Specialist to manage a functional unit

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Specialist to manage a functional unit has been a new name for ward management in professional nursing and care for the elderly since 1995 . Detailed, but in everyday language uncommon designation: State-certified specialist for the management of a care and functional unit, for a short time also management of a care unit. These are always state-certified caregivers with professional experience. The advanced training is regulated by the state and ends with an examination. It is subordinate to the nursing management or the clinic management.

Superordinate and subordinate

The ward managers and specialists for managing a functional unit are hierarchically subordinate to the organizational structure : All nursing staff (with and without exams), as well as nursing students (trainees), interns and other temporarily deployed assistants as part of their training. The organizational structure of the individual institutions determines whether domestic employees are subordinate.

You yourself are subordinate to the nursing management.

Objectives of the living area / ward management / specialist for ...

The specialist for the management of a functional unit (etc.) works with care and has managerial tasks for registered and semi-skilled care workers (work allocation; lower level of personnel management ) in this area. The (ward or living area) management is the first point of contact for residents and nursing staff for questions about nursing care that cannot be resolved directly between the person being cared for and the nursing staff. It thus represents the respective institution in everyday life for customers and employees .

The examination of new knowledge ( nursing standards , nursing theories , nursing models and nursing research results ) is intended to optimize the nursing organization for caring for patients, etc.

It is intended to motivate employees and improve their cooperation, including with other professional groups in the health care sector . Examples: creation of duty roster , management of handover u. a. Meetings, training of new employees. In the care system of functional or group care, ward or residential area managers are also responsible both professionally and disciplinary. In a primary care system, primary nurse takes over the technical management via associate nurses and auxiliary staff, in primary nursing the management of a care unit is then disciplinary management.

Legal knowledge should protect the ward management (etc.) and the subordinate nursing staff from gross mistakes. Especially when delegating hazardous activities. Example: Monitoring of care documentation , ordering medication.

Areas of responsibility at the lower management level

The following list is not exhaustive, but specifies the most common tasks of the ward management:

  • Participation in personnel management, for example through participation in job interviews, personnel development , in the induction of new employees, in assessments.
  • Work organization / work processes - Allocation of the employees of the respective station, shifts or the team (work preparation and division on a daily basis or in the medium and long term via the creation of duty and vacation schedules), or changes to duty schedules for sickness replacements .
  • Monitoring of the nursing process and review of the technical correctness of the nursing plan for each patient in the internal rhythm and the resulting ongoing documentation obligations.
  • Checking compliance with care standards or service instructions . These may need to be reintroduced.
  • Performance checks on subordinate employees are to be carried out on a random basis.
  • The internal transfer of information, for example handover , circulars, notices, mail distribution, participation in meetings with other ward managers
  • In many facilities, team / department meetings should take place regularly once a month, in which the entire care team should participate. These are to be prepared and managed.
  • Enable cooperation (across professional groups)
    • Organize and accompany care visits
    • with cooperation partners; z. B. Accompany and work out doctor visits, contacts to doctors' offices, external cleaning company
    • with the relatives of a person requiring care in the institution who have questions or who actually (want to) participate in the care
  • Merchandise management (e.g. requesting products (ordering), internal warehouse storage e.g. office supplies , first aid kits ).
  • In the case of drugs , supervision of the handling from prescription and dispensing to the pharmacy through to dosage to the patient must be ensured by means of spot checks.
  • Participation in quality assurance in nursing as instructed, e.g. B. through analysis of the care documentation, care visits, complaint management , preparation of future quality checks (evaluation of care plans, etc.)
  • The ward management is also initially responsible for complaints about individual nurses for the elderly, health care workers and other employees in this part of the company. It should be regulated internally as to the severity of a complaint and the PDL to be involved immediately.

The description of these tasks should be included in the respective job description or specified there if they are newly created. However, there is no obligation to create such a job description that can be changed at any time. However, it makes the competencies and their limits clear to all those involved. This can reduce interface problems.

literature

  • Training and examination regulations of the Ministry of Education and Cultural Affairs of Baden-Württemberg from May 28, 1996 V / 1-6626.35 / 2 for the two-year technical college for geriatric care, with a focus on managing a care and functional unit, part-time At the same time publisher (online at LEU BaWü)
  • Kämmer Karla; Schröder Barbara (Ed.): Care management in old people's facilities, 3rd edition, Hanover, Schlütersche. 1998.
  • Leineweber Thomas: Immediately applicable training modules for elderly care - with foils. Quality management, care management, hygiene, law. 1 A4 folder. approx. 380 pages and 1 CD-ROM, with over 90 colored transparencies. WEKA Fachverlag, Kissing. 2001. ISBN 3827644062 .
  • Shepherd Wolfgang; Jacobs Peter: Practical guidelines for ward management: Handbook for inpatient and outpatient care, Stuttgart, Kohlhammer. 2002
  • Dr. Mercedes Stiller and Frank von Pablocki: Leadership in geriatric care , Hanover, Vincentz. 2019.

Web links

Individual evidence

  1. Hans-Joachim Schlettig (author), Ursula von der Heide: reference care. Jumper; Edition: 2nd, corr. (March 8, 1995). ISBN 978-3540586142
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