How will you deal with the requests based on the budget
printout?.Today is April 1, and you have received the following
budget printout. Your charge nurses are requesting an additional RN
on each shift since the acuity has increased dramatically over the
last 2 years. Dr. Robb has requested two new continuous limb
movement machines for the postoperative orthopedic patients on your
unit at a cost of $3,000 each. In addition, you would like to
attend a national orthopedics conference in August at a projected
cost of $1,500. The registration fee is $350 and is due now.
Final Assignment (p 2)
Annual Budget Expended in March Expended Year to Date* Amount
Remaining
Personnel 300,000 25,000 175,000 125,000
Overtime 50,000 3,800 50,000 0
Supplies 18,000 1,500 13,500 4,500
Travel (personal) 2,200 0 1,700 500
Equipment 5,000 0 5,000 0
Staff development 1,000 200 800 200
*Fiscal year begins July 1
Furthermore, many nurses are complaining of being
dissatisfied. On your first day one of the night shift RNs put in
her 2-week notice. In addition, the CEO has gotten word from
several families that they are dissatisfied with the care their
loved ones are receiving from the staff.
Directions
Analyze the situation. Using what you have learned in this
course, devise a plan of action to present to the CEO. Be sure to
use the theories and concepts presented in this course. Be
creative. Feel free to use charts to support your ideas. You are
expected to have at least 5 references. This paper should be very
detailed and show a concrete plan of how you will run the nursing
department.
Be sure to address, at minimum, the following in your paper:
1. How will you deal with the requests based on the budget
printout?
2. What expenses can and should be deferred to the new fiscal
year?
3. In what budgeting area were your previous projections most
accurate? Most inaccurate?
4. What factors may have contributed to these inaccuracies?
Were they controllable or predictable?
5. Complete a literature search on patient acuity
classification systems. What is the best approach to resolve this
issue?
6. What strategies of motivation, communication, care
delivery, etc. need to be implemented in order to retain staff?
7. Why is it important for staff to be involved in improving
consumer satisfaction?
8. What type of structure would be most effective to make a
plan for improvement of consumer satisfaction? Consider who
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