Nurse Staffing Ratios

The study found that reducing turnover from high to medium levels was associated with increased quality, but the evidence was mixed regarding the quality improvements from further lowering turnover to low levels Conclusions: In conclusion, the turnover rate for nursing home staff is high. The 1-year turnover rates identified in this study were 59.4%, 37.0%, and 36.1% for NAs, LPNs, and RNs, respectively. These results add to a rather large body of research over the past 30 years also showing high rates of caregiver turnover. Most important, the study shows that, in general, high rates of turnover are associated with worse quality of care. Application: I plan to use the article to show negative impact of high turnover of

Modern health 99 article Under this scenario a hospital or ACO would contract for post acute services. This could reduce cost and improve quality. The SNF would most likely be paid a sum as part of that episode care. The 100 day rule would be removed. Also hospitals would need to determine where the best and most efficient care in the community is occurring prior to contracting will local SNFs.

In skilled nursing case management, will mental health assessments by the nursing staff (RN) at the start of care increase psychiatric home health nurse referrals? Background A report submitted to congress in regards to home health skilled nursing indicates in 2014 3.4 million Medicare beneficiaries received home health care and 17.7 billion dollars was spent on home health services. The affordable care act has enabled millions of to have access to care. Patients preference to convalescence at their place of comfort and familiar surroundings has proven to have good outcomes. The CMS has a criterion to select who qualifies for home health care.

// Steven Meade // Page 403 Assignment 14, Overloaded Hospital // This program computes and displays the charges for a patients hospital stay #include using namespace std; double patient(int days, double rate, double medicalCharges, double HospitalServicesCharges); double patient(double medicalCharges, double HospitalServicesCharges); int main() { char ans; cout << "Were you an in-patient (Enter I) or were you an out-patient (Enter O)? "; cin >> ans; cout << endl; if (ans == 'I ' || ans == 'i ') { int days; double rate, medicalCharges, HospitalServicesCharges; double total; cout << "Enter the number of days spent in the hospital: "; cin >> days; cout << "Enter the daily rate: "; cin >> rate; cout << "Enter the charges for the hospital services: ";

4. Gained a better understanding about the pathophysiology of heart defects and treatments that are associated with these conditions. C. Patient Profile: (Provide a profile for 2-4 of the patients you cared for this week/group of shifts.) * The NICU nurses get a maximum of two patients. For the three days, I was at practicum we followed the same patient.

Net Gain – The combination of the operating loss and the non-operating gain produced a net gain of $111k compared to a budgeted gain of $56k. YTD operating and non-operating losses are $273k compared to a budgeted gain of $1.04 million. Gross Revenue –June’s consolidated gross revenue was $195k over budget, bringing the YTD gross revenue to $934k over budget. The Hospital was $466k over budget for the month. Strong over budget variances in the Hospital came from Radiology ($159k), Cardiology ($93k) and the Lab ($85k).

Magnet status yields a long list of benefits related to improved quality of care and nurse job satisfaction. Most of these benefits have a direct relationship to lower costs. Earlier studies have found Magnet hospitals to have shorter lengths of stay and improved patient outcomes and that the culture of safety that is inherent in Magnet hospitals significantly contributed to patient safety. Other studies have shown a compelling association between Magnet status and significantly improved mortality rates 30 days from admission. Many of these benefits translate to lower operational costs for Magnet hospitals.

The results of the study demonstrated that the average length of time that it took for a mental health patient to be evaluated and treated was significantly less. The mean length of stay without a telemental health program was 31.7 hours, compared to 17.0 hours with a telemental health program implemented, reducing the length of stay of 14.7 hours. Making telemental health available around the clock, suggests that mental health evaluations that are available 24/7 may be viewed as best practice. In this study, I liked that the researchers took the time to gather data seven months prior to starting the study. The data collected was from clinical charts and electronic records, which helps reduce bias.

It is crucial to maintaining the appropriate nurse-to- patient staffing ratio for providing safe patient care outcomes. Nursing shortage lowers the nurse to patient ratio that can increase medical and medication errors, patient complication, mortality and also increase dissatisfaction and burnout among nurses. According to researcher Shekelle, he found the significant relationship between high patient-to-nurse ratio and mortality rate. For example, in 232 342 patients discharges, post surgery of some hospitals in Pennsylvania, 2 percent (4535 patients) died within 30 days of hospitalization. As the result, this study found the difference between 4:1 and 8:1 ratios of the patient each nurse has may cause about 1000 deaths of the total amount

I went twice this week to my practicum site. The reasons for the visits were physical, pink eye, well women visit, ER follow up for cough, bronchitis, thyroid follow up, hospital follow up for cough, diabetes follow up, back pain, medications refill, stomach pain and well child. I saw 8 patients each day independently. I learned that working in the primary care is a team work. If in doubt, it is beneficial to get an opinion from another provider.