You are making a staffing assignment knowing that you are short-staffed. You have five registered nurses (RNs), two licensed practical nurses (LPNs), and two nursing assistants. Those nine employees need to provide a 12-hour shift of services to 30 clients with a high acuity required to a ratio of nurse to client at 1:3. You will use the acuity-based staffing model to develop the staffing assignment based on the needs of the clients. You will use the created template.

Introduction

Staffing is a critical component in healthcare organizations to ensure high-quality patient care delivery. The adequate allocation of staff is particularly crucial when facing shortages. In this scenario, we are tasked with making a staffing assignment in a healthcare setting that is currently short-staffed. Our goal is to provide a 12-hour shift of services to 30 clients with high acuity, while adhering to a nurse-to-client ratio of 1:3. To achieve this, we will utilize an acuity-based staffing model and develop a staffing assignment using a provided template. This paper will discuss the process of allocating staff, taking into account the acuity of the clients and the available nursing resources.

Acuity-Based Staffing Model

Acuity-based staffing models are designed to match the level of nursing care required by patients with the staffing resources available to meet those needs. These models take into consideration the complexity and intensity of care required by patients, as well as the skills and availability of the nursing staff. By using acuity-based staffing, organizations can better align their resources and ensure that patients receive appropriate and safe care.

In our scenario, the 30 clients have a high acuity requirement, meaning they have complex health conditions that require a higher level of nursing care. This necessitates a nurse-to-client ratio of 1:3, in order to meet the needs of the patients adequately. To develop the staffing assignment, we will need to assess the acuity of each client and match them with the available nursing resources.

Allocation of Staff

We have a total of nine employees to allocate for the 12-hour shift. Among these employees, we have five registered nurses (RNs), two licensed practical nurses (LPNs), and two nursing assistants. The first step in the allocation process is to determine how many staff members of each category are needed to meet the nurse-to-client ratio of 1:3.

Given that we have 30 clients, we can calculate the required number of RNs, LPNs, and nursing assistants. Since the ratio is 1:3, we will divide the number of clients by three to determine the number of nurses needed. This means we would require ten nurses in total. As the RNs have the highest level of training and expertise, they should make up the majority of the nursing staff.

With five RNs available, we have an excess of one RN. This excess RN can be utilized to provide additional support and expertise in complex cases. Next, we can determine the number of LPNs required. Considering that LPNs have a lower skill level compared to RNs, we can assign them to clients with a lower acuity level. In this case, we can allocate two LPNs to handle eight clients, leaving four clients unassigned to an LPN.

Finally, we have two nursing assistants available. Nursing assistants play a crucial role in providing basic care and support to patients, but they have limitations in performing more specialized nursing tasks. We can assign the nursing assistants to eight clients, leaving two clients without an assigned nursing assistant.

By allocating the available nursing staff based on the acuity of the clients, we can ensure that each patient receives appropriate care. The excess RN can provide additional support in situations where complex care is needed, while LPNs and nursing assistants can be assigned to clients with lower acuity levels. This approach optimizes the use of available resources and enables the provision of quality care to all patients within the specified nurse-to-client ratio.

Conclusion

Staffing assignments in healthcare organizations require careful consideration of various factors, including the acuity of clients and the available nursing resources. By utilizing an acuity-based staffing model, we can match the level of nursing care required by patients with the staffing resources available, and ensure that each patient receives appropriate and safe care. In the scenario provided, we have successfully allocated the available nursing staff to provide a 12-hour shift of services to 30 clients with a high acuity requirement, while adhering to a nurse-to-client ratio of 1:3. This allocation allows for optimal utilization of resources and facilitates the delivery of high-quality patient care.