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iMAGINE You work in a Hospital where, since last fiscal year, there is a budget deficit related to the reimbursement of payments for medical services...

iMAGINE You work in a Hospital where, since last fiscal year, there is a budget deficit related to the reimbursement of payments for medical services offered in the medical-surgical area. This is because patient stays have been prolonged by complications related to nosocomial infections and hospital-acquired conditions. The medical plans have decided not to pay for these events related to the quality of the service and not with the reason or the diagnosis of admission of the patient.

These conditions or events include urinary tract infections in patients with urinary catheters, adverse reactions due to errors in Drug Administration, and the development of pressure ulcers in bedridden patients. This shortfall shows an economic loss of more than $1 million, which negatively affects the future recruitment of more nursing professionals and the acquisition of new equipment.

Imagine you are the manager of the medical-surgical area responsible for developing and establishing corrective action measures to amend the negative budgetary impact on your area.

you have a total of 100 beds, distributed in three subunits: medicine, 45 beds; Surgery, 35 beds; and intensive, 20 beds.

Consider the intensity of care in each subunit. The total number of staff assigned is: 30 RN BSN Nurses, 20 LPN nursing professionals, and 15 nursing professional assistants for the entire medical-surgical area. The staff works full-time and is interested in changing from eight hours to 12 hours per work shift.

The unit will not be able to recruit more nurses and you must demonstrate a plan of action in the implementation of corrective measures in the face of the economic loss related to the impact of the clinical services offered in your units.

**** Determine, how you would distribute the nursing staff in each medical-surgical subunit AND Explain your reasoning taking into account the limitation of fiscal and economic resources. Consider and highlight the following factors in your writing: the work shifts of these units, the stratification of the patients per unit, the direct care time required by the patients in the different units, the specific functions or roles Staff, skills and knowledge of staff by academic degree, workload and resources in different units, etcetera.

Describes what strategies you would implement to work with events that negatively impact the provision of nursing services and those that cause prolonged patient stay.

How do you consider that these strategies developed will promote the reduction of unnecessary expenses in the stays of the patients admitted in the medical-surgical unit?

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