Planning And Development Of

Nursing And Supportive Services

NADEEM, PREETI, REETIKA, SAFA, SAGAR
 GENERAL NURSING UNIT
A nursing unit is an area in a hospital
or other health care delivery setting
where patients with similar needs are
grouped to facilitate the delivery of
care by health care professionals
trained in the specialty.
As planning is put into action,
management functions of organizing,
leading and evaluating are
implemented, making all unit
management functions
interdependent
 PAEDIATRIC NURSING
Normalise the life of the
child during
hospitalisation in
preparation for the family
home, school and
community.

Respect the roles Minimise the

of the families in impact of the
the care of their child's unique
children condition.

Develop realistic, functional

Foster maximal
and coordinated home care
growth and
plans for the children and
development.
families.
 OBSTETRIC UNIT
High Risk Pregnancy Care
When things go wrong in obstetrics they go wrong fast.
Near Miss: A near-miss obstetric morbidity means a woman (in
pregnancy/labour/ puerperium) who almost died but survived
Incidence : 0.07% to 8.23% Case fatality ratio 0.02% - 37%
Haemorrhage/Anaemia and hypertensive disorders are the 3 common
contributors
Accidental Haemorrhage- Placental abruption,
For every maternal death that occurs, between 11 and 223 women
experience a near miss event in pregnancy
Obstetric patients are generally young and healthy & recover rapidly.
However, the potential for catastrophic complications is real.
 PSYCHIATRIC NURSING
Psychiatric nursing is the
appointed position of a nursing
that has specialized in mental
health and cares for people of
all ages with mental illness or
mental distress, such as bipolar
disorder, psychosis, depression,
dementia and many more.
 ISOLATION ROOM
Isolation is defined as the
voluntary or compulsory
separation and confinement of
those known or suspected to be
infected with a contagious
disease agent (whether ill or not)
to prevent further infections. (In
this form of
isolation, transmission-based
precautions are imposed.)
Effects of isolation
Isolation can have the following negative effects on patients and staff:
Patient may not be able to receive visitors, and in turn, become lonely
Patient may be anxious
Small children may feel their isolation is a punishment
Staff may need to spend more time with patients
Patients may not be able to receive certain types of care due to the risk
that other patients may become contaminated. This includes forms of
care that involve use of equipment common to all patients at the facility,
or that involve transporting the patient to an area of the facility common
to all patients
 Intensive Care Unit
ICU is highly specified area of a hospital
which is dedicated to management of
critically sick patient, injuries or
complications .
It is emerging as a separate specialty
and can no longer be regarded purely as
part of anaesthesia, Medicine, surgery
or any other specialty.
It has to have its own separate team in
terms of doctors, nursing personnel and
other staff who are tuned to the
requirement of the specialty.
Types of ICU

There are four types of ICU:

BY ORGAN
TRADITIONAL
SYSTEM

ICU

BY BY CLINICAL
CLENTRALLY SYNDROME

By Traditional Specialties: Surgical, Medical, Paediatric

By Organ System: Cardiac, Neuro, Renal, Respiratory
By Clinical Syndrome: Burn, Trauma, Stroke
By Clientele: Neonatal, Paediatric
Medical Environment
Air Condition:
ICU must be air conditioned.
Temp. maintained at 25 - 27C & 40 - 50% humidity.
Plenty of sunlight, large windows.

Ventilation:
6/8 air changes per hour.
Filters less than 10 microns.
Positive pressure flow from patient area to outside.
Medical Environment
Lighting:
Varying degree of illuminations for patient area, working area
Intensity 1 to 30 lumens as per need
Soothing and Glare free
Provision of dimmer lights

Noise:
To be noise free.
Soft & light music.
TV & clock in each cubicle
Noise absorbable materials
Walls reflection free, light colour
Floor mosaic
 NEWBORN NURSERIES
The room in a hospital
where new babies are kept
and cared for by nurses.
An area in a hospital when
new babies are looked after
until they go home.
The department in a
hospital where newborn
infants are cares for.
 ADMISSION DEPARTMENT
Hospital department responsible for the flow of patients and the
processing of admissions, discharges, transfers, and also most procedures
to be carried out in the event of a patient's death.
 RESPONSIBILITIES OF THE ADMITTING
DEPARTMENT
GATHER INFO FOR BILLING
INITIATE MEDICAL RECORD
PREPARE ID BRACELET. THIS IS THE SINGLE
MOST EFFECTIVE WAY OF IDENTIFYING THE
PATIENT
MAY BYPASS IN EMERGENCY SITUATION
AN ADDRESSOGRAPH CARD IS MADE
CONSENT FORMS ARE SIGNED, EG. LIVING
WILL, DIRECTIVES, WAIVERS
INITIAL ORDERS OBTAINED
VERBAL REPORT GIVEN TO FLOOR RN
PATIENTS ARE ESCORTED
 MEDICAL RECORD DEPARTMENT
Medical record as a clinical, scientific, administrative, and legal document relating
to patient care in which are recorded sufficient data written in the sequence of
events to justify diagnosis and warrant treatment and end results.
Mc Gibony
USE OF MEDICAL RECORDS

To
document
the course Useful to Provide
of patients produce epidemi
illness & health ological
treatment Statistics data

Communicate Legal Has

between Matter econo
attending s& mic
doctors and Court benefit
other health Cases s
Care
professional
providing care
to the patient
THE CENTRAL STERILIZATION & SUPPLY
DEPARTMENT (CSSD)
Service, with in the hospital, catering for the sterile supplies to all departments ,
both to specialized units as well as general wards and OPDs.

Mission of CSSD
Timely delivery of sterile goods
Quality (according to European
Standards EN)
Efficiency (line process)
Activities of the CSSD
Cleaning
Disinfection of semi- / non
critical items
Sterilization of critical items
(high risk for infection)
Supply of sterile materials
 Functions of CSSD
Receiving and sorting soiled materials used in the
hospital. Rinsing
Determining whether the item should be reused or
Receipt cleaning
discarded.
Carry out the process of decontamination or disinfection
prior to sterilization.
Carry out specialized cleaning of equipments and Issue &
Drying
supplies. Distribution
CSSD
Inspecting and testing instruments, equipments and
linen.
Assembling treatments trays, instrument sets, linen checking
packs, etc. Storage
Packing all materials for sterilization.
Sterilizing. sterilizatio
Labeling
Labeling and dating materials. n
Storing and controlling inventory.
Issuing and distributing.
ROLE OF MANAGER
Maintenance and
repair of equipment

Inventory
Optimal utilization
management of
of manpower and
supplies and
equipment
consumable

Record keeping Ensure quality of

and data analysis sterilization

Cost control
Ensure proper
measure, to analyze
distribution and
and reduce the
transport
number of cycle
 PHARMACY
Hospital pharmacy is the
department, service or a
domain in the hospital
organization managed
under the direction of a
professionally competent,
legally qualified pharmacist.
HOSPITAL PHARMACY DEALS WITH:

Supply of drug

Supply and
Filling of
storage of
special
ancillary
prescriptions
products

Storage and
dispensing of
Manufacturing
narcotic and
of the drugs
biological
products
FUNCTIONS OF A HOSPITAL PHARMACIST
To provide and evaluate pharmaceutical services

To draw a plan for hospital pharmacy administration

To establish liaison between administrative authorities and medical doctors.

To estimate the requirement for the department and enforce the policies and products for
the recruitment of adequate and competent staff

To develop and maintain an effective system of clinical and administrative records and
reports

To participate in and adhere to the financial plan of the operation for the hospital
 MATERIAL MANAGEMENT
Process of management
concerned with planning,
organizing and controlling of the
flow of materials to, through, and
out of an organization in an
integrated fashion
OBJECTIVE OF MATERIALS MANAGEMENT

TO ENSURE
TO REDUCE CORDIAL
CONTINUITY COST CONSISTENC
INVENTORY SUPPLIER
OF SUPPLY REDUCTION Y IN
INVESTMENT. RELATIONS
QUALITY.
 Scope of Materials Management

Purchasing
Material Planning & Control

Stores & Inventory Control

FUNCTION OF MATERIALS MANAGEMENT

Material Planning
Purchasing
Receiving & inspection
Warehousing
Transportation (inwards & outwards)
Inventory control
Material Handling
Disposal of scrap, obsolete and surplus
Value analysis
 MISCELLANEOUS DEPARTMENT
Food service department
The goal of hospital food service are to provide in-patients with nutritious meals for their recovery and
health to present them with a nutritional model with meals tailored to their specific health conditions.

Laundry and linen services

Laundry services is responsible for providing an adequate, clean and constant supply of linen to all users.
Laundry should be located in an area that has ample daylight and natural ventilation. Ideally it should be on
the ground floor of an isolated building connected to the water and power plant.
The term hospital linen includes all textiles used in hospital including mattress, pillow covers, blankets, bed
sheet, towel, curtain, doctors coat etc. Cotton is the most preferred and frequently used material.

Housekeeping services
It is said that first impression prolongs till the end.
The housekeeping services comprises of activities related to cleanliness, maintenance of a healthy
environment and good sanitation , keeping the hospital premises free from pollution.
THANK YOU