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Cbahi Nursing standards

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The document outlines standards for nursing services at hospitals in Saudi Arabia. It specifies that the nursing director is responsible for managing nursing services, participating in leadership decisions, and ensuring policies and competent staff are in place. The standards require sufficient nurses to meet patient needs, updated schedules, and qualified nurses and assistants providing care 24/7. A comprehensive nursing assessment is required upon admission to identify patient needs.

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CBAHI Nursing Standards 3rd Edition 2015 Joven Botin Bilbao, RN, MAN Deputy Chief Nurse Officer Clinical and Accreditation Educator

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NR.1 Qualified Nursing Director is responsible for managing nursing services in the hospital. • Full time Nursing Director • Licensed and registered with the Saudi Commission for Health Specialties • Bachelor's Degree in Nursing, 5 years managerial experience

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NR.2 Nursing Director assumes a leadership position in the hospital • Represents the nursing staff as one of the hospital leaders. • Participates with other hospital leaders in decision making processes.

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NR.3 Nursing Director assumes authority, responsibility and accountability for assuring proper and effective nursing services • Establishes, oversees and approves nursing policies and procedures and nursing professional standards of care. • Implements an effective method for organizing the delivery of patient care.

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NR.4 Nursing reference manuals and policies are readily available and accessible to all units. • Nursing policies and procedures manual • Current nursing practice manuals/books • Infection Control Manual • Safety Manual • Operating Manuals for safe use of equipment • Laboratory Services Guide • Dietary Manual • MSDS

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NR.5 Nursing Director ensures the competency of the Nursing Staff • Participates in the recruitment and hiring of qualified nurses. • Monitors the performance of the nursing staff and assures their ongoing competency.

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NR.6 Sufficient nurses are available to meet the needs of patients • Develops a staffing plan that maintains an adequate staffing level in all nursing units. Nursing Staff are allocated according to the skill level, qualifications, patients volume and acuity and in accordance with laws and regulations and nursing licensing boards.

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NR.7 Nursing Department provides regularly updated work schedule. • Nursing scheduling policy defines duration of working shifts, assignment of overtime when needed, on-call requirements, vacation schedules, change of schedule, participation in education activities, committees, departmental meetings and quality improvement activities. • Work schedule provides an adequate number of staff every shift.

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NR.8 There is a process for assignment of nurses out of their normal working areas. • Ensures that nurses assigned out of their normal working area have the competency required for safe and effective patient care. • Maintains a list of cross-trained nurses and available for all nursing units.

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NR.9 Nursing Services are provided by qualified nurses. • Licensed registered nurses are available to provide nursing care. • Each unit has Head Nurse with the required nursing and managerial experience. • Qualified registered nurses are available to provide bedside nursing care to all patients 24 hours per day, 7 days a week. • Nursing assistants have education program, clearly defined job description and responsibilities.

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NR.10 There is a comprehensive nursing assessment for each patient upon admission • Timely completed by a registered nurse. • Scope and contents is defined in hospital policies and includes: History of patient's main complaint Drug allergies Physical condition Psychosocial status Pain assessment Nutritional status Discharge planning Skin assessment Fall risk assessment

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 Why nursing assessment should be done upon admission? To identify nursing care needs for each patient upon admission.  Why patients are reassessed at appropriate intervals? To determine patient's response to treatment and to plan for continued treatment and discharge.

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NR.11 There is a nursing plan for each patient. • Consistent with the medical plan of care and reviewed every shift.

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NR.12 Nursing Department ensures adequate supplies and equipment for the safe and effective provision of care. • List of adequate supplies and equipment are updated and available. • Par leveling policy and procedure and forms

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Cbahi Nursing standards

  • 1. CBAHI Nursing Standards 3rd Edition 2015 Joven Botin Bilbao, RN, MAN Deputy Chief Nurse Officer Clinical and Accreditation Educator
  • 2. NR.1 Qualified Nursing Director is responsible for managing nursing services in the hospital. • Full time Nursing Director • Licensed and registered with the Saudi Commission for Health Specialties • Bachelor's Degree in Nursing, 5 years managerial experience
  • 3. NR.2 Nursing Director assumes a leadership position in the hospital • Represents the nursing staff as one of the hospital leaders. • Participates with other hospital leaders in decision making processes.
  • 4. NR.3 Nursing Director assumes authority, responsibility and accountability for assuring proper and effective nursing services • Establishes, oversees and approves nursing policies and procedures and nursing professional standards of care. • Implements an effective method for organizing the delivery of patient care.
  • 5. NR.4 Nursing reference manuals and policies are readily available and accessible to all units. • Nursing policies and procedures manual • Current nursing practice manuals/books • Infection Control Manual • Safety Manual • Operating Manuals for safe use of equipment • Laboratory Services Guide • Dietary Manual • MSDS
  • 6. NR.5 Nursing Director ensures the competency of the Nursing Staff • Participates in the recruitment and hiring of qualified nurses. • Monitors the performance of the nursing staff and assures their ongoing competency.
  • 7. NR.6 Sufficient nurses are available to meet the needs of patients • Develops a staffing plan that maintains an adequate staffing level in all nursing units. Nursing Staff are allocated according to the skill level, qualifications, patients volume and acuity and in accordance with laws and regulations and nursing licensing boards.
  • 8. NR.7 Nursing Department provides regularly updated work schedule. • Nursing scheduling policy defines duration of working shifts, assignment of overtime when needed, on-call requirements, vacation schedules, change of schedule, participation in education activities, committees, departmental meetings and quality improvement activities. • Work schedule provides an adequate number of staff every shift.
  • 9. NR.8 There is a process for assignment of nurses out of their normal working areas. • Ensures that nurses assigned out of their normal working area have the competency required for safe and effective patient care. • Maintains a list of cross-trained nurses and available for all nursing units.
  • 10. NR.9 Nursing Services are provided by qualified nurses. • Licensed registered nurses are available to provide nursing care. • Each unit has Head Nurse with the required nursing and managerial experience. • Qualified registered nurses are available to provide bedside nursing care to all patients 24 hours per day, 7 days a week. • Nursing assistants have education program, clearly defined job description and responsibilities.
  • 11. NR.10 There is a comprehensive nursing assessment for each patient upon admission • Timely completed by a registered nurse. • Scope and contents is defined in hospital policies and includes: History of patient's main complaint Drug allergies Physical condition Psychosocial status Pain assessment Nutritional status Discharge planning Skin assessment Fall risk assessment
  • 12.  Why nursing assessment should be done upon admission? To identify nursing care needs for each patient upon admission.  Why patients are reassessed at appropriate intervals? To determine patient's response to treatment and to plan for continued treatment and discharge.
  • 13. NR.11 There is a nursing plan for each patient. • Consistent with the medical plan of care and reviewed every shift.
  • 14. NR.12 Nursing Department ensures adequate supplies and equipment for the safe and effective provision of care. • List of adequate supplies and equipment are updated and available. • Par leveling policy and procedure and forms