YOUR CARE IN OUR DEPARTMENT
Our nursing team
Head of the nursing service
The whole nursing area of the Hospital is headed by Mr. Detlef Marhold.
As head of nursing service, he is member of the board of directors and is involved in various internal bodies and committees. Apart from his extensive management activities he attends in many ways to the development of the nursing standard.
His monthly called meetings of the management of all the wards are an important pillar in information transfer.
Ward management
Every ward is headed by a charge nurse or a charge male nurse and her or his deputy.
They have to cope with numerous most different organisational tasks to guarantee that the course of the ward goes off smoothly.
As basis of a best possible care of the patients, their special attention is given to a constructive co-operation between nursing services and medical profession.
According to their position, the ward's nursing staff instruct their employees in their work, they give advice in all nursing questions and check execution of the measures ordered by the doctor. Of course, they are also working directly at the sickbed.
The ward management is contact for the patients and their relatives - like all the other nursing staff, too.
Besides being head of Ward 1A, Mr. Hänsch is department nursing help and thus responsible for all ward comprehensive duties or questions.
The working hours of the nursing staff
The nursing staff of your ward is in for you -
- on early duty from 6.00 a.m. to 2.10 p.m.,
- on late duty from 1.00 p.m. to 9.10 p.m. and
- on night duty from 8.30 p.m. to 6.30 a.m.
The ward's nursing staff in charge and their deputies are working on early and late duty, also at weekends.
Notes about nursing training and further education
The nursing team of our hospital consists mainly of fully registered nurses or male nurses. The job title "fully registered" assumes the successful degree of a three-year training at an acknowledged nursing school.
In addition to that, specialised nursing staff - such as for example theatre nurses and theatre male nurses - as well as all nursing staff being in charge have to have extensive further vocational training.
The doctors of our hospital are regularly offering internal training courses for all nursing staff. In an exemplary way, visiting seminars of most different subjects as well as nursing conferences is fostered.
The basic principles of our nursing care
With much involvement, our department puts into practice the aims of the holistic nursing care. This includes particularly our efforts to create a family atmosphere and to get your relatives involved in the recovery process.
At the same time, we use discoveries of the care research in a well-directed manner to care for our patients according to their individual needs.
Nursing process: What does that mean?
Perhaps you already noticed the quite substantial folders in which the nursing staff often is writing in. For every patient we start one of these documentary folders. Apart from the classical temperature chart it contains different sheets where medical orders and all data, goals and measures concerning nursing care are recorded.
At the beginning of your residential stay in hospital, the nursing staff is first asking for your personal details, for data about your disease, therapy and present need for care, your individual needs, etc. (care anamnesis).
These information are the basis for the so-called nursing plan. A nursing goal is stipulated and compulsory nursing measures are suited to it.
In the nursing report, written by the nursing staff at the end of each shift, your condition is recorded. If changes arise, new measures are worked out.
As all steps of the care are recorded and all measures must strictly be carried out by all nursing staff, it is possible to check and to have full information of the course of treatment at any time.
Thus, the term nursing process is made up of the individual steps of a purposeful and checkable care.
The central item of modern nursing care and a considerable contribution to quality safeguarding is the methodical proceeding that is oriented on standards.
The meetings for change of shifts of the wards
The meetings for change of shifts of the wards have an important status to guarantee consistent nursing and medical care.
They take place three times a day, that is
- 6.00 a.m. to 6.15 a.m.,
- 1.00 p.m. to 1.15 p.m. and
- 8.30 p.m. to 8.45 p.m.
The nursing staff is co-ordinating its programme of work and informs one another about progression of diseases, about interventions or examinations that have been carried out or that are planned and the necessary nursing measures, about new patients and many other things.
Of course, the nursing staff is at your disposal also during these meetings. As it is very important, however, that possibly all colleagues can be present at the meetings we kindly ask you to call only in case of an emergency during these times.
Information about your treatment
Of course, the nursing staff is at your and your relatives' disposal to answer questions. Law provides for this fact though information about diagnosis and further therapy can be passed on to a third party only with your consent and only by the doctor. However, we are gladly prepared to answer still unsettled questions about the course of planned interventions or examinations.
And naturally we are at your disposal for all questions concerning current residential nursing care and the care at home later on.
A quiet and detailed conversation may certainly not always be possible immediately, also on the part of yourself. We ask you or your relatives to contact your nursing help who will see to a date for a conversation, possibly also with the ward doctor.
The order of our ward
To familiarise you with the order of the ward and with the tasks of nursing care, we have drawn together in a schedule which activities take place at what time, also those on your sickbed.
Of course, such a list can never be complete: In between, countless small matters must be attended to, questions of the doctor or of patients and relatives have to be answered and changes in the therapy plan must be considered. And of course there is the telephone, that very rarely keeps silent...!
We will always try to stick to the mentioned times but we apologise for any inconvenience if we do not always succeed.
Of course, we will give you your personal times for injections, prescriptions or checks. This enables you to adjust your own course of the day accordingly.
Order and tasks of the early duty |
|
| 6.00 - 6.30 | Change of the night shift to the early shift; planning of the day |
| from 6.30 on | Morning round/basic care:
Giving support for getting up and for washing; making all beds Taking blood pressure, pulse and temperature (check of vital signs) Administration of injections; also antithrombosis injections Preparations for operations or examinations (premedication, enemas, shaving, etc.) |
| from 7.30 on | Rounds
(every day with ward doctor and nursing staff; every second day with senior consultant and senior physician) |
| from 7.30 on | Serving out breakfast
Helping patients to eat where needed Administration of medicine Starting the infusion therapy Taking of blood samples by the ward doctor Beginning of the operation programme or of diagnostics: Accompanying the patients to the different working areas; giving help during medicinal baths |
| 9.00 - 9.30 | Coffee break of the nursing staff |
| 9.30 | Preparation of the round and realisation of
the medical orders
Changing bandages, seeing to drainages, catheters, etc. Monitoring and attending newly operated patients Discharge and admission of patients Mobilisation of patients |
| from 11.00 on | Carrying out orders that only arouse by new examination results
Distribution of the midday medicine |
| from 11.15 on | Serving out lunch
Helping patients to eat where needed Collecting the dishes |
| from 12.00 on | Nursing report and documentation |
| from 12.30 on | Replenishing used up material, infusions, medicine |
| from 13.00 on | Change of the early shift to the late shift |
Late duty
Close care of all newly operated patients
|
|
| from 16.00 on | Administration of medicine
(injections, tablets, infusions) |
| from 16.15 on | Serving out dinner
Helping patients to eat where needed |
| 17.00 - 17.30 | Break of the nursing team |
| from 17.30 on | Preparing the evening round
Preparation of the patients for their operations or examinations of the following day |
| 18.00 | Evening round
Basic care like making the beds, bedding patients down, personal hygiene, pneumonia prophylaxis, checking vital signs Seeing to drainages, catheters, bandages Early mobilisation of newly operated patients |
| 19.30 | Replenishing and clearing up |
| 20.00 | Administration of medicine
Keeping the graphs, nursing report and documentation |
| 20.30 - 21.10 | Change of the late shift to the night shift |
Night shift
On principle, the nursing staff goes through the rooms every second hour.
|
|
| 21.00 | Night round
Should you still need something for the night to come, like e. g. a soporific, you are provided with it during the first round. All patients that are planned for operation the following day are now getting their premedication. |
| from 22.00 on | Arranging infusions, injections and tablets for the next
day;
continuing the patients' graphs |
| 24.00 | Round
Giving infusions; administration of injections |
| 2.00 | Round |
| 4.00 | Round
Distribution of small bowls for medicine and of drops; seeing to and depleting of drainages and catheters |
| 5.00 | Documentation |
| 6.00 - 6.30 | Change of the night shift to the early shift |
NOTES ABOUT DAILY LIFE OF THE WARD
Good morning! Your time to wake up
Every day, the nursing staff of the early shift will wake you up at about 6.30 a.m. And on weekends? ...Your care stays the same, therefore the order of the ward starts (nearly) at the same time. However, as only emergency interventions are carried out, the day goes off more smoothly altogether.
Your meals ...
are served out by your nursing staff at the following times:
- breakfast: c. 7.30 a.m.
- lunch: c. 11.30 a.m.
- dinner: c. 4.30 p.m.
Mineral water, coffee, tea and high-calorie drinks are ready for you the whole day on the corridor of the ward. You will find fruits and fruit yoghurt in the refrigerator. Please help yourself. Of course, bedridden patients are supplied by us.
If you must keep to a certain diet and have questions or wishes concerning combination of the meals, please address to our chef, Mr. Hoos, or to Mrs. Jopp (Tel. 900-125).
Visiting times ...
are not firmly fixed in our hospital. You may receive visitors from 8 o'clock in the morning on. However, we kindly ask your visitors to preserve the night's rest from 8.00 p.m.
The kiosk ...
of our hospital is open:
- Monday to Saturday 9.30 a.m. - 10.30 a.m.
- 2.00 p.m. - 3.00 p.m.
- Sundays and on public holidays 9.00 a.m. - 9.30 a.m.
- 2.00 p.m. - 3.00 p.m.
Your valuables
Please always lock up your valuables in the locker, even in short absence. During your operation or examination, we are gladly prepared to keep the key in the ward room.
Going for a walk - you are welcome!
We are pleased if you are doing better and you can leave your room. Should you wish to stay away a little longer, please inform the ward room about your leaving and your return.
Please also remember that for insurance reason leaving the ground of the hospital is only possible with prior consultation of your doctor and after having signed a paper.
On the day of your discharge ...
you will receive your "papers" at about 9 o'clock. As a rule, it is a hand-written letter for the family doctor. It contains in short form the most important results of operation and examinations, a listing of your medicine and a recommendation for further treatment. Your family doctor will receive a detailed report later.
What about smoking?
The Hospital is a non-smoking hospital. We ask you to respect the ban on smoking valid for the whole hospital. In case of "emergency", each ward has a smoking room.
Reading material ...
can be found in the corridor near the ward's kitchen as well as in the waiting-room of the secretary's office.
Spiritual welfare
We cultivate very good contacts to the local Franciscan cloister. Due to the open-minded attitude of this order, Father Johannes is prepared to come to all patients comprehensively to all denominations. Furthermore, Reverend Robert Weber of the Protestant-Lutheran Church is at your disposal.
Please contact your nursing staff if you wish for a conversation.