Nursing Structures

Specialties Management


I am trying to find out how your nursing structure is where you work? Do you have charge nurses, Assistant nurse managers and nurse managers or what? I am very interested in any info you can provide me with. Currently we have NM and Clinical Managers on the off shifts, but they are split between 2-3 units. Its very busy and hard to keep up. Thanks for sharing!:roll


92 Posts

In my area (Elderly Mental Health) we have Ward/unit managers supported by Registered Nurses and care assistants. All Community services are managed by Registered Nurses at various grades. In an average ward(18patients) each shift will have 1 RN with 3 care assistants and the Ward Manager working 9am-5pm. We have a real shortage of RN's.


1 Post

Inthe hospital I work we have the

Director of Nursing

Day Supervisor x1

Night Supervisor x 1

Clinical Managers x 1 per unit (head Nurse equivalent)

Charge Nurse x 1 per unit

Registered Nurse- RN 1 (senior)

RN 2

RN 3 (junior)

Nurse Aide (practical nurses)

Clinical attendant


34 Posts


In the hospital where I work we have:

Clinical Unit Managers in charge of a group of wards

Head nurses in charge of a ward

Charge nurses


Nurse aides


18 Posts

I work in a primary care hospital. We have a CNO, then Director's of Outpatient Nursing Services, Inpatient Nursing Services and Surgical Services, then unit manager, clinical coordinator (1 per 12 FTE/unit), a charge nurse per shift. We have no house supervisor's and the CNO, directors and managers take turn being on call for a week at a time.


7 Posts

Hi All

In the hospital I work to

We have one Head of nursing department

One deputy of HOD nursing

3 Assistants HOD, each one of them has a responsibility of 7 Departments


10 Posts

In my facility we have a CNO which overseas all the directors at the 5 co-facility hospitals we have in our system. Then each facility has a Director of Nurses who oversees at least 3-4 assistant director of nurses which are broken up in to service lines. Then the ADONs of each service line are over the Clinical Managers who each have at least 2 units. The Clinical managers then each have at least one (most have 2) assistant clinical managers who are basically in charge and supervise all the RNs and NAs. Whew! When you look at it that way there sure are alot of people who want to be in charge and a long way to climb up the ladder.

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