IMC

Acute Care
IMC
Adult Step-Down - Medical / Surgical Combined
Variance Info
Actual Worked Hours Per Patient Day 10.51
Current Posted Planned Worked Hours Per Patient Day 9.32
Variance 1.19
% Variance from Budget 12.77%
 
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 X
Higher patient care needs than planned X
Lower patient care needs than planned  
Staff vacancies  
Adjusted for patient care needs X
Minimum fixed staffing requirements X
Care delivery model changes  
Increased 1:1 staffing requirements  
Closure of unit  
Not admitting to beds due to staffing  
Increased census to telemetry patients X
Plan based on high needs in critical care  
Increased staff hours to facilitate admissions and discharges X
Change in patient mix  
 
Other Reasons for +/- 5% Variance
IMC has a high Admission/Discharges/Transfer ratio. Patients' high acuity may often require a nurse to accompany patients when off the unit. There has been an expansion of cardiac services. Implementation and training for the electronic nursing documentation system required extra staffing. Nurses perform phlebotomy on ports/lines.
 
Additional Comments