8.1 General organization
40 to 50 beds:
10 intensive care beds
30 to 40 inpatient beds
|Doctors||3||1 per day, 1 per night, 1 off|
|Supervisor||1||6 days a week|
|Nurses||9||3 per day, 3 per night, 3 off|
|Nurse's aides||6||2 per day, 2 per night, 2 off|
|Hospital cleaners||4||2 per day, 2 off|
|Watchmen||6||2 per day, 2 per night, 2 off|
Shift schedule: 6 am-6 pm (12 hrs.); 6 pm-6 am (12 hrs.); supervisor: 8:30 am-1 pm/ 3 pm-5:30 pm
Schedule for monitoring vital signs and administering treatments (oral and parenteral)
|Once daily||7 am|
|2 times daily||7 am / 7 pm|
|3 times daily||7 am / 1 pm / 8 pm|
|4 times daily||7 am / 1 pm / 8 pm / 2 am|
|Every hour||In intensive care, according to doctor’s orders|
Register of admissions/discharges
Completed by the supervisor or the nurse.
Completed by the doctor. Nurses and nurse’s aides enter the monitoring data and orders carried out.
|Hourly monitoring sheet||
Completed by the nurse and nurse’s aide, at doctor request.
Monitoring record of consumption (drugs and medical supplies)
|Unit||Completed by the supervisor every week.|
Completed by the nurse and the nurse’s aide.
|Patient board||Ward||Updated by the supervisor.|
8.3 Staff duties
– Performs daily rounds with the supervisor and a nurse.
– Notes the prescriptions and procedures to be carried out.
– Makes admission and discharge decisions; handles emergencies.
– Does handovers to the on-call doctor, nurses and supervisor.
– Updates the records (including the patient’s health record at discharge).
– Manages patient discharges: patient information, treatments, discharge authorization.
– Helps supervise and train health staff.
– Makes sure that the unit runs correctly: quality of care; supply (drug and supply orders and consumption); hygiene; and meal distribution.
– Makes sure that documents are used correctly: handover book, monitoring records, etc.
– Accompanies the doctor on his or her rounds.
– Sets up the staff schedules and makes sure the personnel are present.
– Checks and records daily the number of patients, admissions, discharges, and deaths.
– Supervises and trains the staff; writes job descriptions; organises and leads the unit’s meetings (once weekly).
– Collects weekly data and archives the records of discharged patients.
– Reports any problems to the person in charge.
– Administers treatments, performs laboratory exams, etc. and monitors the patients.
– Informs the doctor of any problems found.
– Notes the prescriptions and procedures carried out.
– Participates with the doctor in rounds.
– Prepares and keeps carts organized (rounds and treatment).
– Briefs team at change-of-shift and updates the handover book.
– Gets the patient settled and gives him the necessary supplies (blanket, eating utensils, etc.).
– Explains the organisation of the service to the patient and the person accompanying him (meal schedule, visiting hours, location of bathrooms).
– Helps the patient with taking medications, eating, and personal hygiene, if necessary; reports all useful information to the nurse.
– Assists the nurse with certain care procedures.
– Cleans the premises, both inside and outside.