Based on own virtual clinical unit/workplace. Please answer all questions

Based on own virtual clinical unit/workplace. Please answer all questions in professional manner, no bullet points, but paragraphs. “This is your last visit to your hospital unit as its nurse manager. It is critical that clinical units function effectively and deliver quality care that meets the patients’ needs and the staff feels confident about their performance. You now must meet your nurse manager responsibility to focus on staff development for your virtual unit. You are in a hospital that uses a decentralized approach, but there is a director of staff development and several staff development specialists who assist nurse managers when needed with unit-based education activities. How will you organize the unit’s staff development and who will be involved? What impact does this have on the unit’s budget? How will you apply the staff development process in creating a plan? Include either the issue or topic you have discussed in previous virtual clinical entries, or the issue you are addressing with your mentor at your clinical site, that you want covered in the first year. Since this is the unit you have developed throughout this course, you need to consider decisions made in the past and characteristics of the unit and staff that you have described. My own virtual clinical unit/workplace : ” Virtual Clinical Unit/Workplace Description : Unit Name: Med-Surg and Dialysis Care Unit Operating Hours: 24 hours per day, 7 days per week Location: Virtual Hospital Setting The Med-Surg and Dialysis Care Unit operates continuously, providing round-the-clock care to patients. This unit is designed to cater to both medical-surgical patients and those requiring dialysis, ensuring comprehensive care in a virtual hospital environment. Staffing: Nurses: To maintain optimal patient care, the unit is staffed with nurses working in three shifts per day: morning, evening, and night. Each shift is carefully planned to ensure an adequate nurse-to-patient ratio, which is crucial for delivering high-quality care. A charge nurse is assigned to each shift to oversee operations and provide leadership. Additionally, specialized dialysis nurses are employed to manage the dialysis section, ensuring that patients receive expert care tailored to their specific needs. Support Staff: The unit employs patient care technicians (PCTs) who assist with basic patient care tasks, such as monitoring vital signs and helping with daily activities. Unit clerks are included in the staffing to handle administrative tasks, ensuring smooth operation and efficient communication. Housekeeping staff are also employed to maintain cleanliness and hygiene, which is essential for preventing infections and creating a safe environment for both patients and staff. Medical Staff: To provide comprehensive medical care, the unit ensures that on-call physicians are available 24/7. Nephrologists are specifically available for dialysis patients, offering specialized care and expertise. The unit also includes a multidisciplinary team comprising dietitians, social workers, and physical therapists. This team approach ensures that patients receive holistic care addressing their medical, nutritional, social, and physical needs. Facilities Patient Rooms: The unit offers both private and semi-private rooms, each equipped with the necessary medical equipment to provide high-quality care. Each room includes a bed, monitoring equipment, and a dialysis machine if needed, ensuring that patients have access to the care they require without needing to be moved frequently. Dialysis Section: A dedicated area within the unit is set aside for dialysis, equipped with dialysis chairs and machines. This section is designed to provide a comfortable and efficient environment for dialysis treatments. Emergency supplies and medications are readily available in this area to handle any urgent situations that may arise during dialysis sessions. Nurse Station: In the design of my virtual clinical unit, I prioritize the placement of a central nurse station. This strategic location is chosen to ensure that nurses have easy and quick access to patient records and can efficiently communicate with other healthcare professionals. The central nurse station acts as the hub of the unit, facilitating the coordination of patient care and the management of clinical tasks. By situating the nurse station centrally, I aim to enhance workflow efficiency and improve the overall quality of patient care. Break Room: Recognizing the importance of staff well-being, I provide a well-equipped break room within the virtual clinical unit. This break room is furnished with essential amenities such as a refrigerator, microwave, and a comfortable seating area. The purpose of the break room is to offer healthcare staff a space where they can relax and recharge during their shifts. By ensuring that the break room is a welcoming and functional space, I support the physical and mental health of the staff, which in turn contributes to better patient care. Technology Electronic Health Records (EHR): In my virtual clinical unit, I implement an advanced Electronic Health Records (EHR) system. This system is designed to provide real-time access to patient data, allowing healthcare professionals to document and retrieve patient information efficiently. The EHR system enhances the accuracy and completeness of patient records, facilitating better clinical decision-making and improving patient outcomes. By leveraging technology, I aim to streamline the documentation process and reduce the likelihood of errors. Telehealth: To expand the reach of healthcare services, I incorporate telehealth capabilities into the virtual clinical unit. Telehealth services enable remote consultations and follow-up appointments, making healthcare more accessible to patients who may have difficulty visiting the clinic in person. This technology allows for continuous patient monitoring and timely interventions, thereby improving the continuity of care. By integrating telehealth, I ensure that patients receive comprehensive care regardless of their geographical location. Communication: Effective communication is crucial in a clinical setting, and to facilitate this, I utilize secure messaging systems for staff communication. These systems ensure that sensitive patient information is transmitted securely and that healthcare professionals can communicate efficiently. By using secure messaging, I enhance the coordination of care and ensure that all team members are informed and aligned in their efforts to provide the best possible patient care. Describe eight members of your nursing staff (four nurses/four support staff). Staff descriptions do not have to be very detailed–just a brief summary of the staff member’s abilities, experience and unique attributes. Name each staff member and assign an age. In addition to staff descriptions, calculate the number of total staff you would be managing for a 24-hour, seven day work week based on the number of beds in your unit. NOTE: What you describe for this section will carry through the remaining four (4) weeks’ assignments. Omitting some/most of this content will impact your grade on the remaining My Virtual Clinical Unit assignments. Nursing Staff Nurse Alice (Age 45) Experience: 20 years in med-surg nursing, with 10 years specializing in dialysis care. Unique Attributes: Highly skilled in-patient education and chronic disease management. Known for her compassionate bedside manner. Nurse Bernard (Age 32) Experience: 8 years in nursing, with 5 years in med-surg and 3 years in dialysis. Unique Attributes: Strong in clinical skills and technology integration. Excellent at troubleshooting dialysis machines. Nurse Carla (Age 28) Experience: 5 years in med-surg nursing. Unique Attributes: Energetic and detail oriented. Great at multitasking and managing high patient loads. Nurse David (Age 50) Experience: 25 years in nursing, with extensive experience in critical care and dialysis. Unique Attributes: A mentor to younger staff, known for his leadership and crisis management skills. Support Staff Patient Care Technician Emma (Age 30) Experience: 7 years as a PCT, with 4 years in dialysis. Unique Attributes: Skilled in-patient monitoring and assisting with dialysis procedures. Very empathetic and patient focused. Unit Secretary Frank (Age 40) Experience: 15 years in administrative roles within healthcare settings. Unique Attributes: Highly organized and efficient. Excellent at managing patient records and coordinating communication. Dietitian Tanisha (Age 35) Experience: 10 years as a registered dietitian, with 5 years focusing on renal nutrition. Unique Attributes: Expert in creating individualized meal plans for dialysis patients. Strong educator and advocate for patient dietary needs. Housekeeper Henry (Age 50) Experience: 20 years in hospital housekeeping. Unique Attributes: Meticulous and reliable. Ensures a clean and safe environment for patients and staff. Staffing Calculation To calculate the total number of staff required to manage a 24-hour, seven-day work week for a 20-bed med-surg unit, we need to consider the staffing needs for continuous coverage. Here is a step-by-step breakdown: Step 1: Determine Nursing Staff Requirements Nurse-to-Patient Ratio For med-surg units, a common nurse-to-patient ratio is 1:5. This means one nurse can manage up to 5 patients. Number of Nurses per Shift With 20 beds and a 1:5 ratio, you need 4 nurses per shift (20 beds / 5 patients per nurse = 4 nurses). Shifts per Day Typically, hospitals operate on three 8-hour shifts per day (morning, evening, night). Total Nurses per Day 4 nurses per shift * 3 shifts per day = 12 nurses per day. Weekly Coverage To cover 7 days a week, you need 12 nurses per day * 7 days = 84 nurse shifts per week. Full-Time Equivalent (FTE) Calculation Assuming each nurse works 40 hours per week, and each shift is 8 hours, each nurse can cover 5 shifts per week (40 hours / 8 hours per shift = 5 shifts per week). Total nurses needed = 84 shifts per week / 5 shifts per nurse = 16.8 ≈ 17 nurses. Step 2: Determine Support Staff Requirements Patient Care Technicians (PCTs) Assume a ratio of 1 PCT for every 10 patients. For 20 beds, you need 2 PCTs per shift. Total PCTs per day = 2 PCTs per shift * 3 shifts per day = 6 PCTs per day. Weekly coverage = 6 PCTs per day * 7 days = 42 PCT shifts per week. Total PCTs needed = 42 shifts per week / 5 shifts per PCT = 8.4 ≈ 9 PCTs. Unit Secretary Typically, one unit secretary can cover administrative tasks for the entire unit per shift. Total unit secretaries per day = 1 per shift * 3 shifts per day = 3 unit secretaries per day. Weekly coverage = 3 unit secretaries per day * 7 days = 21 unit secretary shifts per week. You have nursing and medical students on your unit. How many of each type? What responsibility does your staff have for mentoring/overseeing students? In my virtual clinical unit, our team includes a mix of experienced nurses, medical students, and nursing students, all working together to provide comprehensive care. Currently, we have 10 medical students and 15 nursing students assigned to our unit. The medical students are typically in their third or fourth year of medical school, while the nursing students are in various stages of their nursing programs, ranging from second-year students to those in their final year. As part of our responsibilities, my staff and I play a crucial role in mentoring and overseeing these students. Here are some of the key responsibilities we have in this regard: Orientation and Training: We provide an initial orientation session for all new students, introducing them to the unit, the dialysis section, and the specific protocols and procedures we follow. We ensure that students are familiar with the equipment and understand the safety protocols related to dialysis treatment. Clinical Supervision: Each student is paired with a mentor, either a registered nurse (RN) or a senior medical staff member, who oversees their daily activities. We supervise the students as they perform various tasks, such as patient assessments, administering medications, and assisting with dialysis procedures, ensuring they adhere to best practices and safety standards. Educational Support: We conduct regular teaching sessions and case studies to enhance the students’ understanding of dialysis and related medical conditions. We encourage students to ask questions and engage in discussions to deepen their clinical knowledge and critical thinking skills. Performance Evaluation: We provide continuous feedback to students on their performance, highlighting areas of strength and identifying opportunities for improvement. Formal evaluations are conducted at the end of their rotation, including written and practical evaluations. Professional Development: We encourage students to participate in interdisciplinary team meetings and rounds, giving them exposure to collaborative care planning and decision-making processes. We support students in developing their communication skills, both with patients and within the healthcare team, emphasizing the importance of empathy and professionalism. Patient Safety and Advocacy: We ensure that students understand the importance of patient safety and advocate for their patients’ well-being. We teach students how to recognize and respond to potential complications related to dialysis, such as infections or electrolyte imbalances. “

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