Week 6/7 Discussion. As written in the Week 6 Outline this discussion will be open and count for both Week 6 & Week 7 so you have that time frame to

Week 6/7 Discussion. As written in the Week 6 Outline this discussion will be open and count for both Week 6 & Week 7 so you have that time frame to post; to give you an opportunity to get caught up on work, get assignments submitted etc. 

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 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 have noticed 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 be changed to a blended model with an overall ADC of 20. The blend is 70% medical–surgical (ADC and 30% step-down (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.

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?

2.  The assumption is you are using OT to cover the additional clinical requirements. Financial reports indicate for the 6 months 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.

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

Week 6/7 Discussion initial response is due between 7/28/2024 and 7/31/2024. The 2 peer responses are due by 9/7/2024 at 1159 p.m. EST (this will decrease discussion and hopefully lessen the workload a bit as you wrap up your final class assignments. 

Please note the grading rubric for the discussion board.

As a reminder, all discussion posts must be a minimum of 350 words initial and 250 words peer responses, references must be cited in APA format 7th Edition, and must include a minimum of 2 scholarly resources published within the past 5 years.


Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

738.2.1 : Foundations of Inquiry The learner differentiates between quality improvement processes, evidence-based practice, and research.

738.2.1 : Foundations of Inquiry The learner differentiates between quality improvement processes, evidence-based practice, and research. 738.2.2 :  Literature Review and Analysis The learner demonstrates knowledge of the process and outcomes of conducting a literature review. 738.2.3 :  Ethics and Research The learner demonstrates an understanding of the ethics of nursing research particularly human

1. Demonstrate competency in medication administration incorporating pharmacological principles. Answer the following questions directly on this

1. Demonstrate competency in medication administration incorporating pharmacological principles. Answer the following questions directly on this document. Please make sure to open the Word document underneath number 1. Please patient 1. Please refer to the following document about safe medication administration: 2. Discuss how you used the nursing process during

attached is the previous smart goals that was submitted, rubric, assignment details SMART Goals for PMHNP Clinical Rotation Jachai

attached is the previous smart goals that was submitted, rubric, assignment details SMART Goals for PMHNP Clinical Rotation Jachai Littlejohn St. Thomas University NUR-640CL-AP3 Dr. Howard March 23, 2025 Introduction SMART goals guide professional skill development. Focus on psychiatric evaluations and communication. Enhance evidence-based psychotherapy techniques application. Improve documentation and

  Read “M2 Dimick Sorting out Advance Directives_Journal of AHIMA HL.pdf” attached above. You are a Medical Records Technician at Northwestern Memorial

  Read “M2 Dimick Sorting out Advance Directives_Journal of AHIMA HL.pdf” attached above. You are a Medical Records Technician at Northwestern Memorial Hospital.  One of your tasks is applying applicable laws, policies, and procedures for ROI. For each scenario, describe the decision you render.  Answer the two questions that follow.