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Flashcards in Unit 5 Deck (14):
0

Total patient care model

Oldest
RN--> head nurse
1:1 holistic
today: ICU, PACU, CCU
$$$

1

Disadvantages of total patient care model

Nurses unexperienced/in adequately prepared
Expensive (RN=$$$)

2

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

3

Pillar of quality and patient safety

Nursing

4

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

5

"Right number of competent staff be provided to meet patients needs based on organizations selected criteria"

Joint commission

6

And a principles for nurse staffing

Budgeting
Administrative support
Good relationships (nurse – physician)
flexibility
Choice in scheduling

7

Most common unit for determining staffing

Nursing care hours per patient day
(NCH/PPD)

8

(NCH/PPD) makes no consideration for

Acuity of patient (incomplete)
(Nursing hrs worked in 24H)/(# of pts)

9

Patient classification system
(PCS)

Workload mgmnt w/ pt acuity tool
4levels
(higher the level, higher the acuity)

10

Each patient is classified using waited criteria that predicted the nursing care hours for the next 24h

PCS (Pt classification system)

11

Process of making personnel work assignments for a specific period of time

Scheduling

12

Scheduling is usually the responsibility of the

Nurse manager

13

Centralized scheduling

Workdays/time off repeated in regular cycles (Q4 WKS)
Staffing office
More fair