ANCC NE-BC case studies
ANCC NE-BC · Put your knowledge to work in context.
The Nurse Executive Board Certified (NE-BC®) credential is an ANCC board certification for nurses who lead at the unit, team, service line, department, or program level. According to ANCC, eligible nurses typically are accountable for a single group of nurses and/or non-nursing staff and focus in part on daily operations, staffing, staff development, and individual and group performance. The ANCC NE-BC case studies are 5 cases and about 4,280 words.
1The Group Text, the Fall, and the Question From the CNO
You manage a 32-bed medical-surgical unit with 58 RNs across two 12-hour shifts. Two weeks ago Dana, a night-charge RN with nine years' experience, sent a group text to 14 nurses stating that "day shift never follows the new fall protocol." Since then, day and night staff have traded complaints in huddles; two RNs have filed informal complaints with HR; and a patient on nights fell while attempting an unassisted transfer, sustaining a hip fracture.
864 words, about 4 min2Recommending Your Own Successor in the ED
You are the nurse manager of a 42-bed emergency department with 68 FTE and 22% annual turnover against a system average of 14%. The CNO has asked you to succeed the regional director of emergency services in six months and wants your recommendation for your own successor within 30 days.
892 words, about 4 min3Pressure Injuries, Agency Staff, and a Thirty-Day Vendor Offer
You manage a 30-bed medical intensive care unit. Unit-acquired pressure injury rates went from 4.1 to 8.3 per 1,000 patient days over two quarters.
830 words, about 4 min4Month Nine Variance, a Residency Cohort, and an Eleven-Week Deadline
You manage a 28-bed telemetry unit with an annual salary budget of 5.8 million and an overtime budget set at 2.1% of salary. At month nine, overtime is running at 5.6%, two RN positions are vacant, agency has covered 340 shifts at 78 per hour against a $42 blended internal rate, and supply expense is 12% over budget.
846 words, about 4 min5Two Overrides, One Harm, and a Unit That Says "You Only Discipline When It Hits a Patient"
On your 26-bed surgical unit, a patient received tenfold the intended dose of insulin because a nurse overrode the smart pump's drug library warning. The patient needed IV dextrose, was transferred to the ICU, and recovered.
848 words, about 4 min