The unpredictability of the labor and delivery area requires a ...

[krzymel]

The unpredictability of the labor and delivery area requires a set staff mix for every shift. Which type of staffing pattern should the manager use to ensure this mix?
 
  1. Block staffing
  2. Creative scheduling
  3. Flexible scheduling
  4. Self-staffing

Question 2

Which group determines the level of nursing care and hours of care necessary to meet the needs of the hospitalized client?
 
  1. American Nurses Association (ANA)
  2. The Joint Commission
  3. Nurse managers
  4. Hospital administrators

[chereeb]

Answer to Question 1

1
Rationale 1: Block staffing is scheduling a set staff mix for every shift so that adequate staff is available at all times. This staffing is commonly used in areas such as labor and delivery and the emergency care unit.
Rationale 2: Staffing for this unit is likely to be rather repetitive and predictable rather than creative.
Rationale 3: Flexible scheduling combines shifts of differing lengths and presents a challenge to nurse managers. It is not as predictable and set as block scheduling.
Rationale 4: Self-staffing and scheduling is a staffing model whereby managers and their staff completely manage staffing and schedules. This could potentially be done following a block staffing outline but can follow other staffing schedules as well.
Global Rationale:

Answer to Question 2

3
Rationale 1: The American Nurses Association (ANA) has developed principles for nurse staffing, and the nurse managers follow these guidelines.
Rationale 2: The Joint Commission does not identify specific levels of nursing care hours for specific patient populations.
Rationale 3: Staffing and scheduling is the responsibility of the nurse manager.
Rationale 4: Although the hospital administration must ensure that the right number of competent staff is provided to meet patient needs, the responsibility of staffing has been delegated to the nurse manager or charge nurse.
Global Rationale: