The ICU unit has open shifts even after staff have signed-up for ...

[stephzh]

The ICU unit has open shifts even after staff have signed-up for overtime. The CNO (chief nurse officer) does not want to hire agency nurses to cover these shifts.
 
  The nurse manager does not understand why the CNO is offering staff an incentive versus hiring agency nurses. Which would be a reasonable conclusion? 1. It takes a significant amount of time to orient agency nurses.
  2. The agency nurses are costly.
  3. There is a significant amount of documentation required for agency nurses.
  4. The physicians are not comfortable with agency nurses.

Question 2

A rural hospital has been at capacity for the past 3 months. The chief nursing officer (CNO) has heard numerous complaints from the nursing staff. Most of the complaints are issues related to other nursing departments and are minor.
 
  How should the CNO interpret these complaints? 1. The nursing staff members are inefficient in managing the client load.
  2. This is a typical reaction among nursing departments.
  3. The nursing staff is stressed due to a sustained increased workload.
  4. The nurses are ready to unionize.

[Madisongo23]

Answer to Question 1

2
Explanation: 1. Agency nurses are a considerable cost to an organization. Usually is it more cost effective to
offer an incentive and overtime to the current nursing staff. Although it does take time and a
significant amount of documentation to orient the agency, this is not a significant problem. The
physicians may not know the nurse but want the clients needs to be met.

Answer to Question 2

3
Rationale 1: The nursing staff's efficiency is not in question.
Rationale 2: It is not appropriate to dismiss these issues as typical among nursing departments.
Rationale 3: Stress can result from job-related factors, such as task overload, conflicting tasks, inability to do the tasks assigned because of a lack of preparation/experience and insufficient information regarding the assignment.
Rationale 4: There is no evidence that this is the case, but improving workplace conditions is a primary reason that nurses seek collective bargaining.
Global Rationale:

[stephzh]

Thanks for the timely response, appreciate it

[ryansturges]

Wow, this really help