Decentralization and Staffing in Organizations
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Questions and Answers

What is the nurse-to-patient ratio in Level IV care?

  • 80:20 (correct)
  • 70:30
  • 60:40
  • 55:45

    • Which level of care corresponds to an average of 3.0 NCH/patient/day?

  • Level II (correct)
  • Level III
  • Level I
  • Level IV

    • How many hours per week do personnel in Level I care generally work?

  • 48 hours
  • 50 hours
  • 36 hours
  • 40 hours (correct)

    • What is the average NCH/patient/day for Level III care?

    <p>4.5</p> Signup and view all the answers

    How many vacation leave days are allotted to personnel in Level II care?

    <p>15 days</p> Signup and view all the answers

    Which level of care allows for a maximum of 104 off duties per year?

    <p>Level IV</p> Signup and view all the answers

    What ratio of professional to non-professional staff is observed in Level II care?

    <p>60:40</p> Signup and view all the answers

    In nursing staff distribution, which scenario is likely to promote staffing efficiency?

    <p>Adequate distribution of care levels according to NCH/patient/day</p> Signup and view all the answers

    What is the total number of working hours rendered by nursing personnel per year?

    <p>1,704 hours</p> Signup and view all the answers

    What is the formula to find the total number of nursing personnel needed?

    <p>Total Nursing Care Needed / Working Hours per Year</p> Signup and view all the answers

    How many relief personnel are needed if the total nursing personnel needed is 165?

    <p>25</p> Signup and view all the answers

    What is the total number of nursing personnel needed when including relievers?

    <p>190</p> Signup and view all the answers

    Which of the following is NOT a factor to consider in the placement of staff?

    <p>Availability of part-time staff</p> Signup and view all the answers

    What can inappropriate placement of nursing staff result in?

    <p>Reduced organizational efficiency</p> Signup and view all the answers

    What expectations are vital for scheduling nursing personnel?

    <p>Ability to cover unit needs</p> Signup and view all the answers

    What is the impact of proper staffing and scheduling on nursing care?

    <p>Improved patient outcomes</p> Signup and view all the answers

    What is the NCH (Nursing Care Hours) per patient per day for Pediatrics?

    <p>4.6</p> Signup and view all the answers

    What is the professional to non-professional staff ratio in the CCU?

    <p>80:20</p> Signup and view all the answers

    Which patient care level requires the least nursing care hours per day?

    <p>Level I - Self Care or Minimal Care</p> Signup and view all the answers

    How many nursing care hours are required per patient per day in the ER/ICU/RR?

    <p>6.0</p> Signup and view all the answers

    What is the primary focus of staffing in nursing administration?

    <p>Filling, and keeping filled, positions</p> Signup and view all the answers

    What type of authority does decentralization refer to in an organization?

    <p>Delegation of authority downwards</p> Signup and view all the answers

    Which patient classification system factors in the complexity of nursing care?

    <p>Patient Care Classification System</p> Signup and view all the answers

    Which unit has the lowest nursing care hours per patient per day?

    <p>Pathologic Nursery</p> Signup and view all the answers

    What is a necessary component of staffing in nursing care settings?

    <p>Recruitment and training</p> Signup and view all the answers

    What is the primary nursing care hours per patient per day for General Medicine?

    <p>3.5</p> Signup and view all the answers

    Study Notes

    Decentralization

    • Refers to the delegation of authority downwards within an organization.
    • Decentralization includes delegation of all management functions like planning, leading, organizing and controlling.

    Staffing

    • Involves filling and maintaining filled positions in the organizational structure.
    • Determines workforce requirements, appraises, selects, compensates, and trains personnel.
    • Staffing is the use of recruitment, selection, and development of personnel to assign competent people to assigned roles.

    Factors Affecting Staffing

    • Actual working hours: An employee's annual working hours can be calculated by multiplying their daily hours on duty by the number of working days per year: 8 hours/day * 213 working days/year = 1, 704 working hours/year.
    • Total Nursing Personnel Needed: Determined by dividing the total number of nursing care hours needed per year by the actual number of working hours rendered by an employee per year.
    • Relievers: These individuals are needed to ensure adequate coverage for staff absences. The number of relievers is calculated by multiplying the total number of nursing personnel by the relief factor (e.g., 165 x 0.15 = 25).

    Proper Placement Fosters

    • Personal growth
    • Motivating climate for employees
    • Maximizes productivity and organizational goals

    Inappropriate Placement Results in:

    • Frustration
    • Poor quality of work
    • Reduced organizational efficiency
    • Rapid turnover
    • Poor image for the agency

    Factors to Consider in Placement

    • Past experience
    • Training
    • Clientele culture
    • Decision-making skills
    • Communication skills

    Scheduling

    • Timetable showing planned work days and shifts for nursing personnel
    • Should function smoothly in terms of covering unit needs, making sure adequate equipment, supplies, and materials are available, and remaining within budget.

    Patient Classification System

    • Method for grouping patients based on the amount and complexity of their nursing care requirements.
    • Considers the nursing time and skills required to manage their care needs.
    • Level I (Self-Care or Minimal Care): Patients can perform most activities of daily living with minimal assistance. Average NCH/pt/day is 1.5, with a 55:45 ratio of professional to non-professional staff.
    • Level II (Moderate or Intermediate Care): Patients require some assistance with basic functions like bathing, feeding, or dressing.
    • Level III (Total, Complete, or Intensive Care): Patients require significant assistance with most aspects of their care.
    • Level IV (Highly Specialized Critical Care): Patients require intensive and highly specialized nursing care. Average NCH/pt/day is 6-9, with a 80:20 ratio of professional to non-professional staff.

    Total Number of Working and Non-Working Days and Hours of Nursing Personnel Per Year

    • Factors influencing the total hours per year include vacation leave, sick leave, legal holidays, special holidays, special privileges, off-duty provisions, and continuing education.

    Categories of Levels of Care of Patients

    • Self or Minimal Care: Patients can perform most activities of daily living, typically requiring a lower ratio of professional to non-professional staff.
    • Moderate or Intermediate Care: Patients need some assistance with basic functions like bathing, feeding, or dressing.
    • Total, Complete, or Intensive Care: Patients require significant assistance with most aspects of their care.
    • Highly Specialized Critical Care: Patients require intensive and highly specialized nursing care, necessitate a high ratio of professional to non-professional staff.

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    Related Documents

    NCM 119 Lecture - Midterms PDF

    Description

    This quiz covers the concepts of decentralization and staffing within organizations. It discusses the delegation of authority, management functions, and the factors affecting staffing levels, including working hours and workforce requirements. Test your knowledge on these crucial aspects of organizational management.

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