They direct and coordinate care in the hospital setting and attempt to achieve great patient care. The patient population is getting older and sicker prior to coming the hospital. More nurses are needed to meet the needs of this aging patient population (American Association of College of Nursing, 2017). The hospital leaders have agreed to form a vision, mission, and values of the institution that is centered on patient care. High quality patient care is dependent on the adequate number of nurses to take care of the patients. Nurses should be given the chance to provide high quality care that is centered on the patient. Hospitals should make the sure enough nurses are available to achieve the common goal of high-quality patient centered …show more content…
Nurses at the bedside are aware of the goals, mission, and values of the hospital. Together, the charge nurse and staff nurses use available staff to best coordinate care of the patients in a safe manner. When correct staffing needs are not with guidelines for the patient acuity or census, the unit manager, or director is notified. If no action is taken, then the issue is taken to that Chief Nursing Officer (CNO) of the hospital.
Although, not directly involved in the patient care aspect, but nonetheless present, is the nurse’s union. The union’s presence was brought to the hospital at the request of the nurses because the nurses saw that the hospital had little interest in keeping to safe nursing staffing ratios. When staffing is not within correct parameters, nurses can sign an Assignment Despite Object (ADO) provided by the union, which basically informs administration that as nurses, the whole group disagrees with how the unit has been staffed.
The house supervisor is another person involved in the staffing matrix. It is the house supervisor that is responsible for getting agency nurses, assigning float pool nurses, and ensuring adequate staffing throughout the hospital. The house supervisor answers directly to upper management and determines how many patients are in the hospital and