Patient Management

Patient Management

Learning Tasks

• At the end of this session students should be able to:
• Define hospital
• List the function of the hospital
• Explain the hospital set –up organization staffing and administration
• List the hospital procedures

Explain the hazards of fire and fire fighting procedures

The hospital

Is the institution which provide medical and surgical care for the sick and injured people also client people coming for medical exams/checkup).

Hospitals are a central part of one of the nations largest industries, the health care industry offering a broad range of services provided by increasing by expensive personnel, equipment and technology.

Hospital is governed by the executive board that establish goals, policies and financial plans and hires the directors or administrators.

The hospital (2)

One of the responsibility of the board is to extend the privilege of staff membership to qualified health personnel and to organize staff to cooperate in making rules that govern the profession activities.

The administration makes sure suitable facilities and equipment are provided, also they should make sure that a staff of well trained professional, technical, and support personnel is present.

The mission statement or “charter”

Is the and guiding force that outlines the organization that outlines the organization's reason for existence and defines what should be done and how.

Function of hospital

• Cure of the sick and injured persons(diagnosis i.e medical treatment, nursing care etc.
• Controlling and prevention of disease
• Educational advancement to its staff

Making research in order to improve medical standards.

Hospital set –up ;organization, Staffing and Administration.

• Hospital “set-up; organization”
• Is a structural hospital, that defines how the hospital is made up.

This is mainly described by the hospital organization chart.

The organization chart of the hospital demands rates how the functions within the institution are carried out The hospitals departments and services are organized provide care and clinical support services.

Hospital “set up- organization” (2)

The hospital is composed of:

medical departments i.e.medical,surgical,obstretic,paediatric,gynaecology,psychiatric,ear-nose-throat(ENT)etc.

• Radiological department
• Laboratory

Pharmacy

Hospital “set up- organization” (3)

• Nursing
• Maternity
• Accounts
• Dietary
• Physiotherapy
• Medical records

Maternity & child heath (MCH)

Hospital “set up- organization” (4)

• House keeping & maintenance
• Purchasing
• Central stride supplying department
• Teaching

Mortuary etc.

Hospital organization chart

BOARD OF TRUSTEES

HOSPITAL ADMINISTRATOR

BUSSINESS SERVICES

NURSING SERVICES

DIAGNOSTIC DEPARTMENT

THERAPY DEPARTMENT

IMAGING SERVICES

OTHER SUPPORT SERVICES

Staffing

Is a number of right people i.e. skills and trained medical personnel that employed to perform the hospital’s function.

Staffing involves getting the right people to do the work and developing their abilities so they can do the work better.

The tools used by administrators to carry out the staffing functions are job descriptions and specification structural interviews, performance appraisal, the budget, wage or salary scales, orientation programe.

Staffing (2)

• The staffing includes:
• Doctors
• Nurses
• Radiographers
• Cooks
• Laboratory technicians
• Drug dispensers

Cleaners

Staffing (2)

• Carpenters
• Accountants
• Plumbers
• Teachers
• Engineers

Mortuary attendants

Administration

Is a hospital governing body arranged in a manner that defines which/what is responsible to whom.

• It is a flow of power in ruling the hospitals mission.
• The primary functions include;

planning

Charts the course of action for the future that enables coordinated and consistent fulfilled of goals and objectives

Administration (2)

• Organizing

Is the development of a structure or framework that identifies how people do their work.

The division of work is essential to efficacy because it defines responsibility and authority.

Staffing

Involves getting the right people to do the work and developing their abilities so they can do better.

The accomplishment of work needs people, and quality of work is directly related to the quality of skills of the people involved.

Administration (3)

Directing

Involves directly with influencing, guiding, supervising, and motivating staff for the achievement of organizational goals.

Controlling

Defines performance standards or guidelines used to measure progress towards the goals of the organization.

The hospital needs administrators observe test measure and guide( to review) daily, monthly or annually the activities and resources.

Administration (4)

coordinating

Is a process by which the manager achieves orderly group activities and unity of effort by workers who are fully aware of a common purpose.

• An administrator communicates with other areas to facilitates work information and flow.
• The administrators includes the following;
• medical officer incharge

Matron

Administration (5)

• chief engineer
• Pharmacist
• Principal of schools
• Laboratory in charge
• Nurse in charge
• Physiotherapist in charge

Store keeper etc.

Hospital procedures

• Hospital procedures are numerous, they include;
• Investigation and treatment of patients
• Admitting patients for further investigations and management
• Conducting operations
• Attending outpatient clinics
• Providing food for the patients
• Educating hospital staff

Purchasing consumable and non- consumable items

Hospital procedures (2)

• Educating academicians of various discipline

Discharging patients who have recovered Referring patients to other hospitals that have capabilities of managing complicated cases Employing staff like cleaners, sweepers etc.

Hazards of fire and fire fighting procedures

Fire, if it occurs hazardous and highly detrimental.

It can cause a lot of damage to either hospital and patients properties, building and even may cost the lives of the people.

For this reason, all hospitals are supposed to posses fire-fighting equipment in most cases, fire extinguishers are installed.

Hospital workers are also educated on care of all equipment that are likely to precipitate fire; for example all equipment using current should be switched off before leaving the hospital.

Incases of fire eruption, communication through proper protocol is instituted so that the fire is put off immediately before it causes harm/damage.