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A Presentation of: Planning for NURSING SERVICE

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Page 1: Planning for Nursing Service NCM 107

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A Presentation of:

Planning for NURSINGSERVICE

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A little bird was flying south for the winter.It was so cold the bird froze and fell to theground into a large field.

While he was lying there, a cow came by anddropped some dung on him.

As the frozen bird lay there in the pile of cowdung, he began to realize how warm he was.

The dung was actually thawing him out!

Life's Lesson No. 2

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He lay there all warm and happy, and soonbegan to sing for joy.

A passing cat heard the bird singing and cameto investigate.

Following the sound, the cat discovered thebird under the pile of cow dung, and

promptly dug him out and ate him.Moral of the story:

(1) Not everyone who shits on you is your enemy.(2) Not everyone who gets you out of shit is yourfriend.

(3) And when you’re in deep shit, it’s best to keepyour mouth shut!

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BOARD QUESTION

THE FIRST STEP IN TIME MANAGEMENT IS

TO;

A. TAKE A BREAK AND ENERGIZE WITH

HIGH CARBOHYDRATES

B. COMPLETE THE MOST DIFFICULT TASK

FIRST

C. ALLOW A PERIOD OF TIME FORPLANNING AND PRIORITIZING

D. DELEGATE ALL UNPLEASANT TASK

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BOARD QUESTION

ALL BUT WHICH OF THE FOLLOWING IS NOT

INCLUDED DURING THE PROCESS OFPLANNING?

A. FORECAST ESTIMATE FUTURE

B. PREPARES THE BUDGETC. SET ORGANIZATIONAL STRUCTURE

D. DEVELOP AND SCHEDULE PROGRAMS

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course of action order to arrive at a desired

result. It is a continuous process of 

assessing, establishing goals and objectives,

implementing and evaluating them, andsubjecting these to change as a new facts are

known. While planning is largely conceptual,

its results are clearly visible.

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Planning Defined

Refers to a process beginning withobjectives, defining strategies policies anddetailed plans to achieve them; achieving anorganization to implement decision, andinclude a review of performance andfeedback to introduce a new planning style.

Is deciding in advance what to do, how to doit, when to do it and who do it.

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Board QuestionPlanning is defined as pre-determining a course of action

in order to arrive at a desired results. Nurse Lea knowsthat among the following principle is always based on;

A. Vision, mission, philosophy and clearly defined

objectives of the organization

B. Planning is a continuous process. Provision for properanalysis would indicate a revision or flexibility

C. Planning utilize all available resources. Planning should

be realistic, focused and time bounded

D. Projected plans must be documented for properdissemination to all concerned for implementation and

evaluation.

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Importance of Planning  Planning leads to the achievement of goals

and objectives Planning gives meaning to work.

Planning provides for effective use of 

available resources and facilities

Planning helps in coping with crises (disaster 

plans)

Planning is cost effective

Planning is based on past and future

activities

Planning leads to the realization of the need

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Board Question

Many nurse managers fails to plan

effectively. Which of the following bestexplains the above situation?

1. Lack the knowledge of the philosophy,

goals and objectives of the agency2. Lacks the significance of the planning

process

3. Do not know how to manage their time

4. Lack the confidence in formulating

plans or fear about the unwanted

changes

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nursing managers who learns to PLAN

will aim for maximum utilization of allresources – 

money, supplies, equipment, and

personnel.

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Characteristics of a Good Plan Be precise with clearly-worded objectives,

including desired results and methods forevaluation

Be guided by policies and/or procedures

affecting the planned action

Indicate priorities

Develop action that are flexible and realistic in

terms of personnel, equipment, facilities and

timeDevelop a logical sequence of activities

Pervade the whole organization

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The management level that is solely directedtowards setting the organizational goalspolicies and scope of responsibility of over allmanagement of the organization?

A. Leader of the groupB. Top management

C. Middle management

D. First level management

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 The top management is comprised of the following

except;

 A. Hospital Director

B. Chief Nurse

C. Nursing Supervisor

D. Director of Nursing Service

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Scope of Planning 

• Top Management ( Nursing Directors, Chief Nurses, Directors of Nursing &

their assistants)

- Set the over-all goals and policies of the organization.- Scope of responsibility is the over-all management of the organization.

• Middle Management ( Nursing Supervisors)

-Direct the activities that actually implement the broad operating policies

such as staffing and delivery of services to the units headed by the Senioror head Nurses.

- Formulation of policies, rules and regulations, methods and procedures for

personnel for intermediate level planning for ongoing activities and

projects are done in coordination with top management and those in the

lower level.

• Lower or first level management (Head Nurses or Senior Nurses (including Charge Nurses or team leaders)

- do the daily schedules, or weekly plans for the administration of direct 

patient care in their respective units

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Top

Middle

First Line

Operating Level

Administrator 

Staff Nurses / NursingAttendant

Head Nurses/ Senior Nurses

Supervisors

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4 -Types of Planner:

Reactive-planning occurs after a problem exists,

done in response to a crisis, lead to hasty decisions

and mistakes.

Inactivist- consider status quo, spend a great deal of 

energy preventing change and maintaining conformity 

Preactive-utilize technology to accelerate change,

future oriented

Proactice/interactive-consider the past, present,

and future, and attempt to plan the future of their

organization rather than react to it, dynamic and

adaptive to the environment 

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Types of Planning

• Strategic/Long range-forecasts the future success of an org. by matching and aligning all its

capabilities with its external opportunities (Marquis & Huston,2006).

• Tactical/Short-term

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“Health for all in the hand of the

People in the year 2022” is an

example of?A.Vision

B.Mission

C.Goal

D.Philosophy

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“A learning institution of integrated

professional health care with values of 

love, care and compassion dedicated to

the service of the individual, family andcommunity” this is an example of?

A.Vision

B.Mission

C.Goal

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The College of Nursing is committed to:

• Produce a professionally health care provider with

caring, responsible creative and critical thinking

generalist.• Promote relevant research and community service.

• Develop a person who assumes responsibilities for 

personal and professional growth, and responsible

to global concerns.• Includes ethico-legal, moral and spiritual values.

The above statement is a clear example of;

A. Vision

B. Mission

C. Goal

D. Philosophy

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After finishing the course, graduate are expected to; Perform the following competencies of a fully functioning health

care provider 

Safe and quality care

Management of resources and environment

Health education

Legal responsibility

Ethico-legal responsibility

Personal and professional development

Quality improvement

Research

Records management

Communication

Collaboration and teamworkThis is an example of;

A. Vision

B. Mission

C. Goal

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The College of Nursing and Health Allied Sciences

(CoN-AHS) shall give birth to a well-rounded

Nursing, Midwifery and Allied Health graduates,

because this Institution view its involvement andcommitment to our students far beyond their 

graduation.

The above statement deficts;

A. Vision

B. Mission

C. Goal

D. Philosophy

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Elements of Planning

I. Forecasting- helps the managers looks into the future anddecide in advance where the agency would like to be and what

is to be done in order to get there. Is the science of predicting

future outcomes. Forecast and estimate provide the bases for

planning.II. Setting the VMG Philosophy and the Objectives:

• Vision- statement outlines the organization’s 

future role and functions. It gives the agency

something to strive for. Describes the paththat the Company will take in the coming

years. It clearly defines the goals that are set

out to achieve.

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Sample Vision Statement:

The Medical Center envisions itself to

become a Center of Excellence providingholistic approach to health care services. As

a Center of Wellness, the services provided

shall enables the people to improve their 

health and increase control over it.

Mission outlines the agency's reason for 

existing, who the targets clients are and whatservices will be provided.

“Why are we doing this? Brings out

purpose, motives, and intention” 

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Sample Mission Statement:

The Medical Center as a public, tertiary

hospital is so maintained as the people’s 

partner and improved to provide accessible,

quality, cost effective, preventive, promotive,

curative, rehabilitative health care services tothe public, especially the destitute.

• Philosophy it is a statement of beliefs andvalues that directs one’s life or  one’s 

practice. A written statement of the

philosophy explains the beliefs that shapes

how the mission or purpose will be achieved

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Sample Philosophy Statement:

The medical Center is guided by the

following beliefs:1. The hospital is committed to assume a vital role

in health promotion, disease prevention,

curative, rehabilitative and primary health care.

2. The clients are the reason for the hospital’s

existence

Goals and Objectives differ in that goals

are more general and they cover a broadarea.

On the other hand, Objectives tends to be

more specific. They are actions committed

through which an organization’s missions

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Sample Philosophy Statement:

Goal: To provide the best possible health

care services to its clients in a high qualitysetting conductive to attaining its vision as a

center of wellness and a standard medical

center 

Objectives:

• To establish an organized governing body

• To provide the best quality, accessible and

cost effective health to all its clients.

• To strengthen… 

• To provide… 

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Elements of Planning

III. Developing the Scheduling Programs

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Time ManagementTime Management  – is a technique

for 

allocation of one’s time throughthe

setting of goals, assigning

priorities,

identifying and eliminating time

wastes

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“Work SMARTER, not 

HARDER” 

How Do you Manage your Time???

Planning anticipates the problem

Tasks to be accomplished should be

done in sequence and should be

prioritized to importance

Setting deadlines in one’s work and

adhering to them is excellent

Delegates permits a manager to take

authority for decision making

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 A ctivities Under Developing

and Scheduling Program

Time Management is a technique for

allocation of one’s time through the setting of goals,

assigning priorities, identifying and eliminating time

wastes and use of managerial techniques to reach

goals efficiently.

Budget is the annual operating plan, a financial

“road map” and plan which serves as an estimate of

future cost and a plan for utilization of manpower,

material and other resources to cover capital projects

in the operating program.

Is simply a plan for future activities expressed

operational as well as financial or monetary terms.

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Board Question

When completing a daily list, the nurse mustremember that a list should;

A.Should be structured with little variability

B.Should not be changed, so that time is not

wasted

C.Must be flexible

D.Should include all items that need to be

completed

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Board Question

The most effective way to manage a large taskis to:

A. Not stop until entire task is completed

B. Delegate the task to someone else

C. Break it down into smaller more manageable

pieces

D. Put it off until you have adequate time

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Board Question

Nurse play an integral role in

development, implementation andevaluation of a unit or department

budget in a nursing organization.

An operational budget accountsfor;

A. The purchase of minor and major 

equipment

B. Construction and renovations

C. Income and expenses associated

with dail activit in an or anization

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Different Kinds of Budget 

Revenue Budget summarizes the incomewhich management expects to generate during

the planning period. 

Expense Budget describes the expectedactivity in operational and financial terms for a

given period of time.

Capital Budget outlines the programmed

acquisitions, disposals and improvements in an 

institution’s physical capacity  

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Different Kinds of Budget 

Operating Budgets these budgets areusually associated with major activities

over coming years, including wages,

salaries and compensations

Project Budgets this is associated with

major projects.

Cash Budgets represents the plannedcash receipts and disbursements