Staffing & Nursing Care Delivery Models Flashcards
Activities required to ensure an adequate number & mix of health care team members to meet pt. needs and provide safe, quality care.
Staffing
3 Staffing considerations
1: Pt. needs
2: Staff satisfaction
3: Organizational needs
Primary considerations to staffing a nursing unit (5)
What an NTL must consider
1: Number of patients
2: Acuity of care required
3: Staff experience & preparation
4: Geography of Environment
5: Available technology
Higher acuity level patient needs what?
Higher level of nursing care (nursing needs more intense)
Categorizing patients according to care needs.
Acuity
ANA classification system recommendations (8)
Angela did not cover this
1 - Age & functional ability 2- Communication skills 3 - Cultural & language ability 4 - Severity & urgency of admitting condition 5 - Scheduled procedures 6 - Ability to meet health care requisites 7 - Availability of social support 8- Other needs identified by RN or Pt.
Staff member must haves to be able to meet patient needs: (3)
- educational preparation
- skill
- experience
Disadvantages to long shifts over consecutive days
- clinical errors
- fatigue
Self scheduling is?
responsibility of staffing a unit is delegated to the employees on the unit - they collectively design a schedule based on staffing criteria.
Organizational needs affected by staffing (3):
1 - financial resources
2- licensing regulations (TJC standards)
3 - Customer satisfaction
The ratio of amount of outputs produced to the specific amount of input - is the measure of staffing efficiency.
Productivity
Nurse manager accountable for staffing within budgetary guidelines for: (2)
- Numbers of staff working at any given time.
- Staff Mix.
Do licensing & accreditation agencies have mandatory staffing ratios?
What do they look for?
NO.
-do look for evidence that pt. are adequately cared for.
Nurse managers challenge is to provide appropriate staffing within budget constraints with (staff):
- well trained, competent, professional staff
- that will provide safe, high-quality care.
Details the way task assignments, responsibility and authority are structure to accomplish patient care.
Nursing care delivery models