“The sitter-related cost is a major budgetary concern for hospitals because such costs are usually not reimbursed by their party payers, and thus pose a serious financial strain. Annual sitter use costs have been reported to be as high as USD $1.3M at some USA hospitals” (Rochefort, Patient and Nurse Staffing Characteristics Associated with High Sitter Use Costs). Due to the three less nurses on the ICU, sitters will more than likely be retained and utilized by the current nurses on the floor to help compensate for the three missing people. “On the healthcare provider side, it has been reported that, in most settings, RNs are directly involved in the decisions to initiate and discontinue sitter use. Once of the factors that has been suggests to contribute to high sitter use costs is the failure of RNs to reassess, on a daily or a shift basis, whether or not the conditions justifying sitter use are still present” (Rochefort, Patient and Nurse Staffing Characteristics Associated with High Sitter Use Costs). Continuing on, “RN’s decisions about the discontinuation of sitter use are likely to be influenced by the availability of RNs. This is because a sufficient supply of RNs is required to monitor at-risk patients on an ongoing basis. When the availability of RNs is reduced, RNs may decide to use sitters to compensate for their reduced…
When reviewing the literature, the researchers found that while bedside handover was credited to improve communication and patient and staff satisfaction that very little empirical data was available about the economic, cost effective benefits of the process. They discussed the findings of 7 articles that were reviewed and they cited 17 sources that were dated from 1947 to 2009. The oldest citations were related to the change management process and not directly related to bedside handover. Literature review found that the delay in nurses connecting with patients during traditional handover could result in reduced patient safety and in increase in adverse events (Caruso, 2007). Trossman, in an article in The American Nurse in 2009, reported anecdotally that bedside handover…
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Nursing retention of the experienced nurse is a common problem in many acute care hospitals. With the recent increase in nursing graduates and, there is still expected to be a nursing shortage of 260, 000 nurses between 2018 and 2025 (Buerhaus, Auerbach & Staiger, 2009, p. 663). The financial impact related to nurse turnover is astronomical; the cost of replacing a nurse costs anywhere between $42,000 and $64,000 dollars (Lynn & Redman, 2005). To properly stabilize staffing in order to operate a high-reliability organization and provide high-quality and safe patient care it is imperative to retain the nursing staff. Nurse retention is more important than ever before with the constantly changing healthcare environment.…
A client with coronary artery disease reports intermittent chest pain that occurs with exertion. The physician prescribes sublingual nitroglycerine, when teaching the client about nitroglycerine administration the nurse should include which instruction:…
Pursuing a career in the field of nursing can be very rewarding. Schreiber and MacDonald (2010) describe a theory that involves how a Certified Registered Nurse Anesthetist (CRNA) practices nursing to connect with patients “while keeping vigil over them” during surgery. A common misconception about being a nurse anesthetist is that very little patient to provider interaction occurs. People assume that CRNAs must not enjoy interacting with patients, since the patient is under general anesthesia during the procedure. According to Schreiber & MacDonald (2010), CRNAs speak of engaging as a vital component to their work. Furthermore, CRNAs use three key strategies of building intimacy, keeping in touch, and spiritually engaging as part of their…
Hospital administrators have their work cut out for them in attracting and retaining quality nurses ultimately to provide optimal care for patients through best practice. This will not be an easy process or a quick fix however acknowledgment that the nurse-two-patient ratio and nursing shortage go hand-in-hand contributing to the outcome of how patients, employees, and hospital organizations will be affected. The nurse-two-patient ratio guidelines has been a revolving door that has impacted nurses, patients, and hospitals throughout the country resulting in an increases in poor patient outcomes, increased dissatisfaction and complaints from patients, increased nurses dissatisfied with their job, and a decrease hospital pay…
Ever experience a terrible sickness or disease that requires the assistance of a nurse or doctor? The world is vast with the varieties of diseases and people who seek treatment and medicine. Health physicians, such as doctors and nurses, train every day to help continue helping those who are unable to help themselves. The duties of a CRNA (Certified Registered Nurse Anesthetist) are limitless almost to the point of being capable of completing any line of work in the medical field.…
Yesterday, you learned about your beliefs— what things are most important to you in how you live your life. Today we’re going to see where it is that you want to go in your life.…
During a health interview, the client states that she becomes increasingly short of breath when sitting in city traffic. The nurse views this information as:…
Certified Nurse Anesthetists are crucial to the healthcare system. A certified nurse anesthetist holds an advanced degree and practices anesthesia under licensed physicians. They perform in almost every service and are crucial to many if not all surgical services. This role is unique to the professional nursing practice in that the degree requirements are different as is the job performance (Wickenhagen, 2015). It varies from other sorts of nursing due to the nature of patient-nurse interaction and job duties.…
People go through a lot of things in life: meeting new people, traveling the world, having surgeries, going to the dentist, having a child, and of these few experiences a person could have the chance to meet someone who could possibly be a Nurse Anesthetist. It’s a growing job and it doesn’t take up all of a person’s time; it’s not an easy task to become a Nurse Anesthetist, but the journey to the end will be worth it.…
This article written by Mark Stanton goes into fixing the low patient to nurse ratios and as well some of the effects. The article goes over nurses becoming burnt out and dissatisfied with working as a nurse. Studies done by the AHRQ brings the effect of low staffed nurses and the higher chances of patients getting pneumonia. An increase in RN patient ratio shows a 9.5 percent decrease in getting pneumonia. If a nurse had more time with a single patient it could be easily recognized and treated.…
Great posts. You both make valid points on how best to make the ethical decisions for the hospital. As mentioned nonaleficence would be the ethic principal that should govern the decision process. Floating the nurse my not initially present as a valid option however looking at the situation from a financial aspect the hospital must consider how to best maintain and keep the patient safe with balancing how to continue to keep the hospital running. The hospital is in a financial crisis and is unable to hire employee and cutting existing employee is also not an option at this time. The hospital is already working with limited staff. The best option in this situation is to float the nurses in an effort to distribute the resource they have…
I would like to become as educated as possible in any way I can to accomplish this goal. At the same time, I look forward to going through all my clinical rotations through my school, and am also up for the task upon being hired at any hospital I am given the privilege to work at, to be a “floater”. This will give me the experience and knowledge in various departments so that I can be well-rounded, and when called upon for help, I can quickly assist. I believe it is important to be a team player and be open to…