Nashoba Valley Medical Center - Acute Care Unit

Acute Care
Acute Care Unit
Adult & Pediatric Medical / Surgical Combined
57 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: 18.00

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

    Plan / Budgeted Direct WHPPD
(Worked Hours Per Patient Day)
7.53

    Plan / Budgeted Direct WHPPD
(Worked Hours Per Patient Day)
7.53
    Actual Worked Hours Per Patient Day 8.68
    % Difference 15.27%
    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    
Staff Educator X    
Clinical Nurse Specialist      
Unit Clerical Support X X  
1:1 Patient Observer X X X
Admissions Nurse      
Patient Transport Team X X  
IV Therapy Team / Line Access      
Monitor Technician      
Rapid Response Team X X X
Respiratory Therapy Support X X X
Nutritionist X    
Rehab Activities (OT, PT, Speech) X X  
Clinical Pharmacist X X  
Licensed Social Services / Case Management X    
Spiritual Services      
Hospitalist / NP / PA X X X
Intensivist / Neonatologist X    
Nursing Student X X  
Recreation / Milieu Therapist      
Intern / Resident      
Other   X X
The list of caregivers in these boxes were provided to all hospitals.
Additional Unit Information:
NUR, the nursing documentation component of Meditech, has been and continues to be a major focus. Go live is Novemeber 9th
 
 
Other Team Members:
During the day time hours, the nurse manager and clinical lead serve as resources and back up for the staff. On the evening and night shifts(after 4 pm), a designated nursing supervisor continues in that role. The nursing supervisor is present 24 hours per day weekends and holidays. Mental health care is provided through a contracted service and is on-call for our patients 24/7. We have not used agency staffing this fiscal year. We have only 1 open position and are interviewing currently.
 
 
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.

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