Encompass Health Rehabilitation Hospital of Braintree - Brain Injury

Rehabilitation
Brain Injury
Adult Rehabilitation
Date of Services Reported: FY 2008   Average Number of Patients Per Day: 18.90

      Number of Staff
Direct Caregivers Scheduled Hours Shift Length Mon Tues Wed Thurs Fri Sat Sun
  Day Shift
RN 7am-3pm 8.00 2.50 2.50 2.50 2.50 2.50 3.00 3.00
LPN 7am-3pm 8.00 1.00 2.00 1.00 2.00 2.00 1.00 1.00
Unlicensed Assistive Personnel 7am-3pm 8.00 3.00 4.00 3.00 3.00 3.00 4.00 4.00
                   
 
  Evening Shift
RN 3pm-11pm 8.00 2.00 2.50 2.00 2.00 2.50 2.50 2.50
LPN 3pm-11pm 8.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
Unlicensed Assistive Personnel 3pm-11pm 8.00 4.00 4.00 4.00 4.00 4.00 4.00 4.00
                   
 
  Night Shift
RN 11pm-7am 8.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00
LPN 11pm-7am 8.00 1.00 1.00 1.00 1.00 1.00 1.00 2.00
Unlicensed Assistive Personnel 11pm-7am 8.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00
                   

    Plan / Budgeted Direct WHPPD
(Worked Hours Per Patient Day)
8.81
    Actual Worked Hours Per Patient Day 12.51
    % Difference 41.99%
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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    
Staff Educator      
Clinical Nurse Specialist      
Unit Clerical Support X    
1:1 Patient Observer      
Admissions Nurse      
Patient Transport Team      
IV Therapy Team / Line Access      
Monitor Technician      
Rapid Response Team      
Respiratory Therapy Support      
Nutritionist X    
Rehab Activities (OT, PT, Speech) X    
Clinical Pharmacist      
Licensed Social Services / Case Management X    
Spiritual Services      
Hospitalist / NP / PA X X X
Intensivist / Neonatologist      
Nursing Student      
Recreation / Milieu Therapist      
Intern / Resident      
Other      
The list of caregivers in these boxes were provided to all hospitals.
Additional Unit Information:
We frequently have patients whose safety awareness is impaired and therefore require 1:1 observation. This observation is provided by trained pt. care providers titled Rehabilitation Nursing Technicians. They are responsible for providing all unskilled care with RN/LPN providing skilled care. When reviewing the actualstaffing pattern vs the budget most often the reason for going above budget is the increased number of unskilled patient care providers. We have found that the use of Rehab. Nursing Tech.s have reduced our use for restraint as well as our falls with injury rate.
 
 
Other Team Members:
Nursing education is provided by one nurse educator with support from Nursing leadership. The educational plan is defined by identified issues via monitoring and staff survey. Nursing leadership on all 3 shifts supports the educational process as well as outside speakers. Periodically through out 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 member refers to: Wound RN responsible for weekly rounds and assisting with plan of care for complex wounds. Psychology/Neuro-Psychology Physiatry
 

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