final - nsa report

8/9/2019 Final - Nsa Report

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Administered by the Chief Nurse. This position may be called by

other titles in other hospitals such as:

o Director of Nursing Services

o Nursing Service Director

o Assistant Director for Nursing (PGH)

o Department Managers (In various specialty hospitals;

Lung Center of the Philippines, National Kidney Institute,

and Philippine Childrens Medical Center

TRADITIONAL HEIRARCHICAL STRUCTURE

CHIEF NURSE

o Directly responsible to the Chief of Hospital or Medical

Center Chief.

ASSISTANT CHIEF NURSE

o assists the Chief nurse (In bigger hospitals, there can be

2A

ssistant Chief nurses; one forTraining andResearch and the other forPatient Care Services)

SUPERVISING NURSES

o In charge of 2 or more nursing units

HEAD NURSES/SENIOR NURSE

o Responsible for the management of a nursing unit

STAFF NURSES

o Provide direct patient care and are assisted by nursing

attendants who perform simple routine tasks for which

they are trained.

TRADITIONAL HEIR

CHIEF OF

CHIEF

SUPERVIS

SENIO

STAFF

NURSING A


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ORGANIZATIONAL STRUCTURE OF A HOSPITAL NURSING DIVISION/SERVIC

This organizational chart shows the structure of a nursing service delineating the hierarchy of positions from th

attendant. The Staff nurses, midwives, nursing attendants and Institutional workers are under the supervision

MEDICAL CENTERCHIEF

CHIEF NURSE

ASST. CHIEF NURSE

SUPERVISING NURSE(OPD,ER)

SENIOR NURSES

STAFF NURSES

MIDWIVES

NURSINGATTENDANTS

INSTITUTIONALWORKERS

SUPERVISING NURSE(CLINICAL AREA)

SENIOR NURSES

STAFF NURSES

NURSINGATTENDANTS


SUPERVISING NURSE(OR, DR, CSR)

SENIOR NURSES

STAFF NURSES

MIDWIVES

NURSINGATTENDANTS

INSTITUTIONALWORKER

SUPERVIINST

NURSE IN


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ORGANIZATIONAL STRUCTURE OF A TRAINING HOSPITAL WITH AN AFFILIATED COLLEGE OF NU

Solid lines depict direct relationships while broken lines show coordinated relationship

MEDICAL CENTER CHIEF

CHIEF NURSE

ASST. CHIEF NURSE

SUPERVISING NURSE(OPD,ER)

SENIOR NURSES

STAFF NURSES

MIDWIVES

NURSINGATTENDANTS


SUPERVISING NURSE(CLINICAL AREA)

SENIOR NURSES

STAFF NURSES

NURSINGATTENDANTS


SUPERVISING NURSE(OR, DR, CSR)

SENIOR NURSES

STAFF NURSES

MIDWIVES

NURSINGATTENDANTS

INSTITUTIONALWORKER

SUPERVISING NURSINSTRUCTOR

NURSE INSTRUCTO

TRAINEES


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Advantages of a cyclical scheduleI. It is fair to all

II. It saves time as the schedule does not have to beredone

III. It enables employees to plan ahead for theirpersonal needs preventing frequent changes inschedule

IV. Scheduled leave coverage such as vacation,holidays, and sick leaves are more stable.

V. Productivity is improved

SCHEDULING VARIABLES

O Length of scheduling period whether 2 or 4 weeksO Shift rotationO Week-ends offO Holiday offsO Vacation leavesO Special days (Birthdays, wedding anniversary, etc)O Scheduled events in the hospital, training programs or

meetingsO Job categorieso Continuing Professional Education (CPE) programs

ROTATING WORK SHIFTS

o Common on most hospitalso It is desirable that there be equal share of morning,

afternoon and night shifts as prolonged night shifts mayaffect the health of the personnel.


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FOUR WEEK CYCLICAL SCHEDULE

Personnel S M T WTH

F S S M T WTH

F S S M T WTH

AM

Head/Sr.Nurse

X X X X X X

Staff

NurseX X X X X X

Nsg. Att. 1 X X X X X X

Nsg. Att. 2 X X X X X X

PM

StaffNurse

X X X X X X

Nsg. Att. X X X X X X

NIGHT

StaffNurse

X X X X X X

Nsg. Att. X X X X X

Gen. Rel. 3-11;11-7

Staff NursePM

PM

NIGHT

X XPM

NIGHT

NIGHT

XAM

PM

PM

NIGHT

X XAM

PM

PM

NIGHT

N I G H T

Nsg. Att. PM

NIGH

T

XAM

PM

NIGH

T

XAM

PM

XNIGH

T

NIGH

T

X PM

XAM

NIGH

T

X PM

P M


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DEVELOPING JOB DESCRIPTIONS

Job Description is a statement that sets the duties and responsibilities of a specific job. It includes the needed characteristics or qualifications of the individual to perform such duties successfully.

CONTENTS OF A JOB DESCRIPTION

1. IdentifyingDataPosition Title: Staff NurseDepartment: NursingSupervisors Title: Head/Senior Nurse

2. Job summary This includes the essential features of the job that distinguish it from the others.

3. Qualification Requirements Educational preparation, training and experience necessary to f ill the position.

4. Job Relationships Source of Workers

5. SpecificandActual Functions andActivities

USE

S OF JOBDE

SCRIPTION

1. Forrecruitment andselectionofqualifiedpersonnel

2. Toorientnew employees to their jobs

3. Forjob placement, transferordismissal

4. As an aidin evaluatingthe performance ofan employee

5. Forbudgetary purposes

6. Fordeterminingdepartmentalfunctions andrelationships to help define the organizationalstructure

7. Forclassifyinglevelsofnursingfunctions accordingtoskill levelsrequired

8. To Identify trainingneeds

9. As basisforstaffing

10. Toserve as a channelofcommunication

*Job descriptions from unit to unit or hospital to hospital may vary. It is recommended that the Chief Nurse formulate

in mind the scope of nursing practice provided for by the Philippine Nursing Act of 2002, RA 9173 and the manageme


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SAMPLE JOB DESCRIPTION OF A STAFF NURSE

Position Title: Staff Nurse/Nurse I

Definition:

The Staff Nurse is a professional nurse responsible for rendering wholistic nursing careto patients in assigned areas, the specific functions and responsibilities of which depend upon theorganizational structure of the Nursing Service Department

Qualification Requirements:Education: Bachelor of Science in NursingLicense: Registered Nurse

Job Summary:The Staff Nurse provides direct nursing care to patients towards the promotion of health,prevention of diseases, restoration of health, alleviation of suffering, and assisting thedying to face death wth dignity and in peace.

Employment VariablesProfessional Affiliation with professional nursing associations.

Job Relationships:Source of Workers: RegisteredPromoted to: Senior Nurse/Nurse IIResponsible to: Senior Nurse/ Nurse II

Functions:

A. Patient Care ManagementB. Hospital and Nursing ServicePolicies and regulationsC. Learning experience of Nursing and Midwifery studentsD. Orientation of Non-Professional Workers in the unitE. Research & StudiesF. Professional Responsibilities


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Central Philippine University

SCHOOL OF GRADUATE STUDIES

Jaro, Iloilo City

Report for

Nursing Service Administration Lecture

(MAN 625a)

Management Process:

ORGANIZING

Setting Up the Organizational Structure

Staffing

Scheduling

Developing Job Descriptions

Prepared by:

Jomar A. Clavecillas, R.N.Hope Rinette Wong, R.N.

Preceptor:

Helen A. Caton, R.N., M.N.

final - nsa report

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