I attached the direction. What I wrote is below. Please help edit. Introduction Preparing a budge. Question
Answered step-by-step
Asked by LieutenantGoat2356
I attached the direction. What I wrote is below. Please help edit.
Introduction
Preparing a budget overall can be a challenging task, now when it comes to the task of creating a budget for the fiscal year of a nursing unit can be even more complex. There are many aspects of the budget that will need to be considered for a successful planning.
Part A
There are multiple patient care indicators that affect the care received by the patient and the care provided by the staff and it is all interrelated. Ensuring that there is enough personnel to cover and address the needs to the patients is imperative.
Nursing-sensitivity indicators, at a fundamental level, are criteria that attempt to identify whether nurses have an impact on their patients. According to Post University (2021), the National Database of Nursing Quality Indicators (NDNQI) contribute to a rapidly developing scientific stream of work over what factors influence the quality of nursing care.
What are nursing-sensitive indicators and how do we use the data to improve outcomes? Explain this here.
Discuss the relationship between nurse staffing and two of the following: urinary tract infections, pneumonia, upper gastrointestinal bleeding, shock, or length of stay. Explain this here.
Part B
There is one calculation in the assignment and that is the FTE. To do this, you would take the total care hours: 96,360 (this number is found in the assignment directions) and divide by 2080 (this number comes from taking 40 hours per week X 52 weeks per year). Explain, in a brief paragraph, how you calculated the number of full-time equivalents (FTEs) that would be needed. Provide the calculation. (Be sure to submit this paper and the spreadsheet to the assignment dropbox.
Explain HPPD. What is it? How would the acuity of the unit affect HPPD?
Explain how diagnosis-related groups (DRG’s) and case-mix index (CMI) affects hours per patient day.
Review the staffing plan for last year. What outcomes would you use to evaluate this staffing plan? Based on this data, would you recommend any changes for the upcoming year?
References
Knickman, J. R. & Elbel, B. (2019). Jonas and Kovner’s health care delivery in the United States (12th ed.). New York, NY: Springer Publishing.
Post University. (2021, July 6). Nursing Sensitive Indicators: Why They Are Important. Post University. https://post.edu/blog/nursing-sensitive-indicators-why-they-are-important/
Instructions for using the Unit 6 Assignment Template
And Completing the Assignment
Students,
If you decide to use the APA formatted template provided below, please make sure you perform the following:
GENERAL GUIDELINES
Remove all directions as you answer each of the questions found within the template.
Be sure that you provide an in-text citation for all sources used.
Please be sure to use at least two sources to support the information provided in this analysis report.
Be sure that you provide a complete reference page that correlates with all sources that are used in the text.
Please adhere to APA guidelines for the written paper component of this assignment.
Please be sure to upload the completed Excel worksheet and the written paper to the assignment dropbox.
Complete the Cover Page
Part A:
Guidance:
Craft four paragraphs to discuss:
Identify the nursing-sensitive indicators Mary Jane should consider in making staffing decisions.
Discuss how nursing-sensitive indicator data can be utilized to enhance the safety and quality of patient care.
Discuss the relationship between nurse staffing and two of the following: urinary tract infections, pneumonia, upper gastrointestinal bleeding, shock, or length of stay.
Part B:
Guidance:
Use the data found on the PDF:
Mary Jane has been asked by the Chief Nursing Officer to prepare a personnel budget for the coming fiscal year. Mary Jane has collected the following information, in addition to what she has determined, based on nursing-sensitive indicator data discussed in Part A.
Patient Data
Average Daily Census 28
Unit Capacity 30
Average HPPD 8.8
Total Care Hours 96,360
Staff Data
Total Hours/employee/year 2,080
Average Salary per Employee Category
RN $36.00/hour
LPN $22.00/hour
Nurse’s Aide $12.00/hour
Paragraph 1
Calculate the number of full-time equivalents (FTEs) that would be needed. Show your calculations.
Guidance:
Describe your calculations and identify your result.
Paragraph 2
Explain HPPD.
Guidance:
Define what it is and how would the acuity of the unit affect HPPD?
Paragraph 3
Explain how diagnosis related groups (DRG’s) and case mix index (CMI) affects hours per patient day.
Guidance:
What this means is that when staffing a unit, a manager must evaluate the severity of illness, prognoses of patients’ conditions, the difficulty in providing treatment, and the resources needed. For this part of the paper, you will need to: 1) explain what a DRG is and what the CMI is (first two sentences or so), and 2) explain how the varied DRGS (or acuity levels) might impact the hours per patient day.
Think of it this way, picture yourself as a nurse manager and think about the resources (staff, equipment, providing total care for a patient who cannot care for the self, etc.) needed to care for a varied mix of patients (low to high acuity). How do you think the varied acuity levels would affect your use of the resources?
Paragraph 4
Review the staffing plan for last year. What outcomes would you use to evaluate this staffing plan? Based on this data, would you recommend any changes for the upcoming year?
Guidance:
Review the staffing plan for last year. What outcomes would you use to evaluate this staffing plan? Based on this data, would you recommend any changes for the upcoming year?
– For this question, think of different issues that might have occurred within a previous work year such as the most common nursing sensitive care measures identified by the National Quality Forum Report (2004):
1. Death among surgical inpatients with treatable serious complications (failure to rescue)
2. Pressure ulcer prevalence
3. Falls prevalence
4. Falls with injury
5. Restraint prevalence (vest and limb only)
6. Urinary catheter-associated urinary tract infection for intensive care unit (ICU) patients**
7. Central line catheter-associated blood stream infection rate for ICU and high-risk nursery
(HRN) patients
8. Ventilator-associated pneumonia for ICU
Think about the patient ratio on this unit (use the spreadsheet).
– How would one plan staffing based on caring for patients with varied acuity levels.
– What outcomes would you use to evaluate this staffing plan? (Hint: the outcomes related to the nursing sensitive indicators.)
– Based on this data, would you recommend any changes for the upcoming year? If so, how would added resources used to treat patients on varied levels of acuity help?
Provide a reference page. Be sure to refer to the APA guidelines when providing sources.
SCIENCE
HEALTH SCIENCE
NURSING
NSG 4150
I attached the direction. What I wrote is below. Please help edit. Introduction Preparing a budge
