General (A)

Rehabilitation
General (A)
Adult Rehabilitation
Variance Info
Actual Worked Hours Per Patient Day 6.13
Current Posted Planned Worked Hours Per Patient Day 5.77
Variance 0.36
% Variance from Budget 6.24%
 
Reason For +/- 5% Variance From Budget
No explanation required  
Fluctuating day to day census X
Lower daily census than planned  
Higher daily census than planned  
Higher patient care needs than planned X
Lower patient care needs than planned  
Staff vacancies X
Adjusted for patient care needs X
Minimum fixed staffing requirements  
Care delivery model changes  
Increased 1:1 staffing requirements  
Closure of unit  
Not admitting to beds due to staffing  
Increased census to telemetry patients  
Plan based on high needs in critical care  
Increased staff hours to facilitate admissions and discharges X
Change in patient mix X
 
Other Reasons for +/- 5% Variance
Change in staff matrix in preparation for new medication despense system Reorg. and growth of Spinal Cord Program based on program specific goals and nationally recognized care standards Fast turnover of patients Nursing Education is organized and directed by one nurse educator with support from Nursing leadership. The education plan is defined by identufied issues via monioring and staff survey. Nursing Leadership on all 3 shifts support the education process as well as hospital wide interdisciplinary inservicing and outside speakers. Periodically throughout the year nursing students have a month rotation providing care on a 1:1 basis but the responsibility remains with the hospital staff and the impact on staff plan is minimal. "Other " team members refers to: Wound RN responsible for weekly rounds, assits with plan of care for complex wounds, and chairs the Interdis. Wound Comm. Pyschology/Neuro - Psych Physiatry
 
Additional Comments