On Wednesday December 2nd, 2015 at 2124 hours Security Operations Center radioed the East Orlando Security Officers to respond to room 208 bed #1 for a 44V- Enforcement Escort Visitor off Property from the medical Unit. Officers Steven Evans (407) and Carlos Ayuso (415) responded to the call. Upon arrival, Security staff met at the Nurse’s Station with Registered Nurse Amanda Ramos who advised us that the wife of patient Michael Vecchione (FIN: #84884426, DOB 04/14/1959) was interfering with medical staff and needed to leave. According to Nurse Ramos around 2126 hours while she was doing her rounds, she went inside the room 208 bed #1 and observed the patient's wife grabbing the Patient Care Tech Kevin Bird's arm. Mr. Vecchione's wife…
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.…
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…
Recently the state Department of Health and the federal authorities for Medicare/Medicaid visited our facility. They have assessed that our residents are in danger of inadequate nursing staff-to resident ratios and lack of a qualified nutritional dietician. The facility has been given 90 days to increase staffing by eleven licensed nurse aides, three registered nurses and a registered clinical dietician. The survey team will return in 80 days, unannounced and if these deficiencies are not resolved, they will have no choice but to close the facility. The other challenge is competing with two hospitals in the community that are continually seeking the same types of health professionals. We should consider the fact that they have greater resources to attract and retain staff. Since we have only 80 day to recruit new staffs we need to come up with a short term plan that attract nurses to our facility and also a long term plan to retain staff. Our facility has been part of the community for nearly fifty years and has the advantage of an excellent reputation and community support. It is important to make an extra effort during these 90 days to keep our facility reputation. The human resources department has been assessing the issues and would like to propose some solutions to deal with the problems. We would like to…
When nurses are forced to work with high nurse to patient ratios, patients can develop a variety of infections, get injured, and can lead to death. Often at times patients are discharged home too soon without adequate education about how to manage their illness or injury (Raquel & Sean, 2011). Because of patients being discharged to soon, this causes them to return back to the hospital often sicker than they were before. Increase in rate of admissions, transfers, and discharges on hospital unit’s raises nurses’ workload. When nurses have fewer patients, they are able to provide high quality care (Raquel & Sean, 2011). A quantitative research was done based on knowledge of unit’s attribute and shift by shift nurse staffing levels. The researchers inspected 43 units of medical and surgical patient’s mortality in an infamous magnet hospital here in United States. The units and shifts staffing data from 2003 to 2006 were obtained and consolidated with patient data resulting in 3.2 million unit shifts for 197961 patients. The outcome of two staffing variables were scrutinize using a shift unit level: understaffing actual registered nurses staffing eight hours or more below target staffing levels generated by a patient classification system and high turnover which means unit admissions, transfers and discharges exceeds mean day shift by one standard deviation. Patient survival rate was analyzed using Cox proportional hazard regression models with adjustment for clients, unit and shifts risk covariates was practiced. The risk adjust mortality was evaluated to staffing and turnover within the first 5 to 30 days after admission and during previous shifts. The result was dangerous ratios (Raquel & Sean, 2011).…
Welton, J. M. (2007, September). Mandatory hospital nurse to patient staffing ratios: Time to take a different approach. The Online Journal of Issues in Nursing, 12. doi:10.3912/OJIN.Vol12No03Man01.…
In the article, Coffman, Seago, and Spetz (2002) questioned that mandating minimum nurse-to-patient ratios could eventually help to improve outcomes and conditions of both nurses and patients in acute care hospitals in California. They found that mandatory ratios could create opportunity costs that were not easily measured and that might outweigh their benefits. They also suggested that policymakers should consider other strategies or approaches to address nurse’ concerns on hospital staffing and enhance their job satisfaction and retention in hospital facilities.…
Why is crime committed? What are the reasons behind individuals committing crime? Crime can be committed by just about anyone, at any time. The following essay will be an examination of social process and development theories on the video “Pelican Bay State Prison: War Zone.”…
1. “Hourly rounding is a new, proactive approach to organizing nursing care that has garnered positive results; its focus on patient-centered care has led to notably improved patient satisfaction scores” (Ford, 2010, p. 188). Hourly rounding acts as a “proactive approach to anticipated needs” and “increases patient satisfaction, because patients perceive their needs are being met in a timely manner” (Ulanimo and Ligotti, 2011,p.1). The purpose of my evidenced based practice project was to examine evidence that supports the effectiveness of hourly rounding on patient satisfaction in hospitalized inpatient adults by answering the following PICOT question: For inpatient medical-surgical hospitalized patients over the age of 18, does the implementation of hourly nursing rounds versus having no hourly nursing rounds improve patient satisfaction…
References: American Nurses Association. (2011, December 20). Nurse staffing plans & ratios. Nursing World. Retrieved from http://nursingworld.org…
There are many major challenges facing the nursing shortage environment today. One of those challenges includes the facility recruitment of registered nurses and then the facility retention of the registered nurses that they have recruited. Factors to consider would be as to why a registered nurse chose to accept a particular job and will they choose to stay at the facility after being given an employment opportunity. A facility’s reputation, union status, autonomy and salary are among some of the factors that influence recruitment. Factors that influence retention includes the inclusion in decision making, practice autonomy, workers, work load, management’s respect of the workers, and shifts worked.…
The era of the 1900s- 2000s brought about setbacks as well as advancements of mental health regarding treatments, education, and reform bringing us to where we are today. During the period of the great depression, the population was thrown into a tailspin resulting in the overcrowding of sick, elderly and ill in mental asylums. Families would often submit their elderly relatives to asylums because they lacked the resources or time to deal with them appropriately. The problem with overcrowding developed because the institutions had no established criteria for accepting or rejecting patients into their care.…
Mandatory nurse-patient staffing ratios have been a hot topic of discussion for over 15 years. As of today, California is the only state with actual state mandated nurse- patient ratios in place. I support mandatory nurse-patient staffing ratios because research has shown that patients have better outcomes when cared for by nurses who practice under state mandated nurse-patient ratios. According to the article Mandatory Nurse-Patient Ratios “support for mandatory-patient ratios is drawn from the belief that regulated nurse (RN) staffing will increase positive patient outcomes, decrease nursing shortages, increase nurse recruitment and job satisfaction (T, 2011).…
What is the one conversation that usually gets heated when talking to nurses? Bring up the subject of staffing levels on their unit. As a nurse assistant, staff nurse, charge nurse or nursing administrator, inadequate staffing creates tension and stress. When staffing is inadequate patient safety, infection rates, patient satisfaction and staff satisfaction are only a few of the areas affected. Many hospital administrators and lawmakers want to make patient care a numbers game. The Joint Commission on Accreditation of Healthcare Organizations requires hospitals to create a staffing plan that defines staffing effectiveness as the skill mix, competence, and effectiveness related to the services needed. (Morgan, 2004) When it comes to staffing, one size does not always fit all. Patients are individuals with individual needs and one patient with a certain diagnosis can take much less attention and time from the nurse than a patient of the same age with the same diagnosis. For good nurses the main goals during their shift is giving exception patient care and providing a safe environment. “The notion of high-quality care in hospitals is essential to public safety isn’t new. In 1751 Benjamin Franklin founded America’s first hospital-Pennsylvania Hospital-and commented that patients ultimately suffer and die without sound nursing care.” (Clarke, 2003) Nursing leaders are under tremendous pressure to lower costs while improving quality. (Carter, 2004) It is often found that…
In the United States, Registered Nurses (R.N.) make up the largest recorded working population of the health care profession, and the Bureau of Labor Statistics estimates that 2.7 percent of the workforce comprises of nurses compared to 3.6 percent in the last 6 years (A.A.C.N., 2013). This decrease is attributed to the current shortage and high turnover of nurses. This current trend in the nursing profession has a great effect on the provision of health care because it has reduced the quality of care of patients, increased accidents amongst patients, absenteeism rates and staffing among others.…