Man: Test 2 staffing Flashcards
(27 cards)
Staffing decisions made by a central office, they don’t know what is going on
Centralized:
Advantage-fairer to all employees, frees unit manager to perform other tasks, most efficient cost effective use of resources
Centralized:
Disadvantage- not much flexibility for staff, manager may be less responsive to person al budget control, don’t know what is going on in unit=frustrating to staff
Centralized:
Staffing decisions made at the unit level, manager or charge nurse
Decentralized:
Advantages- unit manager understands need of the unit and knows staffer personally, staff feels more in control of their work environment, increased autonomy and flexibility, decreasing nurse attrition= quitting, better relationship with manager better understanding= ex: daughter sick get time off
Decentralized:
Disadvantages-unequal and inconsistent treatment, time consuming fore manger, hard to ensure high quality staffing decisions through organization
Decentralized:
Ex: CCU to work ICU/ can float back and forth when one is short
Coverage with Shortages
Long term: Cross-training staff-
-Long term: Cross-training staff
-Short term:
A. Closed unit staffing
B. Mandatory overtime
Coverage with Shortages
- staff is going to cover all absents, keeps them from being pulled from unit, staffing own unit
Short term:
Closed unit staffing
- employee forced to work extra shift, can get threat that you’re abandoning your patient and can get fired, last resort
short term
Mandatory overtime
- Higher nurse satisfaction if policies and procedures are clearly communicated.
- Written policies provides consistency and fairness amongst employees.
- Polices communicate in advance consequences of various personnel matters such as tardiness or absenteeism. Ex: Shift rotation, Low census, Holiday, Overtime, Weekend rotation, Request off days
- Policies should be written in a way that allows some flexibility-not all black and white.
Staffing and Scheduling Policies
- oldest model, nurses assume total responsibility of patients during the shift, provides with a lot of autonomy and responsibility, expensive and confusing to patient because nurses can have different ways for caring for you
- Assignments are simple and direct and does not require the planning that other methods of patient care delivery require
- Lines of responsibility and accountability are clear
- Holistic and un-fragment care
Total Patient Care
- nurse inadequately prepared or inexperienced and can’t provide care
Total Patient Care
disadvantage
- opportunity for less qualified personnel for cheaper rate, care through others , Tasks are completed quickly, Little confusion regarding responsibilities, Care provided with a minimal number of RNs Ex: charge, QMA , CNA/ assisted personnel are provided job duties not specific patients
Ex: LPN- dressing changes, Cna- bathroom and bath, RN – became more of manager
Functional Nursing
Advantage- economical and efficiency, best in OR and long term care facilities
Functional Nursing
Disadvantage- fragmented care, low job satisfaction
Functional Nursing
way to reduce fragmented care, 5 staff caring in a group, *must have good communication
- Ancillary personnel collaborate in providing care to a group of patients under the direction of a professional nurse
- Nurse responsible for knowing condition and needs of all patients assigned to the them and for planning individual care
- Comprehensive care can be provided for patients despite a relatively high proportion of ancillary staff
- Democratic leadership
- Group leaders given as much autonomy as possible, and shares responsibility and accountability
- Allows members to contribute own special expertise or skills
Team Nursing-
Advantage- gives team autonomy, increase job satisfaction
Team Nursing-
Disadvantage- blurred lines of responsibility, errors, fragmented care
- Improper implementation rather than with the philosophy itself
- Insufficient time allowed for care planning and communication
Team Nursing-
rn at bedside, good used in hospital, home health, and hospice
-considered to have 24 hour accountability for patient= bc your completely responsible for plan of care, get same patient back and see what has been going on, any adjustments going on has been done
Primary Nursing-
- care for patient during absents, make sure they do care on plan, and recommend changes
Primary Nursing-
Associate nurse
Advantage- holistic, high quality care, high job satisfaction to Rn
Primary Nursing-
Disadvantage- new grads bc so much learning, this model is hard at beginning to keep in order , harder now because 12 hour shifts because off more days a week
Primary Nursing-
RN- responsible for team, manage communication to make sure all on same page, dev care plan and receives feedback= doctors, therapy’s, dietary, wound care/ relationship based model
Primary Nursing-
