Author Question: A new Neonatal Intensive Care Unit has been developed, and staffing for the unit currently is being ... (Read 46 times)

NguyenJ · **on:** Jul 8, 2018

A new Neonatal Intensive Care Unit has been developed, and staffing for the unit currently is being determined by the nurse supervisor and nurse manager. Rank the following steps of the staffing plan in order.

____ They examine the health care organization's policies and procedures. They select the management engineering methodology and determine that the unit needs to hire 11 registered nurses and two unlicensed staff members.
____ They develop a policy regarding staff tardiness after analyzing data from area hospitals regarding their Neonatal Intensive Care Units.
____ They develop a statement regarding unit-specific standard of care and types of services that will be provided on this unit.
____ They begin to develop a staff-assignment pattern to meet the needs of clients who will be on the unit.

Question 2

The nurse manager decides to use the Baylor plan to staff the unit. Which of the following statements by the nurse manager indicates that further teaching is required?

1. It's going to be nice to have everyone working a 12-hour shift throughout this 30-day schedule.
2. This will be nice for the people who don't want to work the weekend.
3. I think this is going to be easy. I have people working 12 hours on the weekend and 8 hours through the week.
4. This will be good for people who like to travel through the week and would rather work the weekend.

Carliemb17 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Answer:
1. They develop a statement regarding unit-specific standard of care and types of services that will be provided on this unit.
2. They examine the health care organization's policies and procedures. They select the management engineering methodology and determine that the unit needs to hire 11 registered nurses and two unlicensed staff members.
3. They begin to develop a staff-assignment pattern to meet the needs of clients who will be on the unit.
4. They develop a policy regarding staff tardiness after analyzing data from area hospitals regarding their Neonatal Intensive Care Units.

Rationale: The phases of the staffing plan are phase one: a statement of the purpose of the organization and the services offered, as well as the standard of care to be provided. Phase two: the application of a specific method to determine the number and kind of staff to deliver care. Phase three: development of an assignment pattern using policies and guidelines to steer the process. Phase four: evaluation of the process through an analysis of patient outcome data, quality indicators, and personnel issues such as staff turnover, absenteeism, and attrition. In addition to the overall staffing plan, the nurse manager at the unit level will implement the organization's staffing plan, as well as determine highly specific unit policies. These policies, when developed, provide adequate coverage for shifts or patients' needs, ensure stability for the nursing staff, and incorporate flexibility and fairness in work assignments.

Answer to Question 2

Answer: 1

Rationale: The Baylor plan is a staffing plan where some nurses only work the weekdays. These nurses are scheduled for 8-hour shifts. Then, other nurses only work on the weekends. They work two 12-hour shifts, and are paid like they have worked 40 hours per week. So, the nurse manager will have to staff for the 8-hour shifts through the week, and the 12-hour shifts on the week-ends. It is a good scheduling plan for nurses who do not want to any weekends, and it is a good scheduling plan for nurses who only want to work on the weekends.