Nursing C 157 Essentials of Advanced Nursing Practice Field Experience        

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Nursing C 157 Essentials of Advanced Nursing Practice Field Experience         Nursing C 157 Essentials of Advanced Nursing Practice Field Experience Western Governors University ...  1 Purpose and Overview             The purpose of the consultation was to clearly identify weaknesses within the facility and develop a plan to strengthen the concern.  The consultation began with an interview of the manager of inpatient behavior health, a nurse leader.  Denae discussed that recent staffing ratio guidelines used in the facility. The facility uses a Shift Management Tool (SMT) to staff every four hours and then also uses a Tableau tool verify that the charge nurses are staffing correctly.  The facility has implemented a WHPUOS goal. The charge nurses on the floor have been arguing with the nurse leaders and not being fiscally responsible, because they were not held accountable for this before. Denae said that there are some hurt feelings because the house charge nurses are “friends” with the staff nurses and some of the charge nurses are having a hard time putting nurses on call and staffing to the ratios that are laid out.              Denae and I discussed the way staffing is communicated to the house charge nurses. All the leaders get together at 1045 and 1500 Monday through Friday and talk through the staffing. Then the leaders were telling the house charge who to put on call. The house charge nurses were putting the numbers into the SMT and it was noted that they were over in hours almost daily. The. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. .. . . . . . . . . . . . . . . . . . .. . . . . [Show More]

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