NUR 2832 Leadership and Professional Identity Staffing Assignment Template

NUR 2832 Leadership and Professional Identity Staffing

Assignment Template

 Acuity Level 1 – 6 Patients

1. Room 2301 Susan: 93-year-old who fell at home and is waiting for nursing home

placement. Uses a walker & needs assistance to the bathroom & ADLs.

2. Room 2312 Fredrick: 57-year-old recovering from a knee replacement who

needs educational reinforcement and is going home today.

3. Room 2319 Joshua: 63-year-old in for cardioversion and is going home today.

4. Room 2329 Brian: 49-year-old diagnosed with HTN and Alzheimer's Disease who

wanders off the unit & needs assistance with ADLs.

5. Room 2304 James is a 95-year-old who has osteoarthritis and needs help getting out of

bed, bathing, & dressing.

6. Room 2307 Francis is a 39-year-old being discharged today. Received discharge teaching

yesterday about her ruptured appendix wound & wants to review the care instructions before

she leaves.

 Acuity Level 2 – 8 Patients

1. Room 2302 Brooke: 33-year-old admitted with new-onset DM & uncontrolled blood

sugars. Started on new medications, including insulin, & needs additional patient/family

education.

2. Room 2311 Mark: 83-year-old who is on isolation for MRSA and is on IV antibiotics and

ten other medications.

3. Room 2320 Jeffrey: 63-year-old non-compliant with meds and came in with HTN

and crackles in his lungs. Daily labs & wound on left foot.

4. Room 2330 Leslie: 46-year-old had unstable angina and had a cardiac

catheterization yesterday late afternoon and stayed for observation.

5. Room 2305 Traci: 72-year-old who has a history of heart disease, a history of

myocardial infarction, and mild dementia.

6. Room 2308 Alecia: 33-year-old who was experiencing chest pain and is scheduled for a

stress test later today.

7. Room 2303 Theodore: 22-year-old has DM since 10-years-old who requires

med adjustments. (med adjustments can only be done by RN)

8. Room 2318 Bruce: 45-year-old who was placed on isolation for C-Diff and is on several

IV mediations.

 Acuity Level 3 – 9 Patients

1. Room 2306 Amelia: 83-year-old after a stroke and requires total care.

2. Room 2313 Audrey: 78-year-old newly diagnosed COPD. (will need teaching – only an RN

can teach)

3. Room 2317 Abigail: 90-year-old diabetic with a chronic leg infection.

4. Room 2328 Roxanne: 82-year-old newly diagnosed lung cancer. (will need teaching –

only an RN can teach)

5. Room 2322 Nancy: 56-year-old chronic kidney disease & on peritoneal dialysis. (just

needs vitals monitored – CNAs can do this)

6. Room 2323 Dennis: 35-year-old admitted with right upper quadrant pain that radiates to

the right shoulder.

7. Room 2314 Roger: 46-year-old is wasted and malnourished. She has severe diarrhea.

8. Room 2309 Terry: 59-year-old has bladder cancer with painless hematuria.

9. Room 2310 Barry: 54-year-old has a history of mitral valve regurgitation.

 Acuity Level 4 – 7 Patients

1. Room 2315 Karen: 45-year-old had an acute myocardial infarction with

percutaneous coronary intervention.

2. Room 2321 Fredrick: 43-year-old admitted after an overdose & requires close monitoring.

3. Room 2327 Samantha: 57-year-old with severe abdominal pain with no bowel sounds.

4. Room 2324 Robbie: 62-year-old who has been vomiting & has pain in the abdomen.

5. Room 2325 Jenny: 58-year-old MVA who has a tracheostomy.

6. Room 2326 Annette: 68-year-old who had a bowel resection & colostomy.

7. Room 2316, David: 54-year-old with weakness & a decreased level of consciousness.

RN 1 RN 2 RN 3 RN 4 RN 5

Room # Acuity Room # Acuit

y

Room # Acuit

y

Room # Acuit

y

Room # Acuity

2302 2 2303 2 2323 3 2313 3 2309 3

2306 3 2328 3 2310 3 2315 4 2325 4

2321 4 2327 4 2324 4 2326 4 2316 4

LPN 1 LPN 2 CNA 1 CNA 2 Staff

•5 RN

•2 LPN

•2 CNA

30 patients

•6 acuity level 1

•8 acuity level 2

•9 acuity level 3

•7 acuity level 4

Room # Acuity Room # Acuit

y

Room # Acuit

y

Room # Acuit

y

2307 1 2312 1 2319 1 2329 1

2308 2 2305 2 2304 1 2301 1

2330 2 2320 2 2311 2 2322 3

2317 3 2314 3 2318 2

Dear Nurse Manager,

Due to our staff shortage, a new staffing assignment has been completed based on the

patients' acuity level on our unit. The assignments were made based on the staff's scope of

practice and competency to ensure all patients receive the care they need and the quality they

deserve.

For the six patients with an acuity level 1, their needs will be met by the LPNs and CNAs.

Each LPN is assigned to one, and each CNA is assigned to two. Because these patients stable and

their health needs are predictable and manageable, they are appropriate for licensed practical

nurses and certified nursing assistants (Aiken et al., 2018). The eight patients with an acuity level

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