Medical ward objectives and staffing levels

Medical screen aims and provideing levelsThis is a 34 bedded medical ward admitting antheral patients with different conditions.The specialties atomic number 18 as followsSpecialtiesConsultantBedsGastro-EnterologyDr. Salim AL.Harthi6NeurologyDr. Jaber AL.Khaburi5RespiratoryDr. Nasser AL.Busaidi5CardiologyDr. Abdullah AL.Riyami4EndocrinologyDr. Noor Al.Busaidi4Infectious DiseaseDr. Saif AL.Abri4RheumatologyDr. Ramnath Misra4HematologyDr.Muhana AL.Maslahi2Ward Objectives-To plan, organize, implement and evaluate the nursing service to ensure that a high standard patient care is delivered within the ward.To adduce optimum professional code of conduct, practice and good lag morale of professional nurse.To maintain effective communication with patient and their relatives concerning the nature and management of clinical conditions and their outcomes.To ensure all round have been updating their knowledge by conducting some lectures within the ward level and training courses within CPE department.To facilitate the consolidation of newly qualified Omani nurse into their roles and responsibilities in the tertiary medical services consistent with the national policy on Omanization and fully aware administrative roles and regulation pertaining their employment.To conduct regular faculty performance appraisals to assess competency, progress, strengths, weaknesses and identify further education and training needs.To schedule and deploy sufficient numbers of round to provide 24hrs nursing care to ensure safe clinical practice.To ensure optimum utilization of the hospital resources towards the appropriate provision of nursing services throughout the ward.Staffing Levels-Staff levelsOmani StaffExpatriates StaffSeniorJuniorSeniorWard Nurse1Staff Nurse1133Ward CoordinatorNilMedical Orderlies13Total round27staff (-1staff in Female Medical 1, plan for transfer.Ward Activities-Termination, Omanization, Transferring, Resignation and New staff-Sr. NoWard ActivitiesNo. Of Staff NurseRemarks1TerminationNilNil2Omanization2S/N Seena modify era 01/08/2009S/N Smitha affected date 06/09/20093Transferring3+ 1 Temporary1S/N Wafa Harib affect date 02/05/09 to purplish Hospital OPDS/N Suganthi affect date 02/05/09 to MM1S/N Enci affected date 06/06/09 to FM2+ S/N Faiza affected date 01/11/09 to FM1 (Temporary)M/O Said affected date 02/05/2009 to Royal Hospital X-Ray Department4Resignation1S/N Ajitha Affected date 06/12/20095New Staff2 S/N + 1 M/OS/N Idris Al-FarsiS/N Sangoor Al-Yusufi+ M/O Turki BarghashNew Equipment-1. Glide sheet for patient turning 6/7/092. Our old cardiac monitor has been replaced.Activities in Male Medical ii Within Each Month-Male Medical Two is kept for conducting the MRCP exams four times per year which always take one week separately time of these exams went so smoothly and will give as chance for tarrow clean the ward.The ward is the Disaster ward in the medical unit, all staff in the ward have good knowledge of the step how to followed in any emergency situation (of distributively month 1st week at that place is discussion Disaster matter to conjure up staff knowledge) On 13/11/2009 there was a disaster drill which has prove to us that the objective of disaster action cards are met throughout the feedback we received verbally from Nursing Administration.2nd Week in each month kept for upgrade staff knowledge more or less Professional Code of Conduct by given lecture with scenarios in one of the element.3rd Week in each month kept for upgrade staff knowledge about Medication action side effect, by lecture given by assigned staff 10-15 minutes prior to hand over of morning shift.4th Week in each month kept for upgrade staff knowledge about Firewast management by lecture given by assigned staff 10-15 minutes prior to hand over of morning shift.Ongoing monitoring is be done on-Nursing Records Auditing which we are doing since July 2001. everyday patient Fall Assessment Score.Wound care assessment.Daily f ollowed screening for any infection (MRSAMDRAB)Daily followed Nursing process which started on 2nd September 2002.Discharge planning started on October 2002Monthly Environmental Audit.Six Month report.Education, Training and Quality way for 2009SRCourses2009No of S/N completedRemark1Ward Management132High Dependency333Pain Management4224ECG interpretation1115Preceptor ship323Upgrade their knowledge by refreshment preceptor workshop.6IV Therapy Drug Calculation28( both staff)7IV Cannulation7We are following up with other 8 staff practice cannulation till they are competent.8Wound stoma care34They are helping to teach other staff in the ward level and follow up the care about wounds.9Post Kidney transplantation1110Recertification BCLS28(All staff)Every 2 years11Manual Handling23Other 5staff who are joining MM2 in refinement 3years they are learn more about it from senior staff during work.12Physical Assessment36Recertification of BCLS and management of Cardiac Arrest-All of nurses certified more than 2 years ago have been recertified. Nurses within the ward has been assessed for their competency in management of cardiac arrest at the ward level in recognizing cardiopulmonary arrest, move rapidly towards Life saving.The plan for ward basic CPR within Ward level, which aim to check the staff competency with it.Strategic Plan for next year-To continue the ward activities, upgrade the standard of care and services to the patient.To plan, organize, implement and evaluate the nursing services to ensure that a high quality patient care is delivered within the ward level.To maintain optimum Professional Code of conduct, practice and good staff morale of professional nurse.To ensure all staff has been updating their knowledge by conducting different courses in CPE and some lectures within the ward level regarding cases, practice of medicine and infection control.To finalize Endoscopy Procedure Brochure this is made by staff in Male Medical Two.To continue give first priority for CPE program courses to Omani staff to improve their competencies and skills.Plan to give 3 lecture within medical unit by our staff regarding (fall prevention, CVP care and medication deliberateness during emergence).Done by - Saif AL.Ghuzaili