Assignment: Staffing Nursing Plan Essay

Assignment: Staffing Nursing Plan Essay

A Sample Answer For the Assignment: Assignment: Staffing Nursing Plan Essay

Title:  Assignment: Staffing Nursing Plan Essay

The proposed unit for my project is a medical surgical unit in Denver, Colorado. The unit will have 10-12 beds for the patients. It will be an inpatient setup where patients will be admitted for further monitoring and management. The location of the unit will be a city where there is a high rate of utilization of healthcare services. The location also implies that the unit will have financial feasibility due to its high rate of service utilization. Colorado is estimated to have a population of 5.7 million people as per 2018. Evidence has shown that the utilization of healthcare services in Colorado is significantly high. The high rate of healthcare utilization has resulted in increased healthcare costs in the region. As shown by CIVHC (n.d.), the total cost of healthcare in Colorado is 17% higher than that reported in other states. There is also a high rate of outpatient and inpatient service utilization as evidenced by the statistics that the state’s utilization of these services is 30% high than most states. The high use of services in the state has seen a rise in the cost of healthcare. Consequently, starting the unit will have significant economic sense due to the high-expected rate of utilization of its services.

As shown earlier, the unit will be a medical surgical unit being established at Denver, Colorado. The unit will provide its services to individuals in need of care aged above ten years old. The unit will provide the healthcare to male patients in need of medical-surgical care. It is projected that a female medical surgical unit will be developed once return on investment is achieved from the currently proposed unit. The unit will provide inpatient care to patients suffering from abdominal conditions such as gastritis, intestinal obstruction, and surgeries of the gastrointestinal system. The criteria of admitting the patients will include those patients with hemodynamic instability, patients requiring close monitoring of medications, and pre and post-operative patients. The patients will be received from various regions. One group of patients will be those from home. Critically ill patients from home will be admitted for further management and monitoring. The other category of the patients will be those coming as referrals from other institutions of healthcare. The unit will act as a referral center for advanced care for patients requiring specialized management.

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The unit will also receive patients from ER, PACU, and SICU. Patients with abdominal conditions who require attention of specialized nurses and doctors will also be admitted in the unit. The other categories of patients who will be admitted in the unit include those who require observation for more than 12 hours. This will include patients such as those suffering from chronic conditions such as

diabetes and hypertension who need stabilization. Patients with suspected need for surgical interventions will also be admitted to the unit for senior review of further management that might needed for their health and wellbeing. As identified earlier, pre-operative and post-operative patients will also be admitted in the unit. They will be admitted for monitoring before and after surgical interventions. Patients who need intravenous management of pain as well as intravenous administration of antibiotics for more than 12 hours will also be admitted. This will allow for the monitoring of their response to the treatment and the need for further interventions.

The unit will also provide discharge planning, follow-up, and health education to the patients and their significant others. The registered nurses working in the unit will develop discharge plans for the admitted patients and ensure that their response to care is follow-up post-discharge. This will be important in promoting continuity in the provision of healthcare to those in need and their significant others. The staffs will also provide health education, as a means of promoting the health of the diverse populations. It is expected that a majority of the patients will be discharged home (90%) while the remaining will be referred to rehabilitation facilities (10%). The patients who are admitted in the unit will receive 24 hour monitoring. Registered nurses will provide the prioritized care that the patients need. The nurses will work for 12-hour shifts with a maximum number of hours worked being 36 hours in a week. This approach to providing care will promote close monitoring, patient-centered, and continuous care that promotes safety, quality, and staff as well as patient satisfaction with care.

Staffing

Registered nurses, nurse assistants, and clerks will be required in the unit. They will work collaboratively to ensure that the desired care is provided to those in need. It is therefore important that the hours of care based on FTEs and daily census be determined for effective planning and provision of the needed care in the unit.

Measure of Inpatient Productivity

Measuring productivity is one of the ways in which efficiency in the unit can be determined. Several methods of measuring productivity will be utilized. One of them is the use of traditional approaches such as multifactor productivity growth. Multifactorial productivity growth focuses on the difference between the growth rate of the actual output and the growth rate of the actual inputs (Aizcorbe et al., 2018). However, it is worth considering that the use of this approach is associated with some weaknesses such as being inaccurate in cases of mis-measured price of healthcare. The approach also fails to take into account the substitution of savings on inputs and the constantly changing price index of healthcare goods (RUBINO, 2018). Due to these weaknesses, modern methods of measuring productivity such as disease-based approach and cost per patient day will also be incorporated in the process of productivity determination.

The use of disease-based approach focuses largely on measuring output of healthcare based on disease treatments and not medical services and goods. Under this method, the medical service that the patients purchase is the treatment of their condition. As a result, greater spending can occur due to factors such as increase in disease prevalence or secondary to increase in average cost of treating patients. The use of disease-based approach to determine the quality of care in the unit will be associated with benefits such as allowing for the determination of cost of switch between the providers of healthcare. The cost per patient day is another method that will be used to determine quality of care in the unit. The approach entails calculating the total cost incurred in the provision of care and comparing it with the output (Macfarlane & Abou, 2019). This gives insights into the operational costs incurred in the unit.

Indicator Goals for the Unit

The performance of the unit will also be determined based on whether the indicator goals have been met or not. One of the indicator goals is the number of reported adverse events in the unit in a given period. This will include the number of patient falls, medical errors, and pressure ulcers. A high incidence of these events will imply that the quality of care that is given to those in need does not match the set expectations. The other indicator goal that will be used in the unit is patient perception of quality of care given in the unit. The patients and their significant others will be administered with questionnaires to obtain their insight into their perceived quality of care in the unit and the ways in which it can be improved. A high rate of patient satisfaction with care will translate into the effectiveness in the realization of the indicator goals in the unit.

The other indicator goal will be staff satisfaction and turnover rates. Surveys will be conducted among the staffs to obtain information on their satisfaction with the care that they give and the manner in which the institution treats them. A high rate of staff satisfaction with the care they give will imply that the unit is on the path of achieving its goals and objectives. The rate of staff turnover within a given period will also act as indicator goal. The unit aims to ensure that the lowest rate of staff turnover is achieved in the unit. A low staff turnover rate will imply that the staffs are satisfied with the care they give in the unit (Elinson et al., 2018). Therefore, the realization of the set indicator goals will imply that the unit is achieving its performance objectives.

Create a staffing plan for an inpatient nursing unit. Create the scenario/environment for the inpatient unit. Your project must include:
•scope of service for the unit
•job titles and ftes
•productivity measurements
•ndnqi indicator goals

Be specific. Include rationale for all elements of this project. Your final submission should be a staffing plan that could realistically be implemented in an acute care inpatient unit.
References and APA style.

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed
• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• Student paper example
• Citing Sources
• The Writing Center is a great resource