ch 13 staffing and scheduling Flashcards
3 main models for nurse staffing
-patient acuity
-budget-based staffing
-nurse-patient ratio
patient variables affecting staffing decisions
-# of patients
-range of conditions
-observations and interventions required
-patients’ satisfactions
-stage of illness
-family situation and needs
-treatment required
2 types of pt classification systems
-prototype evaluation
-factor evaluation
patient classification system:
-subjective and objective
-relative intensity
-diagnosis-related group
prototype evaluation
patient classification system:
-objective
-time/rating for task, thought process, and patient care activity
factor evaluation
program that monitors staffing effectiveness in a specific nursing service or unit
national database of nursing quality indicators (NDNQI)
nursing care that is delayed, started but unfinished, or not completed at all
missed care
Requiring staff to stay on duty after their shift ends to fill staffing vacancies
mandatory overtime
requesting staff to stay on duty after their shift ends to fill staffing vacancies
overtime
method of scheduling: nurse managers develop the schedule in isolation from all other units. In this model, the nurse managers approve all schedule changes and actually spend time on a regular basis drafting the staff schedule, considering only the staffing needs of the unit.
decentralized scheduling