This website uses cookies to ensure you have the best experience. Learn more

Difficult Situations In Staffing Essay

1804 words - 8 pages

Difficult Situations in Staffing
Karen was employed at a psychiatric hospital in the community, on the overnight shift. Karen had worked every shift at the hospital depending on family needs. Karen was well liked and respected as a hard worker, who did not complain. Psychiatric hospitals have to admit anyone who are harm to themselves or others no matter how full or find a bed for them else where. There were many times the day lounge area had patients sleeping on the coach, chairs and floor. The hospital never staffed for anticipated admission and there were always admissions, this resulted in increase pateint to staff ratios and safety becomes major issues (Bronn 2010).
Nursing shortages ...view middle of the document...

The paper work at night was massive. Calls to management went unanswered, there was a promise that the director of nurses (DON) would be called this nurse doubted that she would do anything about the situation. The DON was once a floor nurse also and she knew how things worked and often would not return the calls until hours later, there was no management to help with the issue. Data support that Psychiatric Nurse burn out rate is related to poor management not just the patients care issues (Hanrahan, Aiken, McClaine, Hanlon 2010).

The role of the staff nurse in an unsafe working environment
On a psychiatric unit the goal is to prvent violance and to provide safety for all patients, which often results in a sacafice to over all patint care (Seed, Torkelson, 2010). This nurse had to take into consideration that there were well over 2/3 of the patients on suicide precautions. Karen was charge nurse but she would have to work as a MHT, the one MHT, that was there refused to leave the side she usually work’s on to come to Karen’s side, the MHT threaten to walk out, there was no choice the patients had to be monitored for safety and this was Karen unit. Karen had a better working knowledge of the patients on the south side of the unit then anyone else.
At about 1am there was an admit a male in his 30’s middle build 140 lbs, 67 inches tall, at home he had become psychotic, with threats to the family, but fairly cooperative at this time, slighlty agitated, about the wait in admissions, and the fact that there were a lot of unit procedures ahead. This nurse wanted to keep the agiation to a minimum knowing that acute psychotic breaks can run the range from just inappriate to the very bizzare and dangerius (Bowers 2010). The goal is to get the patient in bed within an hour, depending on what the status of the unit was. Every patient has a skin/body search done, the ideal situaton would be that the patient be searched by same sex staff, there were no males, the policy allowed for 2 RN’s of any sex to do the search but this made nurses and patients unfocmfotable. Karen had an odd feeling because the patient made note that there were no male staff on the floor.
The patient had been abusing gamma-hydroxybutyrate (GHB), data reflected that patients using this drug have been known to wake up suddenly with agiation (Munir, Hutton, Harney, Buykx, Weiland, Dent 2008 ). The patient went to bed but approximately one hour later came back out, it did not seem to be sthe same person, there was growling and patient proceeded to run around the unit, throwing the furniture which included, TV, chairs, couches. There was fear that this patient would hurt other patients if anyone came out of their room and staff. The patient seemed to be transformed into an animal he was growling showing his teeth, the 2nd RN, heard the commotion and came running out. The MHT was told to remain in the locked nurse station this was the only way to get help. The MHT was a very small...

Other Papers Like Difficult Situations In Staffing

Finding The Right Mix In Nurse Staffing

2113 words - 9 pages required an average of five hours and four minutes of care in a 24-hour period. From these observations, they showed staffing issues in New York City. At that time, none of the hospitals were sufficiently staffed (Lewinski-Corwin, 1922, pp. 603-606). Still today, nurse staffing is a crucial health policy issue partly due to conflicting research data, making appropriation of the policy difficult. Since the 1980s, the nursing profession has taken on

Mandatory over Time for Nurses Essay

3499 words - 14 pages in states that regulated mandatory overtime before 2003 worked significantly fewer minutes (about 50 minutes per week). NLRNs in states with regulations worked fewer hours in states banning mandatory overtime or limiting total hours worked. | | | | | | | Cho et al., 2009 | 1365 RNs from 65 intensive care units in 22 hospitals in Korea. | Examine relationship between RNs staffing, RN rated quality of nursing care and job outcomes. | Cross

Staffing Plan

1125 words - 5 pages Staffing Plan Christian Frisina MGT/431 June 21, 2012 Sarah Chapman With the budget cuts and newly founded restructuring of the Air Force on an epic level, complying with day-to-day operations at home and abroad is difficult at best. Both military members and civilian positions are on the proverbial chopping block, depending upon importance to the Air Force mission capability and importance. The cumulative changes will result in a


7931 words - 32 pages . The questions pursue actual events or situations instead of letting applicants to have a general or theoretical reaction. 5.1 Recruiting Suitable Applicants Under McDonald's employment policy, every branch is responsible for filling hourly-paid positions. For hiring hourly-paid employees McDonald’s use several methods. Positions are generally advertised in the restaurant. The company’s staffing history shows this is the best method for

International Selection of Personnel

2621 words - 11 pages process of matching individual characteristics such as ability and experience with the requirement of the job. The main two differences between domestic and international selection are that managers should take into staffing orientation of particular company, in other words who should take the key positions in headquarters and subsidiaries also they should take into account laws and regulations of host country. Further in this paper it will be

Chern's Case 1

883 words - 4 pages create a central guide and reference for day-to-day decision making. It will also clarify the organization's mission, values and principles.  Staffing Strategy Chern should incorporate a core workforce. Their employees should consist of people who are a regular part of the company and understand the importance they play in keeping the business successful and helping it grow.   B. Address each of the nine staffing decisions. 1. Do we want

Chern Case Chapter 2

887 words - 4 pages Chapter 2 9 Strategic Staffing Decisions 1. Do we want a core or flexible workforce? Chern should develop a core workforce. Their employees should consist of people who are a regular part of the company and understand the importance they play in keeping the business successful and helping it grow. 2. Do we prefer to hire internally or externally? It would be beneficial to hire both internally as well as externally. Chern should

Tanglewood Case 2

1131 words - 5 pages Quality III. References IV. Conclusion INTRODUCTION This paper I will deliberate on the Human Resource functions of Tanglewood Stores. The discussion of the staffing strategies; required by Tanglewood in order to maintain its business philosophy and niche market while remaining competitive. The paper suggests strategic staffing decisions regarding the nine staffing levels and four factors of staffing quality. Every industry in the marketplace

Cherns Staffing Strategy

1515 words - 7 pages and respond well to the values and culture the company is trying to establish. Retaining employees and bringing in employees that meet the needs of the business require a proactive staffing strategy. Proactive staffing is completed prior situations or issues come up rather than responding as they occur (Phillip & Gully, 2015). By developing relationships through networking and college recruiting, the proactive stance can help to recruit

Tanglewood Case 1

1841 words - 8 pages function; therefore they are the perfect candidate for outsourcing. With all of the new stores opening, Tanglewood may not be able to keep up with the labor shortages. Outsourcing vendors specialize in staffing and will be able to hire the employees needed for each new store in a short period of time. Lastly, outsourcing is the best choice because the vendor will be responsible for complying with EEOC requirements rather than Tanglewood having

Strategic Staffing For Gateway Inc

3038 words - 13 pages to meet the demands of the growing sales and support operations of which the result were overwhelming. This paper is generated to describe the results of an organization that under estimated the growth of the market that they were a part of and how the appropriate staffing strategies could have alleviated numerous issues that had to be dealt with when the market slowed down. In addition, the discussion of implementing the seven practices

Related Essays

3 Main Difficult Situations In Interview Ways To Handle

623 words - 3 pages 3 Main Difficult Situations in Interview - Ways to Handle Difficult Situations 1. If I were asked how much starting pay I expected, what should I say? Name a figure higher than what you really expect so that it can be negotiated down later. Respond that I would like salary commensurate with my experience, and the responsibilities of the position. Respond that money is not important, and you would be willing to work there for any price

Oci Paper

1758 words - 8 pages providing support from management. This style is shown in the way they interact with each other and how they carry themselves daily. It may be difficult at first because the employees have been integrating a traditional work environment of division. The other targeted change should be Achievement. Nursefinders Staffing should require and promote high quality results on a continuous basis that would eliminate the gaps from poor, selfish job

Chapter 1 Essay

2731 words - 11 pages 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

Nurse Patient Ratio Essay

3957 words - 16 pages unit. I think this is a better way than rigidly basing the mandated nurse patient ratio (IHSP, 2001) Key passages of California AB394 legislation * Health care is becoming more complex and it is making patients difficult to access the integrated services * Quality of patient care is in jeopardy due to staffing changes. To give patients adequate care we need nurses and other licensed people be accessible to patients at all times