| Date of Services Reported: FY 2006 |
|
Average Number of Patients Per Day: |
12.0 |
| |
|
|
Number of Staff |
| Direct Caregivers |
Scheduled Hours |
Shift Length |
Mon |
Tues |
Wed |
Thurs |
Fri |
Sat |
Sun |
| |
Day Shift |
| RN |
7am - 3pm |
8.0 |
4.0 |
4.0 |
4.0 |
4.0 |
4.0 |
4.0 |
4.0 |
| |
|
|
|
|
|
|
|
|
|
| |
| |
Evening
Shift |
| RN |
3pm - 11pm |
8.0 |
4.0 |
4.0 |
4.0 |
4.0 |
4.0 |
4.0 |
4.0 |
| |
|
|
|
|
|
|
|
|
|
| |
| |
Night
Shift |
| RN |
11pm - 7am |
8.0 |
4.0 |
4.0 |
4.0 |
4.0 |
4.0 |
4.0 |
4.0 |
| |
|
|
|
|
|
|
|
|
|
| |
|
Plan / Budgeted Direct WHPPD
(Worked Hours Per Patient Day) |
7.98 |
| |
|
Actual Worked Hours Per Patient Day |
9.83 |
| |
|
% Difference |
23.18 |
| |
|
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| Additional Care Team Members |
| Click here for Care Team Member definitions |
| Skills |
Shift Coverage |
| |
Day |
Evening |
Night |
| Unit Nurse Management |
x
|
x
|
x
|
| Staff Educator |
x
|
x
|
x
|
| Clinical Nurse Specialist |
|
|
|
| Unit Clerical Support |
x
|
x
|
|
| 1:1 Patient Observer |
|
|
|
| Admissions Nurse |
|
|
|
| Patient Transport Team |
|
|
|
| IV Therapy Team / Line Access |
|
|
|
| Monitor Technician |
|
|
|
| Rapid Response Team |
|
|
|
| Respiratory Therapy Support |
x
|
x
|
x
|
| Nutritionist |
x
|
|
|
| Rehab Activities (OT, PT, Speech) |
x
|
|
|
| Clinical Pharmacist |
x
|
x
|
|
| Licensed Social Services / Case Management |
x
|
|
|
| Spiritual Services |
x
|
x
|
x
|
| Hospitalist / NP / PA |
|
|
|
| Intensivist / Neonatologist |
x
|
x
|
x
|
| Nursing Student |
x
|
|
|
| Recreation / Milieu Therapist |
|
|
|
| Intern / Resident |
|
|
|
 The list of caregivers in these boxes were provided to all hospitals. |
 Individual hospitals added the types of caregivers shown in these boxes. |
|
| Additional Unit Information: |
| Acuity Based Assignment |
| Usual Nursing Ratio 3:1 |
| CPAP Ratio 1:1 (24 hours per day) |
| Lactation Specialist available seven days per week |
| Breast Pump Rental & Sales |
| |
|
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