What discussion points should you plan to cover

Reference no: EM133476477

Case Scenario:

The nurse manager of a medical-surgical unit has a budgeted ADC of 20. A new vascular surgeon has been admitting patients to the unit, which is requiring an increase in nursing care to treat these additional patients. The current budgeted HPPD is 7.59. You have been monitoring the number of patients with the higher acuity in anticipation of budget planning.

You have been reviewing reports, and over the past 6 months since the surgeon came on board you notice an unfavorable salary variance. You also have been tracking the actual census, and the ADC on average remains at 20; however, six of the patients have higher acuity. You are proposing the configuration of the unit is changing to a blended model with an overall ADC of 20. The blend is 70% medical-surgical (ADC and 30% stepdown (6 ADC).

Answer the following Questions below along with 2 peer responses.

You need to discuss the issues with the nurse leader you report to.

Question 1. What discussion points should you plan to cover? Will there be a need for additional FTE caregivers to care for the change in acuity? If so, how many FTEs? Have you been staffing above the staffing guideline using OT?

Question 2. The assumption is you are using OT to cover the additional clinical requirements. Financial reports indicate for the 6-month period OT expense is $125,000, which is unfavorable to the budget. What are your recommendations? Compare the cost of OT used over the past 6 months with the cost of hiring the additional RNs.

Question 3. Develop a revised staffing grid. (very basic does not need to be complex)

Reference no: EM133476477

Questions Cloud

List three secrets of public speaking that will help you : List three secrets of public speaking that will help you the most from the video How to Speak with Confidence - 10 Secrets to Speaking Confidently.

Discuss the current state of the literature : SSGS 500 American Military University - select a substantive theory, either something that we discussed in the lesson, or something outside of the course

Discuss the moral or ethical obligations expressed in gospel : Do you see any differences between the moral or ethical obligations expressed in the Gospel of Matthew and those expressed by Paul in Galatians?

Compare and contrast propeller-driven performance : Compare and contrast propeller-driven performance to jet-driven performance in an aircraft. If you were designing an aircraft, what would be the reasons

What discussion points should you plan to cover : What discussion points should you plan to cover? Will there be a need for additional FTE caregivers to care for the change in acuity? If so, how many FTEs?

Explain why the person or reign was so controversial : Akhenaten and his family sculpture through specific examples from the work, briefly explain why this person/reign was so controversial.

How have standards for private security guards changed : How have standards for private security guards changed since 9/11 and What strategies can be used to reduce litigation from retail loss prevention activities

What insights does the letter provide about the relationship : What insights does the letter provide about the relationship between Col. P.H. Anderson and Jourdan Anderson?

What drug therapy would you prescribe : NU 641 Regis College What are the parameters for monitoring the success of the therapy and What drug therapy would you prescribe

User Account

All Pages