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
Explanation
A. Charges refer to the fees billed for services rendered, which in this case is the administration of each vaccination according to the insurance company's guidelines.
B. Contractual allowance refers to the difference between the billed amount and the amount agreed upon in the contract with the insurance company, which is not the primary focus here.
C. Prospective reimbursement is based on predetermined rates rather than charges billed after services are provided.
D. Cost-based reimbursement is determined by the actual costs incurred in providing services, which does not apply in this context as the billing is based on set charges for vaccinations.
Correct Answer is A
Explanation
A. Waiting until the end of the week to document incidents can lead to inaccuracies and missed details, making it ineffective for timely documentation.
B. Keeping a log or summary sheet of errors and incidents is an effective way to track personnel problems and provide accurate records.
C. Advising the recipient to keep personal notes can support documentation but should not replace the manager's responsibility to document the incident.
D. Including a date, time, and brief description in documentation is crucial for maintaining clarity and accuracy in records.