Manual of The Essentials of Good Hospital Nursing ServicePDF电子书下载

Section 1．The Hospital 1

Section 2．Principles and Policies Governing Good Organization and Administration 3

Section 3．The Nursing Department Personnel 6

Classification of Personnel 6

Professional Workers 6

Responsibility for Appointments 6

Factors Entering into Selection 7

General Qualifications 7

Personal Qualifications and Ethical Responsibilities 7

Positions and Titles Defined 8

Qualifications for Different Positions 10

Special or Private Duty Nurses 10

Non-professional Workers 11

Orderlies and Ward Helpers 11

Ward Clerks 12

Volunteer Nurses＇ Aides 13

Section 4．Nursing Students in Relation to the Nursing Service 14

Assignments 14

Supervision 15

Night Service 15

Section 5．Staff Education and Supervision 16

Professional Personnel 16

Staff Education 16

Supervision 17

Non-professional Personnel 18

Orderly and Ward Helper 19

Ward Clerk 19

Volunteer Nurse＇s Aide 20

Section 6．Conditions of Service and Welfare 21

Professional Personnel 21

Appointment:Notification and Acceptance 21

Resignation:Notification 21

Salaries 21

Tenure 22

Promotion 22

Hours of Work 22

Vacations and Other Absences 23

Non-professional Personnel 23

Conditions of Employment 23

Termination of Employment 24

Wages 24

Permanency and Advancement 24

Hours of Work and Vacations 24

Other Conditions 24

Section 7．Maintenance 25

Professional Personnel 25

Housing 25

Meals 25

Laundry 26

Non-professional Personnel 26

Section 8．Health Service 27

Costs 27

Organization and Major Functions 27

Organization 27

Functions 28

Tuberculosis Prevention 28

Hospitalization 29

Physical Facilities 29

Medical Attendance 29

Sick Leave with Pay 29

Special Problems 29

Social Problems 30

Psychiatric Consultation 30

Special Diet Consultation 30

Persons with Disability 30

Health Instruction 30

Records and Reports 31

Records 31

Reports 31

Section 9．Records and Reports 32

Records 32

In the Ward Units 32

In the Central Office 33

Reports 33

Health Records and Reports 34

Section 10．Administrative Budgeting 35

Section 11．Quality and Quantity of Nursing Service 36

Quantity as it Affects Quality 36

Factors Which Affect Time Requirements 36

Ward Unit Measures or Norms 37

Operating Room Division 40

Out-Patient Division 40

Staffing a Ward Unit 41

Illustrating Hour Schedules 43

Central Administrative Staff 43

Good Nursing Quality 43

Section 12．The Nursing Service and the Public 45

Appendix．Suggested Duties of Ward Helpers and Orderlies 47

References 50

TABLES 38

1．Average Number of Bedside Nursing Hours per Patient During Twentyfour Hours 38

2．Percentage of Total Bedside Nursing Hours Provided by Graduate Nurses in Hospitals Where Students Are Part of the Nursing Service Personnel 38

3．Number of Patients per Day Supervisor 39

4．Number of Patients per Head Nurse 39

5．Number of Patients per Day Supervisor and Head Nurse Combined 39

Number of Patients per Night Supervisor 39

6．Number of Patients per Orderly in Men＇s Units 39

7．Number of Patients per Ward Helper in Women＇s Units 39

8．Beds and Patients in Hospital＂X＂According to Service and Type of Accommodation 41

9．Nursing Service Personnel Required for All Ward Units in Hospital＂X＂ 42

10．Two Sample Schedules of Assignment of Hours for a Twenty-four-Hour Period When Eight of the Nine Bedside Nurses Are on Duty in a Medical and Surgical Ward and Semiprivate Unit With Nineteen Patients 44

DIAGRAM 5

Basic Organization Plan of Hospital Nursing Department 5