MetroWest Medical Center - Framingham Campus - 5th Floor

Acute Care
5th Floor
Adult Medical / Surgical Combined - Cardiac
167 Hospital Licensed Beds
Date of Services Budgeted: FY 2012


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: 16.61

      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
Unlicensed Assistive Personnel 7am-3pm 8.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
                   
 
  Evening Shift
RN 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
                   
 
  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)
6.74
    Actual Worked Hours Per Patient Day 9.76
    % Difference 44.81%
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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      
Unit Clerical Support X X  
1:1 Patient Observer X X X
Admissions Nurse      
Patient Transport Team      
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    
Clinical Pharmacist X X X
Licensed Social Services / Case Management X    
Spiritual Services X X X
Hospitalist / NP / PA X X X
Intensivist / Neonatologist      
Nursing Student X X  
Recreation / Milieu Therapist      
Intern / Resident X X X
Other      
The list of caregivers in these boxes were provided to all hospitals.
Additional Unit Information:
Nursing care is organized to support team work and to meet a philosophy of demonstration of caring behaviors to our patients. Low nursing turnover promotes consistency and continuity in care delivery. Our nursing staff members also participate in the Division of Nursing's Shared Governance structure. Centralized lab, Wound Care. In early October 2010 the unit also became a monitored Telemetry unit as well as Med/Surg with the addition of 24 Telemetry monitors. Bedside Handover. Implementing collaborative care rounds.
 
 
Other Team Members:
Interpreter Services 24/7
 
 
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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