Its facility is lead by a CEO which breaks down to a Medical Director and a Nursing Director. They report that this system works very well for them. The physicians, therapy and pharmacy departments are managed by the Medical Director and all have department managers. The Director of Nursing guides the nursing and aide staff and observes all duties carried out by this staffing unit. A small marketing, billing and clerical staff stands alone and reports to the CEO. This 80 bed facility operates efficiently with this organization…
This change meant that a small staff of registered nurses and nursing assistants would need to cover additional shifts. The change was implemented on short notice and with no planning, consideration of staff limitations, specifics that define patient acuity levels allowed on the unit, or types of admissions taken on Friday that would still allow the unit to close by 1100 hours on Saturday.…
Overlapping shifts, why this could go wrong, at the end or beginning would be the most logical way to over lap staff. However it is through the day that is the problem not early morning or a few hours after lunch. The solution needs to be something that will allow patients the time and attention he or she will need during the middle of shifts. However, having an over lap in shifts may mean the two providers on shift can team up and get all the odd end responsibilites done before leaving or coming on shift. This may free up time during that persons shift to give patients one on one…
Scenario 2: I this situation, I would like to hear from my employee, nurse and both supervisor. After that I will set a meeting with my employee and discuss with him why he spending a lot of time out his department. Also, I will explain to him how to be professional and the rule of our job in the hospital. I think this could be easy solved this way.…
The purpose of the policy is to provide an interactive dialogue that allows for up-to-date information on the patient’s care. The policy is referenced to the Joint Commission-mandated focus on improving patient safety through effective caregiver communication. According to the Joint Commission, as estimated 80% of serious medical errors are attributable to miscommunication between caregivers when transferring responsibly for patients (Wakefield, Ragan, Brandt & Tregnago, 2012). Shift report happens two, three, or more times in a day, but nurses receive little formal training in this vital responsibility. Nurses may be found legally liable for failing to report necessary information during handoffs (Riesenberg, Leitzsch, & Cunningham, 2010). Therefore, it is imperative for a handoff procedure incorporate an effective way to communicate in order to provide safe patient care.…
The nurse is performing her admission assessment of a patient. When grading arterial pulses, a 1+ pulse indicates:…
As nurses we have numerous responsibilities and tasks we must complete, although 12 hour shifts seem like enough, it is often not! If is crucial for nurses to build time management and develop aims for their day to day, hour to hour, minute to minute duties. By setting an aim for their day it not only benefits the nurse but, the patient and the rest of the staff as well. By the term “aim” I mean a goal, after receiving hand off report from your nurse collegue a nurse can than gather that information to develop their goal for the day. Goals are important, they determine the focus of the nurse and allow them to accomplish their tasks efficiently and in a timely manner.…
I am currently working with the eating disorder inpatient unit. The unit have got six inpatients and four day patients who come every morning and leave the unit after supper. The unit utilises a shift pattern which I had to follow. My morning shift starts at 0700 hours to 1500 hours and my afternoon one starts at 1300 hours to 2130 hours. The night shift starts at 2100 hours to 0730 hours in the morning.…
Every new nurse graduate looks forward to the day where they graduate and only have to work three 12 hour shifts a week. Most graduates are unaware of shiftwork and the detrimental effects it can have on their health. Shiftwork means working any shifts that fall outside of the norm nine to five schedule. In terms of the healthcare sector, it has two main categories of shift durations that allows for continuous care of patients. These two systems can further be broken down into two twelve hour shifts, or three eight hour shifts. Many believe that by working the 12-hour shifts they will have greater flexibility in their schedules, since they will essentially have four days off. These advantages do not off put…
According to Edwards et al. (2013), to apply the practice, nurse managers have to change the negative culture of napping in their unit, provide a place for nurses conducive to sleep, arrange adequate staffing to cover nurses on break, and create a formal policy stating the guidelines on restorative nap. Referring back to California hospitals, nurses were allowed to use a vacant space to sleep provided they keep the room tidy and adhere to the break time limit. Nevertheless, there was still no specific policy on nap break in many California…
Handoff and transitions are an integral component of nurse to nurse communications during a shift. The information gathered within the scope of a handoff is incorporated into the patient’s plan of care for that day, and helps to facilitate multi-level team collaboration which also utilizes this information. Currently there is an estimated, “80 percent of medical errors are due to communication failure during the handoff process”(Robins & Dai, 2015, p. 264). The purpose of this quality improvement project is to increase the education of nursing staff in the critical care setting, to streamline the delivery of handoffs, as well as the implementation of a standardized checklist-based handoff tool that will narrow the gap in communication breaches.…
The purpose of this of this experimental study “Investigate transfer of information at nursing handover” (Boyd, Cumin, Devcich, & Lee, 2015, p. 161) is clear and concise. The dependent variable of this study is the nurse’s confidence in the truth of information and independent variables is the way the information is presented. The sample population is clearly defined, and the result “ adds to the literature because it is one of very few studies done using an experimental design to investigate nursing handover” (Boyd et al., 2015, p. 165).…
Haisu is also scheduled for 8:45am - 4:00pm with a 30-minute lunch break. Sam will be in at 9:00am to begin working on the lock changes, he will leave at 2:00pm…
There is a diverse range of aspects related to nursing staffing in health care organizations. Staffing levels in hospitals are likely to have a bearing on the assurance in the delivery of safe and reliable care. However, nursing staffing challenges have remained perennial prompting prolonged attention on the allocation of nurse staffing resources to facilitate patient safety (Weston et al., 2012). Nevertheless, focus on staffing levels has particularly increased with the prevailing shortage of nurses (Rochefort, et al., 2015). Furthermore, there have been changes in the manner nursing is approached. Traditionally, it would be assumed that well-trained practitioners were not prone to errors. Such was consistent with the traditional tendency…
Everyday nurses come in contact with and juggle a hand full of new patients. Being in a fast-paced environment, nurses strive their best to complete their assignments and tasks at hand. The constant pressure to take care of patients while getting them out of the door in a timely manner leads to nursing workaround. Workarounds are observed or described as behaviors that in a way “fix” a hindrance to meet an expected goal or achieve it faster in a way boost a nurse’s speed in patient care. The clinical dilemma of nursing workaround leads to a downfall in patient safety. The problem of workaround leads to nurses not scanning a patient’s wristband before medication delivery or performing nursing interventions.…