Preparations for Round:

• Ward should be clean and tidy.
• There should not be too many relatives in the ward.
• Patient charts should be upto date and all relevant information regarding patient should be available.
• Have all patients in bed before round.
• Diagnostic tray should be ready for use.
• Do not conduct round during lunch time/visiting hours.

Conducting Round:

• Instruct the staff nurse to stay on patients left side to help in patient’s examination.
• Remember and report observation to doctor.
• record orders/get them written by doctors.

After the ward Round:

• Instruct staff nurses to carry out orders
• Observe patient carefully.

Matron’s Round:

Matron is usually looked upon a confident adviser.  She must visit patients regularly and take this opportunity to provide guidance to nurses.

Ward Sister Round:

Ward sister should also take round with staff nurses. She observes which patient is critically ill and require skilled attention, to supervisor normal routine of ward.  To check poison cupboard.  To have an idea of condition of stock and equipment and to note the standard of work.

C)  Domestic Management:

Sanitation and Provision of Therapeutic environment includes:

• Temperature regulation.
• Proper light.
• Elimination of unpleasant odours.
• Safe water supply.
• Safe disposal of excreta.
• Dust control
• Free from insects and pest.
• Protection from mechanical, thermal, chemical and bacteriological injury.
• Protection from radiation.
• Provide adequate privacy.
• Control of visitors.
• Prevention of infection.

Actions for ward management:

• Analyse nursing needs of patient and skill of person.
• Prepare monthly, weekly and daily time table for S/Nurses.
• give teaching and guidance to juniors.
• Develop good human relations.
• Evaluate personnel.
• Maintain inventories, requisting for supplies and services.
• Assign tasks to nurses.
• Coordinate with other departments for effective patient care.
• Gain co-operation from subordinates and supervisors.
• Delegate responsibility for patient care.