5. EFFICIENT NURSE“achieving maximum productivity
with minimum wasted effort or expense”
WELL ORGANIZED
METHODICAL
STRUCTURED
WELL PLANNED
LOGICAL
WELL REGULATED
WELL ORDERED
SYSTEMATIZED
STREAMLINED
PRODUCTIVE
EFFECTIVE
LABOUR-SAVING
COST-EFFECTIVE
ENERGY-EFFICIENT
ENERGY-SAVING
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6. AIMS OF SEMINAR
1. TO STRENGTHEN THE LEADERSHIP SKILLS
2. TO REINFORCE THE SUPERVISION SKILLS
3. TO BOOST THE COMMUNICATIN SKILLS
4. TO REALIZE THE ACCOUNTABILITY
6
7. 7
For all the skills key points are:
Leadership quality
Supervision Ability
Team building
Coordination
Communication (listening,
speaking, writing)
Staffing
Motivation(Boosting confidence)
Delegation and execution
Accountability
Reporting and recording
19. Why supervision????
Easy transfer of message to down the line from doctor
or management.
Quality improvement
when there is watch, every one try to work at their level
best. And gives the best of their out put.
Risk management and performance management.
can lead to improvements in practice and client care,
and contribute to clinical management.
System of accountability and responsibility.
what ever work is assigned is going on in correct way or
not?? In case is that not the way that should be, we can
correct in between with supervision.
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24. 27
“Effective Communication”
It is purposeful
communication
Goal-oriented
Creating a beneficial outcome
for the client.
Obtains or provides relevant
information
Develops trust between Nurse
and Client
Reflects caring
Explores feeling related
condition
26. CO-ORDINATION
It is the unification,
integration,
synchronization of the
efforts of group
members so as to
provide unity of
action in the pursuit of
common goals.
It is a hidden force
which binds all the
other functions
of management.
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32. MOTI VATI ON A ND B OOST ING
CONF IDEN CE
As leaders, it's our responsibility to
thank our staff members regularly,
motivating and reassuring them of a job
well done
Organizations that value their staff live
it every day, not just at special events.
Being appreciated for work should extend
from the bedside to the boardroom.
Be proud. Your impact is enormous.
Feeling great about your work is a reward
in itself. I sincerely hope you feel
valued for your contributions. I salute
you and thank you during THIS SEMINAR.
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36. 39
Organization Or
Preparation Of Work
Environment To
Achieve Goals Of
Hospital.
The Important Aspect
Of Planning In
Nursing Leadership Is
“Staffing”.
37. WHAT IS STAF FING ?
“ W o r k l o a d M a n a g e m e n t O v e r v i e w ”
It depends on “Patient Acuity System” or “Patient
Classification System” 40
40. Using calendar days
Divide the number of days in a year by the number of days
actually worker per nurse per year. Nurses are not working
the 364 days of the year , but actually working 272 days
only in a year, because the rest 92 days are considered as
follows:
- Number of days off (1 day off per week) 52 days.
- Number of vacation days 20 days.
- Number of ill days ( hospital Policy) 10 days.
- Number of holidays 10 days.
------------------------------------------------------------
------ 92 days
Methods Of Determining The
Staffing Plan
43
41. Total actual work days = 364-92=272 days
Number of nurses needed to fill one position of
staff nurse=
Number of days in year
------------------------------------
Number of actually worked days
364/ 272 = 1.33 nurses that means you will need
1.33 nurse to fill one position.
Then calculate the total number needed for
staffing pattern for all unit.
44
42. Hospitals used the patient care hours for developing staffing
pattern, can calculate the staffing plan using the care hours
methods.
For example:-------------------------------X
Estimating a core staff per shift
Bed number in surgical unit= 25 bed
The average daily census for 6 month = 19 patients
The average daily care hour to be provided= 5 hour per pt/24 hour.
(approx.1.3 hrs/pt/shift)
Total hours of care will be needed= 19x5= 95 hours.
If the work day is 8 hours , then 95 divided on 8 = 11.9 or 12 FTE
staff needed to unit for 24 hour.
(M-45%,E-35%,N-20%) (M-5.4/Unit,E-4.2/Unit,N-2.4/Unit)
Using the care hours for developing
staffing pattern
45
43. EXERCISE
(If 6 hours M&E shift and 12 Hours N shift)
• 95/6=15.8 /M= 15.8X45/100= 7.1 in Morning shift
• 95/6=15.8 /E= 15.8X35/100= 5.5 in Evening shift
• 95/12=7.9/N= 15.8X20/100= 1.6 in Night shift
46
49. REPO RTIN G
Reporting TAKING from staff, as well
Report GIVING to higher authority.
Continuous / incidental / Periodic
Better patient care
Delegate motivated more.
Good performance encouraged and reinforced
Great team work and improved communication
and patient care, improved outcome.
54
51. Medical Charades
Prior to the exercise, prepare several slips of
paper with a health, nursing or medical term
written on each. Ideas for terms include heart
attack, needle, code blue or blood pressure.
Divide the group into two teams. Each team sends
one representative to the front of the room for
a round. One player pulls a slip of paper from a
container and shows it to the player from the
other team. The lead then initiates a stop
watch; each player must act out the item on the
paper while his team tries to guess the action
or item. The team who guesses correctly first
wins one point. Play until all participants have
had a chance to act out an item or until a
certain point or time limit is reached. Stress
the importance of body and movement in
communication; discuss team cooperation at the
end of the exercise.
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Notas del editor
CARING AND UNDERSTANDING
WILLING TO LEARN NEW THINGS AND DEVELOP THE LEARNING ATTITUDE WITH POSITIVENESS
ABLE TO ACCEPT THE CAHNGE
TOLERANT-(OPEN MINDED)- ABLE TO ACCEPT THE BHAVIOURS, UNBIASED ( NO FAVOURISAM, NEUTRAL)
MULTITASKING- DEALING WITH MORE THAN ONE TASK..AT A TIME
ACCOUNTABLE- ANSWERABLE, RESPONSIBLE
COPERTATIVE- WILLING TO HELP, IN A HELATH CARE TEAM
TRUSTWORTHY-HONEST, RELIABLE-GOOD CONSISTENCE PERFORMANCE
The process of hearing spoken words and noting nonverbal behavior.
Active listening takes energy and concentration.
PUT DOWN-HUMILIATE,CRITICIZE
What would you do?
Staff for peak levels at all times?
Staff for minimum census and acuity levels?
Staff for minimum census and acuity levels and
hire part time agency nurses?
What are problems with each approach?
A solution-- flexible staffing!
Workload Management
Staffing-- determining the appropriate number of full-time equivalents (FTEs) to be hired in each skill class
Scheduling-- who is on and off duty and when; operational procedure
Reallocation-- fine tunes the previous decisions; daily if not shift by shift
To staff efficiently we need a standard:
a predetermined allocation of time available for each unit of service (presumably at the appropriate quality level)
Acuity Adjusted-- patient days are adjusted for the acuity level of the patients being served
Example: Nursing hours per patient day(NHPPD)