Organizational Structure
VERTICAL AND HORIZONTAL COORDINATION AND INTEGRATION POINTS
Vertical Integration Points
As seen in the organizational chart, the organizational levels are under the management of each other in a gradual way from top to bottom. In our institution, vertical (hierarchical) and horizontal management styles are used. The organizational structure of our center is specified in the KKU.YD.01 Organization Chart.
Horizontal Integration Points
Duties are taken into consideration in the horizontal integration. There is no rigid hierarchy as in vertical organization. The important thing is to perform the task effectively. In this type of organization, orders can be taken not from a superior, but from the relevant people according to the requirements of the work.
At horizontal integration points, a division of labor is ensured by the teamwork of nurses/technicians and other personnel, authorities and responsibilities are determined and the responsibilities arising from them are taken into account.
- The aim of our center is to provide hemodialysis treatment services in patients with acute and chronic renal failure and in other necessary medical conditions.
- The personnel required to be present in our center to be the basis for the operating permit, have been determined on the basis of the Regulation on Dialysis Centers (ARTICLE 22).
- Medical, administrative and technical services of our center are carried out under the responsibility of a managing director.
- If the managing director is a doctor with a hemodialysis certificate, she/he also carries out the duty of a hemodialysis certified physician of the center.
- One permanent certified doctor should be employed for centers with one staff for up to the first thirty devices, and an additional certified doctor, who is permanent or part-time, should be employed for centers with more than thirty devices.
- Every patient undergoing hemodialysis treatment is examined and evaluated by a certified specialist doctor at least once a month. This evaluation is made by the specialist doctor who works part-time in the center.
- In our center, dialysis technicians and certified nurses graduated from dialysis departments of health services vocational schools of universities are employed as non-medical health personnel for hemodialysis application.
- Two non-medical health personnel are employed for the first ten devices, and an additional one for every five additional devices above this number.
- In each treatment session, there is at least one non-medical health personnel for up to five patients, and an additional one for every five patients above that.
- A Dietitian is employed in our center under the supervision of the managing director.
- There is one assistant staff for every eight hemodialysis devices in our center.
- There is a Clinical Practices Supervisor in our center who carries out the office work and purchasing.
- A preliminary accounting staff is employed in our center.
- A secretary works at our center.