Nursing Administration Activities

Nursing Administration Activities

Introduction

·       Nursing administration plays a critical role in coordinating with various departments to ensure seamless, safe, and efficient patient care.

·       Below are the responsibilities and coordination points of nursing administration in different functional areas:

Dietary Services

• Diet Planning: Ensure prescribed diets are delivered as per the doctor's/nutritionist’s instructions.
• Diet Chart Maintenance: Nurses maintain dietary intake records for specific patients (e.g., diabetic, post-operative).
• Coordination with Kitchen: Inform changes in diet orders, special requirements (e.g., liquid diet, soft diet).
• Meal Supervision: Ensure timely food distribution and monitor patients’ acceptance or refusals.
• Hygiene Check: Nurses report any food quality or hygiene issues to the kitchen.

Laundry Services

• Linen Management: Ensure timely supply and collection of clean linen (bed sheets, patient gowns, etc.).
• Soiled Linen Protocol: Nurses ensure proper segregation and disposal of contaminated/soiled linen.
• Laundry Inventory: Monitor the availability of clean linen and report shortages or delays.
• Coordination with Laundry Department: Feedback regarding linen quality and cleanliness.

CSSD (Central Sterile Supply Department)

• Sterile Supplies Management: Receive and maintain sterile packs (dressing trays, surgical instruments).
• Requisition Process: Nurses raise timely indents for sterile items.
• Contaminated Instruments Handling: Ensure correct transport and labeling of used instruments back to CSSD.
• Aseptic Protocols: Maintain proper usage and storage to prevent contamination.

Pharmacy Coordination

• Medication Requisition: Nurses raise drug requests as per doctors’ orders.
• Drug Administration: Ensure five rights — right patient, drug, dose, route, and time.
• Inventory Maintenance: Maintain ward stock, expiry check, and proper storage.
• Narcotics Handling: Follow strict documentation and double-check protocols.

Housekeeping

• Cleanliness Monitoring: Ensure cleanliness of wards, patient rooms, toilets, and common areas.
• Infection Control: Supervise biomedical waste segregation and disposal per infection control guidelines.
• Pest Control: Report and monitor pest control activities.
• Feedback: Report any lapses in cleanliness or issues in housekeeping staff performance.

Maintenance

• Equipment Issues: Nurses report malfunctioning of beds, lights, monitors, oxygen points, etc.
• Infrastructure Repairs: Leakage, broken windows, AC issues are reported to engineering/maintenance.
• Preventive Maintenance Schedule: Coordinate and support during scheduled maintenance without affecting patient care.

Biomedical Engineering

• Medical Equipment Support: Ensure timely maintenance and calibration of devices like infusion pumps, monitors, suction machines.
• Breakdown Reporting: Immediate intimation of any malfunctioning critical equipment.
• Training: Coordinate training for staff on new biomedical equipment.

Valuables and Belongings

• Documentation: Record all valuables of the patient (e.g., jewelry, mobile phones) at the time of admission.
• Safe Custody: Ensure transfer of valuables to hospital safe or handover to relatives with proper acknowledgment.
• Discharge Handover: Ensure all belongings are returned or documented clearly.

Transport Services

• Patient Transfer: Coordinate safe transport of patients to/from diagnostic departments (X-ray, OT, ICU).
• Ambulance Services: Request and coordinate for external patient transport in emergencies.
• Escort Arrangement: Ensure staff accompanies critical or non-ambulatory patients.

VIP Admission/Discharge

• Special Coordination: Ensure priority admission, privacy, and high-quality care.
• Room Readiness: Coordinate with housekeeping and maintenance for VIP room arrangements.
• Dedicated Staff: Assign specific nurses for VIP patients and maintain decorum.
• Discharge Planning: Plan timely discharge with all comfort and documentation.

Serious Patients (Critically Ill)

• Monitoring: Ensure round-the-clock vital monitoring and documentation.
• Doctor Communication: Immediate reporting of critical changes to concerned doctors.
• Family Updates: Provide regular updates to patient relatives.
• Emergency Readiness: Keep emergency drugs, crash cart, and ventilator ready.

MLC (Medico-Legal Cases)

• Identification: Identify and report all MLC cases (accidents, assault, suicide, burns, etc.) as per hospital protocol.
• Documentation: Ensure complete and timely recording of MLC information.
• Intimation to Police: Notify the legal authorities immediately as per norms.
• Preservation of Evidence: Maintain clothes, samples as evidence without tampering.

Bed Allocation

• Admission Coordination: Communicate with front office/admission desk for available beds.
• Transfer Management: Manage internal shifting of patients (ward to ICU, OT to recovery, etc.).
• Bed Occupancy Record: Maintain daily records of bed occupancy, vacant beds, and cleaning status.
• Emergency Readiness: Keep designated emergency beds ready, especially in critical care units.

Video Description

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