SlideShare ist ein Scribd-Unternehmen logo
1 von 51
Downloaden Sie, um offline zu lesen
progressive patient care power point
PROGRESSIVE PATIENT CARE
PPC has been defined as "the right
patient, in the right bed, with the
right services, at the right time"
(Haldeman JC, 1964)
PURPOSES OF PROGRESSIVE PATIENT CARE

PPC is to provide optimum level of care to the patient as
per need in minimum cost.
To raise the level of patient care of those critically ill
patients with effective use of nursing personnel and
facilities by grouping the patients as per their nursing care
need.
PPC is also seen as an important method of controlling cost
with provision of nursing care as per the need of various
patients.
progressive patient care power point
BENEFITS OF PPC
PATIENT

HOSPITAL

PHYSICIAN

NURSE
The
Patient:

The patient
receives the
specialized
attention when
he needs it.

he is assisted in
making his
adjustment first with
the hospital
atmosphere and
later on his return
with tr.'« home and
the community; and

The patients who
are not critically ill
are not deprived
of nursing and
medical attention
as the critically ill
patients are
separated.
The
Physician
The physician is given a greater
assurance that his patient is receiving a
high quality of nursing care.
Emergency treatment if necessary is in
the immediate vicinity of the patient
THE NURSE
The nurse makes an effective use of her special
capabilities
The problems of providing services by nurses to
critically ill patients are reduced.
It helps the nurses to devote their full attention and skills
to the best to meet the needs of the patient.
It helps the nurses to plan the nursing care for the patients
better as the needs are of almost same degree in each unit.
The nursing staff can also have benefits from the inservice training programme
The
Hospital:

The beds,
physical
facilities,
equipment,
supplies and
funds
available in
the hospital
may be used
efficiently.

Use of
trained
personnel
reduces
personnel
turnover and
improved
administratio
n

Improves
public image
of the
hospital in
the
community.

Home care
programme
as a part of
PPC helps
the hospital
to coordinate
its activities
with the
community
health and
social
services.
ELEMENTS OF PROGRESSIVE
PATIENT CARE
Intensive Care
Intermediate Care
Self Care
Long Term or Extended Care
Home Care
Ambulatory or Outpatient Care
INTENSIVE CARE UNIT
ICU
LOCATION - Accessible to OT, OPD, ED.
SIZE - Two to eight percent of total hospital beds

PHYSICAL FACILITIES
AREA - Min 150 sq. feet per bed.
AIR-CONDITIONING – 60-70 degree F
50-60 %humidity
c. Ventilation - Positive pressure in ICU should be maintained to
prevent contaminated air from passages into unit. Avoid exhaust
fans creating negative pressure.
d. Lights - The patient area should be uniformly lit. There should
be provision for light below bed level to check the drainage
bottle, water seal.
e. Piped Supply - Piped oxygen with two outlets for each bed
supplying 20 litres per minute at a pressure of 60 pounds per
square feet.
f. Piped vacuum - Central suction with two outlets with
manometer for each bed is necessary and air extraction at 40
litres/minute. The vacuum in pipeline is 500 mm. of Hg.
COMMUNICATION
Call bell - attached from each bed to nursing
station
Call bell - attached from nursing station to doctor’s
room.

Telephone — at least two telephones one for
internal and one for external lines.
Paging system should be introduced for calling
consultants and residents from the respective area of
their work place.
ELECTRICAL FACILITY
i. 4-5 power plugs arrangements for each bed and a special
socket of 60amperes. 230 volts, single phase for portable
radiographic equipment should be provided.
ii. All outlets and lights should be connected to the emergency
power system.
iii. There should be provision for a stand by generator for ICU.
PATIENT AREA
•Ample visibility of all the patients from the nurses' desk.
•One or two isolation rooms should be attached to unit.
•Each bed should be separated from the other by partition to
provide necessary privacy.
ANCILLARY AREA
Nurses'
Station
Store

Medicine
Cabinet

Consultation
Office

Medication
Preparation
Room

Doctors’
Charting
Area
SANITARY AREA
The soiled holding or dirty utility
room.
 A toilet
 The water closet should be
equipped with bedpan lugs and
flushing attachment for cleaning
bedpans and for disposing of fluids.
 A sink in counter will take care of
the minor utility functions of this
room. The major utility functions
should be carried out in the main
utility room
AUXILIARY AREA

Nurses’ Room

A
doctors'
rest room

Relatives’
waiting
room

Small laboratory
EQUIPMENT
1. Wall mounted
sphygmomanometers.
2. Intravenous rods
attached to each bed.

3. Equipment for
respiratory resuscitation
4. Cardiac monitoring
equipment
5. Sets for venisection,

catheterization, lumber
puncture etc.
STAFFING
•Medical staff for 24 hours.
•At least one medical officer per shift .
•The medical officer in-charge of the ICU
is usually an anaesthetist for generalized
ICU and the respective specialist for
specialised ICU.
•Nurse - One nursing sister in charge of
the ICU is recommended.
The nurse patient ratio as 2:1.
•Technical Staff like physiotherapist,
Inhalation therapist, ECG technician,
electronic technician, biomedical
engineering and laboratory technician
MANAGEMENT
1. ICU committee should be appointed
consisting of one representative of
surgery, medicine, neuro-surgery,
nursing service and hospital
administration and anesthetists as
chairman.
2. The medical officer incharge of the ICU
for day-to-day administration should
have a final authority to transfer in and
out the ICU.
3. Any controversy or problem should be
referred to the ICU committee.
4. A patient who is transferred to ICU is
the responsibility of the transferring unit
for his treatment.








Admission/Discharge Criteria: Define objective criteria should be laid
down for admission and discharge of patient based on the patient's
condition:
degree of illness,
nursing and medical needs
As a general rule, patients in need of continuous observation and
monitoring of vital signs and the total support of physiological system
should be admitted to ICU.
Usually the terminally ill, contagious disease patients, post operative
thoracic cases with active tuberculosis, violent patients are not
admitted to ICU, Each admission is done with consent of the medical
officer incharge of ICU.
If required, patients can be admitted directly to the ICU. A separate
admission and discharge register is maintained in ICU for record and
study the utilization of ICU.
ii. Bed Utilization: Ideal bed occupancy rate for ICU is 75-80 per
cent leaving 20-25 per cent of beds vacant for unforeseen
emergencies.
iii. All treatment and medication should be written.
iv. Special observation chart for each patient should be maintained.
v. Rules for Visitors: (a) visitors should be restricted to immediate
family; (b) one person should be allowed at a time, and (c) duration
of the visit should be very short.
vi. Proper Information System for Relatives: The doctor in charge of
the patient is responsible to inform the relatives about the
condition of the patient.
vii. Discharge summary must be made by the attending
physician prior to discharge of the patient from ICU.
viii. Dietary Services: The nutritional requirements of these
patients must be evaluated on a daily basis. Mostly the patients
will require modified diet consisting primarily of liquids and soft
food.
ix. Training of Staff: For each staff to be appointed to ICU,
training programmes should be organized. If special training for
ICU is not available, in-service training for at least three months
in the hospital should be arranged.
PROBLEMS
1. To determine the size, type of hospital where this can be implemented
2. To determine the size of Intensive Care Unit
3. It is difficult to decide its location

.

.

.

4. In determining the layout of the unit in already existing hospital

.

5. It is difficult to staff the unit adequately.

6. It becomes difficult to make the supply system function efficiently and to provide
continuous supply of life saving drugs and materials
.

7.

Problems regarding admission and transfer of patients to and from ICU

.

8 It is difficult to have biomedical engineering services available for the maintenance
of the equipment specially sophisticated electronic equipment
.

9.

Political and outside interferences to admission and transfer of patients

.

10.Team building which is very much essential for critical care becomes difficult. It
becomes problematic to have coordination among various units
.

11.It posts psychological stress on the relations and at times on patients

.
INTERMEDIATE CARE
•30 to 35 beds.
•few single bed rooms, few double bed rooms and the rest in
4 to 6 bed rooms.
•Ancillary areas include - Nurse’s station
Stores
Clean room
Treatment room.
•This unit will require more toilets and bathrooms.
•Supportive areas - Clinical teaching room
Side laboratory
Doctors room
Attendants room
Nurses’changing room
STAFFING
SHIFT

NURSE : PATIENT

MORNING

1:6

EVENING

1: 8

NIGHT

1 : 12
SELF CARE
Ambulatory patients who are convalescing or require diagnosis
or therapy may be cared for in a self care unit. These patients
are like physically self sufficient requiring diagnostic procedure
not feasible on an outpatient basis, the patient requiring daily or
more frequent specialized treatment such as radiation or
physical therapy, the convalescent patients who need a few
more days help in the adjustment of daily routine or activities
etc.
SERVICES
EDUCATIONAL
SUPERVISORY

MEDICAL
NURSING
DIETARY
MANAGEMENT
HOME LIKE ROUTINE
NO RESTRICTION TO VISITORS

PERMITTED TO GO OUT
PHYSICAL FACILITIES
The self care unit should be located convenient to diagnostic
facilities, the dining room or cafetaria and to the main hospital
entrance.
As these patients demand maximum privacy single bed rooms with
toilets are preferred.
Since an ambulant patient is likely to spend less time in his room
than a bed patient the room can be of minimal size with a small
desk and chair, desk lamp, an easy chair and a bedside small table.
The nurses’ station can be of minimal size with glazed
partitions to permit easy supervision of the adjoining areas.
An office with attached toilet should be provided for the
Head Nurse.
An examination-cum-treatment room should be provided.
There should be a demonstration room where patients can
be taught self treatment.
Provision for social recreation facilities for the patient on the
self care unit is important.
The spaces required for are as follows:
1. A dayroom.
2. A nourishment room
3. A storage closet for games and
recreational equipment.
4. Toilet facilities for visitors.
5. A sitting room
6. A public telephone booth.
STAFFING
ONE TRAINED NURSE WITH
TWO AUXILLARY NURSES IN
EACH SHIFT FOR AN
AVERAGE SIZE OF 30 BEDS
progressive patient care power point
PHYSICAL FACILITIES
Optimum size for the long term care unit may be 35 to 40
beds.
The unit may be located anywhere in the hospital.
Patient rooms should be large enough to permit patients
to move freely on wheelchairs, crutches, canes, walkers.

Two bed rooms are recommended, 4 bed rooms may also
be used. A few single bed rooms should be provided.
The required minimum area per each bed in multiple bed rooms is100
square feet and for a single bed room 125 sq. feet.
There should be 4-5 feet space left in between 2 beds and 3 feet of
clearance between the adjacent wall and the bed should be maintained.
The space between two ends of beds should be of minimum five feet.
Provision of toilets adjacent to each patient room is recommended for the
convenience of both patients and staff.

Day room and dining space is recommended to encourage early
ambulation.
ANCILLARY FACILITIES
CLEAN WORK
ROOM

SOILED
HOLDING
ROOM

TREATMENT
ROOM

NURSES’
STATION
STRETCHER AND
WHEELCHAIR
STORAGE

STORE
STAFFING
SHIFT

NURSE : PATIENT

MORNING

1:3

EVENING

1:4

NIGHT

1:6

SERVICES OF PHYSIOTHERAPIST AND OCCUPATIONAL
THERAPIST FOR REHABILITATION.
NURSES’ AIDS AND MEDICAL SOCIAL WORKER.
NURSING ROLE
HOME CARE
SERVICES
DIRECT MEDICAL SERVICES
 NURSING CARE IN COMMUNITY
 SOCIAL SERVICES
 SUPPORTIVE SERVICES
 LIKE PHYSICAL THERAPY,
SPEECH THERAPY etc.
NURSING ACTIVITIES

FACILITIES
AMBULATORY CARE
It means care of the ambulatory
patients requiring diagnostic, curative,
preventive and rehabilitative services
and who are not registered as
inpatients in the hospitals
.
CATEGORIES OF OUTPATIENT
GENERAL OUTPATIENT CARE

REFERRED OUTPATIENT
EMERGENCY OUTPATIENT
PLANNING OF PROGRESSIVE PATIENT CARE
Depends upon hospital layout

Need of people served by hospital
Principles and objectives of different levels of care
Developing policies and procedures of implementation
Existing patient care facilities.
Modification needed.
Orientation and motivation of staff
Scheduling of doctors and staff.
STEPS OF INTRODUCTION OF PROGRESSIVE
PATIENT CARE CONCEPT

1 Familiarity with the PPC

2 Development of Teamwork
3. Evaluation of Needs:.
4 Orient Staff
5. Estimation of Costs
Acceptance to some staff to PPC is not
welcomed and slow.

Rapid change of area and treating staff cut
away the patient staff relation.
Patient not accepting self care in the
hospital.

Observation of nursing care inadequate in
long term patient area.
Patient’s resistance to being transferred
between units.

No separate male and female wards in
different care areas.
Level and nature of duties of nursing staff
is not similar in different care areas.
progressive patient care power point
progressive patient care power point

Weitere ähnliche Inhalte

Was ist angesagt?

Staffing philosophy , norms
Staffing philosophy , normsStaffing philosophy , norms
Staffing philosophy , normsPrincy Francis M
 
methods os patient assignment
methods os patient assignmentmethods os patient assignment
methods os patient assignmentRuma SEN
 
Aims and objectives of nursing management, vision and mission statement
Aims and objectives of nursing management, vision and mission statementAims and objectives of nursing management, vision and mission statement
Aims and objectives of nursing management, vision and mission statementNursing Path
 
Nursing Standards and Policies
Nursing Standards and PoliciesNursing Standards and Policies
Nursing Standards and PoliciesKULDEEP VYAS
 
Management of nursing service
Management of nursing serviceManagement of nursing service
Management of nursing servicejensensam
 
Quality assurance in nursing
Quality assurance in nursingQuality assurance in nursing
Quality assurance in nursingfrank jc
 
Progressive patient care presentation
Progressive patient care   presentationProgressive patient care   presentation
Progressive patient care presentationPooja Maitre
 
Polices for intensive care units / critical care units
Polices for  intensive care units / critical care units Polices for  intensive care units / critical care units
Polices for intensive care units / critical care units ANILKUMAR BR
 
Legal and ethical aspects in nursing
Legal and ethical aspects in nursingLegal and ethical aspects in nursing
Legal and ethical aspects in nursingsalman habeeb
 
Duties and responsibilities of the nursing personnel
Duties and responsibilities of the nursing  personnelDuties and responsibilities of the nursing  personnel
Duties and responsibilities of the nursing personnelDeblina Roy
 
Continuing education in nursing
Continuing education in nursingContinuing education in nursing
Continuing education in nursingAmit Newton
 
India Nursing Council, State Nursing Council, Nursing board & University
India Nursing Council, State Nursing Council, Nursing board & UniversityIndia Nursing Council, State Nursing Council, Nursing board & University
India Nursing Council, State Nursing Council, Nursing board & UniversitySujata Mohapatra
 
supervision in nursing
supervision in nursing supervision in nursing
supervision in nursing Glory Supriya
 
CURRENT TRENDS OF NURSING IN INDIA
CURRENT TRENDS OF NURSING IN INDIACURRENT TRENDS OF NURSING IN INDIA
CURRENT TRENDS OF NURSING IN INDIAMAHESWARI JAIKUMAR
 

Was ist angesagt? (20)

Staffing philosophy , norms
Staffing philosophy , normsStaffing philosophy , norms
Staffing philosophy , norms
 
Staffing- Nursing Management
Staffing- Nursing ManagementStaffing- Nursing Management
Staffing- Nursing Management
 
Nursing audit
Nursing auditNursing audit
Nursing audit
 
methods os patient assignment
methods os patient assignmentmethods os patient assignment
methods os patient assignment
 
Aims and objectives of nursing management, vision and mission statement
Aims and objectives of nursing management, vision and mission statementAims and objectives of nursing management, vision and mission statement
Aims and objectives of nursing management, vision and mission statement
 
Nursing Standards and Policies
Nursing Standards and PoliciesNursing Standards and Policies
Nursing Standards and Policies
 
Management of nursing service
Management of nursing serviceManagement of nursing service
Management of nursing service
 
Quality assurance in nursing
Quality assurance in nursingQuality assurance in nursing
Quality assurance in nursing
 
Progressive patient care presentation
Progressive patient care   presentationProgressive patient care   presentation
Progressive patient care presentation
 
Polices for intensive care units / critical care units
Polices for  intensive care units / critical care units Polices for  intensive care units / critical care units
Polices for intensive care units / critical care units
 
Legal and ethical aspects in nursing
Legal and ethical aspects in nursingLegal and ethical aspects in nursing
Legal and ethical aspects in nursing
 
Ward management
Ward managementWard management
Ward management
 
Futuristic nursing
Futuristic nursingFuturistic nursing
Futuristic nursing
 
Nursing Manuals, Protocols/ Standing Orders
Nursing Manuals, Protocols/ Standing OrdersNursing Manuals, Protocols/ Standing Orders
Nursing Manuals, Protocols/ Standing Orders
 
Duties and responsibilities of the nursing personnel
Duties and responsibilities of the nursing  personnelDuties and responsibilities of the nursing  personnel
Duties and responsibilities of the nursing personnel
 
Continuing education in nursing
Continuing education in nursingContinuing education in nursing
Continuing education in nursing
 
India Nursing Council, State Nursing Council, Nursing board & University
India Nursing Council, State Nursing Council, Nursing board & UniversityIndia Nursing Council, State Nursing Council, Nursing board & University
India Nursing Council, State Nursing Council, Nursing board & University
 
supervision in nursing
supervision in nursing supervision in nursing
supervision in nursing
 
CURRENT TRENDS OF NURSING IN INDIA
CURRENT TRENDS OF NURSING IN INDIACURRENT TRENDS OF NURSING IN INDIA
CURRENT TRENDS OF NURSING IN INDIA
 
Master rotation plan
Master rotation planMaster rotation plan
Master rotation plan
 

Andere mochten auch

Progressive patient care
Progressive patient careProgressive patient care
Progressive patient careChristina K J
 
Lifestyle diseases
Lifestyle diseasesLifestyle diseases
Lifestyle diseasescollink411
 
Lifestyle Diseases and Prevention
Lifestyle Diseases and PreventionLifestyle Diseases and Prevention
Lifestyle Diseases and PreventionPallab Nath
 
The Evolution of Caring Science throughout the Transdisciplinary Team
The Evolution of Caring Science throughout the Transdisciplinary TeamThe Evolution of Caring Science throughout the Transdisciplinary Team
The Evolution of Caring Science throughout the Transdisciplinary TeamKaiser Permanente
 
Ergonomics patient care unit
Ergonomics patient care unitErgonomics patient care unit
Ergonomics patient care unitAakash Varma
 
Learning plan 1 ha ppt
Learning plan 1 ha pptLearning plan 1 ha ppt
Learning plan 1 ha pptedlebecc
 
Patient satisfaction
Patient satisfactionPatient satisfaction
Patient satisfactionNc Das
 

Andere mochten auch (13)

Patient care
Patient care Patient care
Patient care
 
Progressive patient care
Progressive patient careProgressive patient care
Progressive patient care
 
Lifestyle diseases
Lifestyle diseasesLifestyle diseases
Lifestyle diseases
 
Lifestyle diseases
Lifestyle diseasesLifestyle diseases
Lifestyle diseases
 
Lifestyle Diseases and Prevention
Lifestyle Diseases and PreventionLifestyle Diseases and Prevention
Lifestyle Diseases and Prevention
 
The Evolution of Caring Science throughout the Transdisciplinary Team
The Evolution of Caring Science throughout the Transdisciplinary TeamThe Evolution of Caring Science throughout the Transdisciplinary Team
The Evolution of Caring Science throughout the Transdisciplinary Team
 
Ergonomics patient care unit
Ergonomics patient care unitErgonomics patient care unit
Ergonomics patient care unit
 
Learning plan 1 ha ppt
Learning plan 1 ha pptLearning plan 1 ha ppt
Learning plan 1 ha ppt
 
Patient Care Quality Outcomes
Patient Care Quality OutcomesPatient Care Quality Outcomes
Patient Care Quality Outcomes
 
Nursing care delivery
Nursing care deliveryNursing care delivery
Nursing care delivery
 
lifestyle diseases
lifestyle diseaseslifestyle diseases
lifestyle diseases
 
Life style diseases
Life style diseasesLife style diseases
Life style diseases
 
Patient satisfaction
Patient satisfactionPatient satisfaction
Patient satisfaction
 

Ähnlich wie progressive patient care power point

Critical care nursing
Critical care nursingCritical care nursing
Critical care nursingFeba
 
NEURO ICU SET UP
NEURO ICU SET UPNEURO ICU SET UP
NEURO ICU SET UPGAMANDEEP
 
Management of nursing services in hospital
Management of nursing services in hospitalManagement of nursing services in hospital
Management of nursing services in hospitalPratibha Srivastava
 
Intensive care services
Intensive care servicesIntensive care services
Intensive care servicesNc Das
 
Emerging Trends in Critical Care Nursing
Emerging Trends in Critical Care NursingEmerging Trends in Critical Care Nursing
Emerging Trends in Critical Care NursingProf Vijayraddi
 
UNIT-9 NURSING MANAGEMENT OF PATIENT IN CRITICAL CARE.pptx
UNIT-9 NURSING MANAGEMENT OF PATIENT IN CRITICAL CARE.pptxUNIT-9 NURSING MANAGEMENT OF PATIENT IN CRITICAL CARE.pptx
UNIT-9 NURSING MANAGEMENT OF PATIENT IN CRITICAL CARE.pptxNirmal Vaghela
 
ICU DESIGN, ORGANIZATION, OPERATION (SOA).pptx
ICU DESIGN, ORGANIZATION, OPERATION (SOA).pptxICU DESIGN, ORGANIZATION, OPERATION (SOA).pptx
ICU DESIGN, ORGANIZATION, OPERATION (SOA).pptxAsanteAugustine
 
1. Introduction to CCU.pptx
1. Introduction to CCU.pptx1. Introduction to CCU.pptx
1. Introduction to CCU.pptxDaisy Thomas
 
planing and organization of Intensive Cares
planing and organization of Intensive Caresplaning and organization of Intensive Cares
planing and organization of Intensive Caresravindrajha10
 
Preparation of patients before arrival to icu guidelines.pptx
Preparation of patients before arrival to icu guidelines.pptxPreparation of patients before arrival to icu guidelines.pptx
Preparation of patients before arrival to icu guidelines.pptxanjalatchi
 
Organization of NICU PPT
Organization of NICU PPTOrganization of NICU PPT
Organization of NICU PPTJyotika Abraham
 
990_nicu_nursing.pdf
990_nicu_nursing.pdf990_nicu_nursing.pdf
990_nicu_nursing.pdfShashiA3
 
organisation of NICU
 organisation of NICU organisation of NICU
organisation of NICURashmi Negi
 
Intensive care unit design
Intensive care unit designIntensive care unit design
Intensive care unit designMahmoud Shaqria
 

Ähnlich wie progressive patient care power point (20)

Critical care nursing
Critical care nursingCritical care nursing
Critical care nursing
 
NEURO ICU SET UP
NEURO ICU SET UPNEURO ICU SET UP
NEURO ICU SET UP
 
Management of nursing services in hospital
Management of nursing services in hospitalManagement of nursing services in hospital
Management of nursing services in hospital
 
Intensive care services
Intensive care servicesIntensive care services
Intensive care services
 
CCU
CCUCCU
CCU
 
Emerging Trends in Critical Care Nursing
Emerging Trends in Critical Care NursingEmerging Trends in Critical Care Nursing
Emerging Trends in Critical Care Nursing
 
UNIT-9 NURSING MANAGEMENT OF PATIENT IN CRITICAL CARE.pptx
UNIT-9 NURSING MANAGEMENT OF PATIENT IN CRITICAL CARE.pptxUNIT-9 NURSING MANAGEMENT OF PATIENT IN CRITICAL CARE.pptx
UNIT-9 NURSING MANAGEMENT OF PATIENT IN CRITICAL CARE.pptx
 
ICU SETTING.ppt
ICU SETTING.pptICU SETTING.ppt
ICU SETTING.ppt
 
ICU SETTING.ppt
ICU SETTING.pptICU SETTING.ppt
ICU SETTING.ppt
 
ICU DESIGN, ORGANIZATION, OPERATION (SOA).pptx
ICU DESIGN, ORGANIZATION, OPERATION (SOA).pptxICU DESIGN, ORGANIZATION, OPERATION (SOA).pptx
ICU DESIGN, ORGANIZATION, OPERATION (SOA).pptx
 
1. Introduction to CCU.pptx
1. Introduction to CCU.pptx1. Introduction to CCU.pptx
1. Introduction to CCU.pptx
 
planing and organization of Intensive Cares
planing and organization of Intensive Caresplaning and organization of Intensive Cares
planing and organization of Intensive Cares
 
Preparation of patients before arrival to icu guidelines.pptx
Preparation of patients before arrival to icu guidelines.pptxPreparation of patients before arrival to icu guidelines.pptx
Preparation of patients before arrival to icu guidelines.pptx
 
Organization of NICU PPT
Organization of NICU PPTOrganization of NICU PPT
Organization of NICU PPT
 
990_nicu_nursing.pdf
990_nicu_nursing.pdf990_nicu_nursing.pdf
990_nicu_nursing.pdf
 
990_nicu_nursing.pptx
990_nicu_nursing.pptx990_nicu_nursing.pptx
990_nicu_nursing.pptx
 
organisation of NICU
 organisation of NICU organisation of NICU
organisation of NICU
 
Intensive care unit design
Intensive care unit designIntensive care unit design
Intensive care unit design
 
Nicu
NicuNicu
Nicu
 
How to establish nicu
How to establish nicuHow to establish nicu
How to establish nicu
 

Mehr von AIIMS, Rishikesh

Innovations and research in nursing education
Innovations and research in nursing educationInnovations and research in nursing education
Innovations and research in nursing educationAIIMS, Rishikesh
 
examination of Musculoskeletal system
examination of Musculoskeletal systemexamination of Musculoskeletal system
examination of Musculoskeletal systemAIIMS, Rishikesh
 
Curriculum and its determinants
Curriculum and its determinantsCurriculum and its determinants
Curriculum and its determinantsAIIMS, Rishikesh
 
Disaster management and role of nurse
Disaster management and role of nurseDisaster management and role of nurse
Disaster management and role of nurseAIIMS, Rishikesh
 
Ventilators and respirators
Ventilators and respiratorsVentilators and respirators
Ventilators and respiratorsAIIMS, Rishikesh
 
Physical examination of the patient
Physical examination of the patientPhysical examination of the patient
Physical examination of the patientAIIMS, Rishikesh
 
lesson plan on Myocardial infarction
lesson plan on Myocardial infarctionlesson plan on Myocardial infarction
lesson plan on Myocardial infarctionAIIMS, Rishikesh
 
diagnostic procedures of cardiovascular system
diagnostic procedures of cardiovascular systemdiagnostic procedures of cardiovascular system
diagnostic procedures of cardiovascular systemAIIMS, Rishikesh
 

Mehr von AIIMS, Rishikesh (15)

Innovations and research in nursing education
Innovations and research in nursing educationInnovations and research in nursing education
Innovations and research in nursing education
 
examination of Musculoskeletal system
examination of Musculoskeletal systemexamination of Musculoskeletal system
examination of Musculoskeletal system
 
Reinforcement
ReinforcementReinforcement
Reinforcement
 
Rating scales
Rating scalesRating scales
Rating scales
 
Curriculum and its determinants
Curriculum and its determinantsCurriculum and its determinants
Curriculum and its determinants
 
Disaster management and role of nurse
Disaster management and role of nurseDisaster management and role of nurse
Disaster management and role of nurse
 
Ventilators and respirators
Ventilators and respiratorsVentilators and respirators
Ventilators and respirators
 
Spinal cord injuries
Spinal cord injuriesSpinal cord injuries
Spinal cord injuries
 
Physical examination of the patient
Physical examination of the patientPhysical examination of the patient
Physical examination of the patient
 
Case study format
Case study formatCase study format
Case study format
 
Nursing care plan format
Nursing care plan formatNursing care plan format
Nursing care plan format
 
lesson plan on Myocardial infarction
lesson plan on Myocardial infarctionlesson plan on Myocardial infarction
lesson plan on Myocardial infarction
 
Cancer of bladder
Cancer of bladderCancer of bladder
Cancer of bladder
 
Personality testing
Personality testingPersonality testing
Personality testing
 
diagnostic procedures of cardiovascular system
diagnostic procedures of cardiovascular systemdiagnostic procedures of cardiovascular system
diagnostic procedures of cardiovascular system
 

Kürzlich hochgeladen

Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu Medical University
 
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D.  Bawankar.pptPharmacokinetic Models by Dr. Ram D.  Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D. Bawankar.pptRamDBawankar1
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...Sujoy Dasgupta
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxkomalt2001
 
Female Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyFemale Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyMedicoseAcademics
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE Mamatha Lakka
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionkrishnareddy157915
 
power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismusChandrasekar Reddy
 
MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.whalesdesign
 
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdfSGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdfHongBiThi1
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdfHongBiThi1
 
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.aarjukhadka22
 
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfSGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfHongBiThi1
 
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptx
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptxDNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptx
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptxMAsifAhmad
 
How to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyHow to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyZurück zum Ursprung
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project reportNARMADAPETROLEUMGAS
 
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...Shubhanshu Gaurav
 

Kürzlich hochgeladen (20)

Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu
 
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D.  Bawankar.pptPharmacokinetic Models by Dr. Ram D.  Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptx
 
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
 
Female Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyFemale Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before Pregnancy
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE
 
Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung function
 
power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismus
 
MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.
 
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdfSGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdf
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
 
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
 
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfSGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
 
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptx
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptxDNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptx
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptx
 
How to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyHow to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturally
 
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project report
 
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
 

progressive patient care power point

  • 2. PROGRESSIVE PATIENT CARE PPC has been defined as "the right patient, in the right bed, with the right services, at the right time" (Haldeman JC, 1964)
  • 3. PURPOSES OF PROGRESSIVE PATIENT CARE PPC is to provide optimum level of care to the patient as per need in minimum cost. To raise the level of patient care of those critically ill patients with effective use of nursing personnel and facilities by grouping the patients as per their nursing care need. PPC is also seen as an important method of controlling cost with provision of nursing care as per the need of various patients.
  • 6. The Patient: The patient receives the specialized attention when he needs it. he is assisted in making his adjustment first with the hospital atmosphere and later on his return with tr.'« home and the community; and The patients who are not critically ill are not deprived of nursing and medical attention as the critically ill patients are separated.
  • 7. The Physician The physician is given a greater assurance that his patient is receiving a high quality of nursing care. Emergency treatment if necessary is in the immediate vicinity of the patient
  • 8. THE NURSE The nurse makes an effective use of her special capabilities The problems of providing services by nurses to critically ill patients are reduced. It helps the nurses to devote their full attention and skills to the best to meet the needs of the patient. It helps the nurses to plan the nursing care for the patients better as the needs are of almost same degree in each unit. The nursing staff can also have benefits from the inservice training programme
  • 9. The Hospital: The beds, physical facilities, equipment, supplies and funds available in the hospital may be used efficiently. Use of trained personnel reduces personnel turnover and improved administratio n Improves public image of the hospital in the community. Home care programme as a part of PPC helps the hospital to coordinate its activities with the community health and social services.
  • 10. ELEMENTS OF PROGRESSIVE PATIENT CARE Intensive Care Intermediate Care Self Care Long Term or Extended Care Home Care Ambulatory or Outpatient Care
  • 12. ICU LOCATION - Accessible to OT, OPD, ED. SIZE - Two to eight percent of total hospital beds PHYSICAL FACILITIES AREA - Min 150 sq. feet per bed. AIR-CONDITIONING – 60-70 degree F 50-60 %humidity
  • 13. c. Ventilation - Positive pressure in ICU should be maintained to prevent contaminated air from passages into unit. Avoid exhaust fans creating negative pressure. d. Lights - The patient area should be uniformly lit. There should be provision for light below bed level to check the drainage bottle, water seal. e. Piped Supply - Piped oxygen with two outlets for each bed supplying 20 litres per minute at a pressure of 60 pounds per square feet. f. Piped vacuum - Central suction with two outlets with manometer for each bed is necessary and air extraction at 40 litres/minute. The vacuum in pipeline is 500 mm. of Hg.
  • 14. COMMUNICATION Call bell - attached from each bed to nursing station Call bell - attached from nursing station to doctor’s room. Telephone — at least two telephones one for internal and one for external lines. Paging system should be introduced for calling consultants and residents from the respective area of their work place.
  • 15. ELECTRICAL FACILITY i. 4-5 power plugs arrangements for each bed and a special socket of 60amperes. 230 volts, single phase for portable radiographic equipment should be provided. ii. All outlets and lights should be connected to the emergency power system. iii. There should be provision for a stand by generator for ICU. PATIENT AREA •Ample visibility of all the patients from the nurses' desk. •One or two isolation rooms should be attached to unit. •Each bed should be separated from the other by partition to provide necessary privacy.
  • 17. SANITARY AREA The soiled holding or dirty utility room.  A toilet  The water closet should be equipped with bedpan lugs and flushing attachment for cleaning bedpans and for disposing of fluids.  A sink in counter will take care of the minor utility functions of this room. The major utility functions should be carried out in the main utility room
  • 18. AUXILIARY AREA Nurses’ Room A doctors' rest room Relatives’ waiting room Small laboratory
  • 19. EQUIPMENT 1. Wall mounted sphygmomanometers. 2. Intravenous rods attached to each bed. 3. Equipment for respiratory resuscitation 4. Cardiac monitoring equipment 5. Sets for venisection, catheterization, lumber puncture etc.
  • 20. STAFFING •Medical staff for 24 hours. •At least one medical officer per shift . •The medical officer in-charge of the ICU is usually an anaesthetist for generalized ICU and the respective specialist for specialised ICU. •Nurse - One nursing sister in charge of the ICU is recommended. The nurse patient ratio as 2:1. •Technical Staff like physiotherapist, Inhalation therapist, ECG technician, electronic technician, biomedical engineering and laboratory technician
  • 21. MANAGEMENT 1. ICU committee should be appointed consisting of one representative of surgery, medicine, neuro-surgery, nursing service and hospital administration and anesthetists as chairman. 2. The medical officer incharge of the ICU for day-to-day administration should have a final authority to transfer in and out the ICU. 3. Any controversy or problem should be referred to the ICU committee. 4. A patient who is transferred to ICU is the responsibility of the transferring unit for his treatment.
  • 22.       Admission/Discharge Criteria: Define objective criteria should be laid down for admission and discharge of patient based on the patient's condition: degree of illness, nursing and medical needs As a general rule, patients in need of continuous observation and monitoring of vital signs and the total support of physiological system should be admitted to ICU. Usually the terminally ill, contagious disease patients, post operative thoracic cases with active tuberculosis, violent patients are not admitted to ICU, Each admission is done with consent of the medical officer incharge of ICU. If required, patients can be admitted directly to the ICU. A separate admission and discharge register is maintained in ICU for record and study the utilization of ICU.
  • 23. ii. Bed Utilization: Ideal bed occupancy rate for ICU is 75-80 per cent leaving 20-25 per cent of beds vacant for unforeseen emergencies. iii. All treatment and medication should be written. iv. Special observation chart for each patient should be maintained. v. Rules for Visitors: (a) visitors should be restricted to immediate family; (b) one person should be allowed at a time, and (c) duration of the visit should be very short. vi. Proper Information System for Relatives: The doctor in charge of the patient is responsible to inform the relatives about the condition of the patient.
  • 24. vii. Discharge summary must be made by the attending physician prior to discharge of the patient from ICU. viii. Dietary Services: The nutritional requirements of these patients must be evaluated on a daily basis. Mostly the patients will require modified diet consisting primarily of liquids and soft food. ix. Training of Staff: For each staff to be appointed to ICU, training programmes should be organized. If special training for ICU is not available, in-service training for at least three months in the hospital should be arranged.
  • 25. PROBLEMS 1. To determine the size, type of hospital where this can be implemented 2. To determine the size of Intensive Care Unit 3. It is difficult to decide its location . . . 4. In determining the layout of the unit in already existing hospital . 5. It is difficult to staff the unit adequately. 6. It becomes difficult to make the supply system function efficiently and to provide continuous supply of life saving drugs and materials . 7. Problems regarding admission and transfer of patients to and from ICU . 8 It is difficult to have biomedical engineering services available for the maintenance of the equipment specially sophisticated electronic equipment . 9. Political and outside interferences to admission and transfer of patients . 10.Team building which is very much essential for critical care becomes difficult. It becomes problematic to have coordination among various units . 11.It posts psychological stress on the relations and at times on patients .
  • 27. •30 to 35 beds. •few single bed rooms, few double bed rooms and the rest in 4 to 6 bed rooms. •Ancillary areas include - Nurse’s station Stores Clean room Treatment room. •This unit will require more toilets and bathrooms. •Supportive areas - Clinical teaching room Side laboratory Doctors room Attendants room Nurses’changing room
  • 29. SELF CARE Ambulatory patients who are convalescing or require diagnosis or therapy may be cared for in a self care unit. These patients are like physically self sufficient requiring diagnostic procedure not feasible on an outpatient basis, the patient requiring daily or more frequent specialized treatment such as radiation or physical therapy, the convalescent patients who need a few more days help in the adjustment of daily routine or activities etc.
  • 31. MANAGEMENT HOME LIKE ROUTINE NO RESTRICTION TO VISITORS PERMITTED TO GO OUT
  • 32. PHYSICAL FACILITIES The self care unit should be located convenient to diagnostic facilities, the dining room or cafetaria and to the main hospital entrance. As these patients demand maximum privacy single bed rooms with toilets are preferred. Since an ambulant patient is likely to spend less time in his room than a bed patient the room can be of minimal size with a small desk and chair, desk lamp, an easy chair and a bedside small table.
  • 33. The nurses’ station can be of minimal size with glazed partitions to permit easy supervision of the adjoining areas. An office with attached toilet should be provided for the Head Nurse. An examination-cum-treatment room should be provided. There should be a demonstration room where patients can be taught self treatment. Provision for social recreation facilities for the patient on the self care unit is important.
  • 34. The spaces required for are as follows: 1. A dayroom. 2. A nourishment room 3. A storage closet for games and recreational equipment. 4. Toilet facilities for visitors. 5. A sitting room 6. A public telephone booth.
  • 35. STAFFING ONE TRAINED NURSE WITH TWO AUXILLARY NURSES IN EACH SHIFT FOR AN AVERAGE SIZE OF 30 BEDS
  • 37. PHYSICAL FACILITIES Optimum size for the long term care unit may be 35 to 40 beds. The unit may be located anywhere in the hospital. Patient rooms should be large enough to permit patients to move freely on wheelchairs, crutches, canes, walkers. Two bed rooms are recommended, 4 bed rooms may also be used. A few single bed rooms should be provided.
  • 38. The required minimum area per each bed in multiple bed rooms is100 square feet and for a single bed room 125 sq. feet. There should be 4-5 feet space left in between 2 beds and 3 feet of clearance between the adjacent wall and the bed should be maintained. The space between two ends of beds should be of minimum five feet. Provision of toilets adjacent to each patient room is recommended for the convenience of both patients and staff. Day room and dining space is recommended to encourage early ambulation.
  • 40. STAFFING SHIFT NURSE : PATIENT MORNING 1:3 EVENING 1:4 NIGHT 1:6 SERVICES OF PHYSIOTHERAPIST AND OCCUPATIONAL THERAPIST FOR REHABILITATION. NURSES’ AIDS AND MEDICAL SOCIAL WORKER.
  • 43. SERVICES DIRECT MEDICAL SERVICES  NURSING CARE IN COMMUNITY  SOCIAL SERVICES  SUPPORTIVE SERVICES  LIKE PHYSICAL THERAPY, SPEECH THERAPY etc.
  • 45. AMBULATORY CARE It means care of the ambulatory patients requiring diagnostic, curative, preventive and rehabilitative services and who are not registered as inpatients in the hospitals .
  • 46. CATEGORIES OF OUTPATIENT GENERAL OUTPATIENT CARE REFERRED OUTPATIENT EMERGENCY OUTPATIENT
  • 47. PLANNING OF PROGRESSIVE PATIENT CARE Depends upon hospital layout Need of people served by hospital Principles and objectives of different levels of care Developing policies and procedures of implementation Existing patient care facilities. Modification needed. Orientation and motivation of staff Scheduling of doctors and staff.
  • 48. STEPS OF INTRODUCTION OF PROGRESSIVE PATIENT CARE CONCEPT 1 Familiarity with the PPC 2 Development of Teamwork 3. Evaluation of Needs:. 4 Orient Staff 5. Estimation of Costs
  • 49. Acceptance to some staff to PPC is not welcomed and slow. Rapid change of area and treating staff cut away the patient staff relation. Patient not accepting self care in the hospital. Observation of nursing care inadequate in long term patient area. Patient’s resistance to being transferred between units. No separate male and female wards in different care areas. Level and nature of duties of nursing staff is not similar in different care areas.