If you decide to use the APA formatted template provided above, please make sure

If you decide to use the APA formatted template provided above, please make sure you perform the following:
GENERAL GUIDELINES
Remove all directions as you answer each of the questions found within the template.
Be sure that you provide an in-text citation for all sources used.
Please be sure to use at least two sources to support the information provided in this anaysis report.
Be sure that you provide a complete reference page that correlates with all sources that are used in the text.
Please adhere to APA guidelines for the written paper component of this assignment.
First, complete the cover page.
Part A
Craft four paragraphs to discuss:
Identify the nursing-sensitive indicators Mary Jane should consider in making staffing decisions.
Discuss how nursing-sensitive indicator data can be utilized to enhance the safety and quality of patient care.
Discuss the relationship between nurse staffing and two of the
following: urinary tract infections, pneumonia, upper gastrointestinal
bleeding, shock, or length of stay.
Part B
Use the data found on the Personnel Budget Case Study (Budget Staffing Plan) PDF:
Mary Jane has been asked by the Chief Nursing Officer to prepare a
personnel budget for the coming fiscal year. Mary Jane has collected the
following information, in addition to what she has determined, based on
nursing-sensitive indicator data discussed in Part A.
Patient Data
Average Daily Census 28
Unit Capacity 30
Average HPPD 8.8
Total Care Hours 96,360
Staff Data
Total Hours/employee/year 2,080
Average Salary per Employee Category
RN $36.00/hour
LPN $22.00/hour
Nurse’s Aide $12.00/hour
Paragraph 1
Calculate the number of full-time equivalents (FTEs) that would be needed. Show your calculations.
Guidance:
Describe your calculations and identify your result.
Paragraph 2
Explain HPPD.
Guidance:
Define what it is and how would the acuity of the unit affect HPPD?
Paragraph 3
Explain how diagnosis related groups (DRG’s) and case mix index (CMI) affects hours per patient day.
Guidance:
What this means is that when staffing a unit, a manager must
evaluate the severity of illness, prognoses of patients’ conditions, the
difficulty in providing treatment, and the resources needed. For this
part of the paper, you will need to: 1) explain what a DRG is and what
the CMI is (first two sentences or so), and 2) explain how the varied
DRGS (or acuity levels) might impact the hours per patient day. Think
of it this way, picture yourself as a nurse manager and think about the
resources (staff, equipment, providing total care for a patient who
cannot care for the self, etc.) needed to care for a varied mix of
patients (low to high acuity). How do you think the varied acuity levels
would affect your use of the resources?
Paragraph 4
Review the staffing plan for last year. What outcomes would you use
to evaluate this staffing plan? Based on this data, would you recommend
any changes for the upcoming year?
Guidance:
For this question, think of different issues that might have
occurred within a previous work year such as the most common nursing
sensitive care measures identified by the National Quality Forum Report
(2004):
Death among surgical inpatients with treatable serious complications (failure to rescue).
Pressure ulcer prevalence.
Falls prevalence.
Falls with injury.
Restraint prevalence (vest and limb only).
Urinary catheter-associated urinary tract infection for intensive care unit (ICU) patients.
Central line catheter-associated blood stream infection rate for ICU and high-risk nursery (HRN) patients.
Ventilator-associated pneumonia for ICU.
Think about the patient ratio on this unit (use the spreadsheet).
How would one plan staffing based on caring for patients with varied acuity levels?
What outcomes would you use to evaluate this staffing plan? (Hint: the outcomes related to the nursing sensitive indicators.)
Based on this data, would you recommend any changes for the
upcoming year? If so, how would added resources used to treat patients
on varied levels of acuity help?
Provide a reference page. Be sure to refer to the APA guidelines when providing sources.