Assignment: Staffing Nursing Plan Essay
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.
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
•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.