Overview :

KAMC Nursing Initiatives KAMC Nursing Affairs adopting latest international standard to Creating and sustaining a culture of excellence Shared Governance structure In order to engage clinical staff in unit and division decisions to increase staff satisfaction and provide chance for front liner staff to be more creative Nursing Standing Councils Leadership Council Nursing Quality Councils NR, EBP& Research Council Magnet Recognition Council Nursing Recognition Council Professional development Council Nursing Executive Council 14 Unit Based Councils Chaired by bedside Staff Nurses established to be part of shared governance in Nursing Administration

Professional Practice Model :

A Professional Practice Model is a system (structure, process, and values) that supports registered nurse control over the delivery of nursing care and the environment in which care is delivered.


Component of KAMC Professional Practice Model :

- Aligns and integrates nursing practice with the mission, vision, philosophy and values of nursing.
- Provides an overarching conceptual framework for interdisciplinary patient care.
- Guides nurses in their decisions about how to practice, communicate, collaborate and develop themselves professionally


Component of KAMC Professional Practice Model :

- Patient and family centered care
- Shared governance
- Cultural competency
- Standard of practice
- Standard of performance
- Art of caring
- Nursing Manpower

Vision :

KAMC's Nursing Department vision is to be recognized nationally and regionally as one of the best leaders in: 1. Nursing Practice
2. Nursing Quality
3. Nursing Professional Development
4. Service Excellence


Mission :

KAMC's Nursing Department is committed to provide the highest level of patient centered care to beneficiaries and pilgrims through evidence-based practice, advancement in professional nursing practice and continued pursuit of nursing quality

Administrative Services :

- Training & Staff Development department
- Nursing Quality department
- Magnet Program section
- Support Services department
- Wound Care section
- VAD Care section
- Administrative Support section


Wound care :

- Wound care management program provides wound care services and health education for in- patients as well as out-patients of the King Abdullah Medical City – Makkah who has been admitted to hospital, and also who discharged from in patient settings but require wound care as outpatient.
- To enhance wound prevention and treatment.
- To provide education to all wound care providers.
- To improve wound care patient’s quality of care through optimal treatment, prevention, advocacy and education.


Nursing Quality :

Nursing Quality Management of the Nursing Service Department is committed to;
- Provide a coordinated system that continuously assesses and evaluates quality in patient care and nursing practice through a regular review of KAMC-SH and benchmark data
- Develop, implement, and evaluate unit and service performance improvement efforts
- Promote a forum for the development, discussion, and implementation of Hospitals Center wide, interdepartmental, and intradepartmental performance improvement efforts.
- The Nursing Quality Improvement (NQI) program, an integral component of the Nursing Services at King Abdullah Medical City (KAMC), shall support the department's strategic quality initiatives (Strategic Goal: provide and maintain high quality patient care).


NURSING QUALITY AUDITING AND MONITORING PLAN

INDICATOR

METHOD OF DATA COLLECTION

RESPONSIBLE

PERSON

FREQUENCY

TYPE OF INDICATOR

DIMENSIONS OF PERFORMANCES

EXPECTED OUTCOME/FINDINGS

Fall

(Fall Prevention and Management)

Documented OVAR, file review, post-fall assessment form

NQM

Monthly

Outcome

Safety / Effectiveness

Fall Rate per 1000 patient days with appropriate management plan to eliminate cases.

Pressure Ulcer

(Prevention and Management of Pressure Ulcer)

Documented OVAR and Notification Form, file review

NQM

Monthly

Outcome

Safety / Effectiveness

compliance with management plan of patients who developed pressure sore

Pain Management

File review (current and retrospective)

NQM

Monthly

Process

Appropriateness / Safety

Compliance with pain management policy and procedure

Documentation Review/Medical Chart Review (Nursing)

File review (retrospective)

NQM

Monthly

Process

Appropriateness / Timeliness

Compliance with policy and procedure

Restraint Use

Chart / Concurrent / Observation

NQM

Monthly

Process

Appropriateness / Effectiveness

Compliance with restraint policy and procedure

Environmental Surveillance

Staff file review, related OVAR,

Unit observation/ ocular inspection

NQM

Monthly

Outcome

Safety / Effectiveness

Improved

Safety environment for all patients

Crash Cart Audit

Crash Cart Audit Tool Monthly Crash Cart Checklist,

NQM

Monthly

Outcome

Safety/

Effectiveness

Compliance with policy and procedure


Magnet Program

Initiative from Nursing Administration to Start the Journey of Magnet Recognition Program in King Abdullah Medical City


VAD

VAD Team mission is to support the implementation of Nursing department mission at KAMC in establishing excellent nursing care and patient education, to provide a state of arte Comprehensive care to KAMC patients to decrease VAD related complications with highest Ethical standards and quality of care

Nursing Administration of ER & Out Patient Services
- OPD
- Acute Care Unit
- Out-Patient Care
- Radiology
- Chest Pain Unit
- Endoscopy
- Home Health Care
OPD
Outpatient department (01+02) is located in front of Oncology gate of main hospital building.
OPD1 has two main enter and exit doors except emergencies exits
OPD2 has one door for enter and exit except emergencies exits
ACUTE CARE UNIT
Acute Care Unit contains 16 beds that provides expeditious care to those patients that are signed into the unit, conscious sedation and highly acute patient and overflow of level II patients in Resuscitation Unit. This area sees patients with pulmonary complaints, especially COPD and asthma exacerbations.
TRIAGE AREA
Triage is the process of determining the priority of patients' treatments based on the severity of their condition. Triage Area is a 2-bed units equipped with Dinamap to take vital signs, ECG machine and Glucometer machine. All the complaints will be recorded then patients will be shifted inside the ER depending on the acuity. The triage process follows the CTAS.
Radiology Department
provides diagnostic and Therapeutic services (Neuroradiology, body imaging ,nuclear medicine, vascular-interventional radiology including body and neuro-intervention, Breast Imaging).
· We also provide resident training program in various subspecialties.
· Community services for Breast Cancer Awareness .
· Fellowship Training Program in Interventional Radiology .
Administration on Medical Imaging and Intervention Scope of Services Exams and procedures are performed on both inpatients and outpatients on The primary Diagnostic Imaging modalities at KAMC are:
1. General Radiography
    a. Fluoroscopy
    b. Portable general x ray
    c. Endoscopy procedures
    d. Operation Theater x ray
2. Magnetic Resonance Imaging (MRI)
    a. MRI Breast
    b. Functional MRI
3. Mammogram Imaging
    a. Breast cancer screening
    b. Biopsy
4. Ultrasound and Doppler US
5. Computed Tomography (CT)
    a. Biopsy
    b. CT –flouro
    c. Diagnostics procedures
6. DEXA
7. Nuclear Medicine
    a. Iodine 131 therapy (intervention)
    b. Diagnostics procedure
Neuro-angiography/Interventional Peripheral Angiography/Interventional Diagnostic Services provides support to all departments located on the ground floor.
8. Community services for breast imaging awareness
9. Residency Training Program
10.Fellowship Training program in Interventional radiology
11.Training centers for Technologist and medical students
DLC and the Advanced Endoscopy Center
Our endoscopy centre is located at the ground floor adjacent to emergency department. The recovery area consists of six (6) bays. This area is in close proximity to our 5 procedure rooms and freely accessible by recovery trolley. Each bay is well equipped with advanced monitoring system, and has its own oxygen supply and wall mounted-suction. We have mobile endoscopy unit that can reach sick patients in ICU for maximum patient safety.
List of endoscopic procedures:
- Diagnostic Upper Endoscopy with biopsy and brushing.
- Diagnostic single balloon enteroscopy with biopsy.
- Diagnostic Colonoscopy with biopsy .
- Diagnostic Sigmoidoscopy with biopsy
- Esophageal variceal band ligation.
- Esophageal variceal sclerotherapy.
- Fundal variceal cyanoacrylate injection.
- Upper or Lower GI Bleeding hemostasis ( Adrenal injection ,APC ,Heat probe ,Gold probe , Clips ).
- Upper or Lower polypectomy.
- Upper or lower balloon dilatation and stenting.
- PEG Tube insertion.
- Foreign body Removal.
- Diagnostic ERCP.
- Removal of biliary stone .
- Biliary Stenting .
- Diagnostic Bronchoscopy with lavage and biopsy .
Health Education Clinic for Neurologists
The aim of the clinic is to increase awareness among neuroscience Patients and their families so that they can deal with the different conditions of these diseases by spreading medical awareness to the patients by providing them with important information about their medical conditions, understanding the medical conditions of their illness, helping them to make the right decisions and better deal with their health situation.
Health education clinic for patients with internal medicine and surgery
The aim of the clinic is to increase awareness among diabetes patients and their families so that they can deal with the different conditions of this disease through:
- Focus on the importance of monitoring blood glucose at home.
- Learn how to deal with diabetes in special conditions and conditions (high blood sugar, acidity, low blood sugar, travel, sick days, school ... etc.
Health education clinic for cardiac patients
The aim of the clinic is to increase awareness among heart patients and their families so that they can overcome their health problems and exercise a healthy lifestyle free from the factors that can cause heart disease, God forbid.
Early detection clinic for breast cancer
The goal of the clinic is to raise awareness among women over the age of 40 and those who have a family history of breast cancer, the importance of early examination of breast tumors, early detection of disease and ease of treatment and the rate of recovery be higher,
- Clinical examination of women over the age of 40 and above
- (mammagrams)
- Explain how breast self-examination works monthly
- Receiving cases transferred from health care centers
- Follow up cases annually
- Participation in rehabilitation programs for patients after breast cancer
Correct some misconceptions about breast cancer
Health Promotion
Patient Education and Health Promotion Administration :
Established Health Education in 2012 to provide health education services to patients, families and the community to enhance their health information raise awareness and concern for healthy behaviors for a stable life
- Patient Education & Health Promotion - inpatient
- Patient Education & Health Promotion - outpatient
Working hours are:
08:00 am to 4:30 pm every day except Fridays and Saturdays.
Nursing Administration of Inpatient Services
- Oncology
- Hematology - Oncology
- Oncology inpatient
- Oncology Inpatient Jeddah
- Oncology OPD
- Chemotherapy
- SSU
- Surgical 1
- Surgical 2
- Neuroscience
- Medical
- Hemodialysis
- Cardiac
- CSW & CHA
- Cardiac inpatient
- Cardiac OPD
Specialized medical unit
Specialized medical unit is located at the 2nd floor of KAMC main building with 24 beds including one negative pressure rooms, tow room with single bed, and 11 rooms with double beds for each.
The medical Department offers the resident of western region and other areas access to the highest quality of treatment for medical diseases. Using state of the art technology, medical unit team can diagnose and treat a wide range of medical diseases and conditions including, pulmonar hypertension,COPD, neuroendocrine tumers, hyperparathyroidism, , AKI kidny transplant patient, ESRF with line sepsis, DVT,PE not for ICU, bedredden patient with muli-medical problems and pneumonia, dialysis for in-patient, Rheumatiod arthritis, undiagnosed, active Rheumatiod arthritis,infalamatory myopathy, parathyroid adenoma, cautanous T cell lymphoma.
medical is staffed with physicians certified, registered nurse licensed who are certified in BLS accredited by the american heart association
Surgical unit
is an established subspecialty unit of King Abdullah Medical City, providing tertiary and quaternary services of surgical health care, in the field of Hepatobiliary, Colorectal, Breast & Endocrine, Thoracic, Gynae-Oncology, Urology, ENT, vascular, Plastic, Maxillofacial and Obesity & Minimal Invasive Surgery.
Cardiac ward
Cardiac ward at KAMC consist of 49 beds, including 2 negative pressure beds, 2 Isolation beds and 1 VIP room, that provides clinical, hemodynamic monitoring and treatment of adult patients with acute and chronic cardiac illness.
The duty hours of the cardiac ward are 24 hours a day, seven days a week.
Neuroscience Unit
NSU at KAMC located in the 3nd floor with total capacity of 25 beds including one negative pressure room and one isolation room. Provides neurology, neurosurgery, orthopedic, and spine services for the inpatients, round the clock and 7 days a week, working hours 48 hours per week /12 hours per shift. Oncology Center
Makkah Center :
The Oncology Center has an Adult Oncology Department (37) bed, Palliative Department (10) bed, and Adult Hematology department (15) bed and chemotherapy treatment areas for adult male and female patients (19) bed.
Jeddah Center :
1. Adult Oncology Department (31) bed
2. Step Down ICU- 2 Beds
3. Chemotherapy treatment areas for adult male and female patients (14) bed.
4. Thirty Nine (39) Clinic per Week.
The specialized surgical unit
t is an established subspecialty unit of King Abdullah Medical City, providing tertiary and quaternary services of surgical health care, in the field of Hepatobiliary, Colorectal, Breast & Endocrine, Thoracic, Gynecology, Urology, ENT, vascular, Plastic, Maxillofacial and Obesity & Minimal Invasive Surgery
Courses and Workshops Provided for Nursing Staff :

Nursing role in Disaster, fire and other emergencies Course

Effective communication skills workshop

Preceptorship Workshop

Nursing Leadership and Management

Critical Thinking in Nursing

TOT

TeamSTEEPS

Nursing Quality

Evidence Based Practice

Charge Nurse Workshop

Performance Improvement Approaches

Risk Management ##

Monitoring Improvement Performance ##

Balanced scorecard

JCIA

ACLS ( Also Mandatory for All CN,HN )

Critical Care Medication

Critical Care

ECG Course

Cardiac

Antineoplastic Drug Administration

Nursing Oncology

Medical/Surgical

PCT Workshop

CVAD

Triage Course

Emergency Nursing Course

Telemetry Monitoring

Kidney Transplant Worshop

Oncology Treatment and Symptom Management Course

Pressure Ulcer Prevention ( at least 50% of total staff)

Perioperative Nursing Course

Art And Science Of Wound Management #

Nursing Initiatives
- Shared Governance Structure in Nursing Services
- Career Ladder and Pathway
- Professional Practice Model in KAMC
- Units Quality Improvements Projects
- Units Research Projects
- Practice Alert Project
Nursing Administration of OR and Critical Care Services
- NICU & EMU
- ICU
- Cardiac OR & Critical Care
- CCU
- CSICU
- Cath.Lab
- Cardiac OR
- Specialized OR
- Recovery OR
The Operating Room Department has four locations and are listed below based on the services provided:
1. The Main Operating Room Department (Ground Floor)
- Consist of 8 Operating theatres catering General surgeries, ENT surgeries, Vascular, Thoracic surgeries, OB Gyne, Urology, Maxillo Facial, Orthopedic, Plastic Surgeries and Pain Intervention.
- 10 active beds for Post Anesthesia Care Unit
2. Day Care Surgery Department (Ground Floor)
- All Opthalmology surgeries i.e. Phacoemulsification, PPV
- 4 beds for Post Anesthesia Care Unit
3. Cardiac Center (First Floor Adjacent to Cath Lab)
- All Cardiac related surgeries i.e. CABG, MVR, AVR
- 02 operating rooms and one hybrid room in cath lab , Cardiac patients are directly shifted to CSICU post-operatively.
4. Neuro-Spine Center (First Floor Beside Neuro ICU)
- All Neuro-Spine surgeries i.e. Craniotomy, Disc Decompression, Discectomy
- 03 operating rooms and 2 beds for Post Anesthesia Care Unit.
Cath.Lab
Cardiac catheterization laboratory is located at the first floor of the KAMC’s main building, performs diagnostic and interventional cardiac and peripheral procedures. Our department consists of three state-of-the-art catheterization labs including a hybrid room and supported by a 5-bed capacity Recovery Unit.
The Cardiac Cath lab (invasive) follows all King Abdullah Medical City and Research Center policies. The hospital is accredited and recommended by the Joint Commission International and CBAHI.
CSICU
The cardiac surgical intensive care unit provides care for adult patients requiring intensive care for the patient population after cardiac surgery. This population includes patients requiring or having previously heart surgery.
1-Airway Management
2- Pace Maker (trans venous , epicardial, percutaneous )
3- Intra Aortic Balloon Pump (IABP)
4- Extra Corporeal Membrane Oxygenation (ECMO)
5-Mechinical Ventilator
6-Vasopressors & Inotropic Administration
7- Invasive Hemodynamic Monitoring
8- Percutaneous Tracheostomy
9- Continuous Renal Replacement Therapy
10- Bronchoscopy
11- Chest tube Insertion & caring
CCU
The Coronary Care Unit (CCU) located in first floor, provides comprehensive 24-hour nursing care for adult patients requiring Cardiac intensive care. The most common conditions are:
- Acute Coronary Syndrome
- Congestive heart failure/cardiomyopathy
- Recurrent/malignant dysrrhythmia
Patients receiving interventional procedures for cardiac conditions (PTCA, stent implantation, valvuloplasty, pericardial lead implementation, catheter ablations) are also treated. Additional conditions treated include cardiogenic shock, hypertensive crisis, endocarditis, hemodynamic instability, Ventilated patient, malfunctioning ICDs and pacemakers
Hemodialysis Unit
- Seven total hemodialysis beds 6 beds in Kidney Care Unit and 1 located in Intensive Care Unit
- Working hours is 24 hours a day for 7 days per week. Total working hours for a staff is 48 hours weekly with 12 hours shift, including day and night shift.
Intensive Care Unit (ICU):
1-Medical Intensive Care Unit will receive all unstable cases secondary to infectious diseases, gastrointestinal diseases, rheumatologic or autoimmune diseases, drug overdose, diabetes, electrolyte imbalances, endocrine disorders, acute renal failure, acute respiratory failure, hemodynamic unstable, multi‐system organ dysfunction, unstable Oncology and Neurology cases.
2-Surgical Intensive Care Unit will receive Post major surgery cases, Post transplant cases, Peri-operative complicated cases and Post anesthesia high risk cases including Head and Neck, Thoracic and abdominal Surgeries
3-Medical Intensive care cases within KAMC scope of service for Internal Medicine cases.
4-Surgical Intensive care patients with KAMC scope of service for surgical cases.
5-Medical Oncology intensive care patients.
6-Hematology Oncology intensive care patients.
7-Critical care patients need facility available only in tertiary hospital.
8-Patient had KAMC primary team acceptance
9-Scope for cases from outside the KAMC: Patients need ICU care with facilities available only in tertiary hospital.
10-Out of Kamc Intensive Care Unit Scope:
    a-All cases of infective origin needing ECMO.
    b-All patients does not tertiary care.
    c-Patients without primary care acceptance