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Recover Inc., a fictitious for-profit home health agency, provides complete nursing and supportive services for in-home care. Services include skilled nursing, bathing, shopping, physical therapy, occupational therapy, meal preparation, housekeeping, speech therapy, and social work. The agency provides round-the-clock care, 7 days a week, to a primarily underserved rural area in northern California. The brochure the company publishes says that it is committed to satisfying the needs of the rural community and that it is dedicated to excellence. ASSIGNMENT: Based on this limited information, develop a brief philosophy statement that might be appropriate for Recover Inc. Be creative, and embellish information if appropriate.

 

 
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The human resource manager in the facility where you are a supervisor has just completed a survey of the potential retirement plans of the nursing staff and found that within 5 years, 45% of the staff will probably be retiring. You know that past and present available statistics show that you normally replace 10% to 20% of your staff each year with new hires. You are concerned, as you do not know how you will be able to handle this new increase in your need for staff. ASSIGNMENT: Make a 5-year, long-term plan that will increase the likelihood of your being able to meet this new demand. Remember that other units within your facility and other healthcare organizations in your region may also be facing the same problem.

 

 
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You are the staffing coordinator for a medium-sized community hospital in California. Minimum staffing ratios were implemented in January 2004. While this has represented an even greater challenge in terms of meeting your organization’s daily staffing needs, you believe that the impetus behind the legislative mandate was sound. You also are a member of the state nursing association that sponsored this legislation and wrote letters of support for its passage. The hospital that employs you and the state hospital association fought unsuccessfully against the passage of minimum staffing ratios. The local newspaper contacted you this morning and wants to interview you about staffing ratios in general as well as how these ratios are impacting the local hospital. You approach your chief nursing officer, and she tells you to go ahead and do the interview if you want but to remember that you are a representative of the hospital. ASSIGNMENT:  Assume that you have agreed to participate in the interview. 1. How might you go about preparing for the interview? 2. Identify three factual points that you can state during the interview as your sound bites. What would be your primary points of emphasis? 3. Is there a way to reconcile the conflict between your personal feelings about staffing ratios and those of your employer? How would you respond if asked directly by the reporter to comment about whether staffing ratios are a good idea?

 

 
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Grandfathering is the term used to grant certain people working within the profession for a given period of time or prior to a deadline date the privilege of applying for a license without having to take the licensing examination. Grandfathering clauses have been used to allow licensure for wartime nurses—those with on-the-job training and expertise—even though they did not graduate from an approved school of nursing. Some professional nursing organizations are once again proposing that the BSN become the entry-level requirement for professional nursing. Some have suggested that as a concession to current ADN and diploma-prepared nurses, all nurses who have passed the state board of registered nursing licensure examination before the new legislation, regardless of educational preparation or experience, would retain the title of professional nurse. Nonbaccalaureate nurses after that time would be unable to use the title of professional nurse. ASSIGNMENT:  Do you believe that the “BSN as entry level” proposal advocates the advancement of the nursing profession? Is grandfathering conducive to meeting this goal? Would you personally support both of these proposals? Does the long-standing internal dissension about making the BSN the entry level into professional nursing reduce nursing’s’ status as a profession? Do lawmakers or the public understand this dilemma or care about it?

 

 
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