In a nurse managers' meeting, the chief nursing officer encourages the managers to brainstorm ways to reduce costs. Nurse managers have the greatest impact on reducing costs by managing:
Medication costs.
Supplies.
Staffing.
Fixed costs.
The Correct Answer is C
A. While managing medication costs is important, it is typically not as significant in terms of overall budget impact compared to staffing.
B. Managing supplies can contribute to cost reductions, but staffing is usually a more substantial portion of a nursing budget.
C. Staffing costs represent the largest expense in most nursing budgets, and nurse managers can have a significant influence on these costs through effective scheduling, staffing ratios, and retention strategies.
D. Fixed costs, such as rent or utilities, do not fluctuate based on operational decisions made by nurse managers and thus offer less opportunity for cost reduction at the managerial level.
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Correct Answer is ["A","B","D","E"]
Explanation
A. Ensuring two fingers can fit between the device and the client is crucial for monitoring circulation and preventing skin breakdown.
B. Performing a neurovascular check every 2 hours is necessary to assess circulation and nerve function, ensuring that the restraint is not causing harm.
C. Securing the restraint to the bedrail is not appropriate; restraints should be secured to the movable part of the bed frame to avoid causing injury.
D. Obtaining a prescription renewal every 72 hours is required for ongoing restraints, as it ensures continued monitoring and justification for their use.
E. Implementing passive range-of-motion exercises is essential to maintain joint mobility and prevent complications associated with immobility.
Correct Answer is D
Explanation
A. Suspension with pay is a serious disciplinary action typically taken after other measures have failed.
B. A written reprimand is a formal disciplinary action that may follow initial informal discussions.
C. A day off without pay is a significant punitive action and is not typically the first step.
D. A reminder of employment standards serves as an initial approach to address concerns and clarify expectations before escalating to formal disciplinary actions.