The nurse manager of a medicalsurgical unit has a budgeted ADC of 20. A new vascular surgeon has been admitting patients to the unit, which is requiring an i
Discussion Topic
Follow
Week 6/7 Discussion. As written in the Week 6 Outline this discussion will be open and count for both Week 6 & Week 7 so you have that time frame to post; to give you an opportunity to get caught up on work, get assignments submitted etc.
Case Scenario:
The nurse manager of a medical–surgical unit has a budgeted ADC of 20. A new vascular surgeon has been admitting patients to the unit, which is requiring an increase in nursing care to treat these additional patients. The current budgeted HPPD is 7.59. You have been monitoring the number of patients with higher acuity in anticipation of budget planning.
You have been reviewing reports, and over the past 6 months since the surgeon came on board, you have noticed an unfavorable salary variance. You also have been tracking the actual census, and the ADC on average remains at 20; however, six of the patients have higher acuity. You are proposing the configuration of the unit be changed to a blended model with an overall ADC of 20. The blend is 70% medical–surgical (ADC and 30% step-down (6 ADC).
Answer the following Questions below along with 2 peer responses.
You need to discuss the issues with the nurse leader you report to.
1. What discussion points should you plan to cover? Will there be a need for additional FTE caregivers to care for the change in acuity? If so, how many FTEs? Have you been staffing above the staffing guideline using OT?
2. The assumption is you are using OT to cover the additional clinical requirements. Financial reports indicate for the 6 months OT expense is $125,000, which is unfavorable to the budget. What are your recommendations? Compare the cost of OT used over the past 6 months with the cost of hiring the additional RNs.
3. Develop a revised staffing grid. (very basic does not need to be complex)
Collepals.com Plagiarism Free Papers
Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.
Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS
Why Hire Collepals.com writers to do your paper?
Quality- We are experienced and have access to ample research materials.
We write plagiarism Free Content
Confidential- We never share or sell your personal information to third parties.
Support-Chat with us today! We are always waiting to answer all your questions.
![](https://collepals.com/wp-content/plugins/posts-import/files/order-now-with-paypal.png)