CN4003 Staffing Plan Paper Sample

Introduction.

Full-time equivalent (FTE) is critical in the conversion of time in hours that several part time employees work for into the hours that full time workers do. It can also be defined as an employee’s designated hours divided by the employer’s hours for a full-time week (Bush et al., 2020). In this scenario, we have a 40-bed in-patient nursing unit with an Average Daily Census of 40 and a proposed staffing ration of one nurse for every six patients during each shift.

Calculating Nursing Hours Per Patient Day (NHPPD).

The Nursing Hours Per Patient Day (NHPPD) was introduced in 2002 and is a workload monitoring system that ensures demand for care of patients in need of nursing and midwifery services is met while still maintaining the recommended levels of staff (Van et al., 2020 CN4003 Staffing Plan Paper Sample). It can be simply defined as the average number of nursing care hours offered to a patient within a 24-hour time frame. It is calculated by dividing patient days from the total number of productive hours by all available nursing practitioner.

PART I

Converting nurse patient ratio to NHPPD.

Converting the nurse to patient ration into Nursing Hours Per Patient Day (NHPPD) entails dividing the number of hours in a day, 24, by the number of patients attended to by one nurse; in this case six patients.

Number of hours in one day/ number of patients attended to by one nurse =

24/6 = 4 NHPPD.

Nursing unit volume in patient days.

The Average Daily Census (ADC) which is defined as the average number of inpatients attended to throughout the year (Zhang et al., 2017). The product of the Average Daily Census (ADC) and the total number of days every year, approximately 365 days gives us the nursing unit volume in patient days.

Average Daily Census (ADC) x Total number of days per year.

ADC 40 x 365 days = 14,600.

Total NHPPD of the previous year.

The total Nursing Hours Per Patient Day (NHPPD) of the previous year is calculated by multiplying the current Nursing Hours Per Patient Day (NHPPD) of the current year by the nursing unit in volume days.

Nursing Hours Per Patient Day (NHPPD) x Nursing unit volume in patient days.

4 NHPPD x 14,600 = 58,400 NHPPD for the previous year.

Number of FTEs needed to staff the unit.

A full-time equivalent (FTE) is a unit that measures employees in a way that enables comparison among them despite the fact that they may be working for different durations of time each week. To calculate FTE, we take the Nursing Hours Per Patient Day divided by the total number of annual hours for a full time 1.0 FTE.

58,400 NHPPD/ 2080 total annual hours = 28.0 FTEs.

Why is this staffing ratio used?

Nursing staffing ratio is determined by patient acuity, the number of admissions, transfers, rate of discharges, skill and expertise of the staff, the physical layout of the nursing unit and the availability of technology and other resources within the nursing unit (Griffiths et al., 2020). Good nurse patient ratio is critical in providing quality and efficient care. The state of California is the only state that has laws that require certain nurse to patient ratios maintained at all instances within the various units.

Staffing ratio in other units.

The nurse to patient ratio differs within the various units of the same facility. The units in the same facility will most likely have different staffing ratios. In areas of more critical levels of care such as the Paediatric Intensive Care Unit or Neonatal Intensive Care Unit where specialized care is required and the nursing staff spend more time with the patients, the ratio may be 1:2 or 1:3, as compared to areas such as Med Surg Unit that may have a 1:4 or 1:5 staffing ratio (Scruth, 2018).

Calculating Salary Costs.

Determine the salary per year for one RN FTE.

$42.25 per hour x 2080 hours worked each year = $87,880.

Calculate the total salary costs for the entire RN staff to determine your initial professional staff budget for the entire year.

$87,800 x 28 = $2,460,640 staff budget annually.

Importance of budgeting when making staffing decisions.

Budgeting is critical in the estimation of revenue, expenditure planning and is critical in ensuring that the organization does not spend more than was initially planned. When making staffing decisions, it is critical to maintain the staffing level within the planned budget (Taha & Rodríguez-Vega, 2020). It is vital not to exceed the estimated budget so as not to incur losses. It is also important to keep in mind that the acuity can vary consequently translating into a change in the number of staff required for each unit. It is important to keep in mind that when making these budget decisions for staff, the quality of patient care should not be undermined while also ensuring that the staff do not experience burnout due to prolonged working hours.

Creating a Staffing Chart for 4 North Day Shift

4 North Schedule

FTE

Sun

Mon

Tue

Wed

Thu

Fri

Sat

Sun

Mon

Tue

Wed

Thu

Fri

Sat

Day Shift 7a-7p

Example RN

0.9

K. Barnes RN

0.9

H. Keller RN

0.9

J. Jones RN

0.9

A. Hills RN

0.9

D. Scott RN

0.9

S. Guyan RN

0.9

J. Williams RN

0.9

Z. David RN

0.9

M. Williamson RN

0.9

P. Webb RN

0.6

D. Carey RN

0.3

(Add or delete RNs as needed)

Total FTEs

9.9

1.8

CN4003 Staffing Plan Paper Sample References.

Bush, A. M., Reichard, A. A., Wurzelbacher, S. J., Tseng, C. Y., & Lampl, M. P. (2020). Workers’ compensation claims among private skilled nursing facilities, Ohio, 2001–2012. American Journal of Industrial Medicine, 63(12), 1155–1168. https://doi.org/10.1002/ajim.23193

Griffiths, P., Saville, C., Ball, J., Jones, J., Pattison, N., & Monks, T. (2020). Nursing workload, Nurse Staffing methodologies and tools: A systematic scoping review and discussion. International Journal of Nursing Studies, 103, 103487. https://doi.org/10.1016/j.ijnurstu.2019.103487

Scruth, E. (2018). Nurse-patient staffing relationship in the ICU. Critical Care Medicine, 46(10), 1681–1682. https://doi.org/10.1097/ccm.0000000000003327

Taha, A., & Rodríguez-Vega, G. (2020). Planning and budgeting. Critical Care Administration, 21–41. https://doi.org/10.1007/978-3-030-33808-4_2

Van, T., Annis, A. M., Yosef, M., Robinson, C. H., Duffy, S. A., Li, Y.-F., Taylor, B. A., Krein, S., Sullivan, S. C., & Sales, A. (2020). Nurse staffing and healthcare-associated infections in a national healthcare system that implemented a nurse staffing directive: Multi-level interrupted time series analyses. International Journal of Nursing Studies, 104, 103531. https://doi.org/10.1016/j.ijnurstu.2020.103531

Zhang, G., Qiao, X., Luo, M., Zhang, W., Wu, X., Yang, H., & Chen, Y. (2017). Effectiveness evaluation model of fixed wing UAV based on the improved ADC model. 2017 IEEE International Conference on Unmanned Systems (ICUS). https://doi.org/10.1109/icus.2017.8278356

CN4003 Assessment Instructions

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Review the details of your assessment including the rubric. You will have the ability to submit the assessment once you submit your required pre-assessments and engage with your Faculty Subject Matter Expert (SME) in a substantive way about the competency.

Overview

For this Performance Task Assessment, you will calculate full-time equivalents (FTEs) and staffing costs and create a staffing chart.

Submission Length: Completed Assessment Template, 2–3 pages

Instructions

To complete this Assessment, do the following:

Be sure to adhere to the indicated assignment length.
Download the Academic Writing Expectations Checklistto review prior to submitting your Assessment.
Access the following: CN4003 Assessment Template

Before submitting your Assessment, carefully review the rubric. This is the same rubric the SME will use to evaluate your submission and it provides detailed criteria describing how to achieve or master the Competency. Many students find that understanding the requirements of the Assessment and the rubric criteria help them direct their focus and use their time most productively.

Rubric

All submissions must follow the conventions of scholarly writing. Properly formatted APA citations and references must be provided where appropriate. Submissions that do not meet these expectations will be returned without scoring.

This assessment requires submission of one file, a completed Assessment Template. Save your file as follows: CN4003_firstinitial_lastname (for example, CN4003_J_Smith).

When you are ready to upload your completed Assessment, use the Assessment tab on the top navigation menu.

Important Note: As a student taking this Competency, you agree that you may be required to submit your Assessment for textual similarity review to Turnitin.com for the detection of plagiarism. All submitted Assessment materials will be included as source documents in the Turnitin.com reference database solely for the purpose of detecting plagiarism of such materials. Use of the Turnitin.com service is subject to the Usage Policy posted on the Turnitin.com site.

Creating a Staffing Plan

You have just been hired as a unit manager for a 40-bed in-patient nursing unit. One of your first priorities is to create a staffing chart. However, first you will need to calculate your FTEs and salary costs. After analyzing the unit budget report, you find that the average daily census during the last fiscal year was 40 patients. Utilize the CN4003 Assessment Template document to complete your calculations and staffing chart.

© 2020 Walden University 1
CN4003: Staffing Plan: Create staffing plans that meet both patient care needs and budget constraints.
Assessment Rubric
Rubric Criteria Does Not Meet Expectations Meets Expectations Exceeds Expectations Module 1: Full Time Equivalents (FTEs) and Nursing Hours Per Patient Day (NHPPD)
Perform the necessary calculations for determining FTEs required for staffing in the scenario.
Learning Objective 1.1: Calculate FTEs
Response does not adequately complete each of the four calculations necessary for determining FTEs in the scenario.
Response adequately completes each of the four calculations necessary for determining FTEs in the scenario with only minor errors.
Response clearly, accurately, and completely completed each of the four calculations necessary for determining FTEs in the scenario.
Explain why the unit uses a particular staffing ratio and how that ratio is determined.
Learning Objective 1.2: Analyze staffing ratios
Response does not adequately explain why the unit uses a particular staffing ratio or does not adequately explain how that ratio is determined.
Response adequately explains why the unit uses a particular staffing ratio and adequately explains how that ratio is determined.
Response clearly and completely explains why the unit uses a particular staffing ratio and accurately explains how that ratio is determined.
Explain whether other units in the same facility would have the same ratio or different ratios. Justify your response.
Response does not adequately explain whether other units in the same facility would have the same ratio or different ratios or does not adequately justify the response.
Response adequately explains whether other units in the same facility would have the same ratio or different ratios and adequately justifies the response.
Response clearly and completely explains whether other units in the same facility would have the same or different ratios and clearly and completely justifies the response.

CN4003: Staffing Plan: Create staffing plans that meet both patient care needs and budget constraints.

Assessment Rubric

Rubric Criteria	Does Not Meet Expectations	Meets Expectations	Exceeds Expectations
Module 1: Full Time Equivalents (FTEs) and Nursing Hours Per Patient Day (NHPPD)
Perform the necessary calculations for determining FTEs required for staffing in the scenario.	Response does not adequately complete each of the four calculations necessary for determining FTEs in the scenario.	Response adequately completes each of the four calculations necessary for determining FTEs in the scenario with only minor errors.	Response clearly, accurately, and completely completed each of the four calculations necessary for determining FTEs in the scenario.
Learning Objective 1.1: Calculate FTEs
Explain why the unit uses a particular staffing ratio and how that ratio is determined.	Response does not adequately explain why the unit uses a particular staffing ratio or does not adequately explain how that ratio is determined.	Response adequately explains why the unit uses a particular staffing ratio and adequately explains how that ratio is determined.	Response clearly and completely explains why the unit uses a particular staffing ratio and accurately explains how that ratio is determined.
Learning Objective 1.2: Analyze staffing ratios
Explain whether other units in the same facility would have the same ratio or different ratios. Justify your response.	Response does not adequately explain whether other units in the same facility would have the same ratio or different ratios or does not adequately justify the response.	Response adequately explains whether other units in the same facility would have the same ratio or different ratios and adequately justifies the response.	Response clearly and completely explains whether other units in the same facility would have the same or different ratios and clearly and completely justifies the response.

Rubric Criteria	Does Not Meet Expectations	Meets Expectations	Exceeds Expectations
Learning Objective 1.3: Compare staffing ratios in different hospital units
Module 2: Personnel Costs
Perform the necessary calculations for determining salary costs for staffing budgets. Learning Objective 2.1: Calculate salary costs for staffing budgets	Response does not adequately perform the two necessary calculations for determining salary costs for staffing budgets.	Response adequately performs the two necessary calculations for determining salary costs for staffing budgets.	Response clearly, accurately, and completely performs the two necessary calculations for determining salary costs for staffing budgets.
Explain the importance of budgeting when making staffing decisions. Learning Objective 2.2: Analyze the importance of budgeting when making staffing decisions	Response does not adequately explain the importance of budgeting when making staffing decisions.	Response adequately explains the importance of budgeting when making staffing decisions.	Response clearly and completely explains the importance of budgeting when making staffing decisions.
Module 3: Staffing Plan Development
Create staffing plan for a 14-day pay period for the 4 North day shift. Learning Objective 3.1: Develop nursing staffing plans	Response does not create an adequate staffing plan for a 14-day period or does not use the details in the given scenario.	Response creates an adequate staffing plan for a 14-day period using the details in the given scenario.	Response creates a thoughtful and clear staffing plan for a 14-day period using the details in the given scenario.

Professional Skills Assessment

Professional Writing

Professional Writing: Clarity, Flow, and Organization

Content contains significant spelling, punctuation, and/or grammar/syntax errors.

Writing does not demonstrate adequate sentence and paragraph structure and requires additional editing/proofreading. Key sections of presented content lack clarity, logical flow, and/or organization.

Content contains few spelling, punctuation, and/or grammar/syntax errors. Writing demonstrates adequate sentence and paragraph structure and may require some editing. Content presented is satisfactorily clear, logical, and/or organized, but could benefit from additional

editing/revision.

Content is free from spelling, punctuation, and grammar/syntax errors.

Writing demonstrates appropriate sentence and paragraph structure.

Content presented is clear, logical, and well-organized.

Professional Writing: Context, Audience, Purpose, and Tone

Content minimally or does not demonstrate awareness of context, audience, and/or purpose. Writing is not reflective of professional/scholarly tone and/or is not free of bias.

Style is inconsistent with the professional setting/workplace context and reflects the need for

additional editing.

Content demonstrates satisfactory awareness of context, audience, and purpose. Tone is adequately professional, scholarly, and/or free from bias, and style is mostly consistent with the professional setting/workplace context.

Content clearly demonstrates awareness of context, audience, and purpose. Tone is highly professional, scholarly, and free from bias, and style is appropriate for the professional setting/workplace context.

Professional Writing: Originality, Source Credibility, and Attribution of Ideas

Content does not adequately reflect original writing and/or paraphrasing. Writing demonstrates inconsistent adherence to

reference requirements, including the use of credible

Content adequately reflects original writing and paraphrasing. Writing demonstrates adequate adherence to reference

requirements, including the use of credible evidence to

Content reflects original thought and writing and proper paraphrasing.

Writing demonstrates full adherence to reference

requirements, including the use of credible evidence to

evidence to support a claim, with appropriate source attribution (when applicable) and reference. There are

numerous and/or significant errors.

support a claim, with appropriate source attribution (when applicable) and references.

There are one or two minor errors.

support a claim, with appropriate source attribution (when applicable) and references.