Cambridge Health Alliance - Cambridge - Step-Down Unit

Acute Care
Step-Down Unit
Adult Step-Down - Medical / Surgical Combined
Date of Services Reported: FY 2008   Average Number of Patients Per Day: 3.99

      Number of Staff
Direct Caregivers Scheduled Hours Shift Length Mon Tues Wed Thurs Fri Sat Sun
  Day Shift
RN 7am-3pm 8.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00
                   
 
  Evening Shift
RN 3pm-11pm 8.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00
                   
 
  Night Shift
RN 11pm-7am 8.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00
                   

    Plan / Budgeted Direct WHPPD
(Worked Hours Per Patient Day)
11.97
    Actual Worked Hours Per Patient Day 10.49
    % Difference -12.30%
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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 X    
Clinical Nurse Specialist      
Unit Clerical Support X X X
1:1 Patient Observer X X X
Admissions Nurse      
Patient Transport Team X X  
IV Therapy Team / Line Access X X  
Monitor Technician      
Rapid Response Team X X X
Respiratory Therapy Support X X X
Nutritionist X    
Rehab Activities (OT, PT, Speech) X    
Clinical Pharmacist X X X
Licensed Social Services / Case Management X    
Spiritual Services X X X
Hospitalist / NP / PA X X X
Intensivist / Neonatologist X X  
Nursing Student      
Recreation / Milieu Therapist      
Intern / Resident X X X
Other X X X
The list of caregivers in these boxes were provided to all hospitals.
Additional Unit Information:
Nurse manager has 24 hour responsibility for SDU and ICU. Unit clerical staff can do clerical and clinical. Minimally staffed unit - staffing based on acuity and workload. Shifts in acuity and workload influence staffing. RN works 12 hour shifts IV therapy 12 hours per day Clinical leader with 6-12 hours administrative time per week Nursing education provided by centralized department, and is not unit-based. Precepting, orientation and competency best practice education require increased staffing.
 
 
Other Team Members:
Interpreters available all shifts Off-Shift Manager (Supervisor) available Mon-Fri Eves and Nights and all weekend.
 

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