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Flashcards in Unit 5 Deck (14)
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0
Q

Disadvantages of total patient care model

A

Nurses unexperienced/in adequately prepared

Expensive (RN=$$$)

1
Q

Total patient care model

A
Oldest
RN--> head nurse
1:1 holistic
today: ICU, PACU, CCU
\$\$$
2
Q

Functional model (task nursing)

A

Unskilled workers trained to perform routine/simple tasks (LPN, CNA)
RN manager, rather than care provider.
Efficient, cheaper, min. # of RNs
Fragmented care, patient and nurse dissatisfaction
Focused on task – not overall result

3
Q

Pillar of quality and patient safety

A

Nursing

4
Q

Appropriate number and mixing of staff (nursing care hours) to match actual and projected care needs (patient care hours) two-year-old effective and efficient nursing care

A

Goal of staffing and scheduling

5
Q

“Right number of competent staff be provided to meet patients needs based on organizations selected criteria”

A

Joint commission

6
Q

And a principles for nurse staffing

A
Budgeting
Administrative support
Good relationships (nurse – physician)
flexibility
Choice in scheduling
7
Q

Most common unit for determining staffing

A

Nursing care hours per patient day

NCH/PPD

8
Q

(NCH/PPD) makes no consideration for

A

Acuity of patient (incomplete)

Nursing hrs worked in 24H)/(# of pts

9
Q

Patient classification system

PCS

A

Workload mgmnt w/ pt acuity tool
4levels
(higher the level, higher the acuity)

10
Q

Each patient is classified using waited criteria that predicted the nursing care hours for the next 24h

A

PCS (Pt classification system)

11
Q

Process of making personnel work assignments for a specific period of time

A

Scheduling

12
Q

Scheduling is usually the responsibility of the

A

Nurse manager

13
Q

Centralized scheduling

A

Workdays/time off repeated in regular cycles (Q4 WKS)
Staffing office
More fair