Ward Analysis Criteria

( Based on the Functions of Management )

Criteria Yes No Comments/Justifications

1) Evidence of Planning & Organizing the unit
a. Patients are strategically placed in rooms to allow Commenting on the practice in the
easy access and monitoring of priority care patients institution, those who require more
intense monitoring are placed closer
to areas where they are easily
accessed such as near the nurse’s
✔ station.
As said by Hall (2012), Beds are a
critical resource for serving patients
in hospitals, but also provide a place
where patients queue for needed
care.
b. Unit supplies are adequate for patients Most common supplies that are not
available that we have observed are
the, Insulin Syringes, some
medications are out of stock, hospital
beds are limited, one Glucometer is
used in 30 to 40 patients and etc.
According to Tucker (2013), problems
with the supply of equipment and
materials which she calls

✔
“operational failures” disrupt care
and waste up to 10% of nurses’
workdays furthermore Clinical staff
members in many hospitals are too
often forced to leave patients’
bedsides to hunt for materials,
delaying care and leaving patients
unattended hence, completeness of
supplies in a hospital is very
important to provide quality of care
for patients.

✔
c. Crash cart is checked for completeness/shift

d. Patient groupings are appropriate (infectious As evident in the institution, bed

patients separate from noninfectious/ availability is scarce, and a mix-match
immunocompromised patients of case groups can be observed.
However, it may be noted that mixing
of cases is kept at a minimum if
possible and those that do mix, the

✔
nurses make sure there is some form
of compatibility such as pairing two
non-communicable cases next to
eachother where they would not
cross contaminate each other. This is
counterintuitive to the principle that:
beds are a critical resource for
serving patients in hospitals, but also

e. Requests for duties and off days taken from staff
ahead of time
f. Schedules for meetings are posted days in advance
2. Staffing
a. The staff is adequate to meet the workload in 3
shifts ( Use computation guide/tool)
b. Staffing is balanced in terms of knowledge and
skills
c. A senior nurse is assigned as in charge per shift
provide a place where patients queue
for appropriate needed care (Hall,
2012).
✔
Every Wednesday, a scheduled unit
meeting would take place, all
personnel would be knowledgeable
of said meeting as it is regularly done
week on the same day of every week.
In order for them (staffs) to
communicate faster if there is an
emergency they have created their
own group chat.
In the Philippines it has become a
norm to have a unbalanced
nurse:patient ratio, however, despite
this, with competent nurses, care is
still maintained at a standard where
it minimizes detriment to the patient,
meeting workload. But this is not the
ideal.
The American Nurses Association
✔ (ANA) supports a legislative model in
which nurses are empowered to
create staffing plans specific to each
unit. This method allows hospitals to
establish staffing levels that are
flexible and account for changes
including the intensity of patients'
needs. In California, a 1:6 ratio is
practiced as the maximum ratio a
nurse may handle at a time.
✔
In the institution, if a staff nurse is
not available to appear at work, the
Head Nurse will have to require
another staff nurse on-call to replace
his/her if assessed that staffing is
insufficient. (such in cases where only
1 nurse is left in the ward)
This on-call staff nurse that reports
for duty in the stead of the nurse that
becomes absent, then has the day
where he/she has to report to,
become their off-day as long as there
is sufficient staffing on that day (2
nurses left in the ward in that day)
✔
 ✔
d. A contingency plan is in place for emergency and
sick leaves of staff
3. Directing & controlling

a. Policies and procedures are available to guide the
staff in doing work and care procedures
b. Memos & circulars are posted and clearly
discussed and clarified with staff
✔
All memos and circulars are posted in
✔ their own bulletin boards, and it is
removed when it is outdated

✔
c. Unit protocols are established in special care areas
and discussed with staff
d. Conflicts are resolved timely and appropriately Conflicts are resolved privately
✔ consisting only the Head Nurse and
the concerned parties
e. Sanctions for violations are clear and just Delivery of sanction goes through a
process of:
1. Warning (if non-grave illegal acts,
i.e mild intoxication)

✔
2. Suspension
3. Expulsion
Minor violations are kept at
supervisorial level, but for gross and
grave violations, a committee of
grievance is prompted
4. Recording (& Documentation)
a. Patient records are complete and updated every This may be attributed to the
shift workload as information may not
always be updated in a timely
✔ manner.
Having the right information and
support at the right time is critical for
patient health (Hawker, 2016).

✔
b. Records of supplies and consumables
are updated

✔
c. Minutes of meetings are posted for staff
to read

✔
d. Incident reports are recorded and documented

✔
e. Sanctions are clearly documented

5. Evidence of Coordination & Communication

✔
a. Meetings are conducted regularly with in the unit
to address issues/concerns

✔
b. Meetings with other departments are conducted
to allow congruence of patient services

✔
c. Linkages with other units foster smooth flow and
transition of patients

✔
d. Staff /personnel are aware of changes or new
protocols in the unit

✔
e. Communication among the staff follows the
proper channels of communication
6. Evidence of Budgeting
 ✔
a. Procurement of supplies( consumables and non
consumables) are updated regularly depending on
unit demands and census and submitted

✔
b. Requests for additional manpower justified

✔
c. Proposed additional needs are planned and In the institution, if a certain
deliberated with the unit staff before submission apparatus/ware is needed that the
hospitals stock does not provide, the
CSR has the power to make
emergency purchases when
prompted by the nurses and doctors.

✔
d. Supplies are appropriately and efficiently used
(with minimal wastage)

Submitted by:

1. ___ PIGURO, Corina Mae G.__

2. ___TAMAYO, Teanu Jose G. _

Submitted to:

Karl Christian O. Golucan, RN, MAN

Level IV – Faculty

REFERENCE:

Hall, R. W. (2012). Handbook of healthcare system scheduling. New York: Springer.

Handbook of Healthcare System Scheduling. (2012). International Series in Operations Research &
Management Science. doi:10.1007/978-1-4614-1734-7

Schmidt, R., Geisler, S., & Spreckelsen, C. (2013). Decision support for hospital bed management using
adaptable individual length of stay estimations and shared resources. BMC Medical Informatics and
Decision Making,13(1). doi:10.1186/1472-6947-13-3

Nursing Education Blog. (n.d.). Retrieved from

http://nursingeducation.lww.com/blog.entry.html/2016/11/10/the_importance_ofth-GCAE.html

INSTRUCTIONS:

1. Should be done by pairs

2. Review the concepts on ward analysis: relate it with the functions of management – planning,
organizing, staffing, directing, controlling, recording, budgeting
3. Procedure:
- Observe the ward/area is being managed in terms of:
a. Admissions - assigning patients in their respective rooms including considerations of
accessibility and infection control vis a vis the nursing policies and procedures and
institutional standard operative procedures(SOPs) & guidelines related to patient care.
 b. Provision of appropriate and adequate supplies required according to the patient’s
condition- i.e. was the appropriate size of suction tubing available when a patient
needed a French 12 from a French 14 to prevent a possible tracheal injury? Was there a
ventilator ready when the patient was admitted to ICU because of arrest or respiratory
failure? Was there a ready ether bed when the patient was being shifted from O.R.
under general anesthesia? Is insulin syringe available for insulin injections? or a
tuberculin syringe for skin testing etc. etc.
c. Adequacy of staff to meet the care needs- ( I.E..Close care patients need atleast 7.24
hours average care time daily or about 3.27 hours per shift ( Koontz, Essentials of
Management).
d. How referrals are made if efficient of not.( Refer to policies of admission and transfer)
e. How conflict and incident reports are managed.( Patient complaints, between nursing
staff or between nurses and doctors, and other department personnel ).
f. Other problems with patient care or staffing and supplies are also noted.

4. Fill the criteria (by pairs); write the justification if you tick the ‘NO’ Column.
5. Overall results are to be synthesized in a report to be submitted (as one of your group
requirement in the intensive nursing practice.)
6. Nursing implications to improve the unit management and patient care are included in the
final output based on the ward analysis results including supporting journals and researches.