What are some of the key differences for a staffing model in a skilled nursing facility as compared to a medical-surgical unit in the hospital?

What are some of the key differences for a staffing model in a skilled nursing facility as compared to a medical-surgical unit in the hospital?

What are some of the key differences for a staffing model in a skilled nursing facility as compared to a medical-surgical unit in the hospital?

Topic 7 DQ 1

Jan 27-29, 2022

What are some of the key differences for a staffing model in a skilled nursing facility as compared to a medical-surgical unit in the hospital?

Knowledge Check

What are some of the key differences for a staffing model in a skilled nursing facility as compared to a medical-surgical unit in the hospital?

REPLY

Healthcare workers are the backbone of any healthcare organization. “Staffing is the cornerstone of human resource management” (Theriault et al., 2019). For healthcare organizations to thrive and function at their best, adequate, qualified employees must provide continuous, high-quality, safe patient care. Competent and adequate staffing in healthcare facilities increases and promotes positive patient outcomes, decreases readmissions, decreases errors and safety events, improves the patient experience, and improves facility ratings. “Healthcare is labor-intensive, requiring the expertise and efforts of nurses and other health care providers to assess and manage the care of consumers needing health care services” (Penner, 2017). Staffing and scheduling sometimes present as a complex issue due to the challenges faced by different healthcare organizations, such as short staffing, patient acuity, patient capacity, budgeting, and lack of adequate finances.

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Staffing varies between a skilled-nursing facility versus a medical-surgical unit in a hospital. Both units require staffing for twenty-four hours per day for seven days per week, but the medical-surgical unit is an acute setting with more rapid patient turnover while the nursing facility is more chronic and long-term. Based on the acuity and services required, an acute inpatient hospital unit requires more nurses, such as RNs, while a skilled-nursing facility requires fewer nurses and more support staff such as nurses’ aides.

 

There are three types of staffing models budget base, nurse-patient ratio, and patient acuity (My American Nurse 2014). Some facilities use a combination of staff models depending on the unit’s needs or the facility. Staffing has been and continues to be a considerable challenge for many healthcare facilities and organizations worldwide. Quality patient care and patient safety should be one of the top priorities when staffing is considered. Other factors to be considered when addressing staffing needs are call-offs, sick leave, emergencies, admissions, discharges, patient capacity, and patient acuity.

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