CU 3 - ORGANIZING & STAFFING

Organizing

What refers to establishing formal authority?

Line Organization

Types of Organization: vertical

Informal Organization

Types of Organization: horizontal, same level

Staff Organization

Types of Organization: advisory, no authority

Functional organization

Types of Organization: based workload, ex. committees

Bureucracy

What refers to an institutional method for applying general rules to specific cases, making the actions of management fair and predictable?

Staffing

What refers to recruitment and hiring?

RA 5901

What law refers to 40hr work/week law for 100 bed capacity hospital or more and requires ovework pay?

Centralized Scheduling

Types of Scheduling: Chief nurse create schedule

Decentralized

Types of Scheduling: departmental

Cyclical Scheduling

Types of Scheduling: Flexible; can cause conflict doe to comparison of schedule

1:12

What is the nurse-patient ratio in ward?

1:2

What is the nurse-patient ratio in ICE and NICU?

1:4

What is the nurse-patient ratio in hemodialysis?

1:3

What is the nurse-patient ratio in ER and may depend on triaging?

No specific

What is the nurse-patient ratio in OR?

1:24

What is the nursing attendant-patient ratio in ward?

Patient Classification System (PCS)

What is used as patient acuity tool, to identify how man nurse you need?

Self care / minimal care

Level of PCS: Ex. blood extraction

Moderate Care

Level of PCS: recovery stage/hygiene. Ex. breastfeed and post-op

Maximum Care

Level of PCS: nurse initiate and pt knows. Ex. post-stroke

Intensive care

Level of PCS: high-care dependency; Ex. GCS 3

Case Method

Patient Modalities of Care: AKA Total patient care, CHARGE NURSE, in charge of unit, should know the case of all patients in department, reminds RN sched of patient, could accept doctors’ orders and relay to assigned RN to patient

Primary Nursing

Patient Modalities of Care: most common; continuous care, from admission to discharge to establish rapport

FUnctional Nursing

Patient Modalities of Care: division of labor; task oriented; increase attrition rate

Team Nursing

Patient Modalities of Care: Triaging; as a team for urgent, emergent, and nonemergence

Modular Nursing

Patient Modalities of Care: geographic modules; complete manpower. Ex. LPN, LVN

Nursing care Management

Patient Modalities of Care: Case Managers; independent or advanced nurse practitioner; clinical pathway guidelines

Innovative Method

Patient Modalities of Care: contemporary; technology