All contribute (directly or indirectly) to:
Patient outcomes and length of stay
CNA Framework Answer - Assess and Evaluate:
- Client: what their needs are, acuity
- Staff: type of staff (how many RNs, LPNs, RPNs etc)
- Organizational: nurse care delivery model
Nurse Characteristics Answer - Education (e.g., BSN vs. diploma prepared)
- More degree prepared RNs = lower 30-day mortality and failure to rescue-
ability to detect subtle changes and intervene early
, - Nurse specialty certification is associated with more positive patient
outcomes e.g. Bachelors + CC training
Experience (e.g., new grad vs. experienced)
- For every additional year of RN experience = 1% lower rates of falls and .7%
lower rates of pressure ulcers
Classification (NPs, RNs, RPNs, LPNs)
- An increase in number of RNs is associated with more positive patient
outcomes
- What are some differences between various nurse classifications?
- LPN's: certain meds they can't administer, less acute patients, no blood
transfusions, less training (18 months)
- NP's: many years experience, scope is different (prescribe, diagnose)
Nurse Staffing: Staffing Levels Answer - Number of personnel
- Number of nurses (nurse : patient ratios)
Hours per patient per day (HPPD)
- Example: 5 RNs responsible for 10 patients in an ICU setting during 24 hours
- 12HPPD (number of hours of nursing per patient per day)
Full-time equivalents (FTEs)
- In BC: 1 FTE=37.5 hours per week or 1950 hours per year
- Use forecasted workload to compute the required FTEs
- Use this to determine how many nurses you want to hire (pool of nurses for
unit)
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