A critical care nurse has reported off because of an illness. Which choice of replacement for this nurse would provide the best continuity of quality nursing care?
1. A nurse from an outside agency
2. A nurse from a hospital unit that has a low census today
3. A nurse from a decentralized internal float pool
4. A nurse from the centralized internal float pool
3
Rationale 1: Nurses from outside agencies may be unfamiliar with the routine in the unit, and their services are substantially more expensive. They may be used as supplemental staff, but continuity of care may be compromised.
Rationale 2: Nurses from another unit may not have the expertise needed to care for patients on a highly specialized unit.
Rationale 3: In decentralized pools, a staff member works for one unit manager or on only one unit. Highly specialized units tend to rely on decentralized internal float pool nurses.
Rationale 4: A nurse from the centralized internal float pool would likely be familiar with facility policy, layout, and culture, but may not be skilled in caring for critically ill clients.
Global Rationale:
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