This strategy is cost effective given the hourly rates of NPs compared to those of MDs. However, the current process does not effectively leverage that as they are not off-loading enough patients to NPs given the wait times for MDs. Essentially, they need to find a way to move more patients to the NP queue. One way to do this would be by expanding upon the 13 categories currently deemed treatable by an NP. Also, they need to make sure the triage nurses are assigning patients to NPs (if eligible) vs. NP or MD in order to free up MD’s queue.…
This change meant that a small staff of registered nurses and nursing assistants would need to cover additional shifts. The change was implemented on short notice and with no planning, consideration of staff limitations, specifics that define patient acuity levels allowed on the unit, or types of admissions taken on Friday that would still allow the unit to close by 1100 hours on Saturday.…
4. Offer a $1,000 signing bonus to anyone who joins the organization and stays for at least 180 days.…
We need to get some experienced personnel or train our current personnel to do the admissions more accurately. The nursing staff should not have to check vitals and register patients also. Patient registration should be done before the patient even sees the nurse unless it’s a life or death situation. Clear instructions will be given to these staff members to ensure that we have all the current contact and billing information and legible copies of all documents and claims are processed appropriately. With verification of all information, we should see a more smooth billing process and the correct plan codes being applied to the various…
Apart from staffing plan, there is also the staffing pattern. Kim, Harrington, & Greene (2009), refer to staffing pattern as the proper number of staff designated to each function or responsibility within a group for each shift and per day. Staffing patterns include using part time nursing staff, using staff that is hired temporarily, skill mix of nursing personnel, and tenure experience plus mix of nursing personnel. According to Wallace (2013), to have sufficient equipment, support personnel, and supplies are aspects that must be taken into consideration for any effective model for staffing so as to improve upon the work flow of nurses. Taking into consideration the size of the healthcare establishment, the aiding staff-nurse ratio, and the nursing care hours per patient day, I will utilize the management engineering pattern. This pattern will permit me to assign nurses based on a careful analysis of availability and patients’ needs and the 1:1 ratio for supportive nurses and nurses is quite appropriate for the management engineering model because clients with diverse magnitude of care will easily be provided a distinct or exclusive healthcare services. However, the number of patients in the hospital also influences how the management engineering model functions because an increase in the number of…
or hourly rounding further allows the nurse to be more productive and remain on schedule due to…
Leaving the facility understaffed is having a negative effect on the staff morale and quality of patient care, and must be addressed. According to Roussel, each patient care unit should have a master staffing plan that includes the basic staff needed to cover the unit for each shift. Basic staff is the minimum number of personnel needed to staff the unit and they need to be fully oriented full and part time employees (Roussel, 2013). Options are a) the staff already in place, b) using a short-term contingency staff or a temporary agency, or c) long term temporary nurses or travel nurses.…
The medical-surgical unit of ABC hospital is a 52 bed unit divided into three nursing stations. The unit provides care for medical/surgical adult and geriatric patients on various stages of recuperation from diagnostic, therapeutic and surgical interventions. Staffing levels are based on accurate calculation of the volume of patients occupying a bed. Lately the hospital has been experiencing a shortage in staffing of all positions; registered nurses, license practical nurses, certified nursing assistants, technical staff and orderlies. The problem has escalated to a critical level in recent…
Nursing is not a 9-5 job in many cases. Hospitals and other facilities need qualified staffing 24/7. If one of these facilities needs help, it is important for a staffing agency to have employees available to take on the needed responsibilities at a moment's notice.…
Even travel nurses who are assigned to a facility will experience scheduling frustrations. This is because nurse administrators may view travel nurses differently from their own staff. Thus, nurse administrators tend to assign overnight, evening and weekend shifts to travel nurses. As a result, travel nurses may have limited socializing and personal…
Bureau of Labor Statistics, U.S. Department of Labor (2012). How to become a medical or health services manager. Occupational Outlook Handbook, (13).…
With that being said, surgeries are often pre-scheduled and will take place during normal day times. Surgical nurses will typically work during the day and evening hours. Nurses who are employed by an inpatient hospital unit that performs scheduled surgery will usually be required to work during the day and possibly even overnight. Shifts will be anywhere from eight to twelve hours and some nurses will be on call and must be ready to work at an instants notice.…
When I worked at a medium size facility as a secretary on the medical/surgical/pediatrics I noticed that the nurses had so many jobs. They were expected to take care of the patient, enter full notes, fill out a Kardx (paper based information system for all nurses) admit their patients, discharge their patients, contact doctors for any consultations, and more. To me, this is way too much for a nurse to do. Nurses are our primary care givers at a hospital. Most doctors visit once to twice during a stay and the rest of the time our lives are in our nurse’s care. When your nurse has 1,000 tasks on her plate how is she supposed to give you her full care? I feel that if it is this way at one hospital it is this way at more than one hospital! Because of this, if I was to change something with the patient intake process I would change the load that everyone carries. I feel that the work load on nurses should be professionally evaluated and cleared by the boards. The work load of nurses being lightened is going to put more work onto the patient intake process. I feel that that should be fine as long as the system that you have in place is already running…
Article 86 of the Uniform Code Of Military Justice. This Article covers Point and Place of Duty. That means from PT formation to COB that is where you will be. What a lot of Soldiers do not understand that includes appointments made by them or someone else.…
I am writing this essay as a plan of action because I managed to miss a scheduled appointment. Missing a scheduled appointment may seem like a rather minute infraction but if you think about it and trace it back far enough it has a negative impact on all parties involved it effects the army as a whole, the government, tax dollars, every American and possible most of the population of the planet even if they don’t know it or feel an impact from it on some level even if insignificant it effects civilization as a whole. I had an appointment with the Army Substance Abuse Program scheduled for Tuesday the 13 of November at 13:00 in the afternoon. On this particular Tuesday I was also scheduled for an appointment with my son off-post. These two things were an obvious scheduling conflict and would had require my wife to call off from work to be able to take my son to his appointment, in order for me to attend the scheduled appointment that was with the Army Substance Abuse Program. Regardless of whether this actually happened or not it was my responsibility to make it happen, both for me, my kid and the army to attend my appointment. I ultimately failed to attend my appointment and as a result I was negatively counseled for my actions and lack of reasonability. In this counseling I was instructed that my plan of action would be for me to write a one thousand word essay due to the fact that I missed the scheduled appointment and I was instructed that it would be due to be turned in no later than Monday the twenty sixth of November.…
