Your hospital replaced its entire inpatient bed fleet 10 years ago (120 months) and the nursing departments are stating they need to be replaced again. The beds were originally purchased for $15,000 each and the replacement beds from the same vendor are now $20,000 each. At the time of the original purchase, the beds were assigned a useful life of 15 years.

a. What is the net book value (NBV—or remaining depreciation) for the organization’s 200 beds?

b. How would the NBV influence your decision-making to support or not support this request?

c. As a nurse leader responsible for stewardship of financial resources, ensuring quality patient outcomes, and maintaining an engaged nursing workforce, how would you proceed in balancing these three requisite responsibilities of your role?