Medical units /

1.Medicine Division
2.Surgery Division
3.Radiology Division
4.Rehabilitation Division
5.Psychiatry Division
6.Pharmacy Division
7.Nursing Division

7.Introduction to the Nursing Department /

1. Nursing tenet and convictions:
   Tenet: To treat patients like family, innovate with professionalism and care for the community
   Conviction: ◎To develop the potential of nursing personnel and nurture their skills and ethics.
                    ◎To provide patient focused holistic nursing care.
   
   
2. Organization Chart of the Nursing Department
   Nursing chief of staff:Chang Shu-Fen
   Nursing deputy chief: Yeh Jing-Yi
   Head nurse: Huang Huei-Mei ( Emergency outpatient services )
   Head nurse: Xu Mei-Jian ( I.C.U., operating room, supply center, nursery room)
   Head nurse: Chen Xiu-Xia ( The first ward of the medical and surgical gynecology department )
   Head nurse: Zeng Zheng-Shu ( The 2nd and 9th private nursing home )
   Head nurse: Huang Xiu-Lan( Respiration ICU - The 3rd ward of the medical and surgical department )
   Head nurse: Lee Li-Chu( The 5th ward of the medical and surgical department )
   Head nurseL Wu Se-Chu( The 6th ward of the medical and surgical department - The 7th ward of the medical and surgical department ) Head nurse: Lin Su-Chu(The 8th ward of the psychiatry department)
   Head nurse: Shi Yao-Ping( The 11th ward of the psychiatry department - The 10th ward of the psychiatry department)
   Head nurse: Wu Xia-Ling( The 12th ward of the psychiatry department )
   Head nurse: You Man-Ling( Downtown outpatient services)
   Nursing attendants at each unit
   Caretaker
   Janitor Associate clerk
   
   
3. Current staff: 221 members including the chief, the deputy chief,12 head nurses, 87 registered nurses, 25 nurses, associate clerks, janitors and assistant personnel.
   
   
   • Working seniority
     

     Seniority Number Percentage Remarks Less than 1 year 26 20.6﹪   1-5 years 42 33.3﹪   5-10 years 27 21.4﹪   10-15 years 19 15.1﹪   15-20 years 3 2.4﹪   More than 20 years 9 7.2﹪   Total 126 100﹪

   As of 12/31, 2006
   
   
   • Education
     

     Graduate school University College Occupational school Total Nursing administrative staff 3 3 10 0 16 Registered nurse 1 3 30 1 35 Nurse 0 0 0 9 9 Contracted employee 0 6 43 7 56 Hour based employee 0 2 6 2 10 employee           Sub-total 4 14 89 19 126 Percentage 3.2% 11.1% 70.6% 15.1% 100%

   ＊2 Budding Grade instructors
   
   

Management and Responsibilities of the Nursing department /

• Major responsibilities
  

  Cat. Management and major responsibilities Nursing administration Personnel management 1.Employment of nursing personnel： 2.Nursing type:： Taking nursing workforce and patient specific needs into account, the hospital uses the participation nursing approach to attentively take care of patients according to nursing principles of persistence and continuity. 3.Nursing personnel promotion: 4.Shift arrangement： Shift arrangement is made according to a decentralized or volunteer method in order to ensure fairness. 5.Performance evaluation:： Based on personnel management regulations, a system has been established for objective and fair promotion, including working performance, seniority and an advancement system. 6.Tranfer and task allocation: 7.Welfare activities: To periodically hold various communal activities including local or overseas travel once or twice a year, to relieve working pressure.   Nursing Q.C. Four sections: "administrative training", "quality auditing", "community nursing" and "nursing standards". Led by head nurses as section chiefs and deputy chiefs, meetings are routinely called to proceed with quality control. The organization structure and responsibilities are stated in the attached chart 2. Clinic nursing   Nursing clinic responsibilities: conduct ward clinic nursing activities To engage in hospital discharge preparation:： Started at the general 1st ward in February, 2002 and extending to the whole hospital as of 2005. Educational training Pre-job training Pre-job training: Depending on the number of new recruits, new recruit training is held at least twice a year.   On-the-job training Each nursing staff member shall accumulate at least 30 class hours every year. 1.Academic studies： A. The hospital has laid down an annual educational training plan, which includes case studies and short term training classes. B. Monthly study reports or case studies are scheduled by each ward. C. Employees must attend related academic discourses and disquisitions outside the hospital. D. To non-periodically view nursing operations demonstrated by the related medical units 2. Skill training： A. Regular conduct of CPR and firefighting tests on nursing colleagues. B. Regular conduct of a variety of nursing skills auditing. 3. Nursing personnel training held for each specific field: including training of intensive care nurses, hemodialysis technology, anesthetic nursing technology, respiration treatment technology, operating room nursing technology, psychiatry nursing, infection control nursing workshops and information workshop. According to the number required by each unit, the nursing personnel are to be sent for training in groups. Nurse internship Nursing Internship Reserach   To work on projects and conduct research training

  
  
  
• Community Nursing: A community taskforce was established in September, 2002. It promotes health care activities, e.g. group health education, medical rescue, health checks, nursing consultation, nutrition consultation and CPR training.
• Home Nursing Services：It has been set up as from October, 2001.
• Nursing Home: It has been open since April, 2007 offering 67 nursing beds for paying patients.

Chart 2：Structure of nursing quality control /

• Nursing Department Quality Auditing Section
  1. Infection control taskforce
  2. Patient opinion survey taskforce
  3. Nursing skill auditing taskforce
  4. Accident investigation taskforce
  5. Supply surveillance and improvement taskforce
• Nursing Standard Section
  1. Taskforce to manage and control raw material cost
  2. Taskforce to institute standard technologies
  3. Taskforce to institute nursing standards
  4. Taskforce to regulate a variety of document formats
  5. ISO documentation management taskforce
• Administrative Training
  1. Administrative section
  2. Teaching and activity section
  3. Nursing personnel welfare taskforce.
• Community Nursing
  1. Taskforce to prepare hospital discharge
  2. .Home nursing taskforce

4.Welfare and Night Shift Allowance

Night shift allowance Midnight shift Contracted employees: $500/day in the beginning, and $700/day after 15 working days Regular employees: $300/day in the beginning, and $500/day after 15 working days. Night shift Contracted employees: $300/day in the beginning, and $500/day after 15 working days Regular employees: $200/day in the beginning, and $300/day after 15 working days Profession advancement allowance A raise is to be given to contracted employees who pass the second year advancement： N1：$500/month N2：$1000/month N3：$1500/month N4：$2000/month Allowance for special units $1000/month allowance for contracted employees stationed in critical disease wards. Allowance for staff with special certification $500/month allowance for each certificate is to be given to contracted ward service employees who have ACLS and ETTC certificates, but the allowance shall be no more than $1,000/month in total for each employee. Seniority advancement allowance Contracted registered nurses or nurses, will be promoted one grade each year according to their seniority at the medical center with respect to salary at regional grade hospitals and regional hospitals. In the medical center, the maximum seniority is five years and three years at regional grade hospitals. The maximum seniority at regional hospitals is two years, and four years for personnel grouped in public posts. Others 1. To provide accommodations to nursing employees working away from home 2. Each unit provides a duty dormitory 3. A working outfit and a pair of shoes are provided each year for each employee. Nursing department recreation activities are held every year, which are subsidized from the nursing fund and by the hospital. 4. Employees are encouraged to join the employee’s corporative shop and bonuses are to be distributed with year end earnings.

5. Table of Profession Advancements:
   Number of employees promotions
   
   
   
   
6. Awarded Work
   1. The Q.C. circle:
      • Earned awards in the first Medical Quality Circle Competition sponsored by Yilan County Nurses Association in 2004.
        

        Unit Circle name Topic Key speaker Prize Nursing department e- bliss baby circle To lower the incompletion rate of nursing guidance for knee joint replacement surgery. Huang Xiu-Lan and one ward participating member Silver medal Nursing department Sound-speed circle To lower the incompletion rate of the nursing guidance for the patients discharged from emergency treatment Yang Wen-Hua, Sun Jie-Fen and emergency ward participating members Bronze medal

        
        
      • 2005 - Earned a medial bronze medal in the 6th Medical Quality Circle Demonstration and competition
        

        Unit Circle name Topic Circle leader and circle members Prize Nursing department E- bliss baby circle To lower the incompletion rate of the nursing guidance for knee joint replacement surgery Huang Xiu-Lan and one ward participating member Medical bronze medal Nursing department Sound-speed circle To lower the incompletion rate of the nursing guidance for the patients discharged from emergency treatment Yang Wen-Hua, Sun Jie-Fen and emergency ward participating members Bronze medal

        
        
        
      • Earned awards in the second Medical Quality Circle Competition sponsored by the Yilan County Nurses Association
        

        Unit Circle name Topic Key speaker Prize Psychiatry department Q＆A circle To lower the medicine taking irregularity rate of bipolar disorder patients after discharge from hospital Lieu Jing-Yi Gold medal Nursing department Sound-speed circle To enhance emergency patient satisfaction toward nursing staff Shen Jia-Yi, Lin Wei-Jin Bronze medal Nursing department Blue angel circle To lower the loss rate of articles taken care of for patients in the chronic disease wards of the psychiatry department Xu Qiu-Yen, Chang Zhao-Ci Bronze medal

        
        
        
      • Earned awards in the third Medical Quality Circle Competition sponsored by the Yilan County Nurses Association in 2006
        

        Circle name Topic Circle leader Key speaker Prize Integrated 3C circle To lower the turnover rate of new nursing employees Huang Qian-Yi Shi Yao-Ping, Jin Shu-Ping Gold star medal YY circle To lower a veteran hospital pressure sore rate Pan Jia-Yun Pan Jia-Yun, Lin Jin-Yi Silver star medal Fall prevention circle To lower patient fall rate Chou Jin-Hua Lu Shu-Hua, Lin Wan-Yi Bronze star medal

        ※ This year was a victory for the hospital as it won the top three prizes in the county!!
        
        
        
   2. Innovation of nursing supplies:
      
   • The colonscopy inspection trousers developed at the downtown outpatient clinic were selected as excellent work in the demonstration and competition of innovative nursing supplies sponsored by the Yilan County Nurses Association in 2004, and it also won third place in the demonstration and competition of innovative nursing supplies sponsored by the National Union of nurses associations, R.O.C.
     
     
   • The downtown outpatient clinic won second place in the demonstration and competition of innovative nursing supplies sponsored by the Nurses Association in 2005.
     

     Circle name Works Invented by Prize Downtown outpatient clinic Thoughtful trousers with palpation inspection Chen Ren-Wen, Lee Ching-Yen, Mou Show-Feng, Zeng Li-Yun 2nd place

     
     
   • Won second place in the demonstration and competition of innovative nursing supplies sponsored by the Yilan County Nurses Association in 2006
     

     Circle name Works Invented by Prize 1W Anzhi chair Tsai Li-Huei, Huang Wen-Yu 2nd place 6W F Hugged pillow Yi-Yuan, Huang Qian-Yi 2nd place

     
     
   3. Administrative Projects and Case Reports:
      • Approved Taiwan Nursing Association administrative projects in 2005
        

        Item Topic Author 1 A project to lower the incompletion rate of the nursing guidance for knee joint replacement surgery Huang Xiu-Lan, Jin Shu-Ping, Yeh Jin-Yi 2 To lower the incompletion rate of the nursing guidance for patients discharged from emergency treatment in a regional hospital. Yang Chun-Lian, You Man-Ling, Chang Shu-Fen 3 A project to lower the loss rate of executing doctor advice Lee Li-Chu, Lee Xue-Hong, Chang Shu-Fen 4 To improve the occurrence rate of having hazardous articles enter the acute disease wards of psychiatry department Lin Su-Chu, Lin Jing-Jing

        
        
        
      • Approved Taiwan Nursing Association N3 case reports in November, 2006 in which 3 out of the applied 5 reports were approved representing an approval rate of 60%. The following are the topics of the approved case reports.
        

        Item Topic Author 1 A project to lower the incompletion rate of the nursing guidance for knee joint replacement surgery Huang Xiu-Lan, Jin Shu-Ping, Yeh Jin-Yi 2 To lower the incompletion rate of the nursing guidance for patients discharged from emergency treatment in a regional hospital. Yang Chun-Lian, You Man-Ling, Chang Shu-Fen 3 A project to lower the loss rate of executing doctor advice Lee Li-Chu, Lee Xue-Hong, Chang Shu-Fen 4 To improve the occurrence rate of having hazardous articles enter the acute disease wards of psychiatry department Lin Su-Chu, Lin Jing-Jing

        
        
        
      • Approved Taiwan Nursing Association N4 administration project reports in September, 2006 in which 2 out of the applied 5 reports were approved representing an approval rate of 40%. The following are the topics of the approved administration projects:
        

        Item Topic Author 1 A home nursing experience in taking care of a patient who suffered from cervical vertebra injury Huang Pao-Su 2 A nursing experience in taking care of a patient who had artificial hip joint replacement surgery Huang Wen-Yu 3 A nursing experience in taking care of a medium degree retarded patient Wu Xia-Ling

        
        
   4. Research and Development
      

      Item Name of research project Author Released at Released date Released method Remarks 1 Investigation into the factors influencing urinary tract infection of seriously paralyzed patients in a regional teaching hospital. Head nurse You Man-Ling, Head nurse Lee Li-Chu and Chief Chang Shu-Fen 2004 Counseling Commission research project publication 2/17/2004 In writing Grade B 2 Investigation into the living quality of long term hospitalization chronically psychiatric patients and related factors Head nurse Chen Mao-Chang and Chief Chang Shu-Fen The concept and measurement section in 2004 Living Quality Workshop 7/17/2004 Poster P.67 3 Investigation into the living quality of long term hospitalization chronically psychiatric patients and related factors Head nurse Chen Mao-Chang and Chief Chang Shu-Fen Medical institute nursing research and administration project workshop sponsored by the Counseling Commission 9/16/2004 9/17/2004 Oral P.1-37 Excellent 4 A study to evaluate the project for the improvement of respiratory infection in a regional teaching hospital Registered nurse Lin Wan-Yi Medical institute nursing research and administration project workshop sponsored by the Counseling Commission 9/16/2004 9/17/2004 Oral P.38 5 The effect of daily life group training on self care capacity of the patients with chronic disease Registered nurse Lin Su-Chu The 1st disquisition demonstration held by Psychiatric Mental Health Nurses’ Association 2/25/2005 Poster   6 The project to lower the incompletion rate of nursing guidance for knee joint replacement surgery Head nurse Huang Xiu-Lan, Registered nurse Jin Shu-Ping and Deputy Chief Yeh Jing-Yi The 17th nursing project demonstration 11/26/2005 Poster P.53 7 To lower the incompletion rate of nursing guidance for patients discharged from the emergency treatment in a regional teaching hospital. Head nurse You Man-Ling, Nurse Yang Chun-Lien, Chief Chang Shu-Fen The 17th nursing project demonstration 11/26/2005 In writing   8 A project to lower the loss rate of executing doctor advice Head nurse Lee Li-Chu, Registered nurse Lee Xue-Hong, and Chief Chang Shu-Fen The 17th nursing project demonstration 11/26/2005 In writing   9 A project to improve the occurrence rate of having hazardous articles enter the acute disease wards of the psychiatry department Registered nurses Lin Jing-Jing and Lin Su-Chu The 17th nursing project demonstration 11/26/2005 Poster P.39 0 The ritual and behavior for the first month after giving a birth Head nurse Wu Xia-Ling Sheng-Mu Journal 07/2005 Periodical 62-66 11 Investigation into the effect of partial pressure reduction conducted by a regional teaching hospital on the healing of pressure sores Registered nurses Chen Xiu-Xia, Lee Li-Chu and Chief Chang Shu-Fen 2005 Counseling Commission research project demonstration 95.05.02 In writing Grade A 12 To lower the total weight of over weight patients in the chronic disease wards of a psychiatry department Registered nurses Shi Yao-Ping, Ma Wan-Zhen and Zhuang Shu-Jing The 18th nursing project evaluation 9/15/2006 In writing   13 A project to enhance the pressure sore healing rate of the hospital’s acute disease wards Registered nurse Chen Xiu-Xia, and Head nurse Wu Xia-Ling The 18th nursing project evaluation 9/15/2006 In writing   14 A home nursing experience in taking care of a stroke patient infected with scabies Registered nurse Wu Yi-Zhen and Deputy Chief Yeh Jing-Yi The third representative conference held in the 5th year of Taiwan Long-Term Care Professional Association 04/28/2007 Posters   Total 14 cases

      
      
      
7. Major Responsibilities and Telephone Numbers of Each Unit in Nursing Department
   Table 3 Telephone numbers of the nursing department of Yuanshan Veteran Hospital and its wards.
   

   Nursing department and its special units extension Medical and surgical wards Extension Chief office 301 Ward 1 320 Ward 2 314 Deputy chief office 228 Ward 3 315 Ward 5 316 Operation room 304 Ward 6 309 Emergency outpatient services 305 Ward 9 221 Medical and surgical ICU 335 Wards of psychiatry department Extension Respiration treatment wards 331 Ward 8 310 Ward 10 311 Home nursing 250 Ward 11 312 Nursing home 321 Ward 12 313

   
   
   ◎E-mail address of the chief of nursing department:chang9369 @ mail.ysvh.gov.tw
   ◎E-mail address of the deputy chief of nursing department:ysvh1911@mail.ysvh.gov.tw