A Presentation of:Planning for

NURSING SERVICE

A little bird was flying south for the winter.  

It was so cold the bird froze and fell to the ground into a large field.

While he was lying there, a cow came by and dropped some dung

on him.

As the frozen bird lay there in the pile of cow dung, he began to

realize how warm he was.The dung was actually thawing him

out!

Life's Lesson No. 2

He lay there all warm and happy, and soon began to sing for joy.  A passing cat heard the bird

singing and came to investigate.Following the sound, the cat discovered the bird under the

pile of cow dung, and promptly dug him out and ate him.

Moral of the story:(1) Not everyone who shits on you is

your enemy.(2) Not everyone who gets you out of

shit is your friend.(3) And when you’re in deep shit, it’s

best to keep your mouth shut!

BOARD QUESTION

THE FIRST STEP IN TIME MANAGEMENT IS TO;A.TAKE A BREAK AND ENERGIZE WITH

HIGH CARBOHYDRATESB.COMPLETE THE MOST DIFFICULT

TASK FIRSTC. ALLOW A PERIOD OF TIME FOR

PLANNING AND PRIORITIZINGD.DELEGATE ALL UNPLEASANT TASK

BOARD QUESTION

ALL BUT WHICH OF THE FOLLOWING IS NOT INCLUDED DURING THE PROCESS OF PLANNING?A. FORECAST ESTIMATE FUTUREB. PREPARES THE BUDGETC. SET ORGANIZATIONAL STRUCTURED. DEVELOP AND SCHEDULE

PROGRAMS

PLANNING is defined as pre-determined a course of action order to arrive at a desired result. It is a continuous process of assessing, establishing goals and objectives, implementing and evaluating them, and subjecting these to change as a new facts are known. While planning is largely conceptual, its results are clearly visible.

Planning DefinedRefers to a process beginning

with objectives, defining strategies policies and detailed plans to achieve them; achieving an organization to implement decision, and include a review of performance and feedback to introduce a new planning style.

Is deciding in advance what to do, how to do it, when to do it and who do it.

Board QuestionPlanning is defined as pre-determining a course of

action in order to arrive at a desired results. Nurse Lea knows that among the following principle is always based on;

A. Vision, mission, philosophy and clearly defined objectives of the organization

B. Planning is a continuous process. Provision for proper analysis would indicate a revision or flexibility

C. Planning utilize all available resources. Planning should be realistic, focused and time bounded

D. Projected plans must be documented for proper dissemination to all concerned for implementation and evaluation.

Importance of Planning Planning leads to the achievement of

goals and objectives Planning gives meaning to work. Planning provides for effective use of

available resources and facilities Planning helps in coping with crises

(disaster plans) Planning is cost effective Planning is based on past and future

activities Planning leads to the realization of the

need to change Planning provides the basis for control Planning is necessary for effective

control

Board QuestionMany nurse managers fails to plan

effectively. Which of the following best explains the

above situation?1. Lack the knowledge of the

philosophy, goals and objectives of the agency

2. Lacks the significance of the planning process

3. Do not know how to manage their time

4. Lack the confidence in formulating plans or fear about the unwanted changes

A. 1,2,3 only B. 2,3 and 4

C. None of these D. 1,2,3,4

nursing managers who learns to PLAN will aim for maximum utilization of all

resources – money, supplies, equipment, and

personnel.

Characteristics of a Good PlanBe precise with clearly-worded objectives,

including desired results and methods for evaluation

Be guided by policies and/or procedures affecting the planned action

Indicate prioritiesDevelop action that are flexible and

realistic in terms of personnel, equipment, facilities and time

Develop a logical sequence of activitiesPervade the whole organization

The management level that is solely directed towards setting the organizational goals policies and scope of responsibility of over all management of the organization?

A. Leader of the groupB. Top managementC. Middle managementD. First level management

The top management is comprised of the following except;

A. Hospital DirectorB. Chief NurseC. Nursing SupervisorD. Director of Nursing Service

Scope of Planning• Top Management ( Nursing Directors, Chief Nurses,

Directors of Nursing & their assistants)

- Set the over-all goals and policies of the organization. - Scope of responsibility is the over-all management of the

organization.

• Middle Management ( Nursing Supervisors) -Direct the activities that actually implement the

broad operating policies such as staffing and delivery of services to the units headed

by the Senior or head Nurses.

- Formulation of policies, rules and regulations, methods and procedures for

personnel for intermediate level planning for ongoing activities and

projects are done in coordination with top management and those in the

lower level.

• Lower or first level management (Head Nurses or Senior Nurses (including Charge Nurses or team leaders)

- do the daily schedules, or weekly plans for the administration of direct

patient care in their respective units

Administrator

Staff Nurses / Nursing Attendant

Head Nurses/ Senior Nurses

Supervisors

4 -Types of Planner: Reactive-planning occurs after a

problem exists, done in response to a crisis, lead to hasty decisions and mistakes.

Inactivist- consider status quo, spend a great deal of energy preventing change and maintaining conformity

Preactive-utilize technology to accelerate change, future oriented

Proactice/interactive-consider the past, present, and future, and attempt to plan the future of their organization rather than react to it, dynamic and adaptive to the environment

Types of Planning• Strategic/Long range- forecasts the future success of an org. by matching

and aligning all its capabilities with its external opportunities (Marquis & Huston,2006).

• Tactical/Short-term

“Health for all in the hand of the People in the year 2022” is an example of?

A.VisionB.MissionC.GoalD.Philosophy

“A learning institution of integrated professional health care with values of love, care and compassion dedicated to the service of the individual, family and community” this is an example of?

A.VisionB.MissionC.GoalD.Objectives

The College of Nursing is committed to:• Produce a professionally health care

provider with caring, responsible creative and critical thinking generalist.

• Promote relevant research and community service.

• Develop a person who assumes responsibilities for personal and professional growth, and responsible to global concerns.

• Includes ethico-legal, moral and spiritual values.

The above statement is a clear example of;A. VisionB. MissionC. GoalD. Philosophy

After finishing the course, graduate are expected to; Perform the following competencies of a fully

functioning health care provider Safe and quality care Management of resources and environment Health education Legal responsibility Ethico-legal responsibility Personal and professional development Quality improvement Research Records management Communication Collaboration and teamwork

This is an example of;A. VisionB. MissionC. GoalD. Objectives

The College of Nursing and Health Allied Sciences (CoN-AHS) shall give birth to a well-rounded Nursing, Midwifery and Allied Health graduates, because this Institution view its involvement and commitment to our students far beyond their graduation.

The above statement deficts;A. VisionB. MissionC. GoalD. Philosophy

Elements of PlanningI. Forecasting- helps the managers looks

into the future and decide in advance where the agency would like to be and what is to be done in order to get there. Is the science of predicting future outcomes. Forecast and estimate provide the bases for planning.

II. Setting the VMG Philosophy and the Objectives:

• Vision- statement outlines the organization’s future role and functions. It gives the agency something to strive for. Describes the path that the Company will take in the coming years. It clearly defines the goals that are set out to achieve. Why the company is in business; What company strives to accomplish, Where are they going.

Sample Vision Statement:The Medical Center envisions itself to become a Center of Excellence providing holistic approach to health care services. As a Center of Wellness, the services provided shall enables the people to improve their health and increase control over it.

Mission outlines the agency's reason for existing, who the targets clients are and what services will be provided. “Why are we doing this?  Brings out purpose, motives, and intention”

Sample Mission Statement:The Medical Center as a public, tertiary hospital is so maintained as the people’s partner and improved to provide accessible, quality, cost effective, preventive, promotive, curative, rehabilitative health care services to the public, especially the destitute.

• Philosophy it is a statement of beliefs and values that directs one’s life or one’s practice. A written statement of the philosophy explains the beliefs that shapes how the mission or purpose will be achieved

Sample Philosophy Statement:The medical Center is guided by the following beliefs:1. The hospital is committed to assume a

vital role in health promotion, disease prevention, curative, rehabilitative and primary health care.

2. The clients are the reason for the hospital’s existence

Goals and Objectives differ in that goals are more general and they cover a broad area.

On the other hand, Objectives tends to be more specific. They are actions committed through which an organization’s missions and purpose will be achieved.(results)

Sample Philosophy Statement:Goal: To provide the best possible health care services to its clients in a high quality setting conductive to attaining its vision as a center of wellness and a standard medical center

Objectives: • To establish an organized governing

body• To provide the best quality, accessible

and cost effective health to all its clients.

• To strengthen…• To provide…• To exapnd…

Elements of PlanningIII. Developing the Scheduling

Programs

Time ManagementTime Management – is a

technique for allocation of one’s time

through the setting of goals, assigning

priorities, identifying and eliminating

time wastes and use of managerial techniques to reach goals

efficiently.

“Work SMARTER, not HARDER”

How Do you Manage your Time???Planning anticipates the problemTasks to be accomplished should

be done in sequence and should be prioritized to importance

Setting deadlines in one’s work and adhering to them is excellent

Delegates permits a manager to take authority for decision making

Activities Under Developing and Scheduling Program

Time Management is a technique for allocation of one’s time through the setting of goals, assigning priorities, identifying and eliminating time wastes and use of managerial techniques to reach goals efficiently.

Budget is the annual operating plan, a financial “road map” and plan which serves as an estimate of future cost and a plan for utilization of manpower, material and other resources to cover capital projects in the operating program.Is simply a plan for future activities expressed operational as well as financial or monetary terms.

Board QuestionWhen completing a daily list, the nurse must remember that a list should;

A.Should be structured with little variability

B.Should not be changed, so that time is not wasted

C.Must be flexibleD.Should include all items

that need to be completed

Board QuestionThe most effective way to manage a large task is to:

A. Not stop until entire task is completed

B. Delegate the task to someone else

C. Break it down into smaller more manageable pieces

D. Put it off until you have adequate time

Board QuestionNurse play an integral role in

development, implementation and evaluation of a unit or department budget in a nursing organization. An operational budget accounts for;

A. The purchase of minor and major equipment

B. Construction and renovationsC. Income and expenses

associated with daily activity in an organization

D. Applications of new technology to patient with chronic disorder.

Different Kinds of Budget Revenue Budget summarizes the

income which management expects to generate during the planning period.

Expense Budget describes the expected activity in operational and financial terms for a given period of time.

Capital Budget outlines the programmed acquisitions, disposals and improvements in an institution’s physical capacity

Different Kinds of Budget Operating Budgets these budgets

are usually associated with major activities over coming years, including wages, salaries and compensations

Project Budgets this is associated with major projects.

Cash Budgets represents the planned cash receipts and disbursements