...43% chance of spending some time in a nursing home (Kemper and Murtaugh, 1991) and about 24 % of these individuals will spend less than a year in residence at a nursing home (CDC, 2012). The key employees of the nursing home that have the most interaction and greatest impact with the residents of nursing homes are the registered nurses (RNs), licensed practical nurses (LPNs), and certified nursing assistants (CNAs). For several years the shortage and turnover rate of nursing home staff has long been a serious problem for multiple nursing homes nationwide (Pillemer, et al., 2008). Providing effective and safe quality care in nursing homes requires clinically and interpersonally competent staff. Research findings suggest that inadequate supervisory, managerial, and human resource practices within nursing homes contribute to poor outcomes, including high nursing staff turnover, lower employee satisfaction, and poor clinical outcomes (Anderson, et al 2003). When a staff member leaves an organization, the knowledge, skill and experience that the person has brought to, and gained at, the organization is lost. Although high rates of nursing home staffing shortages and...
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...clinicians nationwide. A REVIEW OF 2011 growth in Travel Nursing, there were a number of other key highlights during 2011: • We expanded our national leadership position in clinical managed services programs by adding over 20 new MSP clients, representing an estimated $80 million in projected annualized gross spend under management. In 2011, our revenues through MSP contracts grew by 38% on a pro forma basis to $185 million, representing a third of our Nurse and Allied Healthcare Staffing business. Penetration of MSP revenues is primarily in Nurse Staffing at this time, and we believe over the next three years there will be a similar shift in the Allied Staffing and Locum Tenens businesses. AMN is well-positioned to capitalize on this continuing trend. Because we typically achieve higher fill rates in MSP contracts than in traditional contracts, we are able to grow faster during periods of expansion, while enjoying some protection during economic downturns. • Our largest business segment, Nurse and Allied Healthcare Staffing, did very well with revenues and operating profit increasing 19% and 48%, respectively, on a pro forma basis over...
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...Identifying and Reducing High Staff Turnover Introduction The Information Technology Department (IT) at ABC Hospital is comprised of the following Teams: Radiology IT, Radiation Oncology IT, Lab IT, Cardiology IT & Peri-operative IT Teams. The focus of the IT Department is to provide IT Support for the clinical applications utilized by the respective departments that they support. The IT department focuses on application support, incident management, project management, and a strong focus on customer service. Customers include Physicians, Radiologists, Technicians, Nurses, Clerical Staff, Billing staff, and Administrative Staff. The IT Staff is customer facing, they are required to interact with stakeholders on a daily basis. IT also serves as a liaison between the clinical departments and the technical IT Departments within ABC Hospital. IT focuses on understanding the IT needs of each department and verbalizes this in technical terms to the technical IT Department. IT department is staffed with eleven staff members and is managed by one Manager. Each IT sub department has a Team Lead who is directly responsible for each team meeting all IT & Clinical Department goals & objectives. Brady Consulting Services has been hired by ABC Hospital to provide an analysis and recommendations on the cause for high staff turnover within the IT Department. Over the past 2 years the IT Team has seen a high volume of staff turnover within the Lab IT, Radiation...
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...Running Head: Risk Management Assessment Summary Risk Management Assessment Summay HCS/451 Jodie Sapaugh August 6th, 2012 University of Phoenix Quality Management When it comes to quality management in health care it has changed and developed more over the years. Quality management is a continuous development that health care organizations use to distribute merchandise and services that will make sure to meet or exceed consumer expectations (McLaughlin, & Kaluzny, 2013). Quality management in health care has evolved over the year to address increased demands from consumers related to the quality care and services, as well as to address problems in patients' outcomes (McLaughlin, & Kaluzny, 2013). When it comes to risk management, it is a vital part in health care. The purpose of risk management is to enhance patients' safety, ensure compliance with the law, avoid legal exposure, and prevent accidents. In health care and long term care (LTC) you are dealing with patients' in life or death situations. Risk management in health care organizations helps physicians and nurses limit the risks that are associated with their jobs. By having risk management in long term care facilities this helps reduce potential risks because it ensures that the medical staff are following all of the safety protocols that are set in place as well as making wise medical decisions. Legend Senior Living is...
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...Christine Mueller, PhD, RN, FAAN, and Amy Vogelsmeier, PhD, RN The obligation to provide safe, quality care creates challenges and concerns when registered nurses (RNs) delegate duties to unlicensed assistive personnel. These challenges and concerns are magnified in today’s health care environment of shrinking resources; patients with complex, chronic conditions; health care settings with high patient acuity rates; and the use of sophisticated technology. To make safe, effective delegation decisions, RNs must understand the responsibility, authority, and accountability related to delegation. Delegation decisions must be based on the fundamental principle of public protection. This article describes effective delegation by presenting the factors affecting delegation, explaining when and what an RN can delegate, and describing the delegation process. Learning Objectives ⦁ ⦁ ⦁ Identify three factors that affect delegation. Discuss what registered nurses can and cannot delegate. Explain the steps of the delegation process. N ursing’s Social Policy Statement (American Nurses Association [ANA], 2010), the Code of Ethics for Nurses with Interpretive Statements (ANA, 2001), and individual state nurse practice acts (NPAs) underscore the responsibility, authority, and accountability of registered nurses (RNs) for their nursing practice. The RN’s obligation to provide safe, quality care creates distinct challenges when delegating care to unlicensed assistive...
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... [Page Break]Strategic & Financial Planning of Froedert Hospital Thesis Statement The purpose of this assignment is to analyze the financial & business administration of Froedert Hospital to develop a draft action plan to improve the business of the organization. (Suzanne, 1993) Introduction Produce regular performance & financial plans is an essential component of planning & analytical work of the companies. Operational planning can reduce irrational use of funds of the company by the timely planning of business operations, inventory, financial flows & monitoring their actual implementation. Operational planning is still a weak point of business management of the U.S. health care organizations. About the Organization Froedtert Hospital is a 500-bed academic medical center containing workforce being provided by the staff of The Medical College of Wisconsin. The hospital has been honored with the prestigious Magnet title given by the U.S. Nurses. It works as an eastern Wisconsin recommendation center for higher remedial practice care consisting of thirty seven areas of expertise & subspecialties. (Suzanne, 1993) Objectives of Strategic & Financial Planning The conservative function of strategic & financial planning has to be included into a shared procedure for the implementation of constructive initiated strategy. The usually followed objectives of the strategic process of planning...
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...Task 1 : introduce your business a. Briefly describe the type of business size and number of employees . Bankstown Lidcombe Hospital is a principal referral group A1B hospital with tertiary affiliations to the University of NSW, University of Sydney and University of Western Sydney providing a wide range of general medical and surgical services and sub-specialty services to a local Bankstown/Canterbury community. It is part of South Western Sydney Local Health District.it has 454 beds and over 1400 emloyes between doctors , nurses , radiolgiest , administration , and other services . b. Laws are put into place to protect everyone - the customer, the employee and the company. You are not expected to be a lawyer, but being aware of the relevant legislations will help your organisation run more smoothly and avoid complications in the future, such as getting tied up in lengthy legal battles for unfair staff dismissal etc. Some of the common legislations applicable to traders include the Consumer Protection Act 1987 and the Consumer Protection from Unfair Trading Regulations 2008. These regulations are put into place to protect the consumers' rights and ensure they receive good quality products or services at all times. Duty of care : The responsibility or the legal obligation of a person or organization to avoid acts or omissions (which can be reasonably foreseen) to be likely to cause harm to others. Accessible parking Bankstown-Lidcombe Hospital has a number...
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...Eighth Edition II. External Competitiveness: Determining the Pay Level 7. Defining Competitiveness © The McGraw−Hill Companies, 2004 Chapter Seven Defining Competitiveness Chapter Outline Compensation Strategy: External Competitiveness Control Costs Attract and Retain Employees What Shapes External Competitiveness? Labor Market Factors How Labor Markets Work Labor Demand Marginal Product Marginal Revenue Labor Supply Modifications to the Demand Side Compensating Differentials Efficiency Wage Signaling Modifications to the Supply Side Reservation Wage Human Capital Product Market Factors and Ability to Pay A Dose of Reality: What Managers Say More Reality: Splintering Supply of Labor Organization Factors Industry Employer Size People’s Preferences Organization Strategy Relevant Markets Defining the Relevant Market Competitive Pay Policy Alternatives Pay with Competition (Match) Lead Policy Lag Policy Flexible Policies Pitfalls of Pies Consequences of Pay-Level and Mix Decisions Efficiency Fairness Compliance Your Turn: Sled Dog Software Your Turn: Managing a Low-Wage, Low-Skill Work Force January is always a good month for travel agents in Ithaca, New York. In addition to the permanent population eager to flee Ithaca’s leaden skies (our computer has a screen saver whose color is titled “Ithaca”; it consists of 256 shades of gray), graduating students from Ithaca’s two colleges are traveling to job interviews with employers across the country— at company expense, full fare,...
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...Incidence of Counseling in Obese Adult Patients by Nurse Practitioners in the Primary Care Setting NaliniAnumula, Andrew Lebson, Katherine Wiggins Instructor: Dr. Colleen Carmody NURP 507 Simmons School of Nursing and Health Sciences Incidence of Counseling Obese Adult Patients by Nurse Practitioners in the Primary Care Setting Background Obesity is an increasing epidemic. In the United States, more than 60 million or one in every three adults are obese as defined by Body Mass Index (BMI). Obesity is defined as a BMI greater than or equal to 30 (CDC, 2015). Successful treatment methods have been identified for reducing weight which include increasing physical activity and decreasing caloric intake. Exercise and physical activity have been shown to not only lose weight, but also improve cardiovascular functioning, lower blood pressure, and lower serum cholesterol levels (Porth, 2011, p. 232). Exercise also lowers blood sugar levels, improves insulin response in the body, and can decrease stress and anxiety; the opposite of each has been associated with obesity. A diet low in saturated fat and simple carbohydrates can improve the body’s insulin response, decrease adipose tissue, increase the body’s metabolic functioning ability (Porth, 2011, p. 232) and thereby reduce one’s BMI. Though obesity may be preventable and treatable through diet changes and exercise, reducing the rates is proving to be very difficult (Briscoe & Berry, 2009, p. 164).Professional medical...
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...LAW | | 6 | SELECTED CATEGORIES OF LAW AFFECTING NURSES | | 7 | SELECTED LEGAL ASPECTS OF NURSING PRACTICE | | | COMPONENTS AND CHARACTERISTICS OF THE LEGAL PROCESS | | 8 | LEGAL PROTECTIONS IN NURSING PRACTICE | | 9 | | | 10 | NURSING PRACTICE AND THE LAW | | 11 | LEGAL ISSUES IN PRACTICE | | 12 | NURSE–CLIENT RELATIONSHIP | | 13 | LEGAL ROLES OF NURSES | | | SUMMARY | | | CONCLUSION | | | RESEARCH ABSTRACT | | 14 | BIBLIOGRAPHY | | OBJECTIVES * To introduce legal considerations * To define law * To understand sources of law * To list out the types of law * To explain the selected legal aspects of nursing practice * To understand the components and characteristics of the legal process * To explain the regulation of nursing practice * To enumerate standards of nursing care * To describeselected legal aspects of nursing practice * To explainlegal protections in nursing practice * To describe nursing practice and the law * To describe legal issues in practice * To explain nurse–client relationship * To list out the guidelines for safe nursing practice * To formulatelegal roles of nurses * To explain the legal responsibility of nursing students INTRODUCTION Nursing practice is governed by many legal concepts. It is important for nurses to know the basics of legal concepts, because nurses are accountable for their professional judgments and...
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...UnitedHealth Group Human Resources Executive Summary HRMG 5000 October 14, 2013 Mohammed Alzahrni David Hill Amber Wherry Tiffany Williams Table of Contents Introduction 4 Equal Employment Opportunity (EEO) 5 Compliance 5 Diversity 6 Staffing 7 Job Analysis 7 Recruiting 8 Selection 9 Talent Management 10 HR Development 10 Orientation 10 Trainging 12 Career Planning 14 Performance Management 15 Total Rewards 16 Compensation 16 Incentives 19 Benefits 20 Risk Management and Worker Protection 22 Health and Wellness 22 Safety and Security 24 Strategic HR Management 25 HR Effectiveness 25 HR Metrics 25 HR Technology 27 HR Planning 27 HR Retention 27 Employee and Labor Relations 28 HR SWOT Analysis 30 STRENGTHS 30 WEAKNESSES 30 OPPORTUNITIES 30 Recommendations 30 Attachments 32 Attachment 1 – Job Description for Human Capital Analyst 32 Attachment 2- Primary Interview Guide-Hiring Manager Target Position: Nurse-individual contributor 32 Attachment 3- Case Interview Guide 32 Works Cited 33 Introduction UnitedHealth Group (UHG) is a health care organization headquartered in Minneapolis Minnesota and has the largest network of health care providers in the United States while operating in all fifty states and thirty-three countries internationally. UnitedHealth Group is divided into two major businesses called UnitedHealthcare (UHC) and Optum. UHC’s main focus is delivering health care insurance to...
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...ensure the standards of quality and client satisfaction and deliver improved services. In addition, the TQM process also helps in improving a company's bottom line profits by increasing operating efficiencies, eliminating waste, and creating working conditions conductive to productivity and company growth. The employees must work in healthy environments, which maximizes their efficiencies and enables them to perform at their best levels. In both the short-term and long-term, the quality improvement process pushes the company from different angles to achieve strategic goals and plans. One of the important processes of patient care is proper medical documentation and updated medical records. Description of chosen process Accurate and complete medical documentation is the responsibility of medical transcriptionists. However, the challenges to medical transcriptionists and the medical transcription industry are complex and varied. Pressures associated with cost, demand, workforce limitations, technological development, globalization, policy and awareness issues come together to create a picture that changes depending on one’s perspective and point of view. Trying to assemble these factors into a clear picture is a difficult challenge; yet a necessary challenge if the workers and the hospital system are going to respond proactively to the changing nature of medical transcription. Quality medical care often depends on a quality medical record. The importance of the medical...
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...2010 Edition Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing ...
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...2010 Edition Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing ...
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...NCLEX-RN® DETAILED TEST PLAN 2010 NCLEX-RN Detailed Test Plan ® Effective | April 2010 Item Writer/Item Reviewer/Nurse Educator Version Mission Statement The National Council of State Boards of Nursing, composed of member boards, provides leadership to advance regulatory excellence for public protection. Purpose and Functions The purpose of the National Council of State Boards of Nursing (NCSBN ) is to provide an organization through which boards of nursing act and counsel together on matters of common interest and concern affecting the public health, safety and welfare, including the development of licensing examinations in nursing. ® The major functions of NCSBN include developing the NCLEX-RN and NCLEX-PN examinations, performing policy analysis and promoting uniformity in relationship to the regulation of nursing practice, disseminating data related to NCSBN’s purpose and serving as a forum for information exchange for NCSBN members. ® ® Copyright© 2010 National Council of State Boards of Nursing, Inc. (NCSBN) All rights reserved. NCSBN , NCLEX , NCLEX-RN and NCLEX-PN are registered trademarks of NCSBN and this document may not be used, reproduced or disseminated to any third party without written permission from NCSBN. ® ® ® ® Permission is granted to boards of nursing to use or reproduce all or parts of this document for licensure related purposes only. Nonprofit education programs have permission to use or reproduce all or parts of this document...
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