Cambridge Health Alliance - Everett - W3

Acute Care
W3
Adult Medical / Surgical Combined
162 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: 13.96

      Number of Staff
Direct Caregivers Scheduled Hours Shift Length Mon Tues Wed Thurs Fri Sat Sun
  Day Shift
RN 7am-3pm 8.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00
Unlicensed Assistive Personnel 7am-3pm 8.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00
                   
 
  Evening Shift
RN 3pm-11pm 8.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00
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)
7.45
    Actual Worked Hours Per Patient Day 8.83
    % Difference 18.52%
    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 X    
Unit Clerical Support X X  
1:1 Patient Observer X X X
Admissions Nurse      
Patient Transport Team X X  
IV Therapy Team / Line Access X X  
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  
Licensed Social Services / Case Management X X  
Spiritual Services X X X
Hospitalist / NP / PA X X X
Intensivist / Neonatologist X    
Nursing Student X    
Recreation / Milieu Therapist      
Intern / Resident X X X
Other X X X
The list of caregivers in these boxes were provided to all hospitals.
Additional Unit Information:
Our Educators/Clinical Specialists function under a flexible schedule. In addition to development and presentation of educational programs and initiatives, they work with managers on staff competencies and compliance by staff to regulations and best practices. A Float Pool Clerk/Aide was added to the budget to assist with admission orders as well as to serve as an extra pair of hands on the 11p-7a shift. IV coverage was changed to have access to the IV Team and a resource nurse on the 3p-1130p shift. This is primarily due to needs in patient flow and admissions.
 
 
Other Team Members:
Interpreters available all shifts. Off-Shift Manager (Supervisor) available Mon-Fri Eves and Nights, weekends, and holidays. Nurse Manager has 24 hour accountability. Nursing education provided by centralized department and is not unit-based. Clinical leader/charge nurse in RN numbers listed above. Precepting, orientation and competency best practice education require increased staffing. IV Team available until 7pm. Clerical support until 9p daily. Staffing based on average acuity & workload but shifts in acuity and workload influence staffing.
 
 
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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