The Emergency Department nurse manager is monitoring the budget. Which of the following pieces of information might have the most impact on the budget?
1. There are 14 full-time registered nurses, one patient care assistant, and two secretaries employed on this unit.
2. The nurse manager recently purchased a fax machine and a copy machine, and has requested a new bariatric bed for the unit.
3. The supplier of dressing materials recently increased its prices by 2%.
4. The nurse manager has requested three new wheelchairs and an ultrasound bladder-scanning machine.
Answer: 1
Rationale: The personnel budget is the largest piece of the budget. The nurse manager must examine trends related to staffing and client acuity levels to create this piece of the operating budget accurately. The capital budget is used to purchase more expensive items that will not need to be purchased year after year. These items include fax machines, copiers, beds, wheelchairs, and specialized equipment for use in the unit. The operating budget is used to purchase supplies that are used by staff or clients frequently and that must be replenished often.
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