| Reason For +/- 5% Variance From Budget |
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No explanation required
No explanation of staffing hours was required if the unit's actual worked hours were within +/- 5% of the 2012 submitted unit staffing plan.
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Fluctuating day to day census
The number of patients on the patient care unit varied significantly from day to day impacting the overall actual staffing hours provided in 2012.
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X |
Lower daily census than planned
The actual average number of patients per day on the unit was less than the planned average patients per day submitted in the displayed 2012 staffing plan.
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Higher daily census than planned
The actual average number of patients per day on the unit was greater than the planned average patients per day in the displayed 2012 staffing plan.
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Higher patient care needs than planned
The average patient required more care than expected and that took more staff than the displayed 2012 staffing plan.
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Lower patient care needs than planned
The average patient required less care than expected and that took less staff than the displayed 2012 staffing plan.
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Staff vacancies
The unit had more job openings than planned and that impacted the average staffing hours on the unit.
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Adjusted for patient care needs
The average actual patient care requirements were different than what was submitted in the 2012 unit staffing plan.
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Minimum fixed staffing requirements
A minimal level of staffing is required on each unit regardless of the number of patients or their care needs. Adjusting to a minimum fixed staffing level increases staffing care hours.
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X |
Care delivery model changes
The way in which direct care staff are assigned to care for patients changed.
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Increased 1:1 staffing requirements
The number of patients on this unit requiring one nurse assigned to one patient was higher than planned.
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Closure of unit
The unit was closed at some point and that impacted overall staffing hours.
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X |
Not admitting to beds due to staffing
Patients were not admitted to the unit because there were lower staffing levels on the unit than planned.
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Increased census to telemetry patients
The number of patients requiring cardiac monitoring was higher than the 2012 staffing plan.
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Plan based on high needs in critical care
The 2012 critical care staffing plan based staffing on high acuity or patient care requirements.
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Increased staff hours to facilitate admissions and discharges
This unit required more staffing than expected because of the number of patients being admitted and discharged from the unit each day.
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Change in patient mix
The actual type of patients admitted on this unit was different from the development of the 2012 staffing plan requirements.
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| Other Reasons for +/- 5% Variance |
| Nurse Manager helps out when staffing needs arise.
Unable to carve out orientation hours, preceptor hours, council work, educator hours, transporting patients, emergency response calls (e.g. Code Blue, Code White)
Unable to carve out class time (e.g. Dr. Armstrong, PALS, BLS)
QA and other Performance Initiatives are performed by staff during their clinical work hours
Each clinical department also has hours budgeted for a unit-based educator. The institution does not have a centralized education department
Staff do EKGs after hours and respiratory treatments when required
Staff also responsible for: insertion of catheters for VCUGs in xray; sedation and monitoring for MRI & CT scans; care of outpatients requiring IM or IV antibiotics or other injections, insertion of NG tubes and catheters for specimen collection or applying urine bag for specimen collection. |
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| Additional Comments |
| Closure of unit requires RN nurse still in Hospital - working elsewhere or doing administrative work such as QI or maintaining Lean M&S supplies. |
