Unit 5 Flashcards
Disadvantages of total patient care model
Nurses unexperienced/in adequately prepared
Expensive (RN=$$$)
Total patient care model
Oldest RN--> head nurse 1:1 holistic today: ICU, PACU, CCU \$\$$
Functional model (task nursing)
Unskilled workers trained to perform routine/simple tasks (LPN, CNA)
RN manager, rather than care provider.
Efficient, cheaper, min. # of RNs
Fragmented care, patient and nurse dissatisfaction
Focused on task – not overall result
Pillar of quality and patient safety
Nursing
Appropriate number and mixing of staff (nursing care hours) to match actual and projected care needs (patient care hours) two-year-old effective and efficient nursing care
Goal of staffing and scheduling
“Right number of competent staff be provided to meet patients needs based on organizations selected criteria”
Joint commission
And a principles for nurse staffing
Budgeting Administrative support Good relationships (nurse – physician) flexibility Choice in scheduling
Most common unit for determining staffing
Nursing care hours per patient day
NCH/PPD
(NCH/PPD) makes no consideration for
Acuity of patient (incomplete)
Nursing hrs worked in 24H)/(# of pts
Patient classification system
PCS
Workload mgmnt w/ pt acuity tool
4levels
(higher the level, higher the acuity)
Each patient is classified using waited criteria that predicted the nursing care hours for the next 24h
PCS (Pt classification system)
Process of making personnel work assignments for a specific period of time
Scheduling
Scheduling is usually the responsibility of the
Nurse manager
Centralized scheduling
Workdays/time off repeated in regular cycles (Q4 WKS)
Staffing office
More fair
