NSG Task Force (Recovered)
NSG Task Force (Recovered)
Table of contents
--------------------------------------------------------------------------------------------1
Introduction
-------------------------------------------------------------------------------------------2
1
Introduction
2
Nursing workforce plan
The hospital should set the nursing work force plan that
describes;
The minimum nursing to patient ratio for each inpatient ward and
considerable nursing service area
Priority areas where the nurses must at all times meet the minimum
ratio requirements. E g; intensive care like , high dependency
units ,.p/operative care units, recovery, emergency department, labor
and delivery .
Procedures for transferring nurses across clinical setting or calling in
extra nurses/midwife from home in order to maintain nurse/midwife to
patient ratio especially in the priority areas .Determining the minimum
nurse’s/midwife staff in each service area has its own challenge; and
the following factors should be considered;
The service area over all condition ;
The intensity of the nursing care needed. e. g the frequency of
nursing interventions such as observations, medication
administration, wound care, stoma bathing etc..
The no. of admissions and discharges
The availability of technology /patient monitors/ etc..
Patient flow
The skill mix of staff
3
Hospital setting /infrastructure is list of factors to limit and
assign the nurse
Our hospital nursing staff employment policy must consider these work
force plan (nurse to patient ratio )
Every nurse must accept order by the concerned body when
temporarily assigned to over loaded area.
The hospital need to have a nursing workforce plan that address nurse
staffing requirements and sets minimum nurse/midwife to patient
ratios in each service area.
The workforce plan enables the hospital to assign and control
nursing/midwife staffs related to patients.
Measurement criteria
In inpatient wards, E/opd , Gyn /obs, recovery and operation room the
appropriate beds and nurse to patient ratio is expressed as follow. Wards in
4
our hospital is general ward that covers all types of wards such as
mediclal,surgical and pedi. At ward there are total of 04 nurses and total bed
18 that is under national quota the ratio is 1:5 At duty time 1:9 this so
difficult to manage patients.
NICU WARD
OPERATION ROOM
In this room 1 major and 1 minor room is avail.
In recovery ward; there are total of 2 bed.
The total nurse that should avail is 1,but the hospital
is not assign a recovery nurse.
Nurse to patient ratio 1:2
Gyn / Obs- WARD
Total number of beds are 12
Total no of midwives currently 13 out of those Midwife 10 are in
the ward.
Midwives to patient ratio at day time is 1፡2 but at duty time
minimize to 1:4 difficult to manage patients
Emergency opd
Total no. of emergency beds in emergency opd are 3
Total no. of nurses at day time is 3
Nurse to patient ratio 1:1
Nurse to patient ratio at duty time 2:3
5
Service area Nurse to At national
patient ratio in label
hospital
General ward 1:5 1:10
OR 2:1
PNC 1:5
6
MECHANISMS TO REASSIGN NURSING STAFF
When an extra nurse is needed to ensure minimum nurse to patient ratio the
following issues will happen:
7
Currently liben primary Hospital has a total of 23 nurses, all of them
are BSC nurse and, 13 midwives, among those 11 of them are BSC