sixth floor(IP wards)

LAYOUT:
A typical nursing station at KMCH

Forms Waste disposal area Hand washing

and area
registers
cupboard

Nurses Station

Secretary area front desk

Code blue &

Medical trolley

FLOOR WISE NURSING STATION AND NURSE PATIENT RATIO:

WARDS MAN POWER NURSE PATIENT
RATIO
2ND Floor
2cc east 13 1:5
H2(General Surgery) 30 1:10
J2 (Nephrology) 9 1:5
3rd Floor
Paediatric ward 12 1:7
Gynaec ward 7 1:5
3rd east 7 1:7
B-Block (Neuro, General 11 1:10
medicine psychiatric ward)
3rd wing- A Block (Medical 15 1:5
Surgical)
CCC-A (Paediatric, General 20 1:7
Medicine, Orthopaedics)
3rd west (gyn & Paed) 9 1:6
th
4 Floor
North – C (OBSTETRICS ) 16 1:7
th
4 South (Cardiology) 9 1:7
th
4 east(Cardiothoracic) 17 1:6
4th CC (post operating ward) 10 1:5
B-Block (Haematoncology 15 1:5 & 1:3
ward)
4th wing A-Block (Surgical 15 1:5
oncology)
4CCC – A 13 1:5
Male Medical & Surgical 14 1:7
4CCC – C – Female Medical 12 1:5 & 1:6
& Surgical
5th Floor
5th wing west (Neuro, 16 1:5
Paediatric)
5th North (Gynaec & 16 1:7
obstrectics)
5th South 10 1:6
5th east (Neuro) 20 1:5
th
5 CC (Neuro case) 6 1:5
J5 (Medical ward) 18 1:8 & 1:7
B-Block (Nuero+ortho) 12 1:6 & 1:7
A-Block 13 1:7
5th CCC-A 13 1:4
5CCC-B 12 1:4
6th Floor
6ht wing CCC –A (Suite 12 1:2 & 1:3
Room)(King 1, Queen 2)
6th CC(Isolation ward) 16 1:4
2CC east 13 1:5
H2 (General Surgery) 10 1:10
J2 (Nephrology ) 9 1:5
Note: Nurse patient ratio is subjected to change as per census

HIERARCHY:
Chief Nursing Officer
Nursing Superintendent
Deputy Nursing Superintendent
Assistant Nursing Superintendent
Ward Sister-Clinical Supervisor
Staff Nurse
Student Nurse
SHIFT PATTERN:
 Morning Shift - 7am – 4pm
10am – 7pm
 Night Shift - 7pm – 7am

EQUIPMENTS:
 Refrigerator
 Manual Call Point (Nursing Call Point)
 Form Cupboard
 Register Cupboard
 Notice Board
 Key room
 Code blue trolley
 Height Machine
 Weight Machine
 Routine Hand wash area
 Dressing Trolley
 Medical Trolley
 Vital Science Instruments – BP apparatus, Spirometer, Thermometer, Inch tape

REGISTERS AND FORMS:

Registers
 Error Note
 Leave Note
 Discharge Note
 Lending Note
 CSSD Indent & Return Note
 Sample Collection
 Ward Stock
 Store Note
 Pharmacy Note
 Nominal Note
 Weekly cleaning Note
 Newborn Note
 Credit Note
 Assignment Note
Forms
 Consent Form
 Anaesthetic Form
 Blood Transfusion Form
 Drug Form
 IO Chart
 Vital Form
 EEG/ECG Form
 Doctor Progress Chart
 Preoperative checklist
 Nurses Records
ESSENTIAL ELEMENTS:
 A written statement of the purpose & objectives
 A plan of organization
 Policy & administrative manuals
 Nursing service budget
 A master staff planning
 Plans of appraisal of nursing
 Nursing service administrative meetings
 Advisory committees
 Adequate facilities, supplies & equipments
 Written job description & job specifications
 Personal records
 In-service education of nursing personnel
 Meeting with personnel form other departments

ROLE OF NURSING ADMINISTRATOR:

 Ward Management
 Discipline
 Public Relations
 Office duties
 Confidential Reports
 Education
 Staff Welfare
 Conferences
 Supervision
 Records and Reports
PROBLEMS AND CHALLENGES:
 Lack of adequate training
 Problem of personnel management
 Inadequate number of nursing staff
 Shortage of trained manpower
 Poor role model
 No research scope
 Professional risk/harzards
 No autonomy in nursing activities
 Lack of motivation
 No involvement in planning

CERTIFICATES:
 All nursing professionals should be register under respective state nursing council
 They should be member of Indian nursing council
PROTOCOLS FOLLOWED BY NURSES:
 Needle stick injury protocol
 Cauti-prevention protocol
 CRBSI prevention protocol
 Code Blue protocol
TRAINING:

 Infection Control Training- This training to all employee to create awareness and to
take measures on infection control within the hospital premises.
 Basic Life Support Training- This training is given to all employees to handle medical
emergency situation.
 Fire and Safety & Disaster Management
 Biomedical Waste Management

CONCLUSION:
Nurses form the back bone of the hospital they are the person who is
capable of handling the emergency situation. KMCH provides the necessary training and
orientation to the nurse. KMCH nurses are found to be very skillfull.