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    NE2.1 Ward Routines

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    Katrina Ponce
    This document outlines the key personnel and routines on hospital wards. It describes the roles and responsibilities of clinical managers, nurses, assistants and other staff. It also provides examples of typical morning ward routines performed by registered nurses, including medication administration, patient observations, meals and personal care. All nursing students are reminded to keep within their scope of practice and have a registered nurse supervise any medication administration during clinical placements.

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    NE2.1 Ward Routines

    Uploaded by

    Katrina Ponce
    254 views3 pages
    This document outlines the key personnel and routines on hospital wards. It describes the roles and responsibilities of clinical managers, nurses, assistants and other staff. It also provides examples of typical morning ward routines performed by registered nurses, including medication administration, patient observations, meals and personal care. All nursing students are reminded to keep within their scope of practice and have a registered nurse supervise any medication administration during clinical placements.

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    This document outlines the key personnel and routines on hospital wards. It describes the roles and responsibilities of clinical managers, nurses, assistants and other staff. It also provides examples of typical morning ward routines performed by registered nurses, including medication administration, patient observations, meals and personal care. All nursing students are reminded to keep within their scope of practice and have a registered nurse supervise any medication administration during clinical placements.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    254 views3 pages

    NE2.1 Ward Routines

    Uploaded by

    Katrina Ponce
    This document outlines the key personnel and routines on hospital wards. It describes the roles and responsibilities of clinical managers, nurses, assistants and other staff. It also provides examples of typical morning ward routines performed by registered nurses, including medication administration, patient observations, meals and personal care. All nursing students are reminded to keep within their scope of practice and have a registered nurse supervise any medication administration during clinical placements.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    WARDORGANISATIONANDWARDROUTINES

    KEYPERSONNELONTHEWARDS ClinicalNurseManager(CNM)/ClinicalNurseSpecialist(CNS)/ClinicalNurseManager(CNM) The CNM/CNS is responsible for: maintaining and ensuring that a high standard of care is delivered, adequate staffing levels, rostering, bedmanagement and ensures that ward operates within budget. They are the ward leaders that: manage the allocation of patients to inpatient wards/units within the hospital, improve dischargepractices,promoteareaofexcellenceandpromotewardteamwork. StaffDevelopmentNurse(SDN) TheSDNisresponsibleforprovidingeducationtoallstaffmembersandisaresourceperson. ClinicalNurse(CN) TheCNhasabroadknowledgebasespecialisinginthatparticularclinicalareaandisanexpertclinician. ShiftCoordinator TheShiftcoordinatorcanbeaRNoraCNandhe/sheensuresthesmoothrunningofthewardforoneclinical shift. WardClerk Thewardclerkhasavastknowledgeofwarddynamicsinadditiontotheextensiveclericalrole. AssistantinNursing(AIN) TheAINdelivershighstandardofpatientcarewhilstpracticingwiththescopeoftheAssistantinNursingas directedbytheRegisteredNurse. PatientCareAssistant(PCA) ThePCAsupportsnursingstaffindeliveringhighqualitycaretopatientsandsignificantothers. Cleaningstaff Thecleaningstaffsmaintainahighstandardofwardcleanliness. NOTE: The nursing personnel at RPH are identified from the uniform (scrubs) they are wearing. The colour of the uniformisnavybluewithdifferentcolouredtrimmingswhiteforRegisteredNurse(RN),redforClinicalNurse (CN),greenforStaffDevelopmentNurse(SDN)and blueforAreaManagers(AM).Thejobtitleisembroidered onthepersonsrighthandsideandRPHlogoisonthelefthandsideofthescrubtop.TheRNandENgraduate nurses wear a sleeve badge to indicate their positions. In addition to the uniform, the ward leaders and the shiftcoordinatorsareidentifiedbythedifferentcolouredvesttheyarewearing. Itisaadvisablethatyoufindoutnamesofthekeypersonnel(CNM/CNS/CNM&SDN/CN/SHIFT COORDINATOR)whenyoufirstarrivedintheward/unitviayourpreceptor/buddynurseandintroduce yourselfwithconfidence

    Version : 1.0 First issued: May 2010; Review date: December 2010 Authorised by Nursing Human Resource Council Authorised date: Verbal Acceptance Interim Document/25 August 2010

    SHIFTTIME AMShift:Startat0700/0730 Finishat:1300/1430/1530hours PMShift:Startat1200/1300/1400/1500 Finishat:2130/2230hour NIGHTDUTYShift:Startat2100/2115 Finishat:0730/0715hours MEALBREAKTIMES Youwillbeallocatedyourteabreakwithyourbuddy.Thetimesare: Morningtea: 15minutesstartingat0900hours Lunch: 30minutesstartingat1145hours Afternoontea: 15minutesstartingat1430hours Dinner: 30minutesstartingat1700hours WARDROUTINES Wardroutinesmayvaryslightlyfromwardtoward.Theexamplebelowwillgiveyousomeideaofhowa medicalwardisrunduringamorningshift.ITISIMPORTANTTOREMEMBERYOURSCOPEOFPRACTICE BEFOREIMPLEMENTINGANYNURSINGCAREFORYOURPATIENTSANDIDENTIFYSKILLSTHATYOUNEEDTO ACHIEVEDURINGYOURCLINICALPLACEMENTINTHEFIRSTFEWDAYSOFYOURCLINICALPLACEMENT. AnexampleofwardroutinesperformedbyaRNinamedicalwardinamorningshift AM DUTIES SHIFT 0700 Collecthandoversheet CheckAllocationBoard Takehandover Establishifanyofyourpatientshaveappointments,specimenstobecollected, showers,dischargedrugsorspecificprocedures. 0715 Lastminuteverbalupdatesfromnightstaff.Checkmedchartshavebeensigned off.Clarifyanyissueswithnightstaffbeforetheyleave. CheckIV/SCinfusions,checkInsulintobegiven&givesuppositories.Complete timemanagementplanwhenreviewingNursingCarePlan(NCP). Performdailyobs(observation)andLying&StandingBPs(BloodPressure). SitpatientsoutforbreakfastToiletifrequired.Negotiateteabreakwithteam member. Iftimepermitsshoweronepatientpriortobreakfast 0730 RNcommencesdrugrounds.Ensuredrugdrawersarereplenishedandnon imprestdrugsordered. RNensuresthatmedicationChartsarecorrectandgiveRMOforrewriting,order drugsasrequired. RNdoSC/IV/IMmedicationsascharted.. AssistpatientswithfeedingPRN. 0800 Observedietaryintake,Completedietsheets,Fluidbalancechart(FBC)PRN. Continuetoileting&showering Observemobility&functionalstatus,ADLsability,skinintegrity,emotionalwell being. AllpatientsaretowearDayclothesunlessmedicallycontraindicated.
    Version : 1.0 First issued: May 2010; Review date: December 2010 Authorised by Nursing Human Resource Council Authorised date: Verbal Acceptance Interim Document/25 August 2010

    0900

    Firstmorningteafor15minfollowedbysecondtea. SharedcareModel(SCM)Teammemberscovereachotherspatients

    AnexampleofwardroutinesperformedbyaRNinamedicalwardinamorningshift(continue)
    AMSHIFT DUTIES

    1000

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    1130

    1145 1200

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    1530

    Doobservations,TPR,BPlyingandstanding,oxygensaturationasrequiredorif moreoftenthandaily. DoSharedCareModelrounds. Checkifshiftcoordinatorwantstoviewwounddressing. Patientsmayrestontheirbedsifc/opain. Dobladderscans Complete/reviewNursingcareplans DoContinencecharts/bowelcharts DoBarthelScoresandBradenscoreswhendueasperNURSINGPRACTICE STANDARDS(NPS) Handovertocoordinatorpatientsstatus Monitorbloodsugar&giveInsulin. Sitpatientsoutforlunch Feedingandtoileting Medicationsround. HandovertoSCMteammemberandgotofirstlunch. Assistpatientswithfeedingasrequired;completeintakecharts. Putpatientsbacktobedafterlunchforrestperiod Attendtoiletingneedsanddopostvoidbladderscans Answeranycallbellswardwide. Handovertoafternoonstafftakingoveryourpatientload;together,check patientsandcharts. CheckIVinfusions CompleteIntegratednotes,chartsetc Attendinserviceeducation(13.3015.00hrs.Variable) Sitpatientsoutforafternoontea Dovitalsigns&woundcareifrequiredmoreoftenthandaily. Medicationrounds,checkdrugchartsandreplenishdrugdrawers. PrepareequipmentfornextdoseofIVABs. Afternoonteaforafternoonstaff CompleteIntegratednotes,chartsetc Answeranycallbellswardwide. RNENSURESdrugkeysarerelocatedintodrugcupboardorhandedtoPMstaffand registerissigned. LastminuteverbalupdatestoPMstaff.Checkmedchartshavebeensignedoff. ClarifyanyissueswithPMstaffbeforeyouleave. CheckwithAMorPMshiftCoordinatorbeforegoinghome

    REMINDERWITHMEDICATIONSADMINISTRATION: Asundergraduatenursingstudents,theabovewardroutineshowsthetimewhenmedicationsare administeredtopatients.Beforeadministeringanymedicationspleaserememberyourscopeofpractice andalladministrationofmedicationsmustbesupervisedbyaRegisteredNurse

    Version : 1.0 First issued: May 2010; Review date: December 2010 Authorised by Nursing Human Resource Council Authorised date: Verbal Acceptance Interim Document/25 August 2010

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