In an effort to realign the hospital staff; administration decided that it was costing the organization a lot of money to employ a high flux of Registered Nurses (RNs) at the Extended Care Facility (another 24-hour Skilled Nursing Services and Rehabilitation inpatient services provided by Hilo Medical Center). Leadership decided to weed out the number of RNs in the ECF and have more LPNs work in the ECF instead. LPNs were targeted due to what management thought as LPNs were limited in their scope of practice in the acute care setting, so the management decided that they would not be needed on the Acute Care Units any longer. All LPNs employed in the hospital would be transferred in doing duties in the ECD. The only downfall on leadership for the Medical Unit was getting backfill for the LPNs that were being transferred off the floor.
He also asked the congress for cash-strapped local governments to hire more teachers and firemen. This affected American teachers and firemen because they had better opportunities to pursue their careers. In March 2010 President Obama created a National health care reform system for uninsured Americans. This system allows them to buy into health care plans with added subsidies and tax incentives but it also prevents the insurance companies from denying coverage. Economist believes that this system will do nothing to control cost but the budget office believes the bill will reduce the cost over a ten-year period.
Critical thinking is the core of education and must be evaluated as an outcome when evaluating nursing education. Since the implementation of the 2 year associates degree there has become a shortage of nurse educators. Nursing schools turn away an unimaginable amount of qualified nursing students due to the lack of qualified faculty to teach them. We are in a nursing shortage and by not having the qualified educators to teach; this is only compounding the problem. There needs to be focus on achieving a baccalaureate degree and further, just to maintain the ability to educate and continue to produce nurses.
Executive Summary – Middlefield is facing the high employee turnover, workforce shortage - especially of Nurses and low employee morale problems. Some of the findings about the causes of the problems are opening of the new hospital with better facilities and advanced technology for patient treatment and care, unavailability of quality instructors for nursing degree programs at universities. To tackle the problems, efficient use of existing Nursing workforce should be done in the short term. Whereas aggressive retention policies and increase in production of quality Nursing workforce should be long term strategies. Also Middlefield must ensure to increase the employee morale.
Failing hospitals at the brink of closure, requiring urgent assistance, will not have enough time to manage any unfavourable development due to bureaucracy within the communication channels of the new structure of the NHS (Nadeem Walayat 2010). The new structure of the NHS organisation provides power at the local councils with legal responsibilities for managing certain percentage of NHS budget. This gives local councils some role in influencing the health and social care services at their geographical areas. Local Authorities now have to work closely with other health and social care providers, community groups and agencies using their knowledge of local communities to tackle challenges such as smoking, alcohol, drug misuse and obesity. Private sectors will focus on profitable aspects of care and ignore non-profitable aspects of care, whereas the government wants to reduce the
Affect on Nurses Readmission is costly, especially as proposed new guidelines could deny reimbursement for readmissions. (Robinson et al., 2012). Due these to Medicare reimbursement reductions, health care facilities are looking for ways to offset the decreased reimbursements. Nursing staff have felt the affects -mass lay-offs -decreased pay and benefitsm -increased patient load -decreased support staff -accountable to help prevent hospital readmissions/ increase quality measures Affect on Nurses Provisions in the ACA include increasing both the workforce numbers and providing support training of healthcare professions (Archer, 2012).Through theses provisions in the Reform Act there are increased opportunities in geriatric healthcare.
In the first week since budget night, Primary Health Care share prices fell 6%. This will reduce consumer confidence in healthcare companies, resulting in a fall in demand. There is the likelihood Australian people will put off visiting their GP because of the co-payment, therefore resulting in an overload in hospitals which could potentially cost the government more. Due to the co-payment also applying to imaging services, people are unlikely to find out if something is wrong with them because they may be put off by the co-payment, possibly increasing mortality
Without superb time management, a nurse’s job will never get done. When implementing a new electronic health record (EHR), this disrupts the routine that nurses have worked hard to develop. According to the American Recovery and Reinvestment Act (ARRA), U.S. hospitals are to become meaningful users of EHR (Kelley, Brandon, & Docherty, 2011). How can the disruption be minimized while implementing a new EHR as directed by the ARRA? Relative Advantage Relative advantage is when “the individual adopting the new innovation must see how it will be an improvement over the old way of doing things (Rogers, 2003).
TERM LIMITS FOR CONGRESS I believe that term limits should be placed on our Congressmen and women because it would allow for a more efficient Congress. The current Congress is in shambles, a dismal failure and is in desperate need of new ideas, procedures, and influence. With term limits in place, Congress will be more responsible toward their constituents because they themselves will soon be constituents. They will have to live under and abide by the laws they created while in office. They’ll have less time in office to develop money ties to lobbyists and other special interest groups, thereby weakening the threat of lobbyists being able to influence legislation.
Pressure Ulcers This paper will discuss how pressure ulcers are preventable and a serious problem in our Nation’s health care facilities. It will tell what cause them, how they can be prevented, legal issues and the outcome of patient and their quality of care. The numbers of elderly people are on the rise and there are less health care workers, to help take care of these patients. Health care facility need to educate their employee to help prevent pressure ulcer, from getting worst. With the number of at risk patient getting higher, we need to put a stop to the increased number of people developing pressure ulcer in hospitals.