SKILLED NURSING FACILITY KEY CONCEPTS
AND WORKFORCE PLANNING NOTES 2026
◉ staffing & organizational needs. Answer: →Organizational needs
affected by staffing include:
★financial resources - salary that can be paid; overstaffing may not
be supported
★licensing regulations and accreditation standards (JCO)
★Customer/patient satisfaction
→Efficient staff management ensures the organization's financial
solvency
→Nurse manager accountable for budgetary guidelines for:
★numbers of staff working at any given time
★staff mix
★RNs are the most expensive staff; thus ratios for RNs to other types
of care providers may be established
◉ nursing care delivery model. Answer: →Detail how task
assignments, responsibility, and authority are structured to
accomplish patient care
, →Describe which health care worker is going to perform what tasks,
who is responsible, and who has the authority to make decisions
→Basic premise is that the number and type of caregivers are closely
matched to patient care needs in a cost-effective manner
◉ Classic Nursing Care Delivery Models. Answer: →total pt care
→functional nursing
→team nursing
→primary nursing
→variations have been adopted to improve quality & cost-
effectiveness of pt care
◉ total pt care. Answer: →Nurse is responsible for planning,
organizing, and performing all patient care during the assigned shift
★100% total care from bath to meds
→Oldest method of organizing patient care, sometimes referred to as
case nursing
→Nursing student typically performs total patient care for assigned
patients
◉ functional nursing. Answer: →Staff members are assigned to
complete certain tasks for a group of patients rather than care for
specific patients