File:Workload Management System For Nursing, third edition (IA WorkloadManagementSystemForNursing3rd).pdf

Workload Management System For Nursing, third edition

THE NAVY MEDICAL DEPARTMENT'S WORKLOAD MANAGEMENT SYSTEM FOR NURSING (Patient Classification and Staffing Allocation)

The first edition of this workbook was written by Major Elizabeth Rimm, ANC, then a research nurse at WRAMC. It was later edited and revised by CDR Karen Rieder, Director, Research Department, NSHS, and the Nursing Education staff at Naval Hospital, Bethesda. This, the third edition, is a culmination of the efforts of CDR Karen Rieder, LTC James Vail, Major Dena Norton, and LCDR Susan Jackson.

Table of Contents Page I. Directions to Participants ....... .... ........ ..... .......... 1 A. Introduction ............................................ 1 B. Objectives . . . . . . . . . . . . . . .. . . . . . . . . . . . . 1 C. Format for Completing Workbook .......................... 1 II. Unit I: Introduction to Workload Management System ......... 3 A. Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 B. Content . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 C. Study Guide Questions ................................... 4 D. Dynamics of the Workload Management System ............. 5 E. Uses of the Workload Management System .......... . 6 F. System Performance Criteria............................. 7 G. Definition of Terms.......... . . .. ....................... 8 1. Patient Classification Critical Indicators Form (Figure 1) . . . . . . . . 10 III. Unit II: Patient Classification System . .. ... .... ..... ... ... 12 A. Objectives . . . . . . . . . . . . . . . . . .. 12 B. Content ............ . . . . . . . . . . . . . . . . . 12 C. Study Guide Questions . . . . . . . . . . . . . . . . . . . . . 13 D. The WMSN Classification Methodology ..................... 13 E. Procedure for Using the Classification Worksheet ........ 13 1. Classification Worksheet (Figure 2) .. . .............. 14 2. Classification Worksheet Example.................... 15 F. Patient Classification Instructions . ................. .. . 16 G. Critical Indicator Instructions . . ... .. .................. 18 H. Practical Exercise .. ..... .. .. . . . ... .. .. . . . . 27 I. Answers to Practical Exercise ........................... 34 IV. Unit III: Staffing Methodology ............................. 37 A. Objectives . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . 37 B. Content . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . 37 C. Study Guide Questions . . . ... .. .. . .. . .. .. . . . .. 37 D. Staffing Methodology Forms .. . ............... .. ....... .. . 39 1 . Nursing Care Hours Chart (Figure 3) .. ... . ........... 40 2. Personnel Requirements Chart (Figure 4) . . . . . . . . . . . . . 42 E. Daily Summary Sheet (procedure for use) . . . . . . . . . . . . . . . 41 1. Daily Summary Sheet (Figure 5) . . . .. . . . . . . . . . . . . . 43 F. Monthly Staffing Graph (procedure for use) ....... .. ..... 46 1. Monthly Staffing Graph Form (Figure 6) .............. 47 2. Monthly Staffing Graph Form (Example) ......... .. ....... 48 V. Unit IV : Reliability Monitoring .. . . . . . . . . . . . . . . . . . . 49 A. Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 B. Content . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 C. Study Guide Questions . . . . . . . . . . .. . . . . . . . . . . . . . 49 D. Purpose of Reliability Testing........................ . .... 49 E. Inter-Rater Testing Procedure ......................... . ... 49 1. Reliability Testing Form (Figure 7) ................... 50 2. Reliability Testing Form (Example) .................. . . 51 F. Special Instructions for Conducting Training ... . ........ .. . 52 VI. Unit V: Unit Orientation to the WMSN ......................... 54 A. Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 B. Directions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 C. Form to Evaluate Performance of Patient Classification (Figure 8) .. .. .. 55 D. WMSN Puzzle (Figure 9) . .. . . . . . . . . . . . . . . . . . .. 56 VII. Unit VI: Patient Classification for Psychiatry .... . ..... .. .. . . 58 A. Objectives . . . . . . . . . .. . . . . . . . . . . . . . . . . . . 58 B. Content . . . . . . . . . . . . . . 58 C. Study Guide................................................ 58 D. General Instructions .... . .. ... .. ... ... ... .............. . ... 59 E. Psychiatric Critical Indicator Instructions ................ 59 1. Psychiatric Classification Form (Figure 10) ............ 60 F. Practical Exercise . . ... .. ... .. .. . . . ... . .... .. . 64 G. Answers to Practical Exercise ............. . ................ 77 VIII . References . . . ... . .. ... .... .. .... .. . . . . ... ...... 82 IX. Appendices: Appendix A - Guidelines for Critical Indicators .. .. .... .... .. .. A-1 Appendix B - Guidelines for Psychiatric Critical Indicators . . . .. . . . B-1 Appendix C - Nursing Care Hours Requirements Chart s ......... .. . C-1 Appendix D - Personnel Requirements Charts ..... . ... . .. . .. ...... D-1 Appendix E - Random Numbers Table ... .. ... . .. ... ... . ..... . ... . . E-1 Appendix F - Study Guide Answers for Units I-V .. .... . ..... . ... . F-1 X. General Index . . . . . . . .. . . G-1

Subjects: Nursing; Nurse Corps; Army Nurse Corps; training manual; patient care