Another factor that causing the staffing shortage is due to the changed in management. Our emergency department’s longtime manager decided to step down towards the end of 2016. Since then, our ED has had an interim manager who did not work 3
well with the staff, and therefore many staff resigned. Currently, our department is being managed by temporary traveler managers. Because of these current managerial changes, many applicants are hesitant to apply to our facility. These applicants see our facility as unstable with so many turnovers in managers, therefore hence the short staffing. 4. Propose a solution or innovation for the problem or issue. a. Justify your proposed solution or change based on the results of your investigation and analysis: Our Emergency Department is twenty-six beds department, divided into six different sections: blue, red, green, brown, yellow, and purple. Each chapter is one nurse to four patients ratio unless the patient’s acuity is higher than the nurse to patient ratio will change. In addition to the six articles, there is also a section for triage nurse, medication nurse, and a nurse for the Quicksilver section which does not operate until 1300. To adequately staff a shift, the hospital needs to provide twelve nurses total: seven nurses for each part including Quicksilver, two licensed vocational nurses as medication nurses, one registered nurse for triage, and two registered nurse to assist with breaks and also a resource nurse. Per diems, staff can be utilized during staff shortage and also cover when other nurses are either on a medical leave of absence or unable to come to work due to personal/family issues. Travelers can be utilized as well during flu season, in which the census of the department is a lot higher than usual. 4
5. Recommend resources to implement your proposed solution or innovation. Include a cost-benefit analysis of your proposed solution or change. Some of the resources that can be utilized to hire more staff include new employee fair, social media campaigns, an incentive upon hiring for a current employee to refer a new employee, and of course job listing through the company website. According to indeed.com, average pay for a nurse is $40.89 per hour (Indeed.com; n.d). Of course, some nurses with seniority are paid higher and also traveler nurses are paid almost double per weekly compared to the full time or per diem staff. Here is the cost breakdown, assuming that we are utilizing the $40.89 per hour rate without benefit pay or insurance coverage. Number of a nurse Cost per hour Cost per shift 1 nurse $40.89 $490.68 12 nurses $40.89 $5888.16 The total cost per shift for the staffing the emergency department might appear to be a staggering number. However, it is beneficial to the department in several ways. More staffing means that it will reduce the staff burned out ratios, it provides the staff enough time to rest in between shifts, and it also offers the team with safety and protection knowing that they will be fully staffed.
- Spring '17
- Nursing, Emergency Department