Staffing

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Day-to-day operations that assess and determine the shift allocation of nursing resources to ensure adequate staffing on each shift and unit/department. Typically occurs within 4 to 48 hours of the work shift.

Element

Description

Software Considerations

Implications

Core component of the workforce management process at an organizational level.

Components, generic process, examples, considerations, dependencies.

When evaluating workforce management to support this phase, check for:

Contributor < - - - - - > Process Driver

Establish staffing policies

Set policies based on evidence-based shared vision for staffing & desired outcomes. Consider the need to facilitate and maintain coverage when unexpected events occur (i.e., weather, unplanned absences, low volume, high volume, sitter needs, and no shows). Be sure to include the need for RN oversight of staffing, particularly at the shift and unit/department level

Flexibility in staffing rules

Assess patient needs

Assess patient needs for upcoming staffing period. Patient needs may be measured as acuity, intensity, or workload.  Projected needs should be updated via RN assessment of patient needs (acuity) and transformed into a staffing requirement. Ongoing changes and anticipated patient flow and demand variability should be incorporated 

Inclusion of patient need (acuity) in staffing modeling
ADT data access

Match staffing to patient needs

Fairly and equitably match staff to patient needs across the organization. Minimize or eliminate open shifts. Match staff competencies and skills appropriately. Fill open shifts. Communicate staffing changes throughout organization

Organizational level view of enterprise staffing needs
Mobile capability to alert staff of open shifts
Shift by shift coverage including non-productive time
Present data to potentiate best practice decisions
Ability to record/document changes in coverage
Skills and Certs are visible to end users when making staffing decisions
Alerts and/or notifications to overtime

Coordinate support staff

Staff supplemental resources (such as agency and sitters)

Support staffing components

Communication with external contract labor systems

Assign nurse to patients

Assign nurses to care for particular patients based on complexity of care needs and continuity of care

Nurse-patient assignment capabilities

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