Cooley Dickinson Health Care - Emergency Department

Acute Care
Emergency Department
Patient Population : Adult & Pediatric
Types of Services Provided: Acute Care
Average Daily Visit Volume: 108.67
Total Emergency Visits: 39773
 
Speciality Services : Certified (AHA) Stroke Center

Date of Services Reported: FY 2008  

  Number of Staff  
Direct Caregivers 7am 8am 9am 10am 11am 12 1pm 2pm 3pm 4pm 5pm 6pm Total
RN 4.00 4.00 5.00 5.00 7.00 7.00 8.00 8.00 8.00 8.00 8.00 8.00 80.00
RN/LPN         1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 8.00
Unlicensed Assistive Personnel 2.00 2.00 3.00 3.00 3.00 3.00 3.00 3.00 4.00 4.00 4.00 4.00 38.00
Total Direct Caregiver Staff by Hour of the Day 6.00 6.00 8.00 8.00 11.00 11.00 12.00 12.00 13.00 13.00 13.00 13.00 126.00
Direct Caregivers 7pm 8pm 9pm 10pm 11pm 12 1am 2am 3am 4am 5am 6am Total
RN 8.00 8.00 8.00 8.00 6.00 6.00 5.00 5.00 5.00 4.00 4.00 4.00 71.00
RN/LPN 1.00 1.00 1.00 1.00 1.00               5.00
Unlicensed Assistive Personnel 4.00 4.00 4.00 4.00 3.00 3.00 2.00 1.50 1.50 1.50 1.50 1.50 31.50
Total Direct Caregiver Staff by Hour of the Day 13.00 13.00 13.00 13.00 10.00 9.00 7.00 6.50 6.50 5.50 5.50 5.50 107.50

    Plan / Budgeted Direct WHPPV
(Worked Hours Per Patient Visit)
2.14
    Actual Worked Hours Per Patient Visit 2.03
    % Difference -4.77%

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 X    
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      
Respiratory Therapy Support X X X
Clinical Pharmacist X X  
Licensed Social Services / Case Management X    
Rapid Response Team X X X
Spiritual Services X X X
Nurse Practitioner / Physician Assistant      
Security X X X
Behavioral Health Counselor X X X
Intern / Resident      
ED Registration Staff X X X
Patient Greeter X    
Financial Counseling      
Interpreter X X X
Other      
The list of caregivers in these boxes were provided to all hospitals.
Additional Unit Information:
LPNs cover fast track which is open from 9am-11pm Unlicensed Assistive Personnel (UAP) cover as 1:1 observers There are 2 UAPs until 1:00am then the night UAP is also the night secretary UAPs perform EKGs, caths, Blood Glucoses, and place patients on cardiac monitors UAPs perform vital signs, assist with pelvic exams and restraint applications Interpretation services available by phone 7000 visits by ambulance and 40% of ambulance are admitted 60-70% of hospital admissions come through the ED ED UAPs also serve as patient greeters ED Case Management available 9am-5pm Monday - Friday DPH Designated Primary Stroke Service.
 

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