staffing pattern and levels of staff and services

1. Mahesh Chand
Tutor

2.  Nursing services is the part of the total
health oraginzation which aims at satisfying
the nursing needs of the patients and
community.
 According to WHO expert committee on
nursing nursing services as the part of the
total health oragnization which aims to
satisfy major objective oof the nursing
srvices is to provide prevention of disease
and promotion of health.

3. Initiate a set of the human relationship
at all level of nursing personnel.
Establish adequate staffing pattern.
To develop and implement proper
communication system.
To develop and initiate proper
evaluation and periodic monitoring
system.
to ensure quality care provided to
patient.

4. DIRECTOR (HOSPITAL) SERVICES
CHIEF NURSING OFFICER
NURSING SUPERINTENDENT
DEPUTY NURSING SUPERIDENT
ASSISTANT NURSING SUPERIDENDENT
CLINICAL SUPERVISOR/ INCHARGE SISTER
HEAD NURSE
STAFF NURSE

5.  DIRECTOR NURSING:
 Nursing must services must function under a
senior competent nursing administrator called
director of nursing.
 She is responsible to the hospital
administrator for overall programme and
activities of nursing care of all patients in the
hospital. Nursing programme is administered
by her through appropriate planning of
services, determining nursing policies in
collaboration with hospital management and
nursing procedures in collaboration with
nursing staff, giving general supervision,
delegation of responsibility, coordination of
interdepartmental nursing activities‘, and
counseling the hospital administration on
nursing problems

6.  She has a dual role: the first one is the
administrative responsibility towards hospital
administration, and the second one is the
coordinating of all professional activities of
nursing staff with those of medical staff.

7.  chief nursing officer
 the chief nursing officer should have
extensive experience as a chief nurse
executive in hospital setting ,she should be
educationally prepared with master degree
in nursing and nationally certified as nurse
executive with proven track record of
achiving goal in highly matrixed
organization.

8. Provide vision
Establish nursing
governance structure
Ensure quality
Provide strategic
nursing
managemnent
Foster staff
development
Regulate
credetialing
Financial oversight

9.  Nursing superident:
The role of the nursing superintendent starts in a
new hospital from helping to establish the
overall goals, policies and organization, and
facilities to accomplish these goals in the most
effective and efficient manner.
 Functions:
 Formation of the aims, objectives and policies of
nursing services as an integral part of hospital service
 Staffing based on nursing requirements in relation to
accepted standard of medical care
 Planning and directing nursing services
 Maintaining supplies and equipments
 Budgeting
 Records and reports

10.  INCHARGE NURSE/ NURSING SUPERVISOR:
 Each department or clinical division, e.g.
Medical, surgical, obstetrical, operation
theatres, outpatient department, nurseries,
etc. should have a supervisor. As they may be
more than one nursing unit in each division
or department, supervisors have a general
administrative and coordinating function
within their respective division. However,
supervisors will also have limited clinical
functions

11.  HEAD NURSE:
A head nurse is assigned to a nursing unit, or
ward, or a section of department. She works
under the general direction of the supervisor
of the division.
 STAFF NURSE:
Staff nurses are employed at the floor‘ level
for carrying out skilled bedside nursing. This
is the real work force of the hospital upon
whose competency, state of training and
dedication depend the success of the nursing
department
• STUDENT NURSE.

12. PRINCIPAL
VICE PRINCIPAL
PROFESSOR
ASSOCIATE PROFESSOR
ASSISTANT PROFESSOR
TUTOR
CLINICAL INSTRUCTOR

13.  At the community level nursing services
deliver by main two centers
 PRIMARY HEALTH CENTER
 COMMUNITY HEALTH CENTER

14.  The PHC is the first contact point between
the village community and the medical
officer. These are established and maintained
by the state government under minimum
needs/ basic minimum services programme.
It acts as a referral unit for six sub centre
and has 4-6 beds. A PHC covers population of
30000 in plain area and 20000 in hilly remote
and tribal area. The activities of PHC‘s
involve curative, preventive, promotive and
family welfare services. The
 number of PHC‘s functioning in the country is
22975.

15.  DEFINITION:
Primary health centre is the basic structural and
functional unit of public health services for
rendering primary health care in peripheral
areas.
 Elements of PHC
E- Ensure safe water supply
l- Locally endemic disease control
E- Education/ expanded programme on
immunization
M- Maternal and child health
E- Environmental sanitation
N- Nutritional services
T- Treatment of minor aliments s- School health
services

16. OBJECTIVES OF PRIMARY HEALTH
CENTER:
To provide comprehensive primary
health care to the community
through the PHC
 To achieve and maintain an
acceptable standards of quality of
care
 To make the services more
responsible and sensitive to the
needs of the community

17. Staffing pattern:
 Medical officer 1
3(at least 1 female)
 AYUSH practitioner (1)(-)
 Accountant manager(1) (-)
 Pharmacist(1)(2)
 Nurse midwife(staff) nurse(1)(5)
 Health worker(1)(1)
 Health educator(1)(1)
 Health assistant (m/f)(2)(2)
 Clerks(2)(2)
 Laboratory technician(1)(2)
 Driver(1)(1)
 Class IV(4)(2)

18. Major role of nurse in PHC
 Facilitative role
 Developmental role
 Clinical role
 Supportive role
Functions of PHC
 Medical care
 Maternal and child health
 Control of communicable diseases
 Collection and reporting of vital statistics
 Immunization services
 Improvement in environmental sanitation
 School health programmes

19.  The community health centres are
established and maintained by state
government under MNP/BMS programme. It
has 30 indoor beds with x-ray labour room,
operation theatre, and laboratory facilities.
It is managed by four medical specialists
i.e. surgeon, physician, gynecologist and
pediatrician. On 31st march 2003, 3076 CHC
were established each covering a population
of 80000 to 1.20 lakh

20.  DEFINITION:
Community health centres are the nonprofit
community governed health organizations
that provide primary health care, health
promotion and community development
services, using them inter disciplinary terms
of health providers.
 PRINCIPLES:
 Excellence
 Innovations
 Accountability
 Collaboration
 Accessibility
 Integrity
 Environment

21. Elements
 Primary care
 Illness prevention
 Health promotion
 Community capacity
building
 Service integration

22.  Care of routine and emergency cases in surgery
 Care of routine and emergency cases in medicine
 24 hour delivery services
 Essentials of emergency obstetric care.
 Full range of family planning services including
laparoscopic services
 Safe abortion services
 New born care
 Routine and emergency care of sick children
 Other management of medical and accidental
conditions
 All the national health programmes should be
delivered through CHCs

23.  Organization of nursing services following
are:
 Hospital
 Nursing education
 Community level