Nurse Leader Interview Case

Our management keeps updating the employees about the organizational budget routinely. We have annual meeting on fiscal year budget; we will be informed about the types of budgets available, current economics, cost bad debt, censuses, and overall goal of the organization. Quarterly, our meeting is mainly focused on cost containment and inventory and monthly meeting involve customer reviews, social media and our unit, given rank based on the patient care, length of wait, and overall customer satisfaction.

Budgetary issue has not hit hard in our unit. However, some of the changes and cutbacks were implemented. Management changes the policy to hire more full-time nurse instead of travel nurses to cover on-call and extra shifts. Our unit has three extra paid on-call shifts per day that is no longer available. Management focused on documenting every item used in terms of patient care, list of new items are added in the procedure-charting list. This will help organization to bill the patients on the items used for care. To stay top of the rank, our ER started fast track for level 4 patients to provide faster care and waiting time is less. ER becomes vigilant in waiting time by showing “wait time in ER” in our home page. “Wait time