Administration of The Nursery Services
Administration of The Nursery Services
Administration of The Nursery Services
Introduction ………………………………………………………………………………………………………………………………… 4
Unit l
1.1.3 Functions………………………………………………………………………………………………………………………… …. 6
1.1.4 Classification……………………………………………………………………………………………………………….……… ..
7
1.2.5 Characteristics……………………………………………………………………………………………………………… 18
Unit II
2.5.1 Definition………………………………………………………………………………………………………………………… .. 35
1
2.6 Calculation of bedding ………………………………………………………………………………………………………..….
42
2.7.1 Concept………………………………………………………………………………………………………………………… .. 43
Unit lll
3.1.1 Concept………………………………………………………………………………………………………………………… 52
lV unit
2
4.6 Consulting ………………………………………………………………………………………………………………………………
76
conclusion ……………………………………………………………………………………………………………………………… 83
Bibliography …………………………………………………………………………………………………………………………….. 84
3
INTRODUCTION
At first glance it might seem that administration and nursing are not disciplines that
have anything in common, and it might even be thought that once the work of the
nursing assistant is defined, nursing administration is unnecessary, but none of
these extremes are valid because although the Nursing is a profession that is
clearly defined in terms of its objectives and way of executing it, certainly the
administration cannot be separated from it, because with the application of a
minimum of administrative precepts the work of the nursing professional can be
made even more effective. Nursing.
When organizational models are proposed for an institution of the public national
health system, it is pertinent to start from the knowledge and particular
characteristics of both hospitals and primary care centers so that, before modifying
a management model and proposing alternative models, can carry out an
evaluation of the prevailing model that, for some political, social or quality issue,
does not have the expected results.
4
CONTENT I
1.1 Hospital
1.1.1 Concept
Hospitals are currently health centers intended for the prevention (through
vaccination campaigns), diagnosis, treatment and, if possible, cure of physical
and/or mental illnesses, including the performance of surgical practices, also
including dental care. They have places of care in offices for outpatients and others
intended for hospitalization, either in general wards for patients who are not
serious, or in intensive care for those more risky cases. Intermediate therapy is a
previous step to enter the general ward, for that patient who was in intensive care,
and is recovering.
They can be public or state, as a service provided by the State financed by the
treasury coffers of each country, free of charge; or private and non-free capital.
1.1.2 Objectives
5
Support all healthcare provider functions, including order entry, procedure
reporting, etc., and communicate individual patient data to healthcare
professionals.
Establish and maintain files for hospital administrative and digestion functions,
including personnel applications, resources, programs, registration, etc.
Goals
1. Produce efficient and effective health services that meet the quality standards
established for this purpose.
2. Provide the health services that the population requires and can offer according
to its development and available resources.
4. Offer Health Promotion Entities and other natural or legal persons that demand
them, services and service packages at competitive rates in the market.
1.1.3 Functions
The hospital, as a health organization, directs its actions to sick people. It also
includes health promotion and protection activities.
6
The dictionary defines hospital as: “center for shelter and treatment of the sick.”
According to the WHO, a hospital is an “integral part of an organization.” medical
and social institution, whose mission is to provide the population with medical and
health care, both curative and preventive.
Hospital actions were not always directed toward medical care; At first they were
lodging centers for travelers; During the colonial era in Mexico, they also served as
schools.
Hospital functions . The main ones are: prevention, cure, rehabilitation, teaching
and research. They are explained immediately.
-Rehabilitation. It seeks to reintegrate the patient into their family and social
environment, limiting as much as possible the damage and consequences caused
by their illness.
-Teaching. The hospital is the ideal means of confrontation between theory and
practice in the area of health, which is why it facilitates the training of professionals
in various disciplines} It includes health education for patients, the staff themselves
and, according to specific programs , projects educational actions to the
community in its areas of influence.
7
1.1.4 Classification
Hospital classification
These health establishments are formed to meet public needs efficiently. Likewise,
doctors, nurses, and specialists, among others, are present according to the need
and complexity of the hospital complex.
At this level, the population is served for the prevention of diseases, general
medicine, in addition to having less complex devices.
Generally, they are called sanatoriums, dispensaries or outpatient clinics, and they
serve needs such as dentistry, general consultations, gynecology, medium-sized
emergency care, laboratories, as well as non-complex births.
-A healing room.
-Some specialists.
The level of complexity is medium, some will be specialists and are prepared to
attend to any specific emergency, such as cesarean sections of medium
complexity, among other not so serious complications that require non-complex
care.
It should be noted that this second level is also in charge of responding to natural
disasters with the necessary promptness.
8
tertiary hospital
At this level, referrals from other levels for some type of rehabilitation are received,
or referrals from other institutions where it cannot be attended due to its high
complexity or lack of instruments necessary for the patient's recovery. Extremely
prompt and attentive surgical interventions may be necessary.
It should be considered that this third level is also in charge of oncological units, x-
rays, echo sonography, tumor lesions, mammograms, among other serious
pathologies, for emergency care or long and rigorous treatments of extreme
importance for public health. .
Regarding the aforementioned, the hospital, being a refuge for the sick who need
to be treated to prevent diseases or cure them, whether they are emergencies or
not, are categorized depending on how large their structure is or the number of
specialists that a hospital has, likewise. It is important that hospital institutions are
also categorized not only by their staff but also by the equipment necessary for the
special care that every patient needs, whether emergency or preventive.
Once positions have been divided by job specialization, they need to be grouped
so that common tasks are coordinated. The basis for grouping positions is called
departmentalization.
One of the most popular ways to group activities is by the functions performed. A
manufacturing manager may want to organize a plant by separating engineering,
accounting, manufacturing, personnel, and supply professionals into common
departments.
9
Departmentalization by functions seeks to achieve economies of scale by placing
personnel with common skills and orientations in common units.
Each medical institution must be organized according to quality, efficiency and user
satisfaction, through management formulas and planning that it deems most
convenient.
In Mexico, the regime that regulates the infrastructure, personnel and, in general,
the management of a hospital center changes depending on whether it is private or
10
public, or if it belongs to a state Ministry of Health or one of the social security
institutions. (such as the IMSS or the ISSSTE).
The above causes the organization charts to vary greatly depending on the type of
center, but in general the hierarchy is established as follows:
Managing Director
The director of Hospitals is the figure at the head of the structure and represents
the highest authority of the hospital. He is responsible for the harmonious
functioning of the institution and must induce all staff members to voluntarily give
their best.
The question of who should fill this position, whether a doctor or a business
administrator, has been widely debated without reaching universal agreement. The
important factor is that this person needs to be perfectly versed in hospital
management and for this it is important that they have a Master's Degree in Health
Management and Administration.
Medical address
11
Work with hospital team leaders to plan, implement and manage clinical
operations.
This division is, in turn, made up of all the medical specialties and services
provided by the institution: neonatology, maternity, nephrology, cardiology,
pediatrics, laboratory, pharmacy, radiology, etc.
Nursing Directorate
Coordinate the work of the unit and the personnel that comprise it.
This unit, also called the Administration Directorate, has to assume functions such
as:
Direct and evaluate the performance of personnel and the activities they carry out
in this unit.
Provide all other divisions with the necessary administrative and technical support,
as well as the general services required to meet the objectives.
-Human Resources.
-Hostelry.
12
-Internal Order.
-Security.
-Investigation.
-Consultive advice.
In the case of private hospitals, the concept is the same except for some very
specific points at the top, since the director responds to a board or to different
owners.
1.2.1 Concept
The concept of health service must understand what the wishes and needs of the
patients are, that is, put the needs of the patients at the center. By itself, a medical
diagnosis does not determine the health service to be provided because this
diagnosis exactly indicates a need for cure, improvement or rehabilitation.
In itself, this vision is not wrong, but it lacks different perspectives that are
necessary to obtain true success in our purpose. These other perspectives that
must be incorporated constitute different ways of relating to patients and induce the
incorporation of greater added value to the health-disease process. It is necessary,
therefore, to understand the concept of service since only then will we understand
what is demanded of us and what the strategic intentions that the healthcare
organization must adopt should be.
13
1.2.2 Objective
General objective:
Know the historical evolution, the functional field as well as the general
competencies of the case manager and/or liaison nurse in the field of primary care
and specialized care, including the competencies of the family nurse and that all of
this serves us well. guidance in the future practice of our nursing profession.
Specific objectives:
Assess the interaction of factors that put the health of the individual, family and
community at risk in specific sectors to design comprehensive programs aimed at
improving health.
Provide nursing care to the individual, family and social groups of low, medium and
high risk, based on human needs and responses, in the areas where the person
lives and goes to care for their health.
Design, execute and evaluate health education programs, aimed at individuals and
social groups, through learning strategies that promote the modification of habits
and lifestyles for health conservation and self-care.
14
1.2.3 Internal organization
Within the nursing organization, there are criteria to determine the positions and
positions that each medical unit needs, based on the specific functions performed,
the specialties of the services, the activities in a certain process of patient care,
and the type. of equipment or patient who is treated with it.
These aspects have been determining the complexity and continued permanence
of the services that must respond to the current needs of the population to be
served.
Emergencies or
Hospital
continuous
admission
admission
Operating room
External and recovery
consultation
Special or
Preventive
institutional
medicine
programs Equipment and
sterilization
center
15
Pediatric adult
hospitalization
discharge room Intensive care rooms
unit
Specialized Infectious-
services contagious
Hemodialysis patient units
Intermediate
Dialysis care units
Endoscopies
Units
Metabolic
Transplant
Nutrition
parenteral
Treatments
Oncology
The head of a nursing department is responsible for the care that the nurse
provides to patients, as well as for planning, organizing, integrating, directing and
evaluating the human and material resources assigned to fulfill their duties. For
this, it must use the organization and the hierarchical levels that jointly and
grouped include all the people who supervise the services, and in whose execution
it includes the participation of all the workers assigned to the service itself.
16
structuring of the relationships that must exist between individual and departmental
hierarchies, functions and obligations.
Nursing functions or roles are those actions that can be performed in the workplace
thanks to the scientific method. The training of nurses is based on 4 functions.
GENERAL
− Participate in the transfer of patients to the service to which they are referred.
− Provide general care to the patient such as: changing bed linen, bathing,
17
− Care and handling of laboratory samples and/or specimens.
1.2.5 Features
Characteristics:
Due to their functions, more nurses are required than any other type of health
professional.
Nursing functions or roles are those actions that can be performed in the workplace
thanks to the scientific method. The training of nurses is based on 4 functions.
18
These activities are among others:
-Be part of the multidisciplinary and intersectoral team that participates in the
comprehensive care of people, families and communities.
-Execute actions that provide solutions to health problems, identified in the Health
Situation Analysis.
-Carry out and control the Nursing Care process, as a scientific method of the
profession.
-Record in the medical history all available information about the problems
identified in individuals, the family and the community.
-Assess the information collected to carry out nursing actions, recording them in
the HC.
-Train the individual and the family to assume responsible behaviors in caring for
their health.
19
-Act as an advisor and consultant on the health of individuals, families and
communities.
-Execute disease prevention and protection activities for individuals, families and
the community.
-Execute nursing techniques and procedures within the scope of their competence.
-Carry out actions aimed at maintaining health surveillance and control of infectious
diseases in the population.
-Train health brigades and volunteer groups for their participation in health
promotion.
-Carry out the Nursing Care process, as a scientific method of the profession.
-Record in the medical history all available information about the problems
identified in individuals, family and community.
20
-Assess the information collected in the HC to carry out nursing actions.
-Participate in the preparation, analysis and discussion of the health situation of its
population, detecting vulnerable groups, risk factors and implementing actions
aimed at their reduction and/or elimination. Execute actions that provide solutions
to health problems, identified in Analysis of the Health Situation.
-Execute health promotion and promotion activities for individuals, family and
community.
-Train the individual and the family to assume responsible behaviors in caring for
their health.
-Execute disease prevention and protection activities for individuals, families and
the community.
-Execute rehabilitation and social reintegration activities for individuals and families
-Execute nursing techniques and procedures within the scope of their competence.
-Carry out actions aimed at maintaining health surveillance and control of infectious
diseases in the population.
21
-Execute actions aimed at controlling the environment and achieving a healthy
environment.
-Train health brigades and volunteer groups for their participation in health
promotion.
Teaching function
-Design, plan and participate in continuing education programs for nursing staff
and other health professionals.
-Participate in continuing education programs for nursing staff and other health
professionals.
22
-Provide incidental teaching in the workplace
-Develop training activities for students located in your service taking into account
the composition of the Nursing Work Team.
UNIT II
-Planning
-Organization
-Address
-Control
PLANNING
Initial stage of the administrative process through which guidelines are established,
strategies are defined and alternatives and courses of action are selected, based
on general economic, social and political objectives and goals, taking into
consideration the availability of real resources and reference necessary to achieve
them. specific programs and actions in time and space.
Plans are specific actions proposed to help organize goals and are the result of the
planning process.
23
C. Determine future conditions establish risk and minimize it
Types of plans
Planning stages:
1. mission
2. Investigation
3. Vision
4. Goals
5. Policies
6. Strategies
7. Programs
8. Budgets
ORGANIZATION
Stages of organization
- Hierarchy
- Departmentalization
- Functions description
- synchrony
- Harmonization
- Interrelationship
24
Organization techniques
ADDRESS
Importance of direction
-It is basic for achieving objectives, for implementing organizational methods and
for the effectiveness of control methods. Management establishes the
communication necessary for the social group to function.
Stages of direction
25
2. Analyze it
3. Identify and evaluate alternatives
4. Choose between the alternatives
5. Apply the decision
CONTROL
Verify whether everything occurs in accordance with the adopted plan, with the
instructions issued and with the established principles, in order to identify
weaknesses and errors in order to rectify them and prevent their repetition.
-Detection of deviations: identify and correct if there are differences between what
was planned and what was executed.
The procedure to calculate the nursing staff needed in the services is carried out
with the following steps:
1.calculate the necessary hours of nursing care required for the service.
26
b) b) indicator (I)
c) formula X=CI
where:
X: Hours needed
C: Number of beds
I: Indicator
Example:
How many hours of nursing care are necessary for a pediatric service with 20
beds?
X: 20, 20 is the number of beds, 5 is the indicator for the pediatric service.
Calculate the nursing staff necessary for the service, taking into account the
following aspects;
Distribute the staff for a pediatric service with 20 beds in the different shifts.
-Morning: 40% = 5
-Evening: 30% = 4
-Night 30% = 4
How many nurses are required for a pediatric service with 20 beds?
27
X= H/J
X= 100/8
X= 12.5
Answer= 13 nurses
-Non-professional staff
Indicators
The 5 categories for nursing care that are accepted and applied for the supply of
personnel are:
28
5. Intensive care: seriously ill patients in a complicated phase of treatment,
mid-postoperative patients and patients with tertiary care treatment. 10 to 24
hours
Hospital services represent the types of medical specialty that are taken into
account to calculate nursing staff and the corresponding supply.
Services
For central equipment and sterilization, one scrub nurse and one circulating nurse
are calculated per room.
In the hospital, surgical and expulsion room, one ward manager and eight nursing
assistants are calculated for a 100-bed hospital.
We also find indicators to schedule substitutions and breaks, which are indicated
below:
29
Substitution indicators
In recent decades, awareness has been raised about the evolution and
development of nursing; currently, the professional nursing service is regulated.
Position Number
Head of nurses 1
Deputy Chief of Nurses 1 day in hospitals with 100 beds
Supervisor 1 per day in hospitals for every 60 beds
Teaching 1 ppr every 100 beds
Head of services 1 per day and service
30
2.4 nurse-patient index
The study included the measurement of the time allocated to direct care of the
Two pieces of data resulted from the measurement of these times: the nurse-
patient hour indicators and the constant applied in the formula for calculating
personnel, the latter representing the effective workday time used by the nursing
staff for direct care and the indirect activities carried out, regardless of the
contracted work day.
31
Oncology 3.4 4.0
psychiatry 3.4 4.0
Rheumatology 3.4 4.0
Gynecology 3.0 3.4
Obstetrics 3.0 3.4
Perinatology 8.9 12.0
Joint accommodation 3.4 4.0
32
Cardiology 4.5 4.8
intensive care 8.0 12.0
Physiological nursery 3.0 3.4
Gastroenterology 4.0 4.8
Hematology 4.0 4.8
Infectology 4.0 4.8
Nephrology 4.5 4.8
Neonatology 8.0 12.0
Pneumology 4.0 4.8
Neurology 4.0 4.8
Neurosurgery 4.0 4.8
Ophthalmology 3.4 4.0
Oncology 4.5 4.8
Otorhinolaryngology 3.4 3.8
Pediatrics 4.0 4.8
Premature 5.0 8.0
psychiatry 4.0 4.8
Traumatology and orthopedics 4.0 4.8
Urology 4.0 4.8
33
1 EE for 10 stretchers and
1 EE for 8 stretchers
operating room 1 EE and 1 EG per room 2 EE and 1 EG per room
Tocosurgery
- admission 1 AE per office 1 EG per office
- Work 1 EG for 6 beds and 1 EG for 6 beds and
1 EE for 12 beds 1 EE for 10 beds
- Expulsion 1 EG per room 1 EE per room
2.5.1 definition
The calculation of materials is one of the activities that precedes the preparation of
a budget.
Every element to be built is made up of the materials that make it up, however, the
most significant elements of the gray work have been selected as illustrative
exercises that show a way to calculate the breakdown of materials.
34
It is the material that will be used in procedures such as:
They are the items that are prepared at CEYE (sterilization and equipment center)
and are used in cures, they are consumed with use and do not need to be
inventoried.
Technique
1. Hand washing
clean, dry, closed with restricted access and exclusive use. It Must be done
Recommendations:
35
-Check the sterility conditions of the materials
safe
MATERIALS
-Healing equipment
-Sterile kidney
-Lebrillo
-Sterile gloves
-Physiological serum
-20cc syringe
-Adhesive tape
-Dressings
-Gauze
healing)
3. Glove Pose
4. Removal of dressings
-Detach the ends of the surgical tape respecting the direction of the
hair.
36
-Dispose of the dressing in the appropriate waste bag or container for the dressing.
-Remove them by holding them by the palmar aspect at wrist level, with
-Hold the glove that has been removed inside out with the fingers of the hand
remains gloved.
-Put the first two fingers of your ungloved hand inside the glove
-You should not touch the outside of the second dirty glove with your hand.
naked.
-Pull the second glove up to the fingers, taking it out backwards, this way,
-If I do not use the previous technique to remove the gloves, they must be washed.
hands again.
internal.
37
-Open the inner packaging without contaminating the gloves.
-Hold the glove by the fist, on the palmar side, with the thumb and index finger of
the hand.
-Insert your dominant hand into the glove and pull it.
-Take the other glove with your gloved hand, inserting your fingers
-Adapt each glove to your hands and unfold the cuffs carefully, so that
which the fingers are inserted under the fold of the fist.
7. Healing
-Carefully remove the surgical tape following the direction of the hair.
patient discomfort
sterility:
-Sterile kidney that will receive the contents of the wound wash.
38
-Healing team.
-Physiological serum in kidney from the healing team, the necessary amount.
-Receive the kidney washing material that you have arranged for this purpose.
-Debride the tissue that can be removed and according to the degree of
39
2.5.3 Procedure for material calculation
- Hospital capacity
- Standard consumption curve
- Percentage of occupation
- Hospital type
- Special treatments and frequency
- Predominant age and sex of patients
- Assigned budget
- Material Duration
- Storage type
- Quality and cost of items
Material and equipment: these are those that can be moved from place to place
where they are required.
Clinical equipment: is the equipment necessary for daily work in medical or nursing
treatments.
40
Red team: it is the one used only in emergencies or for resuscitation and there
must be one per service.
Indicator development
41
Clothes Indicators Total Added value Total clothes
10% in 24 hours
Cover for 7*1.5 10.5 1.05 12
adult bed
Hospital bed 7*3.5 2.45 2.45 27
quilt
2.7 Manuals
2.7.1 Concept
The procedures manual gives the procedures carried out a formal or official
character for a specific task or set of tasks, in this way it becomes a guiding guide
to achieve an effective and efficient result.
Types of manuals
42
Manuals can be organized into different types, depending on their content,
objective and audience to which they will be directed. These are:
It is mainly focused on the guidelines and guidelines that a company must have,
indicating its organizational structure. The above mainly seeks to make known how
the company works, what its areas are and the role its employees play.
Organizational manuals have a very general and summarized form about the
behavior of the company. However, it must be known by all its employees.
Departmental manual:
It is a more specific manual than the organizational one, as it further details the
functioning of each area within an organization. In this, the role of each area, its
composition and its objectives are observed.
Likewise, this manual records the procedures and standards that must be followed
by those who are part of each department, thus guaranteeing its correct
functioning.
In this type of manuals, there is, for example, a description of each job in the
department, its objectives, relationships with other areas, budgets, human and
material resources, etc.
Policy manual:
It should be noted that this type of manual does not refer to the government or
political party field, but rather to the control of senior executives within a company.
Procedures manual:
43
It is a much more specific manual than the previous ones, as it specifically explains
the steps and ways so that the different areas of the organization can carry out
their tasks in the best way.
In this manual, you can see, for example, process diagrams, general and specific
objectives, communication channels and flow diagrams.
Techniques manual:
It can be said that this is the most detailed and specific manual of all those
mentioned above, as it further details the procedures and processes of the
organization.
This manual sets out, for example, the specific tasks for each official in a specific
area, their objectives, task diagrams, bibliographical or references as a tool for said
tasks, a glossary of terms, among other aids.
Welcome manual:
This is a simple and general manual whose main objective is to briefly explain how
the organization works to new employees.
This manual not only welcomes new employees, but also mentions the history of
the company, its mission, vision and objectives.
Here you have, for example, a welcome letter written and signed by the president
or manager of the company, a description of the company, data about its history,
objectives, benefits that employees have and their obligations.
Job manual:
As an example in said manual, there is the employee name, area name, immediate
boss, people in charge, specific functions, profile, contact information, etc.
44
Multiple manual:
It could be said that this is a type of manual annexed to the previous ones, since it
is the result of decisions made in member assemblies. They can expose
information that is not included in other manuals and that is important to record.
Finance manual:
This manual is focused mainly on the financial part of the organization, involving
the portfolio, treasury or accounting areas. Here, the rules and processes to follow
in these areas for the use of financial resources are proposed.
In this manual you will find, for example, the company's cash flows, income and
expenses, budgets, general balance sheets and income statements.
System manual:
The systems manual specifies the tasks and processes to be developed when a
new system is formed, that is, when the integration of various areas or people from
other departments occurs.
Here you will find, for example, the functions and new roles of each employee
within the new system, their responsibilities, area, process diagrams, among
others.
Quality manual:
This is one of the most important manuals within an organization, as it is the one
that records the organization's quality processes. That is, all the information
necessary to determine the company's productivity, service and quality.
In this manual, there are, for example, quality indicators, indicator monitoring
graphs, flow charts, version of indicators, glossary of terms and productivity
measurements.
45
2.7.3 Due to its content
ITEMS:
The content of the manual is limited to its purposes and adheres to the information
necessary to achieve the proposed objectives. Must contain:
objective of the manual (expresses the purpose of the manual) scope expresses
what the manual covers) how to use the manual (the most important section)
reviews and recommendations (indicate the people to whom collaborators must
inform about changes, corrections or recommendations to the manual )
-Flowchart.
-Forms: (they collect precise information) forms used: its design is made up of
identification, instructions, introduction, body and conclusion.
46
•Table of Contents
•Introduction
•Manual body
•Flow charts
•Glossary of terms
•Conclusions
•Recommendations
•Annexes
Advantages:
-They are a permanent source of information about the work to be carried out.
-They allow effective delegation, since when there are written instructions, the
supervisor's monitoring can be limited to control by exception.
At this stage, a working group is formed in charge of preparing the manuals. This
can be made up of a representative from each of the administrative units of the
institution or by a group of officials determined by the hierarchy. A coordinator or
person in charge must be appointed who will lead the group's work in order to
maintain homogeneity in the content and presentation of the information.
Also in this phase, the methodological tools that will be used to obtain the
information to prepare the manuals are established, as well as the type of
information that will be required and the schedule of activities to be developed for
the preparation of the manuals.
Once the work is planned, the necessary information for the preparation of the
manuals begins to be collected, according to the previously established
methodological tools and the selected investigative techniques. Searching for this
information can be done using:
Documentary research: try to search for all those printed or electronic documents
in which relevant information is obtained for the preparation of the respective
manual, whether regulations, technical studies that support an administrative
reorganization process, previous procedure manuals, work reports, manuals of
service, institutional memories, among others.
Monumental investigation: deals with all that information that is not written in a
document and for which interviews, surveys, observations, tests, among others,
must be used to obtain said information from the officials who know it.
Once the information necessary to prepare the manual has been obtained, it must
be organized and analyzed in a way that presents a logical order for the
development of the manual. To guide the process of organizing the information, the
following questions can be used:
48
What work or activity is done?
Who is responsible for doing it? Or in a certain case, if you do not have the data of
the person responsible, who does it?
What are the means you have to get the job done?
Why is it done?
In this phase, the design and presentation that will be used to prepare the
administrative manual is established. To do so, the following must be considered:
The writing of the document, analyzing to whom the manual is directed, to manage
a clear, precise and understandable vocabulary for all its users.
The format, ensuring that the information presented follows a logical sequence,
that there is uniformity of font, and that its wording is understandable, among other
aspects of form.
Once the administrative manual has been prepared, it must be presented to the
hierarchy and those responsible for each administrative unit to which the manual
corresponds, so that they can proceed to validate whether the information
presented corresponds with the responsibilities, powers, functions and activities
that It is up to the Institution to do so much; as well as to the administrative unit(s)
to which the manual is directed.
49
When the manual is validated, it must be formalized. At this point, the Institutional
Hierarch or the person responsible for the corresponding administrative unit must
authorize the manual, so that the reproduction, dissemination and distribution of it
can begin at the institutional level in general or at the corresponding administrative
units.
Once a manual has been validated and authorized, it is very important that it be
distributed among the corresponding administrative units, so that officials have it at
their disposal, know the document, and use it in practice. Likewise, the electronic
version of the document may be incorporated into the Institution's electronic portal,
in order to provide citizens with free access to the institution's organizational
information.
The Manuals are subject to periodic reviews, and therefore, they must be flexible to
the changes that occur in the Institution, to this end, a record of their modifications
and updates must be maintained, in order for them to be maintained. attached to
institutional reality.
UNIT III
3.1.1 Concept
Human resources are the set of people who collaborate in a company in different
areas and departments. Thanks to their functions and skills, organizations can
achieve their business objectives.
When talking about human resources, reference can be made to both the workers
and the homonymous department. As for Human Resources specialists, they are
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crucial elements in companies, since they manage all relationships with
employees.
Each company has unique collaborators with singular skills that allow the business
to prosper and meet its objectives. This means that each of the workers contributes
a different value to the company that, when combined with the efforts of the rest of
the staff, can achieve unique results.
Remember that no work team is the same as another. Each organization creates
its own work environment, which entails the formation of a special work personality.
Human resources are people. This means that they have their own objectives,
goals and interests in life that they have to pursue. If a person decides to work with
you, it is because your company contributes to the realization of their dreams, so
you can expect them to fulfill their responsibilities.
Being a constitutive part of the life of an organization, human resources can also
influence both positively and negatively in the creation of a work environment and
in the consolidation of a company's culture.
Work habits, the relationships that exist within the company and even the
personality of the members of a staff can have a strong impact on the image of a
brand, the values it promotes and the objectives it has set. That is why it is so
important to instill the same business culture and ensure that everyone has
common goals.
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4. They require knowledge
It is generally required that when they join a work force, candidates meet a specific
profile and have the skills that the company requires to perform a job.
This means that the employee is responsible for managing specific tasks well and
meeting certain expectations.
As we have seen, the human resources of a company are basically the workforce
in the form of people. This means that each worker is accompanied by a history,
purposes and their own personality.
Unlike machines, human beings have the ability to make decisions autonomously.
This is an important feature that companies should consider about their workforce,
since it involves risks and allows responsibilities to be delegated in the face of
scenarios of success or failure of a strategy.
Human beings are highly resilient. This means that we are able to face adverse
situations and adapt to them. The main characteristic of a company's human
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resources is that capacity for adaptation, which allows them to leave their comfort
zone and create creative responses to the problems that arise.
On the other hand, adaptation also implies an ability to develop according to your
own needs and those of a company, whether by acquiring new skills, expanding
your knowledge or carrying out activities for which you were not originally intended.
1. LEAD:
It is also important to know how to detect the needs of your workers to obtain better
results. If you want to delve deeper into techniques to motivate your work team, we
advise you to read this Forbes post.
3. COMMUNICATE:
We can affirm that we dedicate between 80% and 85% of our working day to
communication. So it is very significant since the success and progress for the
correct personnel management of our team depends on it.
To ensure that communication within your company and your team is adequate,
verify these actions:
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The messages you transmit are correctly perceived, understood and accepted
You use the appropriate channels for each type of information. For example, for
formal communications you use an informative email and for informal team
meetings you use a break room without physical barriers (tables, chairs...)
The language you use is clear, direct and precise. You don't get lost in
technicalities or use fancy or bad words.
You adequately and regularly communicate both team and individual objectives so
that all staff know unequivocally what the company expects of them.
4. DELEGATE:
Delegating means involving other people in responsibility for the results, giving
someone else the freedom to make decisions about how to achieve these results.
A leader or boss will grow professionally when he delegates.
Why delegate?
Although delegation has many advantages, we know that it is more difficult than it
seems and some managers often have difficulty putting it into practice.
Keep these simple tips in mind that will help you manage your business's
personnel:
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-Dialogue
-Offers guidance and advice, as well as constructive and positive feedback. Don't
focus on what's wrong. Guide your speech toward your employees by working on
“areas of improvement.”
5- LEAD MEETINGS:
Meetings, most of the time, when they are not well organized can be a cause of
frustration and loss of time. Nothing is further from reality. This technique, correctly
executed, will help you deal with and anticipate future conflicts and erroneous or
inappropriate work strategies. In addition, they can be a cohesive and driving
element of work teams.
Plan the meeting and call your employees: make clear the date, place, start and
end time and the objective or agenda
Prepare the session: provide documentation and maintain contact with highly
trusted people to request their collaboration. Do you remember what we told you
about delegating? Put it into practice when preparing your meetings and save your
time!
Present and moderate the session or delegate someone to carry out this last task.
Use positive and motivational language and be open to possible suggestions or
questions (make space in the session for this and avoid unnecessary
interruptions).
Follow up on the meeting. This last point is essential for the meeting to become
useful for attendees. This function can also be delegated to another member of the
team.
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Teams are almost always immersed in conflicts and pre-conflicts, and the main
reason is because problems are given more importance than kindness.
Promote positive work relationships and you will notice how in a short time the
work environment of your company will be positively affected. How to carry it out?
Lead by example and put into practice communicative elements that show
assertiveness: active listening, thanking your team for their work, maintaining a
positive attitude by avoiding speaking badly about others, accepting constructive
criticism, and defining respectful limits.
A correct job analysis allows the recruiter and selector to better understand the
needs of the company. And, consequently, find the ideal candidate.
At the same time, once the professional profile has been described, analyzing the
position our company needs is essential to writing a job offer that truly captures
differential talent.
The skills, competencies and criteria that the organization is looking for can be
included in the curricular screening that our recruitment software allows with the
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killer questions, scorecards and specific filters that ensure that the ideal candidates
for our company reach the last phase.
There are several types of job analysis, almost as many as there are types of
interviews. In reality, you don't have to choose between one type or another, rather
they complement each other. Although many times it is not possible for a company
to do them all and it does not make sense to spend so much effort for certain jobs.
Task-based job analysis is the oldest of all. This model seeks to define and
establish the tasks, duties and responsibilities associated with the position. Later,
how to carry out this analysis will be developed.
Within job analysis, the strengths-based model is also beginning to be used. This
model is associated with a whole spectrum of new Human Resources techniques.
It would be about looking for behaviors, but those actions that employees enjoy
performing the most, placing special emphasis on the motivations of the position.
Finally, talk about job analysis based on personality. It would be about finding what
traits define a personality as ideal for a position. For example, being an extrovert to
be a sales employee.
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If done correctly, job descriptions translate into benefits for both the company and
the workers:
-Allows salaries and wages to be defined in a more fair and balanced way.
-Select: It is searching among the candidates, the best for each position that is
required through exams, interviews, submission of application and resume.
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3.6 Recruitment
Many companies use recruiting software to find the best candidates more
effectively and efficiently. Regardless, recruiting often works in conjunction with or
as part of Human Resources.
HR Recruitment
HR function in a company
HR Recruitment
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Recruitment is the first step in building an organization's human capital. At a high
level, the goals are to locate and hire the best candidates, on time and on budget.
8- Interview formally
13- Hire
3.7 Selection
It begins when a person applies for a vacancy or when the recruiter has found an
interesting profile and culminates with the hiring of a new co-worker.
The personnel selection process is essential for your organization, since it is the
employees who will help you meet the objectives and goals set.
Within these ways of recruiting employees there is a wide range of background and
it will depend on the objectives of each company, as well as a good dose of
creativity.
It begins when a person applies for a vacancy or when the recruiter has found an
interesting profile and culminates with the hiring of a new co-worker.
The goal of the process is to choose the most valuable candidate for the
organization. However, everything that happens between point A and point B can
vary from company to company, as each has its own internal policies and ways of
recruiting.
To fill the vacancy, the qualities, knowledge, skills or experience are evaluated to
fill the vacancy demanded by the organization.
The personnel selection process is the tool that the Human Resources area and
management apply to differentiate between candidates who are qualified and those
who are not through the use of different techniques.
Some of the reasons why this process must be carried out in the best possible way
are:
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Reduce training cost: Thanks to a good process, qualified candidates will be hired
who will be good at understanding work techniques.
3.8 Hiring
The hiring or recruiting process includes making the decision to hire a new
employee, deciding what skills and experience are needed, recruiting for the
position, selecting the right candidate, onboarding and training them.
-Birth certificate.
-Voting lisense.
-Proof of studies.
-Proof of address.
-Letter of recommendation.
Once new employees have been shown the basics through the orientation and
onboarding process, it is time to train them on any job-related tasks they will be
responsible for, as well as show them the programs and processes that are used.
usually.
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What you need to calculate payroll for new employees:
Define the payment method (Transfer and Payment System, bank, check or cash).
The simplest (and often cheapest) form of training in a company is for your
employees to train each other. It makes perfect sense: all your employees have
different skills, so why not encourage them to share them with others?
The advantage of the in-house training program is that it is easy to organize and
involves zero or minimal cost. It can also have benefits, not only for the people
being trained, but also for the people offering the business training, who may feel
more important and gain confidence, improve their presentation skills and other
benefits.
The main disadvantage is that you are not implanting new skills or knowledge to
the company. You're just ensuring that people's knowledge is widely shared. There
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may be other skills and perspectives that you can only gain from outside sources.
And while some employees feel more important for the opportunity to train people,
another may see it as a burden. You have to be careful how to handle this
situation.
-Informal/One-on-one Training: One employee sits down with another and explains
how to use software or complete a certain business process.
Mentoring: A mentoring training plan is about much more than just training, but
there is often an element of job training. A mentor will often pass on important
skills, advice, and suggestions to the people being coached.
There are many options for online business training. In fact, you're visiting one of
them right now on Envato Tuts+, as well as a wide range of business tutorials
covering everything from JavaScript to logo design. So you can encourage your
employees to learn new skills online, either with free tutorials or pay a subscription
to allow them to view video courses as well as e-books.
The good thing about online business training is that it is often very low cost, and
you can access a wide range of coaching and training on various topics. It's also
flexible, so employees can easily fit it in alongside their other work or do it in their
free time. You don't have the problem of everyone leaving the office at the same
time to attend a scheduled staff training event.
Although this might not seem like a staff training option at first, many industry
associations provide coaching and training to their members, as well as offering
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periodicals, e-books, and other resources that can help your staff develop new
skills.
These can be great for your employees, because they are often high-quality events
taught by professional trainers, and provide the opportunity to network with others
in the industry. Making this kind of investment can also show your team that you
really value their personal and professional development.
The main disadvantage is the cost. These programs can be very expensive and
there is also the expense of travel, accommodation and other costs. Big companies
pay for this all the time, but a small company might not have the budget. Also, you
would lose that team member and their productivity for the duration of the training.
Even so, I still feel like a good option if you are wondering how to train staff.
On the other hand, you get personalized, face-to-face training with experienced
professionals. If your budget can be adjusted, this can be a great option.
Some employers pay their staff to pursue formal education, such as a business
degree or accounting certification. This is a great incentive to offer, although the
costs can add up quickly. To stay within your budget, consider only contributing a
certain amount and having the employee pay the rest, or limiting it to shorter, less
expensive programs.
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UNIT IV
Supervision is the process in which a person with capacity and authority, called a
supervisor, directs and evaluates the work of other people, with the aim of
achieving organizational objectives. This process includes activities such as goal
setting, results evaluation, feedback, training, and conflict resolution.
supervision characteristics
-Verify whether the processes and activities are being carried out as originally
planned and ordered.
-Offer quality.
Beginning
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-Management deals with general conditions; usually. Supervision is concerned with
improving a particular job or task.
-Supervision must respect individual idiosyncrasies and differences, and will seek
to provide opportunities for the best creative expression of each personality.
-Oversight should provide full opportunities for the joint formation of policies and
plans by welcoming and utilizing the free expression and input of all stakeholders.
-Supervision should be based on the assumption that workers can improve. You
will have to accept idiosyncrasies, reluctance to collaborate, and antagonism as
human characteristics, in exactly the same way you accept what is reasonable:
cooperation and synergistic activity. The latter are positive contributions.
-Supervision must replace the leading-guiding function with authority, which must
be recognized as derived from the facts of the situation. Personal authority, if
necessary, must be derived from group planning.
-Supervision must use scientific methods and attitudes applicable to the work, the
worker and the work processes. Not in vain, all actions derived from production
relations have a scientific basis, both from an economic point of view and from the
principles of production engineering.
The fine points on which we must place greater emphasis when exercising
supervisory functions are the following:
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1. Effectively delegate work
Whoever does adequate supervisory work will also be contributing to the training of
future leaders within the organization, because it is a position that allows talent to
be detected and taken advantage of in order to later be placed at other levels
within the company.
3. Don't be a taskmaster
Believe it or not, there are still supervisors who think that they have slaves and
non-collaborators as a work team and they insist on harassing them and treating
them as if they were machines. Those who carry out effective supervision place
great value on team members, seeking to understand and understand the
problems they face, helping them complete tasks and focusing more on achieving
objectives than on the pressure methods they will use. to ensure that assigned
tasks are completed.
The act of supervising implies maintaining control over the group, in this instance
we must define the type of leadership control that we want to exercise over the
group; We must evaluate the possibility of applying rigorous discipline under
traditional methods or giving them a maximum of freedom and exercising control
with a minimum of discipline, but we must be careful with this last method, because
sometimes team members misunderstand this situation and the quiet party can
turn into congal.
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The people responsible for supervision in a company cannot be contradictory with
their actions; on the contrary, they must be an example for the team members to
follow.
Treating and requesting tasks with staff should always be respectful, because
being stressed or working under intense pressure does not give us the right to treat
people badly, to yell at them and demand that they deliver their information on
time, to insult them, to show them off in front of the other teammates and that later
all this will become a great emotional pressure and frustration for the team
members and they will surely abandon ship early.
Supervision must have a balance, since we must be concerned both with the
fulfillment of objectives that favor the growth of the company, and with the human
aspect that will generate loyalty among team members, demonstrating concern at
all times for their satisfaction within the company. organization.
The main characteristics of a supervisor, within the workplace, are the following:
-You must know properly and in depth the activities that are your responsibility, this
being the best way to have the respect and recognition of your workers.
-He does not carry out the tasks directly, but rather makes others carry out the
work that must be carried out, so it will be essential that he has management skills.
-Must be aware of the policies, internal regulations and culture of the organization,
as well as its level of authority and relationships with other operational units.
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-As important as directing your staff is to adequately train your people at work,
making the work activities carried out enriching and always seeking continuous
improvement.
Supervision methods or techniques are specific ways of doing something, that is,
they are instruments with which results are achieved.
-Self-awareness
-Self-regulation
-Motivation
-Empathy
-Social skills
In the same way, it must be ensured that the supervisor's behavior does not hinder
his management. You should avoid being controlling, obsessive, and focus on
being analytical, becoming a support for the group and a guide to carry out tasks.
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METHODS AND MEANS OF SUPERVISION
First of all, it is important to remember that supervision is management and that its
main interest is the supervised person, so this supervision can be carried out in two
ways:
DIRECT SUPERVISION: It is the method in which there is direct contact with the
supervised and supervisory personnel; It is done through different techniques and
procedures, such as: Communication:
-Observation:
-Route:
Visits to hospital units to inspect and evaluate the quality of services provided to
patients and employee performance.
-Interview:
Conversation between two or more people with the purpose of obtaining desirable
effects for improving productivity, identifying needs and advising on problem
solving.
-Teaching:
It is a way to supervise and at the same time ensure a positive result. Teaching is
used to help the worker, it can be incidental or planned. Advisory:
-Meetings:
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Means used by the supervisor to group employees with the purpose of obtaining
proactive participation in situations presented in hospital services.
INDIRECT SUPERVISION:
-Document Analysis:
-Reports:
-Manuals:
Administrative tools that allow the supervisor to observe the group's activity
compared to that described in the manual; to guide the employee's actions.
Example: Rules, Procedures and Functions Manuals. Regulations:
Legal standards of behavior that guide the employee's conduct within the
institution. Internal regulations, Code of Ethics, Health Code, Civil Service Law,
Social Security Law, Law on the Nursing Profession Supervisory Board, Collective
Contract, Duties and Rights of Patients.
-Supervision Plan:
Document that allows for timely actions to be taken to achieve objectives more
effectively.
Clinical record, Care plan, anecdotal record, daily patient census, work plans,
monthly agenda, etc.
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-Check list:
4.6 Consulting
The word advice originated from the Latin word “assidere” in the sense of assisting
or helping. Advice is a service that is provided so that whoever requests it obtains
the necessary information on a specific issue. The place where advice or
information is given is often also called Consulting and the person who provides
the service is called advisor and must have complete knowledge about the topics
being consulted, since it will depend on him whether the consulting third party is
well advised.
Financial: financial advice is one of the most popular since many people need, at
some point, to keep their accounts. The financial advisor is in charge of keeping
business accounts, proposing new paths, and helping to optimize resources.
Accountant: This deals with everything that has to do with how to keep the
accounting of a company. He takes care of the general ledger, the balance sheets,
the income statements.
Labor: the labor advisor takes care of everything that has to do with the hiring of
employees or their dismissals. It can also act as a human resources department.
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Administrative: this type of advice is responsible for putting order, prioritizing, and
filing all the paperwork that an entrepreneur must sometimes handle. They must
also plan the procedures with what they have to comply with.
Tax: the tax advisor is responsible for helping the company comply with its tax
obligations; That is, to pay your taxes in a timely manner.
IT: with the importance that new technologies have gained, there are consultancies
that are responsible for advising companies to obtain the maximum performance
from their equipment and be more efficient.
Legal: legal advisors are the experts who resolve all legal issues, which are
essential when we encounter any problem of this type.
Characteristics
-Helping teachers develop new strategies and skills to develop a curricular plan
that integrates activities and projects that make use of technology through:
Features
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another post) and came out successful in their business adventure despite not
having studies in most cases.
Process
Consulting is a process, participants identify who to work with, determine the goals
to achieve together with teachers and help them plan and implement lessons.
-To diagnose
-Determine objectives
-Prepare
-Implement
-Analyze
Consulting and supervision are two different processes. Consulting is the training
process developed by school supervision or other educational agents, to improve
teaching and management practices; It involves learning from experience through
the identification of difficulties, observation, recording and analysis of practices,
systematic dialogue, as well as the formulation, development and monitoring of
improvement proposals.
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Personnel evaluation is a human resource management tool that follows the
professional development of an organization's employees.
In most companies, the evaluation takes the form of an annual interview, during
which an evaluation questionnaire is filled out.
There are many criteria that can be taken into account to evaluate personnel.
However, these are the five most common:
-Teamwork: the effort to collaborate with colleagues with the aim of achieving a
common goal.
The Management is responsible for preparing and filling out the evaluation table
itself and then presents it during the interview to the employee ⋅ a, to know their
point of view.
Self-assessment or co-assessment
In this, both parties participate, previously filling out a table and then exchanging
opinions during the interview.
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360 degree evaluation
Horizontal evaluation
This is carried out between colleagues who have the same position or who carry
out similar activities, based on numerical or text values.
-It should help there be an improvement not only in student learning, but also in the
teacher's practice.
In this way, you can understand that the evaluation criteria can leave room for
improvement not only for the students, but also for you as a teacher. This is
because at the end of each course you can self-evaluate your unit or teaching
program and based on this, reach certain conclusions about performance.
An example of this is the criterion that you can use in the Language subject. In this
subject, you will assess such relevant concepts as understanding, description,
summary and critical analysis of different texts and materials.
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Performance evaluation is a system that allows measuring how a person's work is
performed in a specific period.
The performance evaluation can be very beneficial for your company due to the
possibilities it offers both for the employee and for the organization itself.
-Boost your safety by knowing the aspects of behavior and performance most
valued by the company.
-Detects errors in job design and interaction in the team with other professionals.
-The results obtained in these evaluations help you draw up a plan of actions and
training programs to manage talent.
As we have told you, the advantages of performance evaluations for the company
are numerous:
-They detect competencies and abilities that may have gone unnoticed.
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-They provide support in the design and execution of the talent retention strategy.
It is an extension of the formal spaces and meets the needs of updating and
specialization. Continuing education is constituted as an educational option outside
the formal system. However, it provides high academic quality and flexibility
according to the needs of people who are generally already inserted in the
workplace.
CONCLUSION
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There are many benefits that result from nursing administration because in addition
to allowing better use of the resources available, it allows the organization that this
results to mean an improvement in the quality of service and productivity, which It
encourages the performance of the nursing professional, staying motivated and
allowing the patient to receive the service they expect and deserve.
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