Situation: You are the Head Nurse of the Medical Intensive Care Unit with a bed occupancy of 15. The unit is oftentimes full of patients. You have a present staff of 10 nurses and 5 nursing attendants. Because of understaffing, you have started to cancel some of duties to be given “at a later date.” Overtime has been frequent. The staff have started to complain. Some called in sick while absences became frequent. You formally request for additional staff but two floaters refused claiming they have no experience in the ICU. You are given two new volunteer licensed nurse who do not have training in the ICU either but are willing to be trained. Question: With the present situation, what recommendations could be made to meet the problems of your unit?

Situation: You are the Head Nurse of the Medical Intensive Care Unit with a bed occupancy of 15. The unit is oftentimes full of patients. You have a present staff of 10 nurses and 5 nursing attendants. Because of understaffing, you have started to cancel some of duties to be given “at a later date.” Overtime has been frequent. The staff have started to complain. Some called in sick while absences became frequent. You formally request for additional staff but two floaters refused claiming they have no experience in the ICU. You are given two new volunteer licensed nurse who do not have training in the ICU either but are willing to be trained. Question: With the present situation, what recommendations could be made to meet the problems of your unit?

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)

6th Edition

ISBN:9781305964792

Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Chapter12: Patient Scheduling

Section: Chapter Questions

Problem 2CR

See similar textbooks

Similar questions

Situation: You are the Head Nurse of the Medical Intensive Care Unit with a bed occupancy of 15. The unit is oftentimes full of patients. You have a present staff of 10 nurses and 5 nursing attendants. Because of understaffing, you have started to cancel some of duties to be given “at a later date.” Overtime has been frequent. The staff have started to complain. Some called in sick while absences became frequent. You formally request for additional staff but two floaters refused claiming they have no experience in the ICU. You are given two new volunteer licensed nurse who do not have training in the ICU either but are willing to be trained. Question: What action will you take regarding the two volunteer nurses who are willing to train?
As a nurse manager one of your job is to make an audit about your staffs work performance. You noticed that one of your staff was always late if not late he was absent. Charting was not completed, doctors’ order was not properly carried out, if carried out but not on time, complaints a lot and most of his co-workers has complain against him, you also observed that he was isolating himself. How are you going to address the situation?
A nurse manager reviews client safety with graduate nurses on a med surg unit. For each potential scenario, click to identify whether each client scenario is safe or unsafe.Nurse administeres medications to a client despite name on ID band not matching what client said.Nurse raises the bed to waist level when completing a physical assessmment.Nurse covers mouth and nose with arm during explosive sneeze.Nurse removes stethoscope from around neck and begins auscultating client's lungs.Client with steady gait uses a cane to ambulate down the hall.Client's family lowers all siderails on the bed of a client who is bedrest.
When nurse Thandi Ntuli comes to work, it seems that everything else in her life goes away, and she becomes completely absorbed in what she does. Her emotions her thought and her behaviour are all directed towards patient care. In fact, she can get so caught up in her work that she is not even aware of how long she has been there. As the result of this total commitment, she is extremely effective in providing patient care and feels uplifted by her time at work. It is evident that nursing staff play an important role in sustaining health in a country like South Africa, and it is therefore important to understand what motivates nursing staff. An interesting view to this is understanding meaning and engagement, managers can increase levels of work motivation. In light of the above abstract apply the self-efficacy theory to analyse Thandi’s motivation towards her work.
You are a nurse on a busy medical-surgical unit and know you must use your time management skills to complete all of your tasks for the shift. What other nursing assessments and interventions can you complete while helping your patient with their ADLs?
Which of the following tasks can a nurse delegate to the following personnel? Tasks: Assess the patient's ability to drink clear liquids. Determine the amount eaten. Document the patient's tolerance of clear liquids. Assess the patient's tolerance for sitting at the side of the bed. Assess the patient's tolerance for ambulating. Document the patient's tolerance for activity. Assess the patient's pain level. Provide education about activity levels. Personnel: Licensed practical Nurse, medication aide, and Nursing assistant
A nurse receives a new order from the healthcare provider to keep the client nothing by mouth (NPO). which member(s) of the healthcare team need to be alerted to the new NPO order? Select all that apply. case manager respiratory therapist dietary personnel wound care nurse unlicensed assistive personnel
You start your shift today and the in-charge nurse lets you know that you will be working short-staffed. The following clients have now been assigned to your workload. In what order will you care for these clients? Provide a rationale (reason) for each. Client A: suffered a stroke with right-sided hemiplegia, this client also has aphasia. She prefers to get up quite early. She is a 2pa but can do some care with minimal assistance. Client B: suffers from moderate dementia. He is a fall risk and needs regular supervision as he does not stay when seated. He is completely ambulatory but needs cueing and assistance for care. Client C: is a mechanical lift with significant contractures. He requires full care including needing to be fed. He sits in a reclining wheelchair for the whole day and requires regular toileting due to bowel and bladder incontinence. Client D: This client has MS. She requires the use of a mechanical lift. She is in full care. Once in her power wheelchair she leaves the…
You have been working at a GP Clinic for five months as a new graduate nurse. You are working an afternoon shift and the clinic closes at 2100 hours. Today has been very busy but the last patient was seen at 2015 hours, so you are enjoying a quiet moment to file some documents on. Your colleague Rita (Registered Nurse) has been at the GP clinic for 20 years through its evolution from regular GP practice to super clinic and is on one of the computers. She is respected for her extensive knowledge base and is highly regarded by the medical staff. As you walk behind her, you know that she has a patient’s blood results open. Rita says to you, ‘I saw my ex’s new partner at pathology last week, and I want to know what’s wrong with her’. what would you do in this situation? Integrate leadership principles in the context of ethical behaviour/principles as well as consider the ethical, legal, professional, and clinical aspects of the case.
You work on a unit that houses 24 patients. The unit takes care of patients requiring surgicalcare.Prepare a 4-week time schedule write in the time using either the 8-hour shift model or the 12-hour shift model.Schedule your staff to ensure that each full-time staff gets full time hours, and each part timestaff gets part-time hours.
You are a nursing student attending clinical at a large, urban university hospital where you engage in direct patient care with clinical instructor supervision. At the nurses’ station, you overhear various nurses addressing patient care needs, including an RN requesting consults with a physical therapist, a respiratory therapist, a dietitian, and a social worker. Another nurse discusses the potential need for palliative or hospice care consults for a patient. You observe a physician assistant approach the nurse with a list of written orders. (Learning Objectives 5 and 6) a. Outline the roles of the various licensed health care workers mentioned in this scenario. b. Compare and contrast palliative and hospice care. What is the major difference between the two? c. As a nurse, what is your responsibility regarding physician assistant (PA) orders?
Which of the following tasks can a nurse delegate to the following personnel? Tasks: Assess the patient's ability to drink clear liquids. Determine the amount eaten. Document the patient's tolerance of clear liquids. Assess the patient's tolerance for sitting at the side of the bed. Assess the patient's tolerance for ambulating. Document the patient's tolerance for activity. Assess the patient's pain level. Provide education about activity levels. Personnel: