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    Safe Staffing: Organizing Your Workforce

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    leon08jay
    This document discusses safe nurse staffing and evidence-based staffing. It defines safe staffing as having an appropriate number of nurses available at all times to meet patient needs and maintain safe working conditions. Evidence-based staffing is based on research, expert consensus, and historical information. The principles for determining safe staffing involve considering patient health needs, best practices, input from direct care providers, support from information systems, organizational support, and timely adjustments based on changing patient needs. Components of safe staffing include assessing patient acuity in real-time, nursing models, staff mix decisions, workload measurement, quality work environments, and retention. The document provides examples of patients with different acuity levels and staffing needs.

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    Safe Staffing: Organizing Your Workforce

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    leon08jay
    13 views17 pages
    This document discusses safe nurse staffing and evidence-based staffing. It defines safe staffing as having an appropriate number of nurses available at all times to meet patient needs and maintain safe working conditions. Evidence-based staffing is based on research, expert consensus, and historical information. The principles for determining safe staffing involve considering patient health needs, best practices, input from direct care providers, support from information systems, organizational support, and timely adjustments based on changing patient needs. Components of safe staffing include assessing patient acuity in real-time, nursing models, staff mix decisions, workload measurement, quality work environments, and retention. The document provides examples of patients with different acuity levels and staffing needs.

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    This document discusses safe nurse staffing and evidence-based staffing. It defines safe staffing as having an appropriate number of nurses available at all times to meet patient needs and maintain safe working conditions. Evidence-based staffing is based on research, expert consensus, and historical information. The principles for determining safe staffing involve considering patient health needs, best practices, input from direct care providers, support from information systems, organizational support, and timely adjustments based on changing patient needs. Components of safe staffing include assessing patient acuity in real-time, nursing models, staff mix decisions, workload measurement, quality work environments, and retention. The document provides examples of patients with different acuity levels and staffing needs.

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    13 views17 pages

    Safe Staffing: Organizing Your Workforce

    Uploaded by

    leon08jay
    This document discusses safe nurse staffing and evidence-based staffing. It defines safe staffing as having an appropriate number of nurses available at all times to meet patient needs and maintain safe working conditions. Evidence-based staffing is based on research, expert consensus, and historical information. The principles for determining safe staffing involve considering patient health needs, best practices, input from direct care providers, support from information systems, organizational support, and timely adjustments based on changing patient needs. Components of safe staffing include assessing patient acuity in real-time, nursing models, staff mix decisions, workload measurement, quality work environments, and retention. The document provides examples of patients with different acuity levels and staffing needs.

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    of 17

    SAFE STAFFING

    Organizing your workforce

    Almazan Erik Josef R.


    ORGANIZING

    • function of management that involves developing an


    organizational structure and allocating human resources
    to ensure the accomplishment of objectives.
    COMPETENCY

    • Coordinates care by organizing and prioritizing use of human, material,


    financial and other resources to achieve expected health outcomes
    • Identifies appropriate and efficient methods and tools to organize and prioritize
    use of human resources.
    • Utilizes cost effective strategies.

    2012 NATIONAL NURSING CORE COMPETENCY STANDARDS


    WHAT IS EVIDENCE-BASED SAFE
    NURSE STAFFING?
    • “Safe nurse staffing means that an appropriate number of
    nurses, and other staff, is available at all times across the
    continuum of care, with a suitable mix of education, skills
    and experience to ensure that patient care needs are met
    and that hazard-free working conditions are maintained.”

    International Council of Nurses, 2013, p. 1


    • Evidence-based staffing is defined as staff mix that is
    based on “information acquired through research and the
    scientific evaluation of practice [and] expert opinion in
    the form of consensus documents, commission reports,
    regulation and historical or experiential information.”

    CNA, 2010, p. 1
    PRINCIPLES FOR MAKING
    DECISIONS ABOUT SAFE
    STAFFING
    • Health-care needs of patients.

    • Best evidence available and on best practices.

    • Involve the direct care providers such as nurses.


    PRINCIPLES FOR MAKING
    DECISIONS ABOUT SAFE
    STAFFING
    • Made with the support of information systems.

    • Implementation must be sustained with support from the


    organization.

    • Timely adjustments must be made according to changes


    in patients’ health-care needs.
    COMPONENTS OF SAFE NURSE
    STAFFING
    • Evidence-based nurse staffing is simple in concept but
    a challenge in practice. It means the right number of
    nurses with the right skills, education and experience
    are available at all times, so that patients’ needs are
    met. This requires a quality practice environment to
    support nurses in providing the best possible care.
    COMPONENTS OF SAFE NURSE
    STAFFING

    • A real-time assessment of patient needs


    • Nursing care delivery models
    • Staff mix decisions
    • Workload measurement and its management
    • Quality practice environments
    • Retention and recruitment
    PATIENT ACUITY
    • Acuity can be defined as the measurement of the intensity of nursing care
    required by a patient. An acuity-based staffing system regulates the
    number of nurses on a shift according to the patients’ needs, and not
    according to raw patient numbers. 
    • Patients may range from needing minimal care on the day of their
    discharge to needing a dedicated nurse around the clock after a
    complication puts them in the ICU.
    SCENARIO 1
    • Patient X is admitted in the MICU, intubated, GCS score of 3/15, has
    multiple comorbidities, s/p x1 arrest since the patient came as DOA in the
    ER. No spontaneous breathing, with fluctuating vital signs, febrile. Patient
    is on triple inotropes, on NPO status. NGT is connected to bedside bottle,
    draining coffee ground output. S/P Ex lap the other day, needs change of
    dressing every 8 hrs.
    SCENARIO 2
    • Patient is admitted at the CCU, complained of chest pains upon
    admission. The patient currently has no verbal complaints with stable
    vital signs, and is for transfer to a regular room tomorrow, patient is able
    to independently do ADLs. Patient is compliant to instructions and health
    teachings. He has less than 10 oral medications.
    QUESTIONS?

    • Thank you for listening!

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