DAY 1
QUALITIES OF A GOOD NURSE
CORE FUNCTIONS
THE PATIENTS PERSPECTIVE
THE TELEPHONE ETIQUETTE
GREETING/WISHING
DISCIPLINE & AWARENESS
ADMISSION & DISCHARGE PROCESS
EMERGENCY/CASUALTY
INDENTING PROCESS
DAY 2
LINEN DISTRIBUTION
HOUSEKEEPING
DOCUMENTATION
INVESTIGATIONS –INHOUSE & OUTSOURCED
LAMA CASES
DEATH PROCESS
RECAP
Patient care
is impossible without
you
GOOD NURSE
Good Motivator
Helpful
Cheerful
Health
Education
Caring
Responsible
Well Groomed
Well InformedUnderstanding
Holistic
Care
Coordinator
Manager
Systematic
Maintains a
Cordial Envt.
HOUSEKEEPING ADMINISTRATIVE
CORE FUNCTIONS
KEY WORD
PATIENT CENTRED
•Project a good image
•Resolve conflicts internally
•Look professional
•Take responsibility
•Do not argue, Apologize
•“Sorry” means a lot
•Show that you are concerned
•Keep the patient/attendant informed
THE
TELEPHONE
“Always remember
the hospital’s reputation is online”
GOOD TONE OF VOICE
•Promptness (within three rings)
•Clarity of speech
•Pleasant voice
•Smile through the phone
•Wish time of the day
NEVER SAY
“ I don’t know”
SAY THAT
“I will find out & get back to you soon”
THE PATIENTS PERSPECTIVE…
Response time
Keep the patient & attendant informed
Show them equally concerned
Show that you value their time
Listen with concern
Don’t interrupt
Apologize
KNOW THE CURRENT STATUS
Number of patients
No. of discharges
Likely date of discharge of every patient
Discharge summary made or not
Billing is done or not
Rooms available & rooms ready
Patient feedback form to be filled
IPD
ADMISSION
PATIENT REGISTRATION
NURSING STATION INFORMED/ROOM READY
PATIENT GUIDED TO ROOM
INFORM RMO
NURSES INFORM FRONT OFFICE EVERY
MORNING 7.30 P.M ABOUT THE ROOMS
MAKE SURE RMO GIVES A STATUS REPORT TO CONSULTANT
RMO WRITES HISTORY, NURSE TAKES VITALS
DOCUMENTED
PHYSICIANS INSTRUCTIONS PASSED ON TO THE PATIENT
ENTRY IN
ADMISSION
REGISTER
EXPLAIN
ALL ROUTINES
SERVICES
ONE PRICK
For Drip & taking the Blood
Sample
THE DISCHARGE PROCESS
DOCTOR INFORMS THE PATIENT & NURSE
NURSES INFORM THE FRONT OFFICE
MEDICINES CHECKED & FUTURE COURSE EXPLINED TO PATIENT
FILES/RECORDS COMPLETED WITH DISCHARGE SUMMARY
SENT TO FRONT OFFICE FOR BILLING
PATIENT DISCHARGED
DISCHARGE SUMMARY IS BEING MADE
VERBALLY
&
HIS
COORDINATE
TO FIND OUT
WHEN THE
BILL IS READY
INFORM PATIENT & ARRANGE FOR WARD BOY
THE EMERGENCY PROCESS
WHEN THE AMBULANCE IS CALLED FOR
Please connect the outcall to the RMO
to qualify the emergency based on
distance, Patient condition
CASUALTY NURSE IS INFORMED
Furnish the ambulance with requisite infrastructure
AMBULANCE
DRIVER INFORMS FRONT OFFICE
FRONT OFFICE COORDINATES WITH CASUALTY & RMO
CASUALTY GEARED UP
PATIENT RECEIVED
TREATED
EMERGENCY RESPONSE TIME
2 MINUTES
IN THE CASUALTY
Emergency drugs & equipments to be
checked daily in quantity & functionality
Casualty register for all the patients
1 Stretcher & Wheelchair always in the
Casualty
COORDINATION WITH F & B
•Diet Requisition to be sent within 20 minutes of
doctors round
•Bed/Room change to be informed to the dietician,
F&B & Front Office
•Patient feedback on Diet & F&B to be entered on the
daily report
•Patient discharge intimation to be sent timely
•Diet requisition to be sent on given format
•Please consult the diet with the doctor
•Documentation of diet change at the Handing
over & Taking over time
•Documentation in the activity sheet
HIS ENTRY
AT ALL STAGES
DISCIPLINE
&
AWARE
COMPLETE
CLINICAL
PICTURE OF
EVERY PATIENT
Diagnosis of all cases
Treatment being given
Procedures done/pending
Diet prescribed/change
Likely date of discharge
Investigations done/pending
Reports awaited
Pre/Post Op procedures
PAC done/pending
REPORTING ANY UNTOWARD HAPPENING/
PATIENT COMPLAINTS/DELAYS
(Any Dept.)
IMMEDIATELY TO Dr R.Solanky in day &
MR …………….. in night
Activity sheets to be completed &
sent to billing department daily
INDENTING
FOR HOSPITAL FOR PATIENT
From StoreFrom Pharmacy From Pharmacy
•STOCKREGISTERTOBE
MAINTAINED
•REQUISITIONRAISED
ONCEIN2WEEKSBASED
ONLAST15DAYS
CONSUMPTION
•SUPPLEMENTARY INDENTIF
REQUIRED
ON A DAILY BASIS
AS & WHEN REQUIRED
FROM STORES : Stationery, Soaps etc.
FROM PHARMACY : Betadiene, Syringes, Savlon,
Suction Catheters, Test tubes etc.
Crash Cart should always have atleast 10 of each of
these disposables
FOR PATIENT
1+2 INDENT/PRESCRIPTION BOOKLET
All patients to sign all the indents
Cash payment made by cash patient
Credit patient bills to be signed daily by patient/attendant
IDENTIFYING & BRIDGING THE GAPS
•Poor PR
•Lack of Communication
•No Feedback
•No Audits & Evaluation system
•Lack of motivation
•Inadequate staff
•Negative attitude
•Poor Leadership
•Involvement of supervisors in direct patient care