Clinical Focus: Organization of Nursing Unit

(Follow a staff nurse)

Learning Objectives:

  1. Identify the organizational structure of the nursing unit: charge nurse, unit manager, staff nurses, nursing assistants and unit secretary.
  2. Identify the duties of each of the personnel.
  3. Identify the role of the pharmacy and method of communicating with the pharmacist.
  4. Describe a typical day on a nursing unit.
  5. Identify the method of delivering meals to patients: who checks the trays, gets patient ready to eat, assists with meals (At NAMC: how patient uses room service).
  6. Describe the method and purpose of shift report.
  7. List information given in report.
  8. Describe the use of an organizational work sheet to plan your day.
  9. Identify the information found on a kardex.
  10. Identify the parts of the written chart: physician's history and physical, progress notes, medical orders, laboratory data, operating room report, etc.
  11. Find laboratory data in the computer.
  12. Identify method of destroying a kardex before leaving the nursing unit.
  13. Locate supplies for nursing activities.
  14. Identify method of charging supplies and your role in charges.
  15. Locate the equipment in a patient's room: practice operating the bed, telephone, lights, call lights, overbed tables, call button for Dr. Leo, bathroom emergency light, etc.
  16. Use critical thinking skills to make decisions about working within the organizational structure of the nursing unit.
  17. Work effectively with the health care team to communicate.
  18. Discuss the use of material and human resources to assure effective, comprehensive nursing care.
  19. Discuss ethical principles and legal guidelines for functioning on a nursing unit. (HIPPA)

Learning Activities:

Review module objectives.
Read: Harkreader, Management chapter about patterns of organizing a nursing unit.
Use this scavenger hunt to help orient yourself to the nursing unit.

See your instructor for homework assignment.

Review module objectives and check for knowledge gaps.

In post conference discuss organization of nursing unit.