ILLUSTRADOS GENERAL HOSPITAL

#46 M. Soriano St., San Carlos City, Pangasinan 2420

DIRECTING
Patient Care Delivery System Functional Method for wards & ER Head/Senior Nurse

R. N. Medication

R. N. Treatment

Nursing Att. Hygienic care

Housekeeper Linen Attendant

Patients

Case Method for OR & DR Head/Senior Nurse

Staff Nurse

Patient

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ILLUSTRADOS GENERAL HOSPITAL

#46 M. Soriano St., San Carlos City, Pangasinan 2420

Lines of Communication

Upward Communication - Emanates from subordinates and goes upward. This is usually in the form of feedback to show the extent to which downward communication has been received, accepted, and implemented. Examples are discussions between subordinates and superiors, grievance procedures, written reports, incident reports, and statistical reports. Downward Communication - The traditional line of communication is from superior to subordinate which may pass through various levels of management. It includes policies, rules and regulations, memoranda, handbooks, interviews, job descriptions, and performance appraisal. Horizontal Communication It flows between peers, personnel or departments on the same level. It is most used frequently in the form of endorsements, between shifts, nursing rounds, journal meetings and conferences, or referrals between departments or services. Outward Communication It deals with information that flows from the caregivers to the patients, their families, relatives, visitors and the community. Delegation Head Nurse to Staff Nurse Activities That May be Delegated Checking of the patients chart, E-cart, instruments and supplies Assist and conduct training programs for the nurses who are new and need help. Solve any issues related to the patients. Direct contact with the patients and formulate nursing diagnosis regarding their health problems

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ILLUSTRADOS GENERAL HOSPITAL

#46 M. Soriano St., San Carlos City, Pangasinan 2420

Accompany the doctors when they go on their rounds to check the patients where they present the reports collected by them. To maintain the hygiene in the unit and make sure that the patients are provided with enough facilities and entertain all types of complaints from the patients. Making job orders for equipment that needs immediate repairs and maintenance. Activities That May Not Be Delegated Manage all the administrative duties of the departments which they are assigned to work in. Schedule shifts for the nurses and assign duties to them. To collect work reports from all the nurses regarding their day-to-day activities and maintains a record of them. Inventory management. Maintain a log of the entries of the patients in their wards and their health reports. Staff Nurse to Nursing Attendant Activities That May be Delegated The nursing process can be utilized as a framework to support the RN in delegating patient care activities to support and assistive personnel. The following lists are examples of patient care activities that might be delegated: Take and record blood pressure, respirations, temperature, and pulse rate Obtain daily weight Measure and record intake and output Perform total or partial bed bath Perform perineal care Shave Wash hair Perform mouth care Change linen and assist with making occupied bed Assist in ambulating patient Position Turn and reposition patient Assist with transfers Set up patient room Orient patient to room environment Obtain necessary supplies for sterile procedure Make unoccupied beds Care of body after death Activities That May Not Be Delegated Nursing activities that may not be delegated include:

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ILLUSTRADOS GENERAL HOSPITAL

#46 M. Soriano St., San Carlos City, Pangasinan 2420

Performing an initial patient assessment and subsequent assessments or nursing interventions that require specialized nursing knowledge, judgment, and/or skill Formulating a nursing diagnosis Identifying nursing care goals and developing the nursing plan of care in conjunction with the patient and/or family Updating the patients plan of care Providing patient education to patient and/or family Evaluating a patients progress, or lack thereof, toward achieving desired goals and outcomes Discussing patient issues with physician Communicating with physicians or implementing orders from physician Documenting the patients assessment, response to therapeutic interventions, in the patients plan of care Administering medications Providing direct nursing care Nursing Aides, Orderlies, and Attendants Tasks Administer medications and treatments, such as catheterizations, suppositories, irrigations, enemas, massages, and douches, as directed by a physician or nurse. Answer patients' call signals. Bathe, groom, shave, dress, and/or drape patients to prepare them for surgery, treatment, or examination. Clean rooms and change linens. Feed patients who are unable to feed themselves. Prepare, serve, and collect food trays. Provide patient care by supplying and emptying bed pans, applying dressings and supervising exercise routines. Provide patients with help walking, exercising, and moving in and out of bed. Transport patients to treatment units, using a wheelchair or stretcher. Turn and re-position bedridden patients, alone or with assistance, to prevent bedsores. Work as part of a medical team that examines and treats clinic outpatients. Answer phones and direct visitors. Collect specimens such as urine, feces, or sputum. Deliver messages, documents and specimens. Explain medical instructions to patients and family members. Maintain inventory by storing, preparing, sterilizing, and issuing supplies such as dressing packs and treatment trays.

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ILLUSTRADOS GENERAL HOSPITAL

#46 M. Soriano St., San Carlos City, Pangasinan 2420

Observe patients' conditions, measuring and recording food and liquid intake and output and vital signs, and report changes to professional staff. Perform clerical duties such as processing documents and scheduling appointments. Restrain patients if necessary. Set up equipment such as oxygen tents, portable x-ray machines, and overhead irrigation bottles. Staff Development Orientation To acquaint the newly hired employee with job responsibilities, rules & regulations, work place, clients and co-workers. Seminar- Seminars for nurses are conducted every year. Leadership training Skill training Demonstration Examples Continuing Professional Education (CPE) Seminars Schedule 2013-2014 Who can participate: Hospital Director/ Nursing Director / Nursing Service Officer / Dean/ Operating Room-Delivery Room Managers / Coordinators / Nurses / Support Team / Professors / Students Building Competencies in Managing Surgical Instruments A course designed for nurses and CSSD technicians who intend to enhance their knowledge and skills in the proper care and management of basic surgical instruments. Course topics include the instrument cycle and the factors affecting the lifespan of surgical instruments; updates on the different types of reprocessing of surgical instruments; and, recommendations on its proper care and maintenance. Advanced Cardiac Life Support, Basic Life Support, ECG reading, Endotracheal Intubation Continuous Renal Replacement Therapy Training Program A five-day intensive program which provides nurses technical and nursing management skills and knowledge on handling and troubleshooting CRRT machines. iNET Center BLS and ACLS Training Coordination Coordination with the Administrative Service Coordination with the Administrative Service pertains to both human and material resources. At the unit level, head nurses participate in budget planning for staffing, adequate facilities, and material resources. FRANCO|4B 67

ILLUSTRADOS GENERAL HOSPITAL

#46 M. Soriano St., San Carlos City, Pangasinan 2420

Coordination with the Laboratory Service Requests for laboratory examinations are forwarded to the laboratory unit. Medical Technologists usually come to the units for routine blood examinations. Nurses should direct them to where the patients are located and provide the necessary assistance. Specimens such as sputum, feces, urine or those collected after a special procedure should be properly labeled and sent to the laboratory. Coordination with the Radiology Service Requests for X-ray examinations are likewise forwarded to the x-ray service for proper scheduling and specific instructions. Coordination with the Dietary Service Nurses are responsible for forwarding the diet list of the patients in the units, taking into consideration the prescribed special diets, the patients idiosyncrasies for food, allergies or food preferences, and religious restrictions. Patients needing special instructions in their diets are referred to the nutritionist for counseling. Coordination with the Medical Records Service Nurses are responsible for the accurate documentation and completeness of the patients charts, including their safety and confidentiality. Coordination with the Pharmacy Service Policies regarding the procurement of drugs are formulated jointly by the Administrative, Medical and Nursing Services and the Pharmacy. These policies are circulated to all nursing units for notation and guidance of all concerned. Coordination with the Billing Department Patient billing module handles all types of billing processes in the long run. It works in coordination with many other modules such as inpatient, outpatient, registration etc. This module seamlessly integrates with financial accounting module to consolidate patients overall billing information. This hospital billing system helps in automatic posting of charges pertaining to various services including lab test, food and beverage, bed charges etc. It is a hospital billing management system is a flexible solution for efficient billing without manual errors and time consumption. The module is highly customizable to adjust to clients unique needs. It is capable of handling and recording various payment types such as cash or credit, partial or full payment and dues or defaulters.

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