Scheduling and staffing | Leadership | Rasmussen College System
Subject: Short-Staffing Plan for 12-Hour Shift
As you are aware, we are currently short-staffed with only five RNs, two LPNs, and two nursing assistants for a 12-hour shift. I have created a staffing assignment based on the client acuity level using the acuity-based staffing model.
Client Acuity Level:
- Six acuity level 1
- Eight acuity level 2
- Nine acuity level 3
- Seven acuity level 4
Based on the acuity level, I have assigned the following roles:
- RNs will be assigned to clients with acuity level 3 and 4.
- LPNs will be assigned to clients with acuity level 1 and 2.
- Nursing assistants will assist the RNs and LPNs with basic care needs of all clients.
1 RN: 3 clients 2 LPNs: 6 clients 2 Nursing Assistants: 21 clients
I understand that this may not be an ideal staffing assignment, but it is the best we can do with the limited number of staff we have available. In order to direct the staff to their assigned roles, I would provide a clear and concise handoff report at the beginning of the shift, highlighting the client acuity levels and each staff member’s role. I would also encourage open communication throughout the shift to ensure that the staff is aware of any changes in the client’s condition or needs.
To assure the best outcomes possible, I would communicate with each level of care provider regularly, providing updates on the clients’ status and any changes in their condition. This would include regular rounding on clients by all staff members and frequent communication between the RNs and LPNs. I would also encourage teamwork and collaboration among the staff members, emphasizing the importance of working together to provide the best care possible.
To ensure client equity in the delivery of services, I would make sure that each client receives care based on their individual needs and acuity level. I would closely monitor the workload of each staff member and make adjustments as needed to ensure that no client is neglected or receives inadequate care.
In conclusion, while this may not be an ideal staffing situation, I believe that with clear communication, teamwork, and close monitoring, we can provide quality care to all clients. Thank you for your understanding and support in this matter.
American Nurses Association. (2015). Principles for nurse staffing (3rd ed.). https://www.nursingworld.org/~4af078/globalassets/docs/ana/ethics/principles-for-nurse-staffing-2.pdf
Buerhaus, P. I., DesRoches, C. M., Dittus, R., & Donelan, K. (2019). Practice environments and job satisfaction and turnover intentions of nurse practitioners: Implications for primary care workforce capacity. Health Care Management Review, 44(2), 89–98. https://doi.org/10.1097/hmr.0000000000000157