What are some tactics you could implement to decrease agency usage? Analyze how this unplanned overage will impact your overall staffing budget.

What are some tactics you could implement to decrease agency usage? Analyze how this unplanned overage will impact your overall staffing budget.

What are some tactics you could implement to decrease agency usage? Analyze how this unplanned overage will impact your overall staffing budget.

Topic 4 DQ 2

Assessment Description

You meet with your supervisor who lets you know that you are over budget for agency nurses used on your unit. What are some tactics you could implement to decrease agency usage? Analyze how this unplanned overage will impact your overall staffing budget.

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Topic 4 DQ 2

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 Various tactics can be implemented to decrease agency usage. The first tactic is to ensure visibility. Leaders should begin by finding the root of the problem. It is important to survey all stakeholders to get visibility of what pay rates or commissions are used in the organization (Wakerman et al., 2019). If they are varied, crucial to harmonize them by setting commission rates to be used across the whole organization. The other tactic is to set standard pay rates. This is the simplest step to take when minimizing agency spending, yet many organizations fail to do it. There is no need of paying different rates for employees doing the same job. It is important to set clear rates and stick to them (Adynski et al., 2022). The other tactic is to use the use temporary workforce only when it is utterly essential. There is no need of calling temporary workers when someone else in the existing team can assist. It is important to instill a culture where the existing workforce can make arrangements to help where possible without necessarily getting someone else from outside (Wakerman et al., 2019).

Other tactics include the creation of a float pool, enhancing recruitment and retention efforts, employing more full-time nurses, and using cross-training (Ronnie, 2020). Analysis of how this unplanned overage will impact the overall staffing budget is crucial. Agency nurses are usually costly compared with full-time nurses. Therefore, overage is likely to increase the overall staffing budget in the unit. Moreover, if the overage is consistent, the Nurse Leader will likely increase the volume of full-time nurses to contain the utilization of the agency nurses.

References

Adynski, G. I., Sherwood, G., Ikharo, E., Tran, A., & Jones, C. B. (2022). Outpatient nurse staffing relationship with organizational, nurse and patient outcomes: A scoping review. International Journal of Nursing Studies Advances, 4, 100064. https://doi.org/10.1016/j.ijnsa.2022.100064

Ronnie, L. (2020). Us and them: experiences of agency nurses in intensive care units. Intensive and Critical Care Nursing, 56, 102764. https://doi.org/10.1016/j.iccn.2019.102764

Wakerman, J., Humphreys, J., Russell, D., Guthridge, S., Bourke, L., Dunbar, T., … & Jones, M. P. (2019). Remote health workforce turnover and retention: what are the policy and practice priorities? Human resources for health, 17(1), 1-8. https://doi.org/10.1186/s12960-019-0432-y

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