STAFFING- MGMT EXAM 2

Centralized staffing made by central officeDecentralized staffing done at unit level

Adv: Tends to be fairer to employeesFrees manager for other functionsCost effectiveDis: No flexibility Doesn't account for individual desiresManagers less aware of personnel budget

Adv: person in charge of schedule knows the unitStaff takes requests directly to own manager fostering autonomy and flexibility Dis: Increased risk of inequality and inconsistencyTime-consuming for unit manager

**Employed by external agency-work for minimum pay (usually 2x)-no benefits-provides immediate scheduling relief -expensive to the hospital-can result in poor continuity of care

**Internal supplemental staff-paid higher wage without benefits-less expensive than agency nurse-usually must commit to specified amt of work-lack of staff continuity 

-employees make own schedule, manager reviews it-support of the manager is critical-tends to have a pattern-increased accountability -not having enough staff will cause a big problem

-allows employee to select time schedules that fit personal needs  while meeting work responsibilities-variable shift times-difficult to coordinate-can result in over or understaffing-if normal staff person has a meeting, maybe flextime staff could fill in from 11-4

-to address overtime shifts-nurses bid for overtime shifts-reduces the amount paid for each overtime

Sick leavevacationsholidayslow censuson call paytardiness or absenteeism 

NCH/PPD = nursing hours worked in 24 hours -----------------------------------------------------    patient census
This determines the average numbers of hours that each patient will receive in 24 hour periodDoesn't account for acuity, nurses level of proficiency 

Groups the patients according to specific characteristics that measure acuity of illness (how much care required)THe patient can be ranked 1-4Hours of nursing care assigned for each patient classificationUnique to each institutionInternal and external forces affect system (internal: new nurses, students, external: physician expectations, etc) Does NOT account for staffing mix!

Critical Indicator: broad indicator to categorize  patient care activities (bathing, diet, positioning, meds)Summative Task: frequency of specific activities, treatments, and procedures for each patient (teaching, hygiene, elimination) Each type is completed before each shiftThen, hours of nursing care are assigned to each classification

Mandatory staffing requirements give a maximum number of patients an RN may care for in any circumstance
Criticisms: Nursing shortage makes it harder to fill positionsServes as a Band-aid to problems of quality careUsed as a ceiling Numbers alone do not ensure improved care

Giving personnel with varying educational backgrounds and expertise the skills necessary to take on tasks normally outside their scope of work and to move between units and function knowledgeably 

1. Silent/ Veteran: respect authority, structure2. Baby Boomer: traditional work ethics, individual thinker, materialistic3. Generation X: like flexibility and time with family4. Generation Y: think outside own community, want roles taht push limits