Term
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Definition
- planning for hiring & deploying qualified human resources to meet the needs of a group of pts
- primary responsibility of the nurse manager; major way he/she influences quality of care
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Term
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Definition
- a function of implementing the staffing plan by assigning unit personnel to work specific hrs and days of the week
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Term
| patient classification systems |
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Definition
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Term
| prototype evaluation system |
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Definition
- type of patient classification
- subjective, descriptive
- uses broad categories to predict patient needs
- example: relative intensity measures (RIMs) system, uses DRGs to classify pt care needs
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Term
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Definition
- type of pt classification system
- more objective
- gives each task, thought process, & pt care activity a time or rating
- these are summed to give hrs of direct care required, or are weighted
- uses list of interventions
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Term
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Definition
- example: nurse-sensitive indicators in the NDNQI (National Databse of Nursing Quality Indicators)
- nursing hrs per pt day
- patient falls
- pediatric peripheral IV infiltration rate
- pediatric pain mgmt
- pressure ulcer prevalence
- assault rate
- restraint prevalence
- RN education/certification
- etc
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Term
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Definition
- can relate to the minimum # of professional nurses required on a unit at a given time, or the amount of minimum staffing
- licensing regulations of the state usually through the department of health, which reflect legislation
- TJC also has staffing regulations
- other agencies have regs
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Term
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Definition
- requiring staff to stay on duty afer their shift ends to fill staffing vacancies
- opposed by ANA
- requesting staff to stay is called overtime; no employment consequences
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Term
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Definition
- staff vacancy rate, nurse satisfaction, staff turnover rate, retention rate, nurse burnout rate
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Term
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Definition
- productive time
- non-patient care time
- e.g., required unit activities like staff meetings or continuing ed
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Term
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Definition
- based on personnel budget and projected staffing needs to ensure patient safety
- guide for creating the unit's schedules for the upcoming year
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Term
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Definition
- employees who are scheduled to work regardless of volume of activity
- exempt or salaried position
- compensation does not depend on workload
- e.g., nurse manager, clinical nurse specialist, ed staff
- first into staffing plan
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Term
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Definition
- avg # of pts being cared for on the unit trended over a specific period
- pt days for a given time period divided by number of days
- helps nurse managers to project the potential workload
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Term
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Definition
- scheduled to work based on workload of the unit
- hourly, non-exempt
- e.g., staff nurses, clerical staff, ancillary support staff
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Term
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Definition
- can be computed for a shift, on a daily basis, monthly or annual
- = daily pt census (rounded) divided by number of beds in the unit
- used to develop staffing plan
- 100% desired in LTC
- 85% desired in acute care
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Term
| average length of stay (ALOS) |
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Definition
- # of pt days divided by # of discharges for a specificed period of time
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Term
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Definition
- formula-driven calculation
- unit of service (UOS) X volume (pt days or visits) = hrs available to to create direct productive staffing plans
- multiply this by a nonproductive factor (like 1.12) to account for paid time off = total hours available for the staffing plan
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Term
| labor cost per unit of service |
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Definition
- compares budgeted salary costs per budgeted volume of service (productivity target) with actual salary costs per actual volume of service (productivity performance)
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