Strategic planning of N.I.C.

U
unit of one day surgery
hospital

Made by
under supervision
Marwa Mokhtar
DR Sahar Mousa
Ahmed
 Location : -
One day surgary hospital is located in the
eastern of kopry el sheraey, arab Elzeina
vellage,samalout , elminia .
Opening date 3 \ 7 \ 1999
Total no of beds 61 beds
Total no of activated beds 44 beds
Number of beds in inpatient department 28 beds
Number of beds in c.udepartment 6 beds
Number of beds dialysisdepartment 10 beds
 Our hospital consist of 3
bulds
The first builds consist of 2 floars ,the first floor
contain on maneger office , legalitres assairs
office , purchases office , puplic relation ships
office , odmittance office , emergency
department out patient department , operation
units, lobortory unit , radlogy department
centralized sterilization , pharmcy especial to ont
patient .
the scend 2nd floor contain in patient
department (bidiatric , surgicol , medical )
department , c.c.u department , restourant ,
laundrette , infection control office , quality
team office , nursing and physction,s home.
 The 2nd build consist of 3 floor :-

The first floor contain physiotherapy department ,

calculations office .

The 2nd floor contain on the N.I.C.U department .

The 3 rd floor contain on dialysis department .

The 3 rd build consist of 3 floor , the 1 st floor contain

on stock rooms for medications and supplies , the 2
nd floor contain liver unit , the 3rd floor contain the
conference hall , informations center office .
 Vision : -

To be globally accredited hospital providing the

highest quality of the health care to be first
choose in our communties.

Mision : -

Providing high quality health care services

beyond our coustomer expectation to a
chieve patient safety and satisfaction
through continuous quality improvement
N.I.C.U Unit
Consist of rooms , intern physieion office , breast feeding and
prepare of artificial feeding room , cleaning in cup atorss room
, preparing I.V.F.S room , clean in cupators room , septic in
cubators room , 1solation room , medictions and supplies
room .
N.I.C.U unit contain on 7 in cubators , 3in cubators are clean,
for clean patient , 3 in cubators f septic patient , and I in
cubators for isolated patient
Brest feeding room contain hands wash basin , for the mother
wash her hands and breast , dispasable apron and chair for
mother , bailer for pepp erontal boiler for water aktificial milk
Cleaning in cubators room contain on one heater 3 photo the
ropy , one deubliter device , one section device .
Connulction car , hands wash basin and bath tub for habies.
Septic in cubators room contain on heater , 3 photo the ropy
neubliter , section device , cannulotion car hands wash basin
, and bath tub for habies
Isolation room contain on heater photo the ropy neulizer and
section device , connulation car , hands wash basin and bath
tub for habies
 There are one monitor , one crus car , one R.B.S device
yellow skin mearing device there are ventilator , and sepop
but does not work
The man power of the
unit
One dr advisory , two specialist , 8 junior doctors ,
There are two heed davse , high qualified durse and ten
There are two heed davse , high qualified durse and ten
deplome durse , one durse qid and one cleaner
The devices in the unit :-
There are ventilator , sepab there suction devices , there
neublizar , scpab there suction devise , there neublizar
devices , monitor R.B.S.
One touch , yellow skin measuring devices , there heater seven
photo the ropy .
The medicotions in unit amino phyline , adrenalin , neuil ,
sodium becarbonat, aropine , antibiotic , cefotax , atroven .
Supplies in the unit . Cotton gouse , I.D the mothers , oxygen ,
dusol , deublizer mosk dressing suction tube , cannula ,
syring 1cm , 3 cm , 10cm , sloset for strip , cuter , anoter
things ( supplies )
The devices in the unit :-
There are ventilator , sepab there
suction devices , there neublizar ,
scpab there suction devise , there
neublizar devices , monitor R.B.S.
One touch , yellow skin measuring
devices , there heater seven photo
the ropy
The medicotions in unit

amino phyline , adrenalin , neuil ,

sodium becarbonat, aropine ,
antibiotic , cefotax , atroven
Supplies in the unit

Cotton gouse , I.D the mothers ,

oxygen , dusol , deublizer mosk
dressing suction tube , cannula ,
syring 1cm , 3 cm , 10cm , sloset
for strip , cuter , anoter things
( supplies )
Budget
Budget hospital are identified ihrough monthly statistcal to
D.I.C.U. unit
Policy of D.I.C.U unit :-
hospital shay establish specific criteria for the entry of the
patints of the department of premature according to the
physiological indicators assigned by specilist doctors .
In doctors entry premature department :-
1- difficulty breathing , grad I or 2 or 3 .
2- under weight baby.
3- premature baby.
4- jaundice .
5- I.D.M .
6- preoperative care .
7- post operative care .
8- p neumonia .
9- cromps , cnojeterness
10- hypo thermia .
11- hyper the rmia
12- sever diarrheu and romiting.
 13- not pass urine or feces .
14- other in doctors .
2 policy defintion of patien : -
Where every baby have I.D and identification card on his in
cubators to avoid any exchange between babies .
3- policy of patient isolation : -
4 Policy of washing hands routne , head rhe surgial .
5 woste isolation policy .
6 policy describes how sterilized in cubators between each
baby.
7 policy prevent infection when doing any nursing work.
8 policy recording data in the patient file .
9 policy signature of dr and durse any order and action to
the patient.
10 policy setting stondards for the exit of the patients of
N.I.C.U. unit .
Reward and
punishment : - unit style of reward
Follows in the N.I.C.U
and punishment system for good work
where in occur of any default by any
individual of is write anote through the
head nurse of N.I.C.U unit and converted
for legal off airs by director of the hospital
and be given appropriate punishment and
also when does any one a work efficiently
and activity are en couraged by giving him
agift , or acertificare of appreciation
choose the perfect person in N.I.C.U unit .
Process : -
The road followed by the patint when he entered the hospital until
the arrivelof the N.I.C.U unit .
Start to enter the patient to the department and examine by
emergency doctor .
After that is colled the N.I.c.U dr to check the patient and
determine their status and when his condition need to enter
E.I.C.U unit is make sure there is a place empty or no in unit and
if there is a place in unit a doctor orders to enter the baby to
N.I.C.U unit .
Writes dr babies name , diagnosis and ordered the entry , and
signed by the signature dr and supervisor hospital and them a
baby porents start in the work entry procedures and where babies
parent directed to the entry office to make the entrance ticket .
Take complete data about the patient and make sure there is
health in surance card and them taking office employee entereng
the patien ticket to N.I.C.U unit and give it to durse . The durse
recived baby and his ticket and check baby data the durse make
identification card for patient and put it his incubator .
 The durse put the baby on heater and take off
his clothes and make assessment from head to
toes in found any abanorama lites in patient
tell the doctor and then tell his family , writes
dr report of status of the baby when to enter
and the need of signature by the babies family
on the report .
Take the durse baby to give coplete path and
put himon the heater , take vital signs , baby
weight , head and chest circum ference , if
baby have difficult breathing and blood
samples , wear I . D on baby hand ,
adjustable temprature of in cubator baby in
37c. Put baby in in cubator on oxygen or photo
there according to dr orders .
Documentation
Dr , signature on the entry of the patient .
Signing of the patient parents to agree to the entry of the
patient .
Signing of entry office in patient data
Parents signature on the baby status report .
Dr signature on orders of treatment .
The signing of adurse at perform any dursing action to
patient .
Dr signature on exiting order.
Signing of the patient parents on exit order .
Dr , head dursend hospital manager on exit report .
Out comes : -
The man power are satisfied .
The patient parent not satisfied becouse there are some
medications and supplies they buy from outside the hospital.
Mortolity and
morbidity rate
2015: -
) N.I.C.U (8
2015

7 7 7 7 7 7 7 7 7 6 7 7
1
2
18 19 30 20 24 37 29 24 25 26 29 30

11 14 24 14 21 31 23 24 18 26 23 25


3

193 176 197 212 154 213 155 177 177 185 19 191
0
4

5
217 210 217 210 217 217 210 217 217 186 18 217
6 *

88.00 83.80 90.78 90.80 70.96 94.30 73.80 81.57 81.57 99.46 96. 88.1
93 8
6
9
1 1 0 0 1 3 3 1 0 0 0 1

8.09 7.14 0.000 0.000 4.76 9.68 13.4 4.17 0 0.00 0 4.00

1
0
Swot analysis
strength
There are proper dumber of nurses in the unit
2 application of infiction control in the unit
3 availability of good services provided from
medical team
4 present of sufficient numberenation aseptic
teehnque during peer forming any procedure
weakness
1 lack of some medications and supp;ies
2 there is no artificial milkin in unit
3 the ventilgator and sepop device not work
4 the presence of dursing and doctors are not
trained to entilator
5 lock of english and computer skills to staff
in unit
6 lock dumber of in cubators and the unit
improper in cubators to number of present in
cubators
7 low communication skills amongest
workers
8 workers ignorance of work low s and
legislations
9 shortage in engineer medical device
10 malfunctions in elevators
11 not to activate the system of talking food
print of the baby
12 there is no portable x ray device
13 lock of efficiency of lab results where
there are some errors in result
14 the hospital considered in aremote place
oppertunities threats
1 - Make training courses are There are N.I.C.U unit,s have
continuing to team work. many cubators ventilator and
2 training of doctors and efficiency devices , close to the
darses on how to work on a hospital
ventilator .
3 action evaluated monthly for
each team work .
4 work agreement,s with milk
copmpanies to serve unit and
bring anew device to unit .
 plan Action
Problem Action Responsib Time
le person
1 shortage Send Store keeper
of some requests to need
medications suppling administration
and supplies companies to
in unit provide the
needed 7-30 days
requirments .
Apply new
contracts with
new provider
companies.
Problem Action Responsib Time
le person
2 lack of Applaying training Two
computer and computer officer .
english skills courses to Head nurse .
months
to staff. staff .
Hospital
En courage directory
staff to take
english
courses .
3 workers Applying Head nurse
ingnorance of traing courses Hospital
work lows and . manager
legislations . Applying
explantations
7 15
in the dash days
board of each
administration
Applying
Problem Action Responsib Time
le person
4 low Applying Training 45
communicatio training officer
ns skills courses for all
General
month
amongest works . maneger
worker Schedule
meetings
amongst
different
department .
Increase the
co operation
amongest
workers from
different
department.
Problem Action Responsib Time
le person
5 unit Ask maneger Hospital 3 -6
improper to of hospital to maneger
number of take waid months
present in place for the
cubators unit
6 considered Providing Hospital 1 -2
hospital in means of maneger
aremote place transport and months
to difficulty providing
transportation ambulance to
s and there is transport
no ambulance patient
to transport
patients
Problem Action Responsib Time
le person
7- ventilator Frequent head nurses
device does observation to .
not work and any defecting Training
there are in hospital and officer
doctors and repair it
Hospital
nurses not quickly by 2-3
maneger
trained on it responsible
person . months
Ask engineer
medical
device high
qualified and
efficient daily
on hospital
Applying
training
courses for all
nurses and