Staffing Shortage Scenarios

Difficult situations were faced in my facility three months ago where staffing shortage force nurses for weeks work on the floor in technician position with increased patient ratios per nurse and left patient care undone. Some technicians approach vacation time other staff members decide canceled they are working days early in the morning or fail to report, placing facility and staff nurses in hard situations. It created stressful environment and conflict among colleagues. We start noted that during this time increase access infiltrations and system coagulation that could lead other consequences in patients.
The facility manager was not fully aware of this situation. Even though staff nurses were complaining, no changes happen. My partner
Our facility goal was promoted zero absence in next three-month period to provide all staff members requested vacation time and guarantee patient safe operation during this time. In our project, we identified three barriers: (1) lack of teamwork, (2) staff directing, and (3) communication a clear vision and goal.
To provide safe care depends on staff who has different roles and responsibilities to direct patient care on dialysis and acting in the best interest of the patient. Effective communication between staff nurses, technicians, nurse in charge and management were absent. Some staff members were requested time off with short period of time and when request was denied by manager they just simply decided called out neglecting staff and patients. Some individual’s used approaches to work in facility like, “swim or sink” and these badly things never were