| Reason For +/- 5% Variance From Budget |
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No explanation required
No explanation of staffing hours was required if the unit's actual worked hours were within +/- 5% of the 2008 submitted unit staffing plan.
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Fluctuating day to day census
The number of patients on the patient care unit varied significantly from day to day impacting the overall actual staffing hours provided in 2008.
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Lower daily census than planned
The actual average number of patients per day on the unit was less than the planned average patients per day submitted in the displayed 2008 staffing plan.
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Higher daily census than planned
The actual average number of patients per day on the unit was greater than the planned average patients per day in the displayed 2008 staffing plan.
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Higher patient care needs than planned
The average patient required more care than expected and that took more staff than the displayed 2008 staffing plan.
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Lower patient care needs than planned
The average patient required less care than expected and that took less staff than the displayed 2008 staffing plan.
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Staff vacancies
The unit had more job openings than planned and that impacted the average staffing hours on the unit.
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Adjusted for patient care needs
The average actual patient care requirements were different than what was submitted in the 2008 unit staffing plan.
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X |
Minimum fixed staffing requirements
A minimal level of staffing is required on each unit regardless of the number of patients or their care needs. Adjusting to a minimum fixed staffing level increases staffing care hours.
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Care delivery model changes
The way in which direct care staff are assigned to care for patients changed.
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Increased 1:1 staffing requirements
The number of patients on this unit requiring one nurse assigned to one patient was higher than planned.
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Closure of unit
The unit was closed at some point and that impacted overall staffing hours.
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Not admitting to beds due to staffing
Patients were not admitted to the unit because there were lower staffing levels on the unit than planned.
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Increased census to telemetry patients
The number of patients requiring cardiac monitoring was higher than the 2008 staffing plan.
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Plan based on high needs in critical care
The 2008 critical care staffing plan based staffing on high acuity or patient care requirements.
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Increased staff hours to facilitate admissions and discharges
This unit required more staffing than expected because of the number of patients being admitted and discharged from the unit each day.
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Change in patient mix
The actual type of patients admitted on this unit was different from the development of the 2006 staffing plan requirements.
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| Other Reasons for +/- 5% Variance |
| Based on Performance Improvement review the number of patients requiring acute rehabilitation presenting with significant safety concerns are increasing. It is apparent that how we managed patients requiring close supervision need to be reorganized. An interdisciplinary team came together to further develop the management structure of our behavior monitoring program. This included patient review by a neuro psychologist with the treating team twice per week to plan care and supervision stratagies that resulted in reducing the lenght of time that a patient would require 1:1 supervision. At no time did restraint use or fall rate increase related to timely reduction of 1:1 supervision. Further more the program experpienced growth related to the increased capcity to accommodate this patient population.. As we have all experienced the patient must appropriately move from one care setting to another, therefore a second look striking a balanced between patient safety and care efficiencies is an ongoing process. |
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| Additional Comments |
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