...It also states “ The optimal nurse staffing takes into account that multi- factorial nature of providing patient care in a complex environment and supports that nurse in the delivery of ethical, quality care at every proactive level and in all setting. “ huge decrease in nursing budget, accompanied by the challenges presented by the increasing nursing shortage is leading to fewer nurses working longer hours and caring for sicker patient. This situation leads to compromises care and can lead to an environment that drives nurses a way from their...
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...It is my utmost belief that safe nurse staffing is a top health policy of our country right now. I concur with the American Nurses Association’s (2017) proposition that somewhere along the line of health care staffing, there is a failure to associate patient health outcomes and nurse staffing. I also agree with ANA it is vital to have a nurse-driven staffing plan specific to the needs of the designated work areas by establishing an upwardly adjustable and flexible staffing that accounts for changes such as admissions, discharges, and patient acuity. As a medical-surgical/telemetry nurse, I experience inadequate staffing almost all the time. I love being a nurse but that does not mean I would not speak up for patients’ safety. It is protecting not just our patients but also advocating for ourselves as nurses....
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...Staffing on the Inpatient Psychiatric Unit at the University of Virginia Hospital University of Virginia School of Nursing Margaret Halladay, Lillian McDonough, Chelsea Bateman, Olivia Robison, Elizabeth Whitsett, Hannah Knabe, Janie Rhodes, and Fangzhong Luo On our honor, as UVA students, we have neither given nor received aid on this assignment. Margaret Halladay, Lillian McDonough, Chelsea Bateman, Olivia Robison, Elizabeth Whitsett, Hannah Knabe, Janie Rhodes, and Fangzhong Luo Introduction The nursing students working on 5E, the psychiatric unit at the University of Virginia, identified patient safety as a clinical problem related to inadequate staffing. Previous research revealed that 63% of the staff on this unit identified that inadequate staffing greatly affected patient safety. In order to research this issue further, the nursing students developed a follow-up survey that would help to identify the aspects of patient safety that are most affected. By understanding which aspects of patient safety create an issue on this unit, the group will develop an intervention with increasing safety as the expected outcome. Safety on this unit is difficult to measure because the unit does not face the same problems that staff encounter on Medical Surgical Units. One way to measure safety on 5E is to review the number of patient falls. Data was obtained that revealed in November of 2012, 5E reported the most falls of any unit in the hospital. Other safety markers...
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...Safe Staffing McConnell- 2 Safe Staffing Affects Everyone Abstract: Safe staffing is a vital component of quality nursing care. However, oftentimes units in healthcare facilities across the nation lack the personnel that give the units the number of human resources needed to provide safe and sufficient care. A variety of people are affected by unsafe staffing: the actual nurses and ancillary staff, as well as stakeholders such as administrators, government and legislative bodies, and last but not least, the tax payer. The adverse effects of short staffing and the future impending nursing shortage are discussed, along with specific actions that have been taken, and are in the process of implementing, to ensure safe staffing and positive patient outcomes for all states across the United States. Keywords: Safe staffing, nurses, patients, healthcare, problem, nursing shortage Safe Staffing: It Affects Everyone: An Introduction Safe staffing is an essential and vital component of quality care. However, safe nurse to patient ratios are often not met in today's healthcare environment. This paper will describe what safe staffing ratios are, the problems associated with the lack of safe staffing ratios, what some states have enacted to ensure safe staffing, and what the the state of New York is currently projecting to ensure safe staffing is a reality for the future. Safe Staffing McConnell 3 Safe Staffing: A Breakdown: Basically, a healthcare unit, be it a floor...
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...CHAPTER ONE: STAFFING MODELS AND STRATEGY Learning Objectives * Define staffing and consider how, in the big picture, staffing decisions matter * Review the five staffing models presented, and consider the advantages and disadvantages of each * Consider the staffing system components and how they fit into the plan for the book * Understand the staffing organization model and how its various components fit into the plan for the book * Appreciate the importance of staffing strategy, and review the 13 decisions that staffing strategy requires * Realize the importance of ethics in staffing, and learn how ethical staffing practice is established Introduction * Staffing is a critical organizational function concerned with the acquisition, deployment, and retention of the organization’s workforce. * Staffing is arguably the most critical function underlying organizational effectiveness, because “the people make the place,” because labor costs are often the highest organizational cost, and because poor hiring decisions are not easily undone. * Five models * The first model shows how projected workforce head-count requirements and availabilities are compared to determine the appropriate staffing level for the organization. * The next two models illustrate staffing quality, which refers to matching a person’s qualifications with the requirements of the job or organization. * The person/job match model is the foundation of all staffing...
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...Case Study 2 Jasmine Howard Liberty University Case Study 2 Part I Kaiser Manufacturing Company has been in business for over 50 years using the standard method staffing. Hiring its own employees, training, managing and all human resources issues were all handled in house. The option is now arising to use an employment agency, FSS, to relieve the burden from Kaiser Manufacturing Company. It is important to weigh the advantages and disadvantages of this option before changing the entire business plan Kaiser Manufacturing Company has worked so long. The advantages include, flexible staff numbers, as of current Kaiser Manufacturing Company has a workforce of 725 production workers, 30 clerical workers, 32 engineer and professional workers, and 41 managers, who are all full time employees. This number was a perfect fit for the company when the sales were at an all-time high but as of 2008 the sales have stayed at 175 million annually. Cutting back on the cost of the workforce would be very beneficial to Kaiser Manufacturing Company’s bottom line. If and when sales are to peak or employees call out it is great to have the option to bring in more employees or decrease the number of employees staffed when necessary without adding more work to management. A second advantage would be the caliber of workers available to the company. Though the current workers are adequate to keep the business running, it may be advantageous to bring in someone temporary to help understand why...
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...Nursing Legislation Bill Name and Number: The Registered Nurse Safe Staffing Act (H.R. 2083/S. 1132) Focus and Goals: The focus of this bill is to create safe staffing for nurses and patients. The bill requires all hospitals that participate with Medicare to have adequate licensed nurses. The goal of the bill is safe staffing for patients and nursing with a patient to nurse ratio that will result in better care. Provisions: Increasing RN’s is a cost saving venture that is achieved by reducing extra hospital stays and readmissions. Additionally, reducing medical errors is important as Medicare and Medicaid is denying payments for hospital-acquired illnesses. Although only seven states have enacted this legislation, my unit in NC has...
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...Indelible Ink Machine, and Internal Control changes that I recommend you make. There are 5 main areas of control that LJB Company needs to address in order to stay in good standings with internal controls. The first internal control is the Establishment of Responsibility; “Control is most effective when only one person is responsible for a given task.”(Kimmel 339) A company should limit one employee to each area to limit the chance of illegal activities. Segregation of duties ties into establishing responsibility by assigning related activities to different employees. Documentation procedures deal with making sure that all transactions and events are documented and monitored. Physical, mechanical, and electronic controls are based on keeping safes, computers and time clocks monitored and restricted. Independent internal verification is used to audit employees and data reconciliation. The last category is called other. This deals with bonding employees who handle cash, and rotating employee duties. Based on the information you gave my colleague and my review of your company, I do not recommend you purchasing an Indelible Ink Machine at this time based on the information which gave to my colleague and my review of your company. This expensive purchase is unnecessary and can easily be avoided if you apply better internal control practices. The implementation of using numbered invoices is a good practice and should continue to be used moving forward. This practice will allow...
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...important feature of the organization and has to play an important role in its working. Huge amount of information is transferred everyday and is crucial for the organization. A network crash due to any reason may cause a huge loss to the organization. Also any intrusion in the network may allow somebody to get hold of private and confidential information about the company. Hence, the security of the network is very crucial to the organization and its business. The goals of this security plan are to ensure the complete security of the network. This would include physical security, network security and access control systems. Physical security is about keeping the network equipments safe from being physically damaged, tampered with or from being stolen. Network security is about keeping the information safe over the network while transmission. Access control systems refer to the control systems that would allow a user to access the information, that could be crucial to the organization, or the private information of the organization. These are discussed in detail in the following sections. While discussing the security of the network, we make some assumptions. The security employees or the security guards are trustworthy. The employees of the company are trustworthy and they won’t their passwords or other secret keys with anyone. In case an employee is found malicious, he/she would be departed from access to the network immediately. For network security there is a trusted third party...
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...Valentine was a safe-cracking thief. After getting out of jail, Jimmy fell in love and changed his name to Ralph Spencer. Ralph is a nice, morally good man who is the opposite of his true self. Jimmy Valentine was trying to live a moral life because of Jimmy’s sacrifice, honesty and determination. Jimmy Valentine was trying to live a moral life because of his sacrifices. First, Jimmy sacrifices his true identity by opening a safe in front of people that know him as Ralph. “In a minute Jimmy’s pet drill was biting smoothly into the steel door. In ten minutes-breaking his own burglarious record-he threw back the bolts and opened the door.” Second, Ralph sacrificed being noticed as Jimmy Valentine by meeting people and making friendships. The quote from the article proves this point, “Socially he was a success, and made many friends.”...
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...given time. While handling such private information like Social Security Numbers, Individuals Names, Addresses, Credit Card information… etc., needs to be properly kept safe from everyone. Things like that can be used to steal someone’s identity and cause serious harm to you and others. This is the type of information that needs to be kept under a lock and key in the safest safe known to man. While handling such information you should constantly monitor your system for any issues for any outside activity that should not be there. To prevent things like this from happening, you need to constantly have that extra watch dog out for around the clock monitoring. The internet is one complete network and everyone is connected in some way, shape or form. If there is a connection, there is always someone watching in that backdoor that you might not be thinking about. There is usually a port or open door somewhere that someone is waiting at for that right time. Yes, there is software, hardware and other ways to monitor your data and/or information, along with your closed network. You can never be too careful and confident to let it all go on by itself. Every day, there is updates and new technology that arrives and needs to constantly be put in place. You can never be too careful to keep such information safe. The impact could result in your company to go down and never come back if this ever happens. Not only that, it can cost you your whole life savings and many other...
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...Week 3 1) Security’s not how it was like back in the days, where all they did was lock away mainframes in the server room. Times have changed, technology has advanced and now comes in many forms. Security is very crucial to any organization, and physical security is no exception. Organizations are not just prone to cyber attacks, but as well breaking and entering, trespassing, natural disaster, fire, flood and much more. Physical security protects people, data, equipment’s, systems and facilities etc. Facility management is very important to any organization. It protects company assets. CPTED “is a discipline that outlines how the proper design of a physical environment can reduce crime by directly affecting human behavior”. It helps to provide support in loss and crime through proper facility construction and procedures. CPTED provides three main approaches to provide overall security. Which include natural access control, natural surveillance, and natural territorial reinforcement. It’s the best approach to build a facility through the CPTED approach. It’s also best to follow proper maintenance and procedures pertaining to physical security. For examples facility keys should only be assigned by the facility management and should be documented. Procedures should be written out clearly stating, how the keys should be distributed, inventoried or even destroyed given the circumstances. On any facility, it’s imperative to enforce access control, to prevent unauthorized personnel...
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...access and 45,000 servers. All employees communicate using smartphones and email. Many employees work from home and travel extensively. They will need access to Discretionary, mandatory, role-based, rule-based, content-dependent, and nondiscretionary access controls, they are a large company and will need someone to be in charge of each control because not everyone have the same access. 4. Backordered parts are a defense contractor that builds communications parts for the military. All employees communicate using smartphones and email. They would need Discretionary, content-dependent and rule-based access control, they have a group of people who contain sensitive data that need to be controlled. They communication parts need to be safe. 5. Confidential Services Inc is a military-support branch consisting of 14,000,000 computers with internet access and 250,000 servers. All employees must have security clearances, and they communicate mainly using BlackBerry devices and email. They would need Mandatory, Discretionary, role-based, rule-based, content-dependent, nondiscretionary. They have many individuals all who need different access, so they need someone...
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...sexually active. The local media stations report sex scandals daily. If you go to school, you will find students talking about sex! Even in the middle and grade schools, is also dealing with the same issues. In summary, sex is currently the center of conversations in the society. Controlling this habit of sex has become a challenge not only in the society but also in the entire world. Children, on the other hand, are exposed to sex because of the lifestyle we are experiencing. Sex is a basic instinct in all-living beings; sex education should be encouraged in school with the aim of abstinence. However, it is also essential to advocate safe sex because the most teenagers are sexually active, making it impossible to campaign for abstinence (Erkut and Grossman, 2013). As a teen, watching videos that are sexy can make one not to think about safe sex, especially at the age. Girls might be in safer possible because they might get more interested than boys. This is because boys would want to experiment with anything they see. The 1980’s sex education must be discouraged because there are no longer effective as it used to be. According to researched, it is evidence that an average of one million women gets pregnant under the age of 20. This means that about 2,800 get pregnant on a daily basis. Some of the reasons why...
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...Women are underrepresented in our correctional system even though they comprise a very small percentage in our correctional system. In the last decade we have seen a higher number of women being sentenced to prison. Women commit crime and are incarcerated under different circumstances and reasons than men. Their criminal behavior can be attributed to drug abuse, sexual abuse, physical abuse and poverty. Women who are admitted into prison facilities are disadvantaged from the very beginning; prisons are calculated and planned for our male counterparts because in history men have made up the proportion of our high prison populace. It is hard to meet the needs of women prisoners when the facilities are not custom-made for them. Prisons for women should be geared with programming to help these women deal with obstacles they are facing in their daily lives. But because there are fewer women in prison, the health services that are given to them are typically nominal as compared to males. One of the biggest problems for women in prison is that they are disproportionately affected by human immunodeficiency virus commonly known as HIV. There is a tangible need to address the problem with HIV positive incarcerated women. (Reyes, 2001) Female prisoners make up about five percent of our overall prison population but as time has passed their numbers have increased at a rapid pace. In countries where substance abuse is high and drug laws have become harsher, we can see a correlation between...
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