Shouldice Hospital Limited Essays

As an NP I would choose to take care of 24-patients-per-day and have 141,887 left

Staffing needs affect the nursing department’s budget, staff productivity, the quality of care provided to patients and even the retention of nurses (Jooste, 2013). The nurse manager has to explain to the management of the benefits of change in providing adequate staffing all the time. Adequate staffing helps staff retention. Staff retention saves a lot of money in terms of orienting new people to the unit. Safe staffing always helps in the reduction of falls, infection rates, pressure ulcers, decrease hospital stays and death. Flexible and creative scheduling is essential for retaining staff and promoting a positive work climate (Grohar-Murray & Langan, 2011). Adequate staffing with good staffing ratio will help nurses to concentrate on their patient care which may help in a reduction in medical errors and lawsuits to the hospital.

* The current amount of patients treated for liver transplant volume totaled 120 patients annually, with a reimbursement rate of $140,000, providing the hospital with the ability to handle 30 more patients before the fixed costs would increase. 120 +30= 150. This means that the hospital can sufficiently handle a

Per week each surgeon should work 1200 minutes a week, a combined 2400 minutes, to have a 10% safety capacity, meaning that the two surgeons are really only going 15 minutes above the recommended time. If each surgeon works 1200 minutes a week that means there should be about two hours per surgeon for a safety capacity. The total available hours per surgeon with the safety capacity in effect is 1080 minutes per week, or 2160 minutes between them. So if the demand for the clinic is 2415 minutes, and each surgeon with the 10% safety capacity can work 1080 minutes per week, then the

After twenty years the true allocation facility cost for the Dialysis Center should be zero, since the facility would be paid off and should have only minimal allocating facility costs such as opportunity costs and costs of using the center. If after the twenty years the building is not occupied it can be used from other medical centers or it could be rented out or sold. It is difficult to try to determine the opportunity costs for space occupied by all activities. The current system of facility allocation assigns equal opportunity cost across all activities and services and avoids the problem inherited in the new method.

The aim of this assignment is to critically discuss the nursing assessment individualised care and nursing interventions of the acutely ill patient. The patient discussed developed severe sepsis due to a urinary tract infection and her condition deteriorated during the recovery process in the nurse’s care. Lovick (2009) defines sepsis ‘as a known or suspected infection accompanied by evidence of two or more of the SIRS criteria’. SIRS is outlined as a ‘systemic inflammatory response’ consisting of two or more of the following symptoms ‘temperature >38 degrees Celsius or 90 beats per minute, respiratory rates greater than 20 breaths per minute and white blood count higher than 12,000 cells per microliter or lower than 4000 cells per

The Palms Hospital is considering an expansion project that would utilize land previously purchased. By expanding into ambulatory surgical services, the hospital has the opportunity to increase revenues and capture market share in this area. Investigation in the NPV of the project and a scenario analysis reveal that the project would be profitable.

Currently the clinic sees about 45 patients per day and they have capacity to handle 85. If they continue how they are operating the clinic is looking at a loss of $3,173. At this rate the clinic will not be able to make a profit in spite of inflation over the next couple years.

My goal in attending a United States Service Academy and becoming an officer in the military is to provide myself ample opportunities to reach my established life goals. I plan to pursue a career in aerospace engineering, and developing that career through one of the academies will help me to achieve the dreams I had as a child. I have many strengths that will help me stand out in the application process, but at the same time, I have challenges to overcome. However, these obstacles will not hinder me from from pursuing my passion.

With a shortage of nurses, the care and safety of patients may become compromised. The nurses themselves may be having feelings of dissatisfaction, overwhelm and distress. Nurses who may become overwhelmed with the high number of patients may become frustrated and burnt out. And inadequate staff of nurses may lead to a negative impact on the patient’s outcome. The quality of care the patients may receive in facilities with low staffing may be poor.

45 patient visits per day x 30 days in a month = 1,350 visits per month x 12 month =

The capitated managed care agreement with the city allows the hospital to receive $250 per month per family for taking care of the 300 city employees and their families, whether they are sick or not. Utilizing the full cost method, the hospital incurs a profit loss of $51,898,395, meaning that a rate increase of $14,166.22 is required in order to cover the full cost for the year. When applying the differential cost the hospital also incurs a profit loss of $15,119, and a rate increase of $3,949.72 is required in order to cover the differential cost for the year.

Managing demand and capacity: MGH could forecast the demand and research the bottlenecks in each area of process flow diagram (Exhibit 8) such as surgery room, Ellison 8 rooms, SICU floor bed, and other hospital beds. Based on the research, they can increase or decrease the resources such as staff or beds or even expand the facility. They need the data to forecast and manage the capacity. Without the data, it is impossible to manage the capacity. So MGH need to start collecting data to better manage the demand and available capacity. However, this would not help solve the current immediate problem in hand to improve the process and reduce costs.

Diagnosing and treating patients defines the overall goal of any hospital. In providing healthcare to a patient, the first step in handling a concern is a diagnosis. Delivering the correct diagnosis determines the resulting healthcare needed to treat a patient. If an error in diagnosis were to occur, improper treatment may be given to the patient or the correct treatment may be postponed or even withheld.6 Diagnostic errors occur frequently, can be caused from a variety of reasons, and have adverse effects on patients, their families, and even the hospitals that they occur at.

Shouldice wanted to find a way to increase the hospitals capacity while maintaining the same quality of service. One of the ways they can work toward this goal it by continuous improvement. Continuous improvement is “the philosophy that seeks make never-ending improvements to the process of converting inputs into outputs” (Stevenson, 2012, p.385).