Nursing Leadership and Management
Question 1
When planning to discuss the proposed configuration change to a blended model with an overall ADC of 20 and a blend of 70% medical-surgical (ADC) and 30% stepdown (6 ADC), there are several key discussion points to cover it is important to cover the need for Additional FTE Caregivers. Assessing whether the proposed configuration change and the increased acuity require additional full-time equivalent (FTE) caregivers. Considering factors such as patient volume, acuity levels, desired nurse-to-patient ratios, and workload expectations. Calculate the estimated number of FTEs required based on these factors and compare it to the available staffing resources (Erenstein & McCaffrey, 2020).
It is important to discuss the financial implications of the proposed changes, including any potential budget adjustments that may be necessary to accommodate the blended model and the increased staffing needs. Consider the cost of hiring additional FTEs versus the potential impact on patient care and outcomes. Ensure open and transparent communication with key stakeholders, including the nurse manager, unit staff, finance department, and human resources. Collaborate on developing an action plan that addresses the staffing needs, financial considerations, and any necessary adjustments to ensure safe and quality care for patients.
Question 2
Calculate the Cost of OT: We have to determine the average monthly OT expense by dividing the total OT expense of $125,000 by 6 (months). This will provide an estimate of the monthly cost incurred due to OT (Erenstein & McCaffrey, 2020). Consider the number of FTEs required based on the proposed blended model with an overall ADC of 20 and a blend of 70% medical-surgical (ADC) and 30% stepdown (6 ADC). Calculate the estimated cost of hiring additional RNs by considering their salaries, benefits, and any associated recruitment or onboarding expenses. Compare the estimated monthly cost of hiring additional RNs with the average monthly OT expense. Evaluate which option is more cost-effective in the long run.
Ultimately, the recommendation should consider a balance between financial considerations, patient care needs, and the well-being of the nursing staff. It is essential to involve key stakeholders, such as the nurse manager, finance department, and human resources, in the decision-making process to ensure a comprehensive and informed approach.
Question 3
I am not sure what a grid on this would look like but I would imagine I can calculate staffing needs for stepdown (ADC). Multiply the ADC for the stepdown unit (30% of 20) by the determined nurse-to-patient ratio for that unit. This will provide the number of nurses required for the stepdown patients. I can consider any additional support staff required to assist with patient care, such as nursing assistants or unit secretaries and determine the appropriate staffing levels for support staff based on patient volume, acuity, and unit requirements. I can also consider the required coverage for different shifts (day, evening, night) and ensure appropriate staffing levels for each shift based on workload, patient needs, and unit policies (Swearingen, 2019).
References
Erenstein, C. F., & McCaffrey, R. (2020). How healthcare work environments influence nurse retention. Holistic Nursing Practice, 21(6), 303-307.
Swearingen, S. (2019). A journey to leadership: designing a nursing leadership development program. The Journal of Continuing Education in Nursing, 40(3), 107-112.
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