The document discusses the organization and management of inpatient services in a hospital. It outlines the objectives of providing inpatient care, which include providing high quality medical and nursing care, making necessary equipment and supplies available, and ensuring patient comfort. It also discusses planning and organizing the physical facilities of inpatient wards including location, size, patient housing areas, and auxiliary areas. Factors influencing patient care and the roles and responsibilities of the ward sister in management are also summarized.

1. ORGANIZATION AND MANAGEMENT OF INPATIENT SERVICES DR.N.C.DAS

4. PLANNING AND ORGANIZATION PLANNING POLICY MONITORING & EVALUATION WARD MANAGEMENT PHYSICAL FACILITIES STAFFING WORD DESIGNING

6. PHYSICAL FACILITIES PHYSICAL FACILITIES LOCATION AUXILLARY AREA SIZE SANITARY AREA PATIENT HOUSING AREA ANCILLARY AREA

9. AUXILARY AREA AUXILARY AREA NURSING STATION PANTRY TREATMENT ROOM UNIT STORE CLEAN UTILITY ROOM & CLEAN LINEN STORE DINNING & DAY ROOM/ RECREATION

11. SANITARY AREA SANITARY BATH & TOILETS (1 for 5 beds) SANITATION STORE (Brooms, mops, detergent) JANITORS ROOM (Used brooms, mops, buckets, Mugs) WASH BASIN DIRTY UTILITY ROOM (Sizzled linen, bed pan, Specimens, stool & Linen wash, urine, blood)

12. ANCILLARY AREA ANCILLARY AREA DOCTORS DUTY ROOM SISTER INCHARGE TROLLEY BAY WHEEL CHAIR, TROLLEY O 2 CYLINDERS WARD SIDE LAB. ATTENDANT ROOM STAFF CHANGING ROOM & LOCKER PATIENT LOCKER SEMINAR ROOM

14. STAFFING Ward staffing depends on the size of the ward and criticality of patients. Specialist - 1 per 100 beds GDMO - 1 per 12 beds Sr. Resident - 1 per 12 beds Jr. Resident - 1 per 4 beds Staff Nurse - 1 per 6 beds general one/ bed critical area 1 per 4 beds teaching hospital. Sister In charge- 2 ANS - 1 Group ‘D’ Staff - 1 per 2 beds

17. FACTORS OF MANAGERIA ISSUE MANAGERIAL ISSUES KNOWLEDGE OF WARD DUTIES ORGANIZATION DOCTORS ORDER ESTABLISHMENT WARD ROUTINE PLANNING OF DAILY WORK SCHEDULE AND POLICY ORIENTATION OF NURSING STAFF STARTING WORK IN TIME PLANNING FOR LOGISTICS PLANNING & PREPARATION FOR OPERATIONS (Night Report, handing Taking report, specimen Collection, Nursing Care, Temp. record, teaching & Supervision)

18. MANAGERIAL ISSUES PROVISION OF SUPPLIES RECORD MAINTENANCE DUTY ASSIGNMENT TO STAFF TEACHING & SUPERVISION MAINTENANCE OF ENVIRONMENT REPORTING GOOD WORKING RELATION & TEAM SPIRIT MONITORING AND EVALUATION Adequate storage Check misuse & waste Indent & receipt Economic use Patient card, Patient record, Charts, indent & stock books Maintenance & repair Breakage, loss, condemnation Report books Privacy, noise prevention, Ventilation, temp., light, diet, cleanliness, toilets Reporting to higher Authorities Day, evening & night report

19. FUNCTION OF WARD SISTER WARD SISTER ENSURE GOOD NURSING CARE HOUSE KEEPING SANITATION DIETS IMPLEMENTING DOCTOR ADVISE CONSTANT MONITORING OF WARD FUNCTION SUPERVISION AND GUIDANCE OF OTHER STAFF ORIENTATION AND DIRECTION TO WARD STAFF

21. MONITORING MONITORING LEVEL PATIENT SATISFACTION MAINTENANCE OF EQUIPMENT & REPAIR LOGISTICS LEVEL EDUCATION METHODS & LEVELS HOUSE KEEPING DIETS/ INVESTIGATIONS OFF STATION ACTIVITIES/ SUPERVISION RECORD KEEPING ADMINISTRATIVE PROCESS (away from patient care) (Inter unit relation)

22. EVALUATION EVALUATION STRATEGIC ISSUES & GUIDELINES MEDICAL AUDIT BED TURN OVER RATE SUPPLIES & DISTRIBUTION EXIT INTEVIEW PERFORMANCE LEVEL OF STAFF RECORD KEEPING

23. FACTORS INFLUENCING PATIENT CARE FACTORS ATTITUDE & MOTIVATION OF STAFF LACK OF PROPER ADMN. SHORTAGE/ PILFERAGE OF LOGISTICS VISITORS & ATTENDANTS ADEQUATE CLINICAL FACILITY &SERVICE EFFECTIVE USE OF BED WORK LOAD & OVER CROWDING TOO MUCH RECORD KEEPING INTER & INTRA GROUP CONFLICTS SHORTAGE OF TRAINED STAFF EDUCATION & REORIENTATION OF STAFF

24. HOSPITAL ADMINISTRATION MADE EASY http//hospiad.blogspot.com An effort solely to help students and aspirants in their attempt to become a successful Hospital Administrator. hospi ad DR. N. C. DAS