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