ward analysis final draft 1 (1)

8/11/2019 Ward Analysis Final Draft 1 (1)

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SAINT LOUIS UNIVERSITY

BONIFACIO STREET, BAGUIO CITY

WARD ANALYSIS

Presented to the

Facult o! the School o! Nurs"n#

In Part"al Ful!"ll$ent

For the re%u"re$ent o! the su&'ect

Intens"(e Nurs"n# Pract"cu$

)SLU*S*+ EERGENCY ROO-.

Su&$"tted to/

s- 0"ana Franc"scoR-N-

Cl"n"cal Instructor

Su&$"tted &/

Ele#ores, G1en a A$or G-

La#a2o, Re#"ne G-L"&an#, acson 0-

L"&ao, 0erec3 art"l L-

acadan#dan#, Lea ar" T-

adron"o, 0arl G-Na(arro, ar"a Loudette Anne -

Na4o, 5athleen Lee 0-

Ne&ran, 6u$eln R-Ruada7, Re#"ne ae B-

S"&aan, E(ette Ro2anne F-Su$a1a, 8arah *annah A-Ur&an2o, el("e B-

No(e$&er 9:, 9;


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TABLE OF CONTENTS

I- INTRO0UCTION====================-->

II- SCOPE AN0 LIITATIONS================

9- ANAGEENT PROCESSES===============--

II-


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I. INTRODUCTION

*ealth Care "s a need o! e(er "nd"("dual- *o1e(er, $an !actors h"nder us to atta"n %ual"t

"nclud"n# the "ne!!ect"(e health care rendered to 7at"ents due to lac3 o! !ac"l"t"es or e%u"7$ent "n a

certa"n hos7"tal- There!ore, anals"s o! a certa"n hos7"tal@s health care del"(er sste$ "nclud"n# "ts

e%u"7$ent, en("ron$ent etc-, "s "$7ortant to address the !actors "n render"n# %ual"t health care-

?ard anals"s "s an act"("t "ntended to e7lore the d"!!erent $ethods o! d"!!erent hos7"tals,

s7ec"!"call the"r 1ards, "n or#an"2"n# the"r 7hs"cal set4u7 and &ud#et"n# to render e!!"c"ent and

%ual"t health care ser("ces- The act"("t 1ould ena&le the students to 3no1 the ca7a&"l"t o! the

"nst"tut"ons to 7ro("de the standard health care throu#h ut"l"2at"on o! the"r d"!!erent $ethods o!

sett"n# u7 the"r en("ron$ent and &ud#et"n#- Th"s 1ould also ena&le the students to ac%u"re andado7t the 7os"t"(e attr"&utes, to a(o"d ne#at"(e ones and to a77l these learn"n# "n the"r !uture

7ract"ce-

ana#e$ent "s a set o! #oal4d"rected, "nterrelated and "nterde7endent act"("t"es, a"$ed at

acco$7l"sh"n# or#an"2at"onal #oals "n an e!!"c"ent and e!!ect"(e $anner- Act"("t"es "n(ol(ed "n

$ana#e$ent cons"st o! 1hat "s 3no1n to &e the !unct"ons o! $ana#e$ent/ 7lann"n#, or#an"2"n#,

d"rect"n#, and controll"n#- Plann"n# "s de("s"n# a sste$at"c a77roach !or atta"n"n# the #oals o! the

or#an"2at"on- It "n(ol(es !or$ulat"n# an or#an"2at"on@s #oals and select"n# an a77ro7r"ate course o!

act"on !ro$ a set o! alternat"(es to acco$7l"sh the$- Or#an"2"n# "s deter$"n"n# ho1 act"("t"es and

resources are #rou7ed and the co$7os"t"on o! 1or3 #rou7s and the 1a "n 1h"ch 1or3 and act"("t"es

are to &e coord"nated- It "n(ol(es creat"n# or#an"2at"onal structure, esta&l"sh"n# relat"onsh"7s, and

allocat"n# resources to acco$7l"sh the #oals o! the or#an"2at"on- Lead"n# "s #u"d"n#, and o(ersee"n#

o! e$7loees to ach"e(e or#an"2at"onal #oals- It "n(ol(es $ot"(at"n# and co$$un"cat"n# 1"th the

or#an"2at"on@s hu$an resources to ensure #oals that are to &e atta"ned- Controll"n# "s esta&l"sh"n#

7er!or$ance standards and co$7ar"n# results and e7ectat"ons to $a3e a77ro7r"ate chan#es-

)*and&oo3 on General ana#e$ent !or Pu&l"c ana#er, 9;;.-

Nurs"n# $ana#e$ent and leadersh"7 are &oth 3e ele$ents "n the del"(er o! 7ro7er 7at"ent

care- The nurse leader and nurse $ana#er co$7le$ent each other "n the"r act"ons, res7ons"&"l"t"es

and roles- *o1e(er, e(en thou#h the t1o 7os"t"ons are co$7le$entar, the leader and the $ana#er

ser(e d"!!erent !unct"ons "n the health care or#an"2at"on and co$$and d"!!erent t7es o! author"t-


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A nurse leader, accord"n# to Eleanor Sull"(an and Ph"ll"7 0ec3er "n E!!ect"(e Leadersh"7

and ana#e$ent "n Nurs"n#, can &e anone 1ho uses "nter7ersonal s3"lls to "n!luence others to

acco$7l"sh s7ec"!"c #oals- The leader has the ca7ac"t to earn and hold trust and can "ns7"re others

to co$$"t to the #oals o! the health care or#an"2at"on- The leader !ac"l"tates #rou7 cohes"on and

7er!or$ance- The author"t o! the leader "s "n!or$al, $ean"n# that the leader has no s7ec"!"c

$ana#er"al role+ ho1e(er, the leaderDs "deas and act"ons "n!luence the e!!"c"enc o! 1or3 !lo1-

The nurs"n# leader also eh"&"ts a set o! d"st"nct"(e %ual"t"es and &eha("ors, accord"n# to

Ruth Ta77en, Sall ?e"ss and 0"ane ?h"tehead "n Essent"als o! Nurs"n# Leadersh"7 and

ana#e$ent- ual"t"es "nclude "ntell"#ence, "nte#r"t, coura#e, "n"t"at"(e, ener#, o7t"$"s$,

7erse(erance, &alanced l"!e, a&"l"t to handle stress and sel!4a1areness- These %ual"t"es areco$7le$ented & &eha("ors that "nclude th"n3"n# cr"t"call, 7ro&le$ sol("n#, res7ect"n# "nd"("duals,

s3"ll!ul co$$un"cat"on, sett"n# #oals, shar"n# a ("s"on and de(elo7"n# sel! and others-

The nurse $ana#er, accord"n# to Sull"(an and 0ec3er, "s e$7loed & the health care

or#an"2at"on and "s res7ons"&le and accounta&le !or the e!!"c"enc "n acco$7l"sh"n# the #oals o! the

or#an"2at"on- The or#an"2at"on de!"nes the $ana#erDs 7o1er and author"t- The $ana#er coord"nates

and "nte#rates resources, clar"!"es the or#an"2at"onal structure, dele#ates tas3s, e(aluates outco$es

and 7ro("des !eed&ac3- Unl"3e the nurse leader, the $ana#erDs 7ersonal s3"lls are re"n!orced &

or#an"2at"onal $andates-

Accord"n# to Ta77en, ?e"ss and ?h"tehead, a nurse $ana#er has the %ual"t o! leadersh"744

1h"ch enta"ls all o! the %ual"t"es and &eha("ors o! the nurse leader44as 1ell as cl"n"cal e7ert"se !or

e!!ect"(e 7at"ent care and &us"ness sense !or ad$"n"strat"(e dut"es- In add"t"on, the $ana#er eh"&"ts

stren#th "n three $a'or areas o! &eha("or- These are/ "nter7ersonal &eha("or, 1h"ch "ncludes

net1or3"n#, con!l"ct ne#ot"at"on and resolut"on, and e$7loee de(elo7$ent+ "n!or$at"onal

&eha("or, 1h"ch "ncludes &e"n# a s7o3es7erson, $on"tor"n# o! an area, and d"sse$"nat"on o! data+

and dec"s"onal &eha("or, 1h"ch "ncludes e$7loee e(aluat"on, resource allocat"on, h"r"n# and !"r"n#,

7lann"n# !or the !uture, and 'o& anals"s and redes"#n-


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A 3e d"!!erence &et1een leaders and $ana#ers "s "n the"r or#an"2at"onal !unct"on, as

su##ested & Patr"c"a Yoder4?"se "n Lead"n# and ana#"n# "n Nurs"n#- The nurse leader e$7los

7ersonal 7o1er and 7ersuas"on to construct"(el and eth"call $o(e 7at"ents, !a$"l"es and sta!!

to1ard an end 7o"nt or #oal- The eact ste7s needed to acco$7l"sh the #oal $a not &e 3no1n, &ut

the leader e(o3es a sense o! secur"t to those around, ena&l"n# the$ to handle unant"c"7ated deta"ls-

On the other hand, the nurse $ana#er !ollo1s set &eha("ors and act"("t"es that 7ro("de structure and

d"rect"on "n 7at"ent care- In acco$7l"sh"n# the #oal, the $ana#er ensures that the or#an"2at"onal

7rocess "s carr"ed out- Leadersh"7 "s a 3e !actor "n e!!ect"(e nurse $ana#e$ent- But, $ana#e$ent

s3"lls are not needed !or e!!ect"(e leadersh"7-

ana#e$ent has &een a77l"ed "n nu$erous !"elds "$7ortant "n the soc"et, "nclud"n#

nurs"n#- Nurs"n# ana#e$ent "s 7er!or$"n# leadersh"7 !unct"ons o! #o(ernance and dec"s"on

$a3"n# 1"th"n or#an"2at"ons e$7lo"n# nurse- It "ncludes 7rocesses co$$on to all $ana#e$ent

l"3e 7lann"n#, or#an"2"n#, sta!!"n#, d"rect"n# and controll"n# )ANA, 9;;:.- ?ard anals"s "s one o!

"ts sco7es, 1h"ch "ncludes 7hs"cal state o! the 1ard, $ana#e$ent o! the 1ard and $ana#e$ent

stle, 1a o! leadersh"7, the 7ract"ces, #u"del"nes and 7rotocols to &e !ollo1ed to#ether 1"th the

7at"ent care $ana#e$ent done "n the 1ard- ?ard anals"s re%u"res cruc"al o&ser(at"on- For th"s

act"("t to &e a success, one should &e a&le to do a sste$at"c ea$"nat"on that 1"ll lead the

o&ser(er to a lo#"cal anals"s-

Leadersh"7 has $an $ean"n#s- There "s no s"n#le de!"n"t"on &road enou#h to enco$7ass the

total leadersh"7 7rocess- It "s de!"ned as the 7rocess o! "n!luenc"n# the act"("t"es o! 7eo7le to1ard

ach"e(e$ent o! s7ec"!"ed or#an"2at"onal #oals- The ter$ leadersh"7 denotes a 7art"cular a77roach

or stle o! "n!luenc"n# !ello1 7ersonnel "n the or#an"2at"on- )*and&oo3 on General ana#e$ent !or

Pu&l"c ana#er, 9;;.- Fro$ Cha7"n@s )


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7art"c"7ates "n the educat"on and tra"n"n# o! student nurses and all"ed health4students and 7ro$otes

research thus "$7ro("n# care- O&'ect"(e o! the 0e7art$ent "s to de(elo7 Chr"st"an S7"r"t,

Creat"("t, Co$7etence, and Soc"al In(ol(e$ent o! students and nurse 7ract"t"oners- Th"s a77l"es

!or the ent"re "nst"tut"on and not s7ec"!"call !or the e$er#enc roo$-

The BSN IV4 Pha#oso$e < 1as ass"#ned to ha(e Sa"nt Lou"s Un"(ers"t *os7"tal o! the

Sacred *eart )SLU4*S*. as the"r su&'ect "n th"s act"("t- The act"("t a"$s to ena&le the student

nurses to anal2e or#an"2at"on and $ana#e$ent 7rocesses as "t occurs and as "t "s a77l"ed "n the

cl"n"cal area- S7ec"!"call, the students are e7ected to/

1. O&ser(e the $ana#e$ent 7rocess "n Sa"nt Lou"s Un"(ers"t *os7"tal o! the Sacred *eart

E$er#enc roo$ )SLU4*S*4ER.-

2. Ident"! 1hat conce7ts and 7r"nc"7les o! $ana#e$ent are e("dent "n the area-

3. Anal2e and cr"t"%ue these 7rocesses &ased on conce7tsJ7r"nc"7les learned "n the classroo$-

THE INSTITUTION

The SLU *os7"tal o! the Sacred *eart, a 94&ed, #eneral4tert"ar le(el hos7"tal !or$all

o7ened "ts !"(e4stor ed"!"ce on the . Ad$"n"strat"(e4Nurs"n#4Para$ed"cal 7ersonnel-

The SLU4*S* "s l"censed & the 0e7art$ent o! *ealth@s Bureau o! *ealth Fac"l"t"es and

Ser("ces and "s accred"ted & the Ph"l"77"ne *ealth Insurance Cor7orat"on, E$7loees@


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Co$7ensat"on Co$$"ss"on and "s a $e$&er "n #ood stand"n# o! the Ph"l"77"ne *os7"tal

Assoc"at"on and the Pr"(ate *os7"tals Assoc"at"on o! the Ph"l"77"nes-

It "s also accred"ted !or Res"denc Tra"n"n# "n Anesthes"a, General Sur#er, Internal

ed"c"ne, O&stetr"cs and Gnecolo#, O7hthal$olo#, Patholo#, Ped"atr"cs and Rad"olo# as 1ell

as Internsh"7 Tra"n"n# "n ed"cal J Rad"olo#"c Technolo#, Nurs"n#, Phar$ac-

Occu7at"onalJPhs"cal J Res7"rator Thera7 and Care#"(er Course-

Around ; *Os@ and 7r"(ate and #o(ern$ent cor7orat"ons are "n the l"st"n# o! the

*os7"tal@s accred"ted a#enc"es-

THE EMERGENCY ROOM, MINOR OPERATING ROOM, THE OUT-PATIENT

DEPARTMENT (ER-MOR-OPD)

The ER4OR4OP0 "s a nurs"n# co$7le con(en"entl located on the r"#ht s"de o! the

*os7"tal@s a"n Bu"ld"n# and $a"n !loor- ER4OR acco$$odates 7at"ents "n need o! ur#ent

treat$ent andJor a!ter $ed"cal e(aluat"on !or ad$"ss"on- The 7er!or$ $"nor o7erat"ons that

"nclude sutur"n#, ec"s"on &"o7s, 1ound care, etc- The OP0 addresses the needs o! out7at"ents 1ho

co$e to the 0e7art$ent !or consultat"on and $ed"cal e(aluat"on !ree o! char#e- Pat"ents 1ho a(a"l

the OP0 ser("ces "nclude those 1"th non4e$er#enc cases, those !or rout"ne chec34u7, (acc"nat"ons,

etc- The OB4Gne de7art$ent has a se7arate OP0 co$7le located ad'acent to the sta"rcase lead"n#

to the 7ed"atr"c 1ard- 0ur"n# the >4


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An ER tr"a#e "solat"on roo$ ser(es as a te$7orar $ed"cal e(aluat"on area !or 7at"ents 1"th

!e(er, 1"thJ1"thout rashes, or 7ro&a&le cases o! $en"n#ococcal "n!ect"on "s located &e!ore the ER@s

$a"n entrance and $anned & Res"dent Phs"c"ans, ed"cal and Nurs"n# students and Cl"n"cal

Instructors co$"n# !ro$ the E$er#enc Roo$-

II. SCOPE AND LIMITATION

SCOPE

?ard Anals"s "s co$7osed o! three 7arts 7art"cularl the 7hs"cal 1ard anals"s,

$ana#e$ent 7rocesses, and 7at"ent care $ana#e$ent- Pat"ent care $ana#e$ent !ocuses on the

7ro("s"on o! %ual"t nurs"n# care & nurs"n# e$7loees- The 7at"ent care $ana#e$ent "ncludes the

hos7"tal ("s"on4$"ss"on and o&'ect"(es "n relat"on to 7at"ent care+ e!!"c"enc and e!!ect"(eness o!

nurs"n# ser("ces+ $odal"t o! nurs"n# care and sta!!"n# arran#e$ents+ tea$1or3 and coord"nat"on+

and 7ol"c"es and 7rocedures d"rectl a!!ect"n# 7at"ent care- The e!!"c"enc and e!!ect"(eness o!

nurs"n# ser("ces "ncludes nurs"n# ser("ces & nurs"n# e$7loees onl and & nurs"n# e$7loees

and student a!!"l"ates )student nurses, care#"(ers, students, etc-.- Pol"c"es and 7rocedures d"rectl

a!!ect"n# 7at"ent care "ncludes "n!luence on 7at"entJ!a$"l sat"s!act"on and reco(er+ e!!"c"enc o!

nurses@ 1or3+ and cost4e!!ect"(eness o! nurs"n# care-

The #rou7 conducted the sa"d act"("t at the E$er#enc Roo$ o! Sa"nt Lou"s Un"(ers"t4

*os7"tal o! the Sacred *eart- Be!orehand, a letter noted & rs- Ru!"na A&ul, Le(el 0e7art$ent

*ead, 1as $ade as3"n# 7er$"ss"on !ro$ s- Re$ed"os Banta, Ch"e! Nurse o! the sa"d hos7"tal, to

allo1 us to conduct the act"("t- U7on a77ro(al, 1e as3ed !or 7er$"ss"on !ro$ s- 0onna&el

6as$"n, the head nurse o! E$er#enc Roo$-

It 1as conducted last No(e$&er 9, 9, and 9, 9;


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The l"$"tat"ons e7er"enced 1ere, the student had "nade%uate "nter("e1"n# s3"lls- Th"s "s the

!"rst t"$e the students conducted a co$7rehens"(e 1ard anals"s- There 1as also lac3 o! "nter("e1

#ad#ets such as recorders !or $ore s7ontaneous "nter("e1 !lo1 &ecause these #ad#ets are not

allo1ed- Th"s 1a there 1"ll &e no o$"ss"ons on the res7onses o! the nurs"n# e$7loees- Another

l"$"tat"on 1as that, "n the E$er#enc Roo$, 7at"ent@s arr"(al "s un7red"cta&le there!ore, the

s7ontane"t o! the "nter("e1 1as "nterru7ted e(er t"$e a 7at"ent co$es "n-

2. MANAGEMENT PROCESSES

2.1 ORGANIZATIONAL CHART WITH FOCUS ON NURSING SERVICE DEPARTMENT

A. De!"#$%#&' & %e N*"#'+ Se"#!e De$"%e'%

NURSING SERVICE DEPARMENT

The Nurs"n# Ser("ce, the lar#est s"n#le 0e7art$ent "n the *os7"tal 7ro("des a &road

s7ectru$ o! d"rect and "nd"rect 7at"ent care act"("t"es "nclud"n# $ana#e$ent o! nurs"n# un"ts !or

rout"ne and s7ec"al ser("ces !or &oth "n7at"ents and out7at"ents- Nurses assess, 7lan, "$7le$ent and

e(aluate 7at"ent care as 1ell as educat"n# 7at"ents- The success o! nurs"n# ser("ces 7ro("ded "s

$easure throu#h the 7at"ent outco$es result"n# !ro$ 7at"ent care ser("ces and treat$ents-

The Nurs"n# Ser("ce 0e7art$ent !ollo1s the h"erarch"cal t7e o! or#an"2at"onal structure-

The head o! the 0e7art$ent "s the Ch"e! Nurse- The Ass"stant to the Ch"e! Nurse !or Ad$"n"strat"(e

A!!a"rs, the Ass"stant to the Ch"e! Nurse !or Educat"on and Tra"n"n#, and the Secretar o! the

0e7art$ent are all d"rectl under the su7er("s"on o! the Ch"e! Nurse- The Nurse Su7er("sors are

d"rectl under the su7er("s"on o! the Ass"stant A!!a"rs to the Ch"e! Nurse !or Ad$"n"strat"(e A!!a"rs

)ACNAA.- The Nurse Su7er("sors also act as Ad("sers to the !ollo1"n# res7ect"(e Nurs"n# Un"ts/

ER4OR4OP0 and Central Su77l Roo$+ Coronar4ICU+ OB4Gne and 0el"(er Roo$ S7ec"al

Care Un"t+ Pall"at"(e Un"t+ Sur#"cal Un"t and SICU+ Ped"atr"c Un"t+ ed"cal Un"t+ OR4RR, and PR

Anne as 1ell as "n the stand"n# co$$"ttees o! the Nurs"n# C"rcle-

There are ten )


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/. N*"#'+ $%#&' '0 #e0 e% &"3e", 4&5 0e!"#$%#&'

ORGANIZATIONAL STRUCTURE6

Hospital Administrator

Medical Director

Chief Nurse

Secretar


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Or#an"2at"onal charts 7ro("de the structure o! an or#an"2at"on "ntended !or the 7eo7le to

reco#n"2e the h"erarch"es and 7o1er structure o! the co$7an- It can also &e used as a $ana#e$ent

tool to !urther the ach"e(e$ent o! the or#an"2at"on@s #oals and $ot"(ate "ts $e$&ers to ecel "n the"r

1or3 7rocess-

In th"s or#an"2at"onal chart, the 7os"t"ons are located "n &oes and are connected & sol"d and

&ro3en l"nes- The sol"d l"nes "nd"cate d"rect relat"onsh"7s sho1"n# the h"erarch"es- The &ro3en l"nes

are "nter7reted as the t1o 7os"t"ons ha("n# "nterrelated roles and !unct"ons-

Assistant to the Chief Nurse for

Administrati!e A"airs

Assistant to the Chief Nurse for

#ducation $ %raining

Super!isors

Head Nurses

Sta" Nurses

&ard Cler's Nurses()%ransport Aides


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NURSING SERVICE STAFFING PATTERN

1. ADMINISTRATIVE7 EDUCATION-TRAINING7SUPERVISORY

a- Ch"e! Nurse

ward analysis final draft 1 (1)

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