Supplemental Staffing and Budgeting

Discuss the benefits and disadvantages of a facility using supplemental and floating staff.,
Compare and contrast how a staffing plan would differ with different nursing units. How does that affect the staffing budget?

APA

Supplemental Staffing and Budgeting

Supplemental and Floating Staff
Benefits
  1. Flexibility – Allows facilities to adjust staffing levels based on patient needs, reducing staff shortages.
  2. Cost Savings – Reduces overtime expenses and the need for full-time hires.
  3. Specialized Skills – Floating staff may bring diverse expertise, benefiting multiple units.
Disadvantages
  1. Lack of Familiarity – Floating staff may be unfamiliar with unit-specific protocols.
  2. Staff Morale – Permanent staff may feel displaced or frustrated by constant change.
  3. Patient Care Concerns – Inconsistent staffing may impact continuity of care.
Staffing Plan Differences by Nursing Unit
Medical-Surgical Unit
  • Requires moderate patient-to-nurse ratios with general nursing skills.
  • Floating nurses can easily adapt due to standardized care protocols.
ICU and Emergency Department
  • Requires highly specialized nurses with critical care skills.
  • Floating staff may need additional training, increasing costs.
Maternity and Pediatrics
  • Needs nurses with specific training in obstetric and neonatal care.
  • Floating may be limited due to patient safety concerns
Supplemental and Floating Staff
Benefits
  1. Flexibility – Allows facilities to adjust staffing levels based on patient needs, reducing staff shortages.
  2. Cost Savings – Reduces overtime expenses and the need for full-time hires.
  3. Specialized Skills – Floating staff may bring diverse expertise, benefiting multiple units.
Disadvantages
  1. Lack of Familiarity – Floating staff may be unfamiliar with unit-specific protocols.
  2. Staff Morale – Permanent staff may feel displaced or frustrated by constant change.
  3. Patient Care Concerns – Inconsistent staffing may impact continuity of care.
Staffing Plan Differences by Nursing Unit
Medical-Surgical Unit
  • Requires moderate patient-to-nurse ratios with general nursing skills.
  • Floating nurses can easily adapt due to standardized care protocols.
ICU and Emergency Department
  • Requires highly specialized nurses with critical care skills.
  • Floating staff may need additional training, increasing costs.
Maternity and Pediatrics
  • Needs nurses with specific training in obstetric and neonatal care.
  • Floating may be limited due to patient safety concerns