Michelle Nurse Manager Explained for Students (Easy Guide)

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Original Question

Michelle is the nurse manager of an inpatient heart failure step-down unit. She has been noticing an increasing number of patients are being readmitted within 30 days of hospital discharge due to exacerbations of heart failure related to poor symptom management. The nursing administrators have singled out her unit as one where hospital reimbursements are being affected due to the increase in 30-day readmissions. Michelle is charged with finding a solution to this issue that provides quality safe care for patients but at the same time addresses the fiscal issues facing the agency. Michelle believes that a full-time HF nurse navigator, who focuses on patient education and discharge follow-up, is the solution to this issue. She tells the administrative team, and they respond that Michelle needs to find a way to pay for this new position without increasing the personnel and operating budget for the unit. The annual operational budget for the unit is $100,000 (equipment and supplies). The personnel budget is for a total of 9 full-time RNs, 2 part-time RNs, 12 full-time patient-care associates, and 1 full-time unit clerk. Identify two recommendations you would make for developing a feasible plan for addressing the existing budget? Identify two ways in which Michelle could argue the case that adding the new position (cost) will result in cost savings for the agency.

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