DNS Fundamentals On-Demand Workshop and Tools Package-Module 5: Staffing and HR

Video Transcription

Video Summary

Module 5 of DNS Fundamentals covers basic staffing and human resources management in nursing facilities. It begins by outlining effective hiring and onboarding processes, emphasizing the importance of recruiting candidates aligned with the facility’s mission, team compatibility, and commitment to resident dignity and safety. Recruitment strategies include traditional ads, referrals, recruiters, social media, and job boards. The interview process is detailed, highlighting the need for a welcoming environment, behavioral questions to assess compassion and problem-solving, and adherence to legal boundaries regarding discriminatory questions.<br /><br />Onboarding and orientation are stressed as distinct but complementary, critical for employee retention. Effective onboarding fosters belonging and enthusiasm, while orientation delivers relevant, applicable training beyond mere paperwork. Mentoring programs and ongoing supervision support new hires through their probation period.<br /><br />To reduce turnover, the module advocates an employee-focused culture, good communication, staff appreciation, flexible scheduling, and professional development. Nurse leaders must maintain clear job descriptions, conduct performance reviews, and apply progressive discipline as needed. Termination should be handled professionally and legally.<br /><br />Training and competency must be aligned with resident needs identified through assessments, incidents, and regulations, including mandatory CMS trainings and emergency preparedness exercises.<br /><br />Staffing is managed by calculating hours per patient day (HPPD) based on census and acuity, allocating staff by shifts accordingly, and comparing actual staffing with budgets to ensure quality care. Accurate, timely submission of staffing data to CMS is required to avoid penalties and maintain quality ratings. The DNS plays a vital role in overseeing these functions, ensuring compliance, and promoting a positive facility culture.

Keywords

DNS Fundamentals

staffing management

human resources nursing

hiring and onboarding

employee retention

training and competency

hours per patient day

CMS compliance