Simple solution: clinical training for entire staff.
D002017:Budgets; D003363:Cost Control / Q000379:methods; D006743:Hospital Bed Capacity, under 100; D006780:Hospitals, Rural / Q000191:economics; D007318:Inservice Training / Q000458:organization & administration*; D009728:Nursing Assistants / Q000193:education*; D010564:Personnel, Hospital / Q000193:education*; D014861:Washington; D000078329:Workforce