Organizational Structures in Nursing

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Organizational Structures in Nursing

In this writing assignment, you will complete a paper addressing an issue from the perspective of the nurse manager on a unit.
Step 1 Review your unit’s and/or facility’s organizational chart. You have been promoted to nurse manager of your unit. You realize that to function effectively, you must have a better understanding of your organization’s structure and, specifically, the chain of command.
Find and analyze the organizational chart of the healthcare organization you are currently working for or for one that you have encountered in your nursing experience.
Step 2 In a two-page (500-word) paper, address the following points:
· Give a brief description of the organization of the healthcare structure used in your facility.
· Describe the chain of command used in your organization and identify the people you report to and those who report to you.
· Consider the following and discuss how the chain of command is used to implement change.
·
. Based on the organization chart, what leadership structure is used in the organization—hierarchical or flat?  How does this affect implementing change?
. Does this organization use a shared governance model for nursing?
. When nurses have an idea for changing a process and they make a decision as a group, where do they go with their suggestions? (the director? the unit manager?)
They go to the unit assistant manager
· Explain why understanding this information is important to your success.
Write your paper using APA format. Cite all sources in APA format.
See the rubric below for the grading details.

Hospital Chain of Commands
· Staff- ensure that they are adhering to employee conduct policy and all other policies while providing the most optimal and safe care to meet goals of the unit. Make sure they are keeping up with job requirements and education as part of their job duties. 
· Resource RN/Charge RN- an informal leader in the department that is often chosen by leaders and peers. They have the most contact with the staff and ensure that staff is performing the daily functions to achieve goals, provides support to the staff, patients, and leaders.
· PCS- Patient Care Supervisor- serves as the liaison between the staff, patients, and managers. Usually, the person the staff see most regularly. 
· ANM- Assistant Nurse Manager- supports the manager and the staff with daily unit operations as well as ensuring that staff are supported and adhering to policy to achieve goals of the unit. 
· PCM- Patient Care Manager- Oversees daily operations of the unit and ensures that staff is aware of quality, safety, and strategic goals. Makes sure that staff is adhering to hospital policy and holds staff accountable if needed. 
· AVP-Assistant Vice President- She is the liaison between the manager and CNO ensuring that information is shared up and down as well as holding manager accountable for the unit meeting quality, strategic, and financial goals. The AVP also coordinates with manager and HR for all employee conduct and performance concerns.
· CNO- Chief Nursing Office- he is responsible for all clinical operations and quality and strategic goals for the hospital.

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