Skilled Care and Budgeted Staffing Nursing Worksheet

Skilled Care and Budgeted Staffing Nursing Worksheet

Description/Paper Instructions

Skilled Care and Budgeted Staffing Nursing Worksheet

Consider this actual scenario (from my practice). You are a nurse manager of a 24-bed skilled nursing unit in a life-care community. The budgeting staffing is:

Skilled Care and Budgeted Staffing Nursing Worksheet

Day Shift – 1 RN, 1 LPN, and 4 CNAs

Skilled Care and Budgeted Staffing Nursing Worksheet

Evening Shift – 1 RN, 1 LPN, and 4 CNAs

Night Shift – 1 RN, 2 CNAs

Skilled Care and Budgeted Staffing Nursing Worksheet

To achieve your budgeted staffing, your FTEs are as follows (all FT and PT staff work every other weekend):

RN = (3) 1.0 FTE and (3) .4 FTE

Skilled Care and Budgeted Staffing Nursing Worksheet

LPN = (2) 1.0 FTE and (2) .4 FTE

Skilled Care and Budgeted Staffing Nursing Worksheet

CNA = (10) 1.0 FTE and (10) .4 FTE

You are able to fill your RN and LPN positions, however, you have difficulty hiring part-time CNAs. You hire students to cover weekends and experience nearly

Skilled Care and Budgeted Staffing Nursing Worksheet

100% turnover in 3-months. Subsequently, you have to hire agency CNAs at an increased cost and a negative impact on morale.

You learn that most CNAs work 2 full-time jobs to cover their expenses and call out quite frequently on both jobs. This practice increases the use of agency and

overtime, and has a terrible effect on resident and staff satisfaction. Though you provide all the staff with a regular schedule at least 4 weeks in advance, the

Skilled Care and Budgeted Staffing Nursing Worksheet

call-out rate for CNAs does not change.

You learn that your organization considers full-time as 60 hours biweekly (versus 80 hours). Employees scheduled (and work) at least 60 hours biweekly

Skilled Care and Budgeted Staffing Nursing Worksheet

receive full benefits including family healthcare and prorated time off based on the number of hours they work up to 80 hours biweekly.

Your goal is to a) meet budgeted staffing goals, b) eliminate agency, and c) implement self-coverage for unplanned absences (staff switch or replace

Skilled Care and Budgeted Staffing Nursing Worksheet

themselves with other staff without incurring overtime). What is your solution?

Patient Assessment & Health History Discussion

Skilled Care and Budgeted Staffing Nursing Worksheet

Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the

Skilled Care and Budgeted Staffing Nursing Worksheet

issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to

build his or her health history and to assess his or her health risks.

Skilled Care and Budgeted Staffing Nursing Worksheet

Case study

JC, an at-risk 86-year-old Asian male is physically and financially dependent on his

Skilled Care and Budgeted Staffing Nursing Worksheet

daughter, a single mother who has little time or money for her father’s health needs. He

has ahx of hypertension (HTN), gastroesophageal reflux disease (GERD), b12

deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec

Skilled Care and Budgeted Staffing Nursing Worksheet

20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an

Skilled Care and Budgeted Staffing Nursing Worksheet

annual exam and states “I came for my annual physical exam, but do not want to be a

burden to my daughter.”

Skilled Care and Budgeted Staffing Nursing Worksheet

Excellent	The essay demonstrates exemplary comprehension of the relevant content by thoroughly as well as correctly discussing the relevant information; identifying as well as explaining all of the 3 fundamental aspects; using correct terminology; describing the reasoning next to key points/claims; as well as substantiating points with several accurate as well as illuminating examples, as necessary or useful. There are no gaps in the necessary answer.
Good	Scholarly sources that are credible are employed to successfully support statements that are, as the most part, clear as well as fairly expressed. With just a few minor inaccuracies, APA 6th Edition is utilized. There are a few small typos in the references and/or citations. There is some reliance on dubious sources.
Satisfactory	Because of certain improper terminology and/or confusing wording, the work is frequently confused and difficult to understand; thoughts may be disjointed, meandering, and/or repetitious. a lack of structure; and/or grammatical, spelling, and punctuation mistakes.
Poor	The essay demonstrates a lack of understanding of the related documents by failing to address or improperly addressing the relevant; failing to identify or incorrectly trying to explain key concepts/ideas; ignoring as well as incorrectly attempting to explain key points/claims as well as the rationale behind them; and/or inaccurately or improperly using terminology.
No Response	Essay displays great writing abilities, such as a clear as well as thought-provoking thesis, suitable and effective organization, vibrant and persuasive supporting materials, good diction as well as sentence skills, and faultless or almost perfect mechanics, such as spelling and grammar. The essay flawlessly achieves the assignment’s objectives.
Quality of Response	Because of its intelligent growth and mature manner, this study merits attention. It provides a compelling analysis of or reaction to the text, expanding on that response using well-chosen examples and arguments. The sixth paper demonstrates that its author can typically use appropriate words, employ advanced phrases successfully, and adhere to written English rules.
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