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Question: Weighing Choices in Budget Spending

One of your goals as the unit manager of a critical care unit is to prepare all your nurses to be certified in advanced cardiac life support. You currently have five staff nurses who need this certification. You can hire someone to teach this class locally and rent a facility for $800; however, the cost will be taken out of the travel and education budget for the unit, and this will leave you short for the rest of the fiscal year. It also will be a time-consuming effort because you must coordinate the preparation and reproduction of educational materials needed for the course and make arrangements for the rental facility. A certification class also will be provided in the near future in a large city approximately 150 miles from the hospital. The cost per participant will be $200. In addition, there would be travel and lodging expenses. ASSIGNMENT: You have several decisions to make. Should the class be held locally? If so, how will you organize it? Are you going to require your staff to have this certification or merely highly recommend that they do so? If it is required, will the unit pay the costs of the certification? Will you pay the staff nurses their regular hourly wage for attending the class on regularly scheduled work hours? Can this certification be cost-effective? Use group process in some way to make your decision.

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