Encompass Health Rehabilitation Hospital of Braintree - Neuro

Rehabilitation
Neuro
Adult Rehabilitation
187 Hospital Licensed Beds
Date of Services Budgeted: FY 2011


A well-staffed unit is not only defined by the number of caregivers included in the team, but by the carefully chosen members of each team depending upon the needs of each patient and the unit overall.
Average Number of Patients Per Day: 30.00

      Number of Staff
Direct Caregivers Scheduled Hours Shift Length Mon Tues Wed Thurs Fri Sat Sun
  Day Shift
RN 7am-3pm 8.00 4.00 4.00 4.00 4.00 4.00 4.00 4.00
LPN 7am-3pm 8.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
Unlicensed Assistive Personnel 7am-3pm 8.00 4.00 4.00 4.00 4.00 4.00 4.00 4.00
                   
 
  Evening Shift
RN 3pm-11pm 8.00 4.00 4.00 4.00 4.00 4.00 4.00 4.00
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 1.00 1.00 1.00 1.00 1.00 1.00 1.00
LPN 11pm-7am 8.00 2.00 2.00 2.00 2.00 2.00 2.00 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)
6.38

    Plan / Budgeted Direct WHPPD
(Worked Hours Per Patient Day)
6.38
    Actual Worked Hours Per Patient Day 7.94
    % Difference 24.45%
    Click here for more information

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    
Clinical Nurse Specialist      
Unit Clerical Support X X  
1:1 Patient Observer      
Admissions Nurse      
Patient Transport Team X    
IV Therapy Team / Line Access X X X
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 X X X
The list of caregivers in these boxes were provided to all hospitals.
Additional Unit Information:
The neuro unit focuses on the treatment of stroke and movement disorders. The Braintree Rehabilitation Hospital Stroke Program has recently achieved recognition from The Joint Commission through their Disease Specific Certification program. To earn the Gold Seal of Approval (TM) the neuro team met all criteria through vigorous pursuit of quality measures recognized as best practices in healthcare.
 
 
Other Team Members:
As needed patients requiring close monitoring for safety would be provided a rehab nursing technician to provide total care as well as ensure safety. These individuals document patient behaviors and response to interventions/treatment on a monitor flowsheet. During the week behavior rounds are held lead by a neuropsychologist to adjust the care plan. Safety Monitor staff are informed of changes and as patients progress the close monitoring is discontinued. Braintree Rehabiltation Hospital has found this process to be very successful in providing a safe unresricted environment. The staff involved in the monitoring are in addition to the scheduled staff.
 
 
There are many variables to consider in establishing safe, efficiently staffed hospital units. Patient care units differ based upon the types of patients cared for on a given unit, and the way in which care is organized and delivered there. Education and experience levels of unit staff, support from nurse educators and nurse managers also factor into unit staffing decisions, as does the unique characteristics and mission of each hospital. It is also important to look at patient outcomes (including fall rates, pressure ulcer rates, and Hospital Compare measures related to heart attack care, heart failure care, pneumonia care and surgical care) in the Performance Measures section of PatientCareLink.