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POLICIES
PROCEDURES
PRACTICE
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Policies & procedures detail common nursingpractices
Available on every hospital unit
Developed by committee of nurses
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Policies-what you will do
Procedure-how you will do it
Changing linens every day – unless the linen issoiled
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MEANING
POLICIESThe dictionary meaning of policy is a “plan
of action!
Policies are plans red"ced to statements
or instr"ctions that direct organi#ation intheir decision ma$ing
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Personnel Policies
g"idelines for a %ide &arity of
employment relationship
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These g"idelines identify the organi#ationsintensions'recr"itment'selection'promotion'
de(elopment'compensations and aroad map for the managers
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)E*INITION
+ritten statements of an organi#ation,sgoals and o-.ecti(es concerning mattersthat effect the people in the organi#ation
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is a general g"ide to actionmay -e specific or general
deal %ith one or many' aspectsplace limits %ithin %hich action is to -e
ta$en
specify the steps in ma$ing decision
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PE/SONAL POLICIES
Policies on salaries
Illness allowance
Other compensationsJob requirements
formal dress code
disciplinary procedures
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Some personnel policies
0ealth programmes1o- sec"rity/em"neration policy
Ins"rance -enefitsPension plansMedical ins"rance
/ecr"itment policy(acation and lea(e policy Cas"al lea(e' medical lea(e' paid holiday
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AREAS THAT SHO!" #E I$%ORPORATE" I$PERSO$$E! PO!I%IES
Organisation
/esponsi-ilities
Staffing pattern' shift pattern
)epartmental f"nction
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3tilisation' care' maintenance ofe4"ipments
Patient admission' comm"nication anddischarge
N"rsing proced"res
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Handlin& of patient's clothin& and(aluables
"ealin& with (erbal or telephonic
orders of medical staff
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Handlin& and controllin& of dru&s
Isolation technique) communicabledisease
Pre(ention of hospital infection
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Safety
Public relations
Health education
Records and reports
se of restraints
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Transfer of patients
Procedures a&ainst medical ad(ice anddeath of patients
*acation) transfer and emer&encyrequest
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Types of policies
I+P!IE" PO!I%,
E-PRESSE" PO!I%,
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I+P!IE" PO!I%,
It is the policy neither %ritten nore5pressed (er-ally ha(e "s"allyde(eloped o(er time and follo%
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E-PRESSE" PO!I%,
these are specified (er-ally or in %riting
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6 *"nctional gro"ping of policies
7 Centrali#ed policies
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.unctional &roupin& of policies
*"nctional gro"ping of the policies are
those %hich are gro"ped for differentcategories of personnel
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eg8 for the management dealing %ith thepersonnel planning'
organi#ing'controlling'And "tili#ing the manpo%er
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Centrali#ed policies
The centrali#ed policies are formedfor companies %ith se(eral locations
+ / O#JE%T *E O.
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AI+S / O#JE%TI*ES O.PERSO$A! PO!I%IES
To ena-le the an organi#ation to carry o"tthe main o-.ecti(esTo ens"re employees cooperation for
their attainmentTo pro(ide an ade4"ate competent and
trained personnelTo protect the common interest of all
parties
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To esta-lish the conditions for m"t"alconfidence and a(oid conf"sion andmis"nderstanding
To pro(ide sec"rity of employment to%or$ersTo protect common interest
To pro(ide an opport"nity for gro%thTo create a sense of responsi-ility
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PRI$%IP!ES O. PERSO$$E! PO!I%IES
Put the ri&ht man in the ri&ht place bya careful selection and placement
Train employee for the 0ob to done
+a1e the or&ani2ation a coordinatedteam
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Supply the ri&ht tools and ri&htconditions of wor13i(e security with opportunity) incenti(e)reco&nition) in order that he may stic1to the 0ob4!oo1 ahead) plan ahead) fore more and
better thin&s4
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%HARA%TERISTI%S O. PERSO$$E!PO!I%IES
ro"tes to the administration
standing plan that g"ides
-road in scope and fle5i-ledirect indi(id"al -eha(io"r
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Policies are restricti(e in nature)
because they define the boundary
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Policies are permissi(e
because the subordinates are allowedsome de&ree of freedom
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9e form"lated %ith regards for theinterest of all partiesConfirm to the go(ernment reg"lations9e %ritten and form"lated9e for%ard loo$ing and for%ard planning
for contin"ing de(elopment
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positi(e' clear and easily "nderstood
It sho"ld -e periodically re(ie%ed'e(al"ated' assessed and re(ised
Sho"ld recognise desire of many%or$ers
Sho"ld -e the res"lt of a caref"lanalysis of all a(aila-le facts
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+ust pro(ide two way communication
+ust support the mana&ement /
employees4Should be uniform throu&hout theor&anisation4
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Specific
ConsistencyPermanency*le5i-le
+ith P"rpose/ecogni#e indi(id"al differences
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OR3I$ A$" SORSES O. PERSO$$A!PO!I%IES
(ariety of places and people
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The practices of an organi#ationThe attit"de' ideas' philosophy' of the
-oard of directions : top' middle' and lo%
management)ay to day practices of the employees
and identification of pro-lem' diffic"lties
etc
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Employees s"ggestions and complaints
State and National legislation
Change in the co"ntry economy
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The attit"des and social (al"es of la-o"r
The ethical points of (ie% and socialresponsi-ility of the organi#ation to%ardsthe p"-lic
The goal of the organi#ation
+E%HA$IS+ O. PO!I%,
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+E%HA$IS+ O. PO!I%,.OR+!ATIO$
The first step is5
identification of pro-lem area or
sit"ation
st"dy the e5isting doc"ments' s"r(ey andcomm"nity practices' re(ie% thepre(ailing condition :to collectappropriate information and
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get s"ggestions and cooperation
After a policy draft has -een prepared
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The second step5is to circ"late the copiesTheir constr"ction criticism and
s"ggestionsA second draft is then prepared and
finali#ed
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The third step is
"nderta$ing a periodic re(ie%'re(al"ation and the re(ision of the
policies
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.OR+!ATIO$ O. PERSO$$E!PO!I%IES
Identify the need4
3ather information
E6amine policy alternati(es4
3ettin& appro(al
E(aluatin& policy
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A"*A$TA3ES
0elps to gi(e employees a sense of sec"rityand indi(id"al %orth
Gi(es the employees pride and loyalty to theorgani#ation for %hich they %or$
Employees tend to gi(e good ser(ice andidentify themsel(es %ith the goals of theorgani#ation and they %ant to remain in theorgani#ation
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As g"ides to action' sa(e a great deal oftime of the administrator clearly %ritten policy sa(es the time of
the employee as %ellG"ides for orientation and training of ne%
employees
Pro(ide contin"ity and sta-ilityPro(ides "niformity and consistency of
organisation
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NU!"N# PAC$"C%
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NU!"N# PAC$"C%
N - Providing patient care without physiciansprescription
%'( ") fluidsPhysician ( what fluid & how much
N ( si*e of the needle+ which vein
Nurses determine practices themselves