Professional Documents
Culture Documents
Leadership Final Reviewer
Leadership Final Reviewer
VISION
MISSION
PHILOSOPY
- A line drawing composed of boxes that show ORGANIZING THE NURING SERVICE
how the parts of an organization are linked.
Process of identifying and grouping the work to
- Depicts formal organizational relationship, be performed, defining and delegating
areas of responsibility, persons to whom one is responsibility and authority and establishing
accountable for and channels of communication. relationships for the purpose of enabling people
to work most effectively together in
Two lines in organizational chart
accomplishing the objectives (Lows Al Allen,
o Unbroken Solid Lines 2011). It follows planning as a second phase of
the management process
▪ Solid horizontal line represent communication
between people with similar spheres of
responsibility and power but different functions.
PURPOSE OF ORGANIZING
▪ Solid Vertical line between position denote the
1. Formulate a team so that they may work
official chain of command and formal path of
together to achieve objectives
communication and authority.
2. Assign activities with an authority that
NOTE: Those having the greater decision – can supervise the team
making authority are at the top; those with the 3. Design a formal system so that roles are
least are at the bottom. clear, everyone knows who is to do,
what and who is responsible for what
o Broken Solid line
results
▪ Used dotted or broken lines which represent 4. Establish a positive work environment
staff position, the people that provides for the staff to effectively accomplish
information or assistance to the manager but has their goals
limited organizational authority (function is in 5. Collaborate and coordinate productively
advisory capacity) within and outside their department,
STEPS IN ORGANIZING - Function task to produce the product
- General manager responsible to the
Consider the plans and goals of the organization
report of the product manager
Determine the work activities necessary to
accomplish objectives
STAFFING
3. MATRIX
- Focus both product and function
Importance of staffing - Influences nursing personnel to follow the
direction
- Recruits competent personnel
- Becomes means of motivation
-Allocate job tasks properly among nursing - Helps in efficient utilization of resources
personnel according to their qualifications and - Initiates action
specialization - Provides stability
Importance of Controlling
DIRECTING - Helps in achieving the goals of the organization
- Ensures efficient and effective use of
- It is the manner of delegating
organizational resources for achieving the goals
assignments, orders and instructions to
- Helps in judging accuracy of standards
the nursing personnel. It is the KEY or
- Checks mistakes and tells how new challenges
HEART of management process.
can be met or faced
- The element of directing include
- Improves employee motivation
o Supervision - Ensure order and discipline
▪ Direct (when you’re present on work - Ensures the activities in an organization are
area directing. Observing staffs works) performed according to plans.
▪ Indirect (you have shared - Facilitates coordination in action
responsibility, you’re easy to contact - Reduces/eliminate risk of nonconformities
and available anytime when you’re - Helps in minimizing errors
needed) - Helps in improving performance
o Delegation - Correct deviations
o Communication, teamwork and collaboration
o Problem-solving and decision-making Control Includes
o Conflict management and change - Policies
management. o Broad guidelines for the managerial
o Motivation decisions that are necessary in
organizational and departmental
planning
Importance of Directing
- Rules
- Establishes direction in carrying out desired o Set of understood regulations or
action. principles governing conduct within a
- Integrates effort particular activity or sphere.
- Enables employee to cope with changes
NURSING PRACTICE AND LEGAL ASPECTS IN EMPLOYEE GUIDELINES
LEADERSHIP AND MANAGEMENT 1. Respondent Superior: The employer is held
liable for any negligent acts of an employee if the
NURSE PRACTICE ACT alleged negligent act occurred during the
1. A nurse practice act is a series of a statutes employment relationship and was within the
that have been enacted by each state legislature scope of
to the employee’s responsibilities.
regulate practice of nursing in that state.
2. Nurse practice acts set educational 2. Contracts
requirements for the nurse, distinguish between a. Nurses are responsible for carrying out the
nursing terms of a contractual agreement with the
practice and medical practice and define the employing agency and the client
scope of nursing practice b. The nurse-employee relationship is governed
3. Additional issues covered by nurse practice by established employee handbook and client
acts include licensure requirements for care policies and procedures that create
protection of obligations, rights and duties between those
the public, grounds for disciplinary action, rights parties.
of the nurse license if a disciplinary action is
taken, and related topics 3. Institutional Policies
4. All nurses are responsible for knowing the c. If the nurse practices nursing according to
provisions of the act of the state or province in client care policies and procedures established
which by
they work. the employer, functions within the job
responsibility, ad provides care consistently in a
nonnegotiable manner, the nurse minimizes the
STANDARDS OF CARE potential for liability
1. Standards of care are guidelines that identify
what the client can expect to receive in terms of REMINDER!
nursing care. The nurse must follow the guidelines identifies in
2. The guidelines determine whether nurses the nurse practice act and agency policies and
have performed duties in an appropriate procedures when delivering client care.
manner.
3. If a nurse does not perform duties within HOSPITAL STAFFING
accepted standards of care, the nurse places 1. Charges of abandonment may be made
himself in against nurses who “walk out” when staffing is
jeopardy of legal action inadequate
4. If a nurse is named as defendant in a 2. Nurses in short staffing situations are
malpractice lawsuit and proceedings show that obligated to make a report to the nursing
the nurse administration.
follower neither the accepted standards of care
outlined by the state or province nurse practice FLOATING
act nor the policies of the employing institution, 1. Floating is an acceptable, legal practice used
the nurse’s legal liability is clear; by health care facilities to alleviate the
understanding and overstaffing.
2. Legally, a nurse cannot refuse to float unless a Programs are based on a systematic reporting
union contract guarantees that nurses can work system for unusual occurrences.
only in a specifies area or the nurse can prove
lack of knowledge for the performance of INCIDENT REPORTS
assigned tasks. - The incident report is used as a means of
identifying risk situation and improving client
Floating nurse – mga hinihila sa ibang area kapag care
kulang staff - Follow specific documentation guidelines
3. Nurse in a floating situation must not assume - Fill out the report completely, accurately, and
responsibility beyond their level of experience or factually
qualification (Incident report is given to the office, it is not
4. Nurses who float should inform the supervisor placed in the pt chart/record)
of any lack of experience in caring for the type of - The report form should not be copied or placed
clients on the new nursing unit in the client’s record
- Make no reference to the incident report form
DISCIPLINARY ACTION in the client’s record.
1. Board of nursing may deny, revoke, or - The report is not a substitute for a complete
suspend any license to practice as a registered entry in the client’s record regarding the
nurse, incident.
according to their statutory authority - If a client injury or error in care occurred, assess
2. Some causes for disciplinary action are as the client frequently.
follows:
a. Unprofessional conduct INCIDENTS THAT NEED TO BE REPORTED
b. Conduct that could affect the health - Medication administration errors
and welfare - Needle-stick injuries
c. Failure to use sufficient knowledge, - Procedure-related or equipment-related
skills or nursing judgement accidents
d. Physically or verbally abusing a client - A visitor injury that occurred in the health care
e. Assuming duties without sufficient agency premises
preparation - A visitor who exhibits symptoms of a
f. Knowingly delegating to unlicensed communicable disease
personnel
g. Failure to maintain an accurate record SAFEGUARDING VALUABLES
for each client Client’s valuable should be given to a family
h. Falsifying a client’s record member or a secured for safekeeping in a stored
i. Leaving a nursing assignment without and locked
properly notifying appropriate designated location, such as the agency’s safe;
personnel the location of the client’s valuables should be
documented per agency policy.
RISK MANAGEMENT
Risk management is a planned method to Many health care agencies require a client to
identify, analyze and evaluate risks, followed by sign a release to free the agency of the
a plan for reducing the frequency of accidents responsibility for
and injuries. lost valuables.
A client’s wedding band can be taped in place - Route of Administration
unless a risk exists for swelling of the hands pr - Frequency of administration
fingers. - Physician’s or health care provider’s signature
F- FOCUS
Establish a focus of care, to be addresses in the
progress note