Build an effective team: from nurse assistants to nurse practitioners

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There are different kinds of nurses who work in a healthcare facility, and their scope of practice varies from state to state. However, the nurse hierarchy is fixed based on their educational qualifications and experience. The hierarchy of nursing in hospitals, the nurse career ladder from nurse assistants to nurse practitioners, is explained below.

Nurse Assistant: Nurse assistants are nurses who have completed a Certified Nursing Assistant program along with a high school diploma. Their basic duties include basic patient care, such as helping patients in their daily activities and personal hygiene, monitoring vital signals, and regulating patient well-being under the supervision of registered nurses or Licensed Practical Nurses.

Licensed Practical Nurse: Licensed practical nurses (LPNs) are also referred to as Licensed Vocational Nurses (LVNs) in some states like California and Texas. The educational qualification of LPNs includes a one-year practical nursing program. They work under the supervision of registered nurses or physicians to provide medical support. Their nursing scope of practice comprises monitoring patients’ vital signs, educating patients and their caregivers, maintaining patient health records, and administering medications in some cases.

Registered Nurse: Registered nurses usually have an associate’s or bachelor’s degree in nursing. They have a broader scope of practice ranging from coordinating treatments for patients, medication administration, patient education, working in specialized care units, and supervising other nurses and support staff.

Nurse Practitioners: The nurse practitioners, also referred to as ARNP (Advanced Registered Nurse Practitioner) or APRN (Advanced Practice Registered Nurses), are senior nursing professionals with a master’s or doctoral degree in nursing. The NP’s role includes diagnosing, treating, and prescribing medications for disease management. They work alongside physicians and supervise other nursing professionals. They can specialize in a domain like pediatrics, geriatrics, psychiatry, etc, and provide specialized care in those areas.

Travel Nurse: Travel nurses are registered nurses licensed in their home location and work via a staffing agency in hospitals across the USA based on demand fluctuations. Their scope of practice remains the same as registered nurses.

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The financial and operational benefits of using travel nurses during peak demand

Travel nurses are well-experienced nurses recruited to cope with a facility’s short-term staffing needs. Unexpected emergencies such as pandemics can cause a sudden surge in staff demands, which would be difficult to fulfill by recruiting permanent staff in a short time and can also be risky. In such cases, the best solution is to hire travel nurses during such periods of peak demand. As the travel nurses are hired for a short period, there will not be any huge long-term hiring costs such as training costs, additional perks, etc. Moreover, healthcare facilities can save a lot of money spent on the overtime expenses of the permanent staff by hiring travel nurses. 

The operational benefits of using travel nurses include efficiently filling staffing shortages, reducing staff burnout, and minimizing patient care delays. Travel nurses work flexible shifts to meet the surge in patient demand, which helps reduce any patient care delays due to the staffing gap. Thus, the existing staff can focus on core duties without task overload during peak periods. Hence, hiring travel nurses benefits by reducing the burnout of the existing staff and enhancing nurse retention

How RNs serve as the backbone of clinical care teams

Registered nurses have a pivotal role in healthcare facilities and hiring RNs can aid in advanced patient care while supervising the nursing assistants and other support staff to provide coordinated and effective patient care. They also associate with physicians and other allied health professionals to devise customized treatment plans to downsize the severity of the patient’s condition and optimize recovery. Registered nurses serve as the backbone of clinical care teams in almost all healthcare settings, from specialized clinics to large healthcare facilities. With their leadership skillsets, problem-solving abilities, patient advocacy, and commitment towards quality assurance, hiring RNs has become an inevitable part of the healthcare ecosystem. Furthermore, hiring registered nurses helps newly graduated nursing practitioners to onboard in their nursing roles by mentoring them to make a smooth transition into the nurse career path

How NPs can bridge gaps between nursing and medical teams for advanced patient care

Nurse practitioners, also known as Advanced Practice Registered Nurses (APRNs), are primary healthcare providers in healthcare facilities who take care of patients daily. As their duties involve continuous monitoring of the patients to check for any vital signs and performing physical examination, timely reports of these signals can help the medical teams make accurate decisions for advanced patient care, hence bridging the gaps between the nursing and other allied healthcare professionals. Nurse practitioners take feedback from the physicians based on the patient’s condition, educate the patients and their families about the seriousness of the illness, and do thorough checkups to evaluate the patient’s condition with the supervision of the registered nurses. Therefore, hiring nurse practitioners helps in implementing a holistic care approach and enhances team collaboration in healthcare facilities. 

Leveraging LVNs and LPNs to support core nursing teams

Licensed Practical Nurses can be leveraged to streamline the duties of the core nursing teams by delegating routine duties such as patient symptom monitoring, ensuring patient hygiene, cleaning wounds, etc. Hiring LVNs/LPNs not only improves patient care by reducing wait times but also helps the core nursing teams to focus on other critical duties. However, appropriate training regarding patient safety and the policies of the healthcare facility needs to be delivered efficiently under the supervision of a skilled registered nurse to ensure collaborative care can be provided to improve patient outcomes. In many states, licensed practical nurses’ scope of practice includes maintaining electronic health records as well. Regular updates of this patient information in the electronic health records can aid other healthcare professionals in making considerate and precise decisions on the patient’s treatment plan.

Enhancing patient care with effective use of nurse assistants

Nurse assistants can help effectively deliver patient care plans and enhance patient satisfaction. Even though the duties of the nurse assistants vary from registered nurses to LPNs, they work under the supervision of these core nursing teams to support them with optimized patient care. Nurse assistants provide direct patient care by equipping them to perform daily activities and ensuring patient hygiene. Also, they support bedridden patients with mobility and provide emotional support to them and their caregivers. Nurse assistants ensure that safety standards and infection control processes are strictly adhered to throughout the patient care journey. 

Career progression and retention strategies across the nurse hierarchy

  • Provide opportunities for skill enhancement to the existing nurses across the hierarchy by supporting them in taking certifications, cross-training, etc.
  • When onboarding a newly graduated nurse, deliver mentorship opportunities for them where they work under the supervision of an experienced registered nurse to learn from them.
  • Implement fair rewards and recognition policies to ensure that the nurses who exhibited dedicated services throughout their duties are rewarded fairly.
  • Hire adequate nurses and prioritize the work-life balance of the nurses to reduce the turnover rates due to staff burnout.
  • Foster a supportive and inclusive workspace where staff feel encouraged to work and have a sense of belonging.
  • Provide fair compensation to the nurses based on the market standards.
  • Lay down clear nursing career progression pathways and communicate the performance indicators for career progression clearly.

Pay transparency and compensation models for travel nurses, RNs, NPs, LPNs, and nurse assistants

While crafting transparent nursing compensation models, several factors need to be considered, including the geographic location, clinical experience of the nurse, their area of specialization, and fair pay based on market standards. Even though the nurses can be hired through permanent or contract mode through a nursing solutions provider, the non-transparency in the bill rates can cause the hired nurses to get underpaid, thus increasing the turnover rates. Therefore, a competitive and transparent compensation package is essential for the long-term retention of skilled nurses. The basic elements of the salary included for all the different kinds of nurses consist of base pay, housing, and travel allowances, shift differentials if applicable, and additional perks such as retirement benefits, health insurance, and paid time off. These perks and salary components can vary from nurse assistants to nurse practitioners.

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Contract vs permanent staffing: which model is best for you?

Nurses can be hired via contract or permanent mode for your healthcare facility. Even though both these staffing techniques have pros and cons, several factors need to be kept in mind while hiring nurses for your healthcare facility. This includes budget constraints, staffing gaps, patient demand, workforce planning, etc. Contract staffing can be utilized if you are looking to fill the immediate staffing gaps that arise due to the absence of a nurse or an unexpected patient demand caused by a pandemic situation, which calls for peak demand staffing. Long-term employment costs will be lower when hiring contract nurses than permanent nurses. However, if you are focusing on the continuity of patient care in a long-term association with an increased budget, permanent nurses are the best fit for you. A detailed discussion with the nursing staffing solutions provider can help you navigate your facility’s staffing landscape and decide on which staffing model to go with.

Why leverage MedSquirrels staffing platform to hire talent for your facility?

MedSquirrels is a medical staffing solutions platform, transforming the healthcare staffing landscape with the help of technology. With the perfect blend of experienced healthcare recruiters and an AI-enabled platform, MedSquirrels can help you effectively streamline your staffing gaps and quickly hire top contractors based on your job requirements. At MedSquirrels, we believe in transparency throughout our recruitment processes and charge only a flat license fee along with the payroll cost of the hired contractors. With no hidden fees or huge markups that most staffing agencies charge, we ensure that the nurses are paid above industry standard as most of the bill rate goes to the pay of the hired talent, thereby fostering high job satisfaction and long-term retention. MedSquirrels offers Orange and Purple plans to fulfill your contract staffing needs and the Blue plan to help you recruit permanent workers. To learn more about how our platform takes care of payroll, onboarding, and credentialling, book a demo today.

FAQs

What are the different nurse role hirings supported by MedSquirrels?

Ans: MedSquirrels supports the hiring of all kinds of nurses, such as nurse practitioners, registered nurses, nurse assistants, travel nurses, and LPN/LVNs. If you are looking for a nurse to work in a particular specialty, MedSquirrels can also help you get the right candidate for you by sourcing relevant candidates based on the job description.

What are hiring plans available at MedSquirrels?

Ans: The various plans available at MedSquirrels are: Orange plan for recruitment + payrolling of the contract staff, purple plan for contract hiring only, and blue plan for full-time hiring. You can choose the plan that fits according to your requirements.

How is the MedSquirrels platform cost-effective?

Ans: MedSquirrels has a transparent flat-fee-based approach where only a flat licensed fee will be charged along with the payroll cost of the nurses hired through us. There are no multiple middle layers and huge markup fees for MedSquirrels. This makes MedSquirrels cost-effective for you.

What are the different nurse roles based on qualification in the USA?

Ans: Some of the different nurse roles based on their qualification and experience from lower to higher are listed here: Nurse Assistants, Licensed Practical Nurses or Licensed Vocational Nurses (LPN/LVN), Registered Nurses, Nurse Educator, Nurse Practitioner, Clinical Nurse Specialist, Nurse Anesthetist, Nurse Midwife, Chief Nursing Officer.

Which nurse gets paid the most in the USA?

According to the US Bureau of Labor Statistics, Certified Registered Nurse Anesthetist is the highest-paying nurse job role, with an annual median salary of $212,650. 

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