Reference no: EM133481943
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:
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)
How might you work with family members who were having
: How might you respond to a family who had strong beliefs that their child should remain and work within the community, but you could only find very limited jobs
|
How companys mission statement aligns with its csr policy
: MT 140- Research the mission statement of your chosen company. Describe how the company's mission statement aligns with its CSR policy.
|
How has covid 19 affected the judiciary
: How has covid 19 affected the judiciary?
|
What are some internal and external barriers to health care
: HSA 599- What are some internal and external barriers to the health care organization's mission, vision, and values?
|
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?
|
How the strategy will used to inform field office employees
: CSIA 413- How this strategy will be used to inform field office employees and managers about a new data breach reporting policy.
|
Why do marx and engles predict the collapse of capitalism
: Why do Marx and Engles predict the collapse of capitalism? How would a ‘classless society' put an end to the perennial phenomenon of class struggle?
|
Are you in support of the das decision or not
: As students taking a legal course, what is your opinion? Are you in support of the DA's decision or not? Explain. Overall, what concerns you about this case?
|
Analyze the news articles for common themes
: CSIA 459- Analyze the news articles for common themes, e.g. vulnerable devices, types of attacks, who the attackers are, what is at risk for local governments.
|