Module 4 Discussion—Leading Across the Generations33 unrea
Module 4 Discussion—Leading Across the Generations33 unread replies.33 replies. Consider that you are a leader in any type of organization and that you are working with employees that span four generations: Veterans, Baby Boomers, Generation X, and Generation Y (Millenials). Some of your staff are challenging you related to inadequate staffing; they state that the unit does not have adequate staffing, that outcomes are being negatively impacted because of “short staffing”, that they are having to work too much overtime, and that you need to do something about this. Describe the environment where you work and the leadership position that you have (note: make up an organization and a leadership role for yourself)?What groups of staff are challenging you related to inadequate staffing? Are there any “generation related” differences in relation to the challenges about inadequate staffing? How will you resolve these issues or deal with these challenges? Include two references to support your position.Reminder: To get full credit for this assignment, review at least two other student’s answers and provide comments that support the answer, add to the content, or that provides a challenging/differing view/opinion.Note: There are varied excellent references to assist with answering this discussion question.Initial post due May 6 at MN and reply due May 8 at MN.Module 4 Assignment: Resource ManagementSubmit AssignmentDue May 8 by 11:59pm Points 10 Submitting a file upload1. (Points .5) You are the nursing director on a new oncology unit at North Hill Hospital and it is time to present your first budget to hospital administration. Each nursing director presents their budget to the budget committee, which consists of the COO, CFO, CNO, and selected other individuals. You realize that your budget requests are going to be closely analyzed. In addition to basic operating expenses, you are asking to:a. Purchase a new ice machine (your unit’s machine stays torn up all the time)b. Purchase a new defibrillator for the code cart (your unit received a 20 year old defibrillator that was stored in biomedical and the defibrillator is not dependable)c. Purchase a new microwave and refrigerator for the nursing loungeYou have presented your list of 3 requests to the budget committee and you have been told that due to limited budget funding, you can only purchase one of these items. Which of the items would you chose and WHY? Note: There is only one acceptable answer when considering patient safety.2. (Points 1) Using the following formula and the following budget data, calculate staffing (the required number of FTE’s) for a 16 bed ICU for the fiscal year July 2016 to July 2017:ADC=average daily census=14 patients per dayNCH/PPD=nursing care hours per patient day goal=16 hours per patient day(Note: 2.1 represents the 12 hour shift/weekend replacement factor; 1.11 represents sick/vacation replacement factor)Formula ADC X NCH/PPD Goal X 2.1 X 1.11/123. (Points 1.5, divided as below)a. (.5) What is the difference between variable and fixed costs?b. (.5) What is the difference between direct and indirect costs?c. (.25) Is bedside nursing staffing in a hospital a direct or indirect cost?d. (.25) North Hill Hospital rents space for the Home Health Department offices, since space within the hospital it limited. In 2017 the cost of rent does not change by month. Is the rental cost a fixed or variable cost in relation to the year 2017?4. (1 Point or .25 each) Sullivan discusses various types of budgets. Answer the below budget related questions.a. You have completed your capital and operating budget for 2018. You have budgeted to purchase a new defibrillator? Will this be purchased as an operating budget or capital budget item?b. You have added oral care kits to the budget? Will the oral care kits be a part of the operating budget or capital budget?c. You added one Nursing Assistant FTE to the budget? Will this be a part of the capital budget or operating budget?d. You are reviewing salary variances for your unit. The census has averaged 15 patients per day so far in 2018, and your unit was budgeted to have 12 patients per day? Is this a volume variance, an efficiency variance, or a rate variance?5. (Points 1 or .25 each) Finkelman (chapter 5) describe the four key players in the reimbursement process. List each key player and describe the importance of this person/organization’s role in relation to healthcare finance.a.b.c.d.6. (Points 1.25; .20 for each answer)Define managed care.Then discuss 5 strategies used to control cost while maintaining/improving quality (Finkelman pp.140-143)a.b.c.d.e.7. (Points 2) Sullivan and Finkelman provide information related to evaluations or performance appraisals, which provide employees with performance and development feedback.a. (.5) Sullivan lists five primary components of a formal evaluation which are? (answer needs to reflect content from Sullivan).b. (.5) Sullivan states that evidence about an employee’s performance can be obtained from four sourcesc. (1 point) More and more organizations are including a peer review in the performance evaluation process. Sullivan notes six important components/points of a peer review. What are these?8. (Points .75 or .25 each) Finkelman notes problems in the employee-employer relationship occasionally. A goal is to prevent these problem from the very beginning. List the eight manager strategies to prevent these issues suggested by Finkelman.9. (Points 1) Heen and Stone (required journal article) discuss 6 steps to becoming a better receiver of feedback. List each step and write at least one sentence that offers an explanation of why this step is important for nurse leaders.
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