Ebt1 Task 3 Essay

4435 Words Apr 12th, 2014 18 Pages
Agency Nurse Orientation: A Case for Change
EBT1-Task 3
Western Governors University

A1) Procedure
Nationwide there are currently 16,000 certified nursing homes caring for 1.4 million residents (Zhao & Haley, 2011). Due to high nurse turnover rates and persistent staffing shortages, many nursing homes utilize nurse staffing agencies to meet staffing needs. Holliswood Care Center (HCC), a 300 bed nursing home, with five residential floors, located in Hollis, New York is not exempt from such staffing challenges. In fact, according to Yves Pascal, Director of Nursing (DNS) at HCC, “Usually, 2-3 LPN’s per shift are required daily” (Y. Pascal, personal communication, December 15, 2013). Agency nurses are
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Therefore, agency nurses may find it stressful and challenging as they begin to work at HCC and for an inexperienced agency nurse, employment at HCC can be downright disastrous for the nurse and patient. While the agency nurse orientation procedure has been in place for over 25 years, only recently with the sale of HCC to new owners has this procedure become a problem. The previous owner and administrator, Mr. and Mrs. Ahuja, used one staffing agency, Match One Staffing, for many years which provided competent and regular agency nurses. The new owners have sought to increase profits by using staffing agencies based on competitive bidding, which has resulted in a supply of inexperienced nurses.

The problems with inadequate orientation and lack of experience are reflected in unit administrative task failures and poor clinical outcomes. While no systematic in-house study has been conducted to determine the specific rates and outcomes associated with new agency nurses, anecdotal information from nursing management provides an overview of the problem. RN supervisor, Nathalie Francios, who supervises the 3-11 and 11-7 shifts, reports late medications, medication errors, missed or incomplete treatments, poor time management leading to delays in assessment and care, poor performance in emergency situations and inadequate assessment skills (N. Francois, personal communication, December 15, 2013). Ms. Francois

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