2.50
Hdl Handle:
http://hdl.handle.net/10755/157001
Category:
Abstract
Type:
Presentation
Title:
Responsible Staffing: Assuring Patient Safety and Economic Stability
Author(s):
Kutos, Cheryl A.; Lippowitsch-Vogel, Teri
Author Details:
Cheryl A. Kutos, RN,ADN,AA,CCRN, Lehigh Valley Health Network, Allentown, Pennsylvania, USA, email: cheryl.kutos@lvh.com; Teri Lippowitsch-Vogel
Abstract:
PURPOSE: Our critical care unit, in an academic, level I trauma center and Magnet hospital, experienced an influx of novice nurses on the off-shift, as well as a fluctuating census and patient acuity mix. The Staffing Council in this shared governance unit was faced with a challenge: Ensure an appropriate mix of experienced and novice nurses on all shifts, at all times. DESCRIPTION: Creating an effective schedule is more than just numbers. The Staffing Council must ensure an appropriate mix of experienced and novice nurses to provide adequate resources on each shift. Responsible staffing is essential for economic stability and positive patient outcomes. To meet the unpredictable needs of this trauma unit, the charge nurse uses knowledge of each nurse's clinical competency, the needs of the patient, and available clinical resources to adjust staffing levels. The council met this challenge creatively be developing 2 schedules- one for experienced nurses and one for novice nurses-and then combined these schedules into one master schedule. This method ensures an adequate mix of experienced and novice staff for each shift. Throughout the shift and before the next shift, the charge nurse uses knowledge of each patient's situation to make responsible staffing decisions. The charge nursesÆ balance of appropriate clinical resources and fiscal responsibility promotes application of the networkÆs shared governance and care delivery, patient-centered care, models. EVALUATION/OUTCOMES: The Staffing Council evaluates the unit's "financial scorecard" every 2 weeks. The members review the census for each shift and the patient acuity using the charge nurse report sheets. This information is compared with the budgeted staffing level, which is based on census. The council has determined that charge nurses not only make appropriate decisions for patient safety, but are fiscally responsible. The clinical team has reported increased satisfaction with staffing since inception of these creative strategies.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866
Conference Date:
2010
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleResponsible Staffing: Assuring Patient Safety and Economic Stabilityen_GB
dc.contributor.authorKutos, Cheryl A.en_GB
dc.contributor.authorLippowitsch-Vogel, Terien_GB
dc.author.detailsCheryl A. Kutos, RN,ADN,AA,CCRN, Lehigh Valley Health Network, Allentown, Pennsylvania, USA, email: cheryl.kutos@lvh.com; Teri Lippowitsch-Vogelen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157001-
dc.description.abstractPURPOSE: Our critical care unit, in an academic, level I trauma center and Magnet hospital, experienced an influx of novice nurses on the off-shift, as well as a fluctuating census and patient acuity mix. The Staffing Council in this shared governance unit was faced with a challenge: Ensure an appropriate mix of experienced and novice nurses on all shifts, at all times. DESCRIPTION: Creating an effective schedule is more than just numbers. The Staffing Council must ensure an appropriate mix of experienced and novice nurses to provide adequate resources on each shift. Responsible staffing is essential for economic stability and positive patient outcomes. To meet the unpredictable needs of this trauma unit, the charge nurse uses knowledge of each nurse's clinical competency, the needs of the patient, and available clinical resources to adjust staffing levels. The council met this challenge creatively be developing 2 schedules- one for experienced nurses and one for novice nurses-and then combined these schedules into one master schedule. This method ensures an adequate mix of experienced and novice staff for each shift. Throughout the shift and before the next shift, the charge nurse uses knowledge of each patient's situation to make responsible staffing decisions. The charge nursesÆ balance of appropriate clinical resources and fiscal responsibility promotes application of the networkÆs shared governance and care delivery, patient-centered care, models. EVALUATION/OUTCOMES: The Staffing Council evaluates the unit's "financial scorecard" every 2 weeks. The members review the census for each shift and the patient acuity using the charge nurse report sheets. This information is compared with the budgeted staffing level, which is based on census. The council has determined that charge nurses not only make appropriate decisions for patient safety, but are fiscally responsible. The clinical team has reported increased satisfaction with staffing since inception of these creative strategies.en_GB
dc.date.available2011-10-26T19:19:59Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:19:59Z-
dc.identifier.citation2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866en_GB
dc.conference.date2010en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationWashington, D.C., USAen_GB
dc.identifier.citation2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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