The problem that the researcher chose to address is the nurse-to-patient ratio in the USC Medical Center. The organisation that the researcher chose is the USC Medical Center in Los Angeles County, located in California, USA…
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It is a public hospital founded in 1878 and is affiliated with the University of Southern California. The hospital provisions general care service and its emergency department is a Level I trauma center. The LAC USC is considered as one of the largest medical training centers and public hospitals across US (USC, 2006). It is also known as the largest provider of healthcare services in Los Angeles County. Its operations involve serving those who are underprivileged, which usually caters to trauma victims and patients suffering from AIDS and sickle-cell anemia (California Nurses Association, 2009). The Management Issue Under Consideration Although the nurse staffing has been considered average to high in the USC Medical Center in Los Angeles County, it hasn't been credited by the American Nurses Credentialing Center as being able to meet exceptional standards in providing nursing excellence. Like most US hospitals, the nurses from the LAC+USC complain that there are too many patients that need to be attended to (California Nurses Association, 2009). The emergency rooms were crowded and the hospital management was over-assigning staff which violates the law concerning safe nurse staffing. There was an instance wherein a shift was covered only by two nurses and they had to deal with 50 patients. As stated by law, 13 nurses should have been present at that particular shift (National Academy Press, 2004). More alarming cases were instances when patients had to wait up to 16 hours before they get medical attention or even have to wait for days for a hospital bed to be available (Nursingworld.org, 2011). At present, the hospital only has 600 beds (USC, 2006).The hospital has approximately 3,500 nurses. In order to be able to comply with the directives mandated, the hospital would need to employ a thousand more (Nursingworld.org, 2011). Apart from the nurse shortage issue, another pressing concern is the turn over. Since nurses across the county are overworked, they experience job dissatisfaction and burnout (National Academy Press, 2000). The California government has mandated that a licensed nurse should accommodate at least 6 medical and surgical patients, which was passed in 2002 and should be put into effect by July 2003. Once the directive is fully implemented, the patient to nurse ratio would shift to 1 nurse per 5 patients (Office of the Governor, 2002). A study showed that despite the legislations passed covering safe staff nursing; almost 85% of hospitals in the United States do not adhere to this because they are low on staff (nursingworld.org, 2011). The problem lies in the availability of staff, that in spite of the hospital management's intention to adhere to the law, they are not able to do so because of the staff shortage (Kovner, Jones, and Zhan, 2007). In essence, the management issue that the researcher intends to focus on is the nurse-to-patient ratio among hospitals. This issue produces inadequate nurse staffing, thus adversely affecting the performance of nurses and the quality of provided to the patients. Concept Map Nurses employed in hospitals that practice a higher nurse to patient ratio most likely generates job dissatisfaction and burnout. It can be noted that although staffing only plays a single aspect of healthcare facilities such as hospitals, it produces a domino effect that affects other facets of the operation (Trafford, 2002). Apart from influencing the degree of performance delivered by reducing mortality rates and ensuring the provision of safe and effective care, it can also affect the hospital itself. Job turnover would result to the need of hospitals to
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Windshield survey of Los Angeles California. A community is defined as people who reside within the same demographic location. The people in the same community usually face the same predicaments in terms of governance and other social issues. Community health refers to the initiative within public health which objectively aims to promote the welfare of the community in terms of health.
Concluding that this value gives a recommendation whether to use it in sub base, base or in others. 3. With the help of steel balls and rolling drum, the aggregate is subjected to rubbing and pounding action, these conditions are very much similar to those that are in field where pavement comes under heavy loading and high friction of tires.
Often, the lack of adequate attention to this matter has resulted in the organizations’ inability to extend proper medical care to the patients. On the other hand, there is a general feeling among nurses that increased levels of patient acuity entails delays in providing medical treatment.
In the past, Heritage Valley Medical Center was a very successful medical facility, serving all its patients with dignity and equality to an extent that both the community and the staff of the facility were completely satisfied with the services.
The base of seeking support is related to the following proof: Nursing organizations have, for a long time, reported the shortage of the personnel required in the provision of the high quality care (Aiken, Xue, Clarke & Sloane, 2007). The recent large scale research on nursing shortage indicates that the current nurse patient ratio is 1:4.
The discussion will attempt to address the primary questions framed as follows: What were the strengths and weaknesses of the TQM program as it was implemented here? What were the influences of corporate headquarters in this effort? What effort has been made to measure the impact of the program on the hospital, especially in terms of supporting its strategic directions?
Moreover, an efficient Patient management system must allocate patients to their respective specialty treatment locations, by keeping the distance and other essential parameters vital to patient, at focus. For this kind of a PMR system, the various industry standards for medical data communication and storage such as HL7, ANSI X12 and ASTM CCR are discussed in this document.
Therefore making it to the legislative arena is the first step towards bring policy change.
The key issues that influence the votes include district voters’ preferences, party politics, pressure from organized groups and personal preferences. This is why
he latter should comprise of specific procedures, such as a clear definition of job prerequisites, appropriate platforms to post the available job, screening criteria, and candidate selection strategies.
The initial undertaking in preparation for hiring a nurse would be to
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