Nashoba Valley Medical Center - Emergency Department

Acute Care
Emergency Department
57 Hospital Licensed Beds
Patient Population : Adult & Pediatric
Types of Services Provided: Mixed Acuity
Average Daily Visit Volume: 42.51
Total Emergency Visits: 15559
Speciality Services : Certified (AHA) Stroke Center

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.

  Number of Staff  
Direct Caregivers 7am 8am 9am 10am 11am 12 1pm 2pm 3pm 4pm 5pm 6pm Total
RN 2.00 2.00 3.00 3.00 4.00 4.00 4.00 4.00 5.00 5.00 5.00 5.00 46.00
Paramedic     1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00     8.00
Total Direct Caregiver Staff by Hour of the Day 2.00 2.00 4.00 4.00 5.00 5.00 5.00 5.00 6.00 6.00 5.00 5.00 54.00
Direct Caregivers 7pm 8pm 9pm 10pm 11pm 12 1am 2am 3am 4am 5am 6am Total
RN 5.00 5.00 4.00 4.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 34.00
Paramedic 1.00 1.00 1.00 1.00                 4.00
Total Direct Caregiver Staff by Hour of the Day 6.00 6.00 5.00 5.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 38.00

    Plan / Budgeted Direct WHPPV
(Worked Hours Per Patient Visit)
    Actual Worked Hours Per Patient Visit 2.08
    % Difference -3.70%

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 X
1:1 Patient Observer X X X
Admissions Nurse      
Patient Transport Team X    
IV Therapy Team / Line Access      
Respiratory Therapy Support X X X
Clinical Pharmacist X X  
Licensed Social Services / Case Management X    
Rapid Response Team X X X
Spiritual Services      
Nurse Practitioner / Physician Assistant      
Security X X X
Behavioral Health Counselor X X X
Intern / Resident      
ED Registration Staff X X X
Patient Greeter      
Financial Counseling X    
Interpreter X X X
The list of caregivers in these boxes were provided to all hospitals.
Additional Unit Information:
Nurse manager is physically present on days but has 24/7 accountability and does work shifts in ED Staff educator shared with other departments Security ..contract service on site 24 /7 Behavioral health provided by outside agency Interpreter services by outside agenies, telephonic and computerized services available 24/7 ED registration and ED clerical support are the same person on 11-7
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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