Scheduling and Staffing

Competency

Collaborate in healthcare delivery systems settings for improved patient outcomes.

Scenario

You are making a staffing assignment knowing that you are short-staffed. You have five registered nurses (RNs), two licensed practical nurses (LPNs), and two nursing assistants. Those nine employees need to provide a 12-hour shift of services to 30 clients with a high acuity required to a ratio of nurse to client at 1:3.

Client acuity level

• Six acuity level 1
• Eight acuity level 2
• Nine acuity level 3
• Seven acuity level 4

You will use the acuity-based staffing model to develop the staffing assignment based on the needs of the clients. You will use the created template.

Instructions

As you create this assignment, include the following in an email to your manager to justify your short-staffing plan:

• Complete the staffing assignment based on the acuity level.
• Defend how you would direct the staff to their assigned roles for this shift and provide a rationale for the staffing assignment.
• Describe how you would communicate with each level of care provider to assure the best outcomes possible.
• Address how you would ensure client equity in the delivery of services.
• Provide stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar.

Resources

For assistance completing this assignment, review the article titled Patient Acuity Model.

The purpose of this assignment is to apply the IDEAL problem-solving method to relevant business scenarios.

Professionals recognize the need to integrate problem solving skills in the work environment. The IDEAL problem-solving method developed by Bradford and Stein is implemented by Identifying the problem, Defining the problem, Exploring strategies, Acting on ideas, and Learning from experience.  

Review the “Problem Solving Scenarios” and select one relevant business scenario. You are required to address the following questions in a 300-500 word outline:

1-Examine the behaviors presented in the selected scenario. Apply the IDEAL problem-solving process to the scenario. Be sure you discuss each aspect (Identify, Define, Explore, Act, and Learn) of the method as it relates to the scenario.

2-Determine whether the behavior in the scenario could be described as unethical or illegal and how this should be addressed professionally.

3-Describe how you would resolve this issue using the IDEAL method.

AssignmentDevelop a 1- to 2-page case study analysis in which you:

• Explain why you think the patient presented the symptoms described.
• Identify the genes that may be associated with the development of the disease.
• Explain the process of immunosuppression and the effect it has on body systems.

Scenario: A 42-year-old man comes to clinic with chief complaint of pain, redness, and swelling of his right calf. He states that he had been working in his yard using a string trimmer when the trimmer slipped and cut his leg. He cleaned the wound with water from the garden hose and covered the wound with a large Band-Aid. Several days later, he developed fever to 100.6˚ F and chills and noticed that his leg was swollen and red. He comes to the emergency department for definitive care.

A 70-year-old woman is in your office complaining of recently having trouble maintaining her balance after taking diazepam (valium). She occasionally takes diazepam when she feels anxious and has trouble sleeping. She has a 15-year history of taking diazepam.

Q1. Explain the cause of this patient’s difficulty in maintaining her balance?

Q2. Diazepam experiences a significant first-pass effect. What is the first-pass effect, and how can first-pass metabolism be circumvented?

A 75-year-old woman develops symptoms of a cold and buys an over-the-counter cold medication at the grocery store. The medication contains diphenhydramine, acetaminophen, and phenylephrine. She takes the recommended adult dose but soon after taking the medication she becomes very confused and disoriented.

Q3. What is likely causing the signs of confusion?

A 26-year-old woman who has never been pregnant is seeking preconception care as she is planning to pursue pregnancy in a couple of months. Currently, she has no symptoms to report and on review of body systems, there were no concerns. Her past medical history is significant for a history of rheumatic fever as a child. She subsequently underwent valve replacement with a mechanical heart valve. She is followed by a cardiologist who has already evaluated her cardiac function and she has received clearance from her cardiologist to pursue pregnancy. Records from her cardiologist include a recent cardiac echocardiography report that reveals a normal ejection fraction indicating normal cardiac function.

She has no alterations in her daily activities related to her heart. She has no other significant medical or surgical history. She is a non-smoker, drinks occasionally but has stopped as she is attempting to conceive, and does not use any non-prescription drugs.

Current Medications: Her current medications include only prenatal vitamins, which she has begun in anticipation of pregnancy, and warfarin. She has no known drug allergies.

Vital Signs: On examination, her pulse is 80 beats per minute, blood pressure is 115/70 mm Hg, respiratory rate is 18 breaths per minute, and she is afebrile.

Measurements: Weight = 152 pounds, Height = 5′5 ″, BMI= 25.29

Q4. How is warfarin metabolized? Does warfarin cross the placental barrier?

Q5. Explain the hepatic drug metabolism of children 1 year and older. How do they compare with the hepatic drug metabolism of infants and adults?

Q6. Explain protein binding in the neonate.

Please use only high-level scholarly reference in APA from within the last 5 years