Assignment task:
Liberty Healthcare, a 400-bed hospital in Kansas City, Missouri, currently employs 100 nurses (RNs), 10 nursing supervisors, and 1 head nurse (nursing manager) on each of 3 shifts. The hospital operates 24/7. The current staffing ratios are 4 beds/nurse, 10 nurses per nursing supervisor, and one head nurse for every 10 nursing supervisors, but a minimum of 1 head nurse for each of the 3 shifts. When a nursing manager is on vacation or otherwise not available, a senior nurse fills in on shift for the nursing manager. An additional 40-bed wing is under construction and will be completed within the next 12 months.
Currently, nursing turnover runs at approximately 30% per year; nursing supervisor turnover is 10% per year. Also, based on age and experience profiles, it is forecast that 6 staff nurses and 1 head nurse will likely retire within one year, in addition to those lost through turnover.
How many total nurses, nursing supervisors, and head nurses will need to be on staff at the hospital when the new wing opens in 12 months? Assume that the hospital wants to increase the ratio of beds/nurse from 4 to 5 and increase the ratio of nurses per nursing supervisor from 10 to 11 as cost-saving measures. The ratio of head nurses to nursing supervisors will remain the same, as will the requirement for at least 1 head nurse per shift. Round all calculations to the nearest whole number. Please show all work