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Learning Goal: I’m working on a nursing discussion question and need the explanation and answer to help me learn.

Case Scenario:

The nurse manager of a medical surgical unit has a budgeted ADC of 20. A new vascular surgeon has been admitting patients to the unit, which is requiring an increase in nursing care to treat these additional patients.

The current budgeted HPPD is 7.59. You have been monitoring the number of patients with the higher acuity in anticipation of budget planning.

You have been reviewing reports, and over the past 6 months since the surgeon came on board you notice an unfavorable salary variance.

You also have been tracking the actual census, and the ADC on average remains at 20; however, six of the patients have higher acuity. You are proposing the configuration of the unit is changing to a blended model with an overall ADC of 20. The blend is 70% medical surgical (ADC and 30% stepdown (6 ADC).

Answer the following Questions below along with 2 peer responses.

You need to discuss the issues with the nurse leader you report to.

1. What discussion points should you plan to cover?

Will there be a need for additional FTE caregivers to care for the change in acuity? If so, how many FTEs?

Have you been staffing above the staffing guideline using OT?

2. The assumption is you are using OT to cover the additional clinical requirements.

Financial reports indicate for the 6-month period OT expense is $125,000, which is unfavorable to the budget. What are your recommendations?

Compare the cost of OT used over the past 6 months with the cost of hiring the additional RNs.

3. Develop a revised staffing grid. (very basic does not need to be complex)

Please be sure to adhere to the following when posting your weekly discussions:

1. Students are to write their name and the appropriate discussion number/discussion title in the title bar for each discussion. For example Discussion 1: Michael Cabrera or Discussion 3: Sheila Smith. This is important in identifying that students are submitting original posts as well as response posts as required.

2. Students are to submit their discussions directly onto Blackboard Discussion Board. Attachments submitted as discussion board posts will not be graded.

The Top 10 Qualities of a Great Leader

1. Vision

Perhaps the greatest quality any leader can have is vision – the ability to see the big picture of where the organization or team they are working within is headed, what it’s capable of, and what it will take to get there.

2. Inspiration

Equally as important as having a vision is the ability to convey that vision to others, and get them excited about it. This means maintaining a positive yet realistic presence within the organization helping team members stay motivated and engaged, and remember what it is that they are working for.

3. Strategic & Critical Thinking

A good leader will be able to think critically about the organization or team they work within, and develop a clear understanding of its strengths, weaknesses, opportunities, and threats (and how they as an individual can work to support or overcome these). They’ll be able to course-correct when necessary, and be able to assess the work they do to determine how it fits into overall organizational strategy and goals.

4. Interpersonal Communication

Good leaders must be able to interact with other people in a way that feels genuine. This does not mean you have to be an extrovert or a people-person to be a leader – there are many excellent leaders who self-identify as introverts! Rather, it means being able to demonstrate empathy, engaging in active listening, and building meaningful working relationships with those around you, whether they are a peer or a direct report.


5. Authenticity & Self-Awareness

One of the key ways to become a great leader is to be self-aware enough to understand your strengths and your flaws, and to build an authentic leadership style that’s true to who you are and how you do your best work. You want to be the best possible leader you can be, not try to fit into a mold set by someone else. Try to embrace the things that make you who you are, and that will naturally translate into you developing an authentic leadership style.

6. Open-Mindedness & Creativity

Being a good leader means being open to new ideas, possibilities, and perspectives, and understanding that there’s no “right” way to do things. Leadership involves the knowledge that success comes with a willingness to change how things are done and to bring in fresh eyes to inspire new ideas, in addition to trying to think outside the box as much as possible. Leaders must be able to listen, observe, and be willing to change course

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