Expense Budget Analysis In Nursing

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Traditionally nursing is seen as a cost center with the nursing costs being included into the room fee. Our Nursing managers are given the task of charting the costs that the department, in this case the ED, incurs. What if we can bring that cost accrual down by reducing infection, as well as repeat ER arrivals for infection treatment from indwelling urinary catheters. The decrease in arrival for infection treatment leaves our rooms open for other emergencies. Reducing the lower acuity ER arrivals also impacts our ED wait time, which is a CDC measure. (Sullivan, 2012. p. 198)
The ED expense budget is a great model for over all departmental change. The ED is one of the lowest in cost reimbursement. The task is to have the ED expense budget reflect our patient care objectives regarding CAUTI and indwelling catheters and insertion and removal parameters established for the ED unit. The projection is that by the year
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The employee benefits are based upon 35% of the standard salary. Rewarding an employee with 12 hours of PTO for superior compliance is a minimal impact on salary budgets. Of course the standard stipulation of requested PTO days holds in place for the employee wishing to use these hours. Even if we award 2-4 hours of PTO quarterly for superior performs this impact on budgetary allocations is minimal. A department award of bonuses for superior performance for the entire year of trials and compliance should be taken from the funds saved by adhering to this new policy. The difference between departmental awards for ER staff and costs saved by policy adherence should still positively impact the ED budget. Again, this is an experimental model intended to last one year with the ER as the sample. The expansion of this policy to other departments for incorporation into practices will not include benefit allocations for performance. (Sullivan, 2012. p.

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