The Importance Of Staffing In Nursing Management

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In many nursing facilities, hospitals are challenged with inadequate staffing. According to Yonder-Wise (2015), staffing involves hiring and implementing capable employees to meet the needs of patient care. Staffing and scheduling are primarily the responsibility of the lead charge nurse and the unit director. Scheduling is the task of implementing the staffing plan by assigning employees to work specific hours and days. Adequate staffing is needed to assure timely identification of any change in a patient’s status and to facilitate an appropriate intervention. Proper scheduling is needed to justify the cost of a unit (Yonder-Wise, 2015). According to Children’s of Alabama (2015) staffing guidelines are provided to sufficiently staff each unit …show more content…
Already scheduled and preapproved paid time off has priority over special requests for paid time off made after the deadline. If an employee is not able to work a certain scheduled day, a swap of days can occur with another employee. When swapping days with someone who works another shift, the unit director or lead charge nurse must review the shift and how it affects those employees. According to Children’s of Alabama (2015), exchanges or swaps cannot create overtime and other employees must be contemplated when requesting exchanges or swaps. If a swap is to be made, all changes to the present schedule must be submitted to the unit director or the lead charge nurse. The unit director and the lead charge nurse schedule staffing for holidays. The individual units are accountable for scheduling adequate staff to cover adequate patient care. Vacation days must be requested in advance and in writing to the unit director or to the lead charge nurse. Vacation days are granted according to the level of care of the patients, current staffing of the unit, availability of additional staffing, and the skill level of the staff. According to Children’s of Alabama (2015), all requested …show more content…
The nurses are allowed to fill out a draft schedule with the days they would like to work. This is only a daft and the days the nurse signed up for are not guaranteed. On this draft is the nurse’s required weekend to work. This weekend is required unless the nurse swaps weekends with another nurse. Once the draft is complete, the change nurses then makes a final schedule. The final schedule can be changed if an employee has a valid reason or if an emergency occurs. For the final schedule to be changed, the lead charge nurse must determine if the staff will be left with enough nurses for the patient census. Sometime if an employee is scheduled during a day with over 9 nurses, the nurse can elect to be on call or moved to another day. The lead charge nurse must authorize this request. Paid time off and vacation is required in advance in writing. 10 Harbert has a binder were requests are written down and then reviewed. If the request is granted, the nurse will be notified in writing. If an employee is cancelled from a days work, they can elect to use their paid time off or make up this day when staffing is short. Paid time off request can be made after the schedule has been issued; however, it must be approved first by the lead charge nurse. Overall, the unit’s actual schedule is reflective of the organization’s staffing policies and the unit’s actual schedule is consistent with the staffing

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