Patient Population : |
Adult & Pediatric |
Types of Services Provided: |
Mixed Acuity |
Average Daily Visit Volume: |
103.13
|
Total Emergency Visits: |
37745 |
|
|
Speciality Services : |
Certified (AHA) Stroke Center |
|
|
|
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Date of Services Budgeted: FY 2012 |
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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. |
|
Number of Staff |
|
Direct Caregivers |
7am |
8am |
9am |
10am |
11am |
12 |
1pm |
2pm |
3pm |
4pm |
5pm |
6pm |
Total |
RN |
5.00
|
5.00
|
6.00
|
6.00
|
9.00
|
9.00
|
9.00
|
9.00
|
10.00
|
10.00
|
10.00
|
10.00
|
98.00 |
RN/LPN |
|
|
|
|
|
|
|
|
|
|
|
|
0.00 |
Unlicensed Assistive Personnel |
1.00
|
1.00
|
1.00
|
2.00
|
2.00
|
2.00
|
2.00
|
2.00
|
4.00
|
4.00
|
4.00
|
4.00
|
29.00 |
Total Direct Caregiver Staff by Hour of the Day |
6.00
|
6.00
|
7.00
|
8.00
|
11.00
|
11.00
|
11.00
|
11.00
|
14.00
|
14.00
|
14.00
|
14.00
|
127.00 |
Direct
Caregivers |
7pm |
8pm |
9pm |
10pm |
11pm |
12 |
1am |
2am |
3am |
4am |
5am |
6am |
Total |
RN |
10.00
|
10.00
|
10.00
|
10.00
|
4.00
|
4.00
|
4.00
|
4.00
|
3.00
|
3.00
|
3.00
|
3.00
|
68.00 |
RN/LPN |
|
|
|
|
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
8.00 |
Unlicensed Assistive Personnel |
4.00
|
4.00
|
4.00
|
4.00
|
2.00
|
2.00
|
2.00
|
2.00
|
1.00
|
1.00
|
1.00
|
1.00
|
28.00 |
Total Direct Caregiver Staff by Hour of the Day |
14.00
|
14.00
|
14.00
|
14.00
|
7.00
|
7.00
|
7.00
|
7.00
|
5.00
|
5.00
|
5.00
|
5.00
|
104.00 |
|
|
Plan
/ Budgeted Direct WHPPV
(Worked Hours Per Patient Visit) |
2.24 |
|
|
Actual Worked Hours Per Patient Visit |
2.32 |
|
|
% Difference |
3.57% |
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 |
|
|
|
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 |
X |
X |
|
Respiratory Therapy Support |
X |
X |
X |
Clinical Pharmacist |
X |
X |
X |
Licensed Social Services / Case Management |
X |
|
|
Rapid Response Team |
|
|
|
Spiritual Services |
X |
X |
X |
Nurse Practitioner / Physician Assistant |
X |
X |
|
Security |
X |
X |
X |
Behavioral Health Counselor |
X |
X |
|
Intern / Resident |
X |
X |
X |
ED Registration Staff |
X |
X |
X |
Patient Greeter |
|
X |
|
Financial Counseling |
X |
X |
|
Interpreter |
X |
X |
X |
Other |
X |
X |
X |
The list of caregivers in these boxes were provided
to all hospitals. |
|
Additional
Unit Information: |
23 bays with 19 having telemetry capacity. Fastrack hours of operation 11a-11p. MD in Triage area for earlier patient access to MDs from 1p-9p. Dedicated RN in Triage area from 9a-11p. Unlicensed assistive personnel perform EKG/phlebotomy, ortho splinting and inpatient transport tasks. One secure holding room. Admission rate is 28 % from the ED. Hospital has an independent Walk-in Center for patients with less acute illnesses, thru increasing the case mix/acuity of the ED patients. |
|
|
Other Team Members: |
Evenings/Nights/Wkends: Nursing Supervisor
Licensed social workers available on-call evenings, nights and wkends. Neonatologist available on-call. MD Psych Liaison Service available days and on-call evenings and nights. Volunteers assist with some minor patient tasks/clerical tasks and perform greeter role. |
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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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