1.Michael Clay, a registered nurse on the tenth-floor ICU, had just completed his fifth night of work and was looking forward to having the next two days off. The unit had been filled to capacity and extremely busy. As Michael was leaving, the charge nurse approached him and asked if he would work one more night because they were really short staffed. He paused and, looking exhausted, said, “OK, but this is it.” At the same time, Stephanie, another RN, walked into the report room and was greeted with “What are you doing here today? I thought you were off.” Stephanie said, “I was called at five this morning to come in and help.” Another nurse, Jane, joined the group and said, “I feel like quitting. I couldn’t….
Daily Archives: October 14, 2020
1.The nurse manager of the pediatric unit (you) has experienced frequent turnover with nursing staff. Recently, you have hired several new graduate nurses to fill the staffing vacancies. You need to develop a staffing schedule for the upcoming holidays and ensure adequate staffing with an appropriate mix in the unit. It has always been the policy of the unit to have the holiday staffing schedule available before November first. The senior staff worked the Christmas holiday last year and are requesting it off this year and to work New Year’s instead. The new staff nurses are only willing to work the New Year’s holiday, or they are threatening to leave.
• Develop two staffing options for the holiday schedule.
1.Joanne Burns began her career in the cardiac-thoracic intensive care unit (ICU) as a new graduate. Joanne has demonstrated her competency over the last three years and is respected by moreexperienced professional nurses. She was recently promoted to evening charge nurse. Joanne feels relatively secure with the responsibilities of the position. She knows she still has a great deal to learn and is open to suggestions. She hopes her transition to the charge-nurse role will be smooth. During her first shift as ICU charge nurse, Joanne assigns an experienced nurse, who is mentoring a new graduate, to two fresh postoperative patients. Everything proceeds smoothly until one patient’s blood pressure drops and bleeding is suspected. The new graduate is overwhelmed and becomes disorganized and anxious as she works with….
1.Cindy Smith, a new RN, and Kim Jones, RN, were finishing work on the day shift of a postoperative surgical floor when a new patient arrived from the emergency room. Cindy stopped what she was doing (calculating intake/output data) and proceeded to admit the new patient. When Cindy got to the patient’s room, the transporter allowed the new patient, a woman, to get up off the cart and walk to her bed, which she did easily. Cindy helped her get settled, noting no acute distress, and told her she would return in 10 minutes. The patient said, “Fine, I don’t need anything.” Cindy went back to finish the end-of-shift duties. Just as Cindy was about to finish her last room, Kim walked in and asked her, “Where’s the….
1.Jennifer Smith was appointed nurse manager of the coronary care unit five months ago. It is a 10-bed unit that was budgeted at 80 percent occupancy. Her recent responsibility report indicates some positive and negative variances. She has been asked to give a verbal report at the next hospital budget review committee meeting. Among the issues Jennifer needs to consider are:
• What are the reasons for the increase in revenue?
• What expense lines are over budget?
• Although a contribution to the gross margin was made, an explanation of the negative variances needs to be given, with a corrective action plan identified.
1.Do some double-entry accounting of the money you began the week with and how you spent your funds. Was your spending what you anticipated?
2.On your next clinical rotation, observe the pattern of staff, the use of drugs and equipment, and anything that is unusual. Determine a simple budget for the division. Use categories for salaries, drugs and equipment, and housekeeping expenses. Then observe to discover if there will be a deviation from your plan. For instance, observe if extra patients are admitted, if a disaster occurs, or if too few staff requires the use of nurses from an internal float pool or an outside staffing agency.
1.The chief nursing officer of a large community hospital within a large health care system, Dr. Maryann Arthur was reviewing various quarterly reports from the health care system’s administration. One report in particular gained her attention. She noticed that the degree of incident reports had been steadily rising in the acute care nursing units and that patient falls had increased. She immediately called for a data analysis of this problem. She sought information about who was involved, where these falls were occurring, what time of day and the season in which these incidents were occurring, and what other trends were apparent from the incidents. After reviewing the data, a plan was put in place to reduce the number of falls, by identifying those at risk for a fall,….
1.Michelle Carlson, a senior nursing student, was given her clinical assignment for the next day. Michelle was working at her part-time job at the cafeteria that evening and didn’t take the time to study her assignment until late that evening. When she reviewed her patient’s condition, she realized she was unfamiliar with many aspects of her patient’s required nursing care. Michelle immediately went to her computer and began a search for answers to her questions in preparation for the next day’s assignment. As a part of her search, she was able to review online nursing journals, print relevant journal articles available in an electronic format through the university’s library, browse a consumer-oriented health care Web site, and consult two nursing specialty organization Web sites that answered questions about….
Developing an Ethical Culture Prior to beginning your assignment, read Chapters 7 and 8 of the textbook, andCreating an ethical workplace(Links to an external site.). For this assignment, you will take on the role of a mid-level organizational manager. In your current job role, you have noticed that the organizational culture is contributing to some unethical decision making by subordinates and peers. You feel strongly that leadership must be not only made aware of the situation but also given appropriate solutions. To communicate with the CEO and shareholders, you must create a memo. In the memo, you will explain the issues, as well as offer appropriate solutions. For help in the format and writing style of a memo useGood example of a persuasive memo. In your memo include:
A 6-8 page research paper 12pt font Times Roman following APA formatting (Cover page, Introduction, Community resource interview, body of paper, conclusion followed by “Lesson Learned” paragraph addressing What did you learn from this project that will be helpful to you in your role as a manager? Last page is reference page. Note – There is a great deal of latitude built into this project. Be sure to stay focused or it will become too large to accomplish.
Research should include a Community Resource Interview, the course text (Management: An Integrated Approach) and at least one other source as a basis for understanding and explaining Business-Level Strategy. You should use at least two research sources per company. Additional research can include the use of any combination of primary….