Date of Services: FY 2013
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: |
8.28
|
|
|
|
Number of
Staff |
Direct Caregivers |
Scheduled Hours |
Shift Length |
Mon |
Tues |
Wed |
Thurs |
Fri |
Sat |
Sun |
|
Day Shift |
RN |
7am-3pm |
8.00 |
1.00 |
3.50 |
4.00 |
4.00 |
3.00 |
|
|
Unlicensed Assistive Personnel |
7am-3pm |
8.00 |
0.50 |
1.00 |
2.00 |
2.00 |
2.00 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Evening Shift |
RN |
3pm-11pm |
8.00 |
3.00 |
5.00 |
4.00 |
3.00 |
1.00 |
|
|
Unlicensed Assistive Personnel |
3pm-11pm |
8.00 |
2.00 |
2.00 |
2.00 |
1.00 |
0.50 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Night Shift |
RN |
11pm-7am |
8.00 |
3.00 |
3.00 |
3.00 |
2.00 |
|
|
|
Unlicensed Assistive Personnel |
11pm-7am |
8.00 |
1.00 |
2.00 |
1.00 |
2.00 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Plan / Budgeted Direct WHPPD
(Worked Hours Per Patient Day) |
8.76 |
|
|
Actual Worked Hours Per Patient Day |
8.76 |
|
|
% Difference |
0.00% |
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 |
X
|
|
|
Clinical Nurse Specialist |
|
|
|
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
|
X
|
|
Clinical Pharmacist |
X
|
X
|
X
|
Licensed Social Services / Case Management |
X
|
|
|
Spiritual Services |
X
|
X
|
|
Hospitalist / NP / PA |
X
|
X
|
X
|
Intensivist / Neonatologist |
|
|
|
Nursing Student |
|
|
|
Recreation / Milieu Therapist |
|
|
|
Intern / Resident |
|
X
|
X
|
Other |
|
|
|
The list of caregivers in these boxes were provided to all hospitals. |
|
Additional Unit Information: |
Lahey 5 is a 20 bed Medical/Surgical/ Orthopedic Unit. The primary case types are orthopedic (major joint revisions), sports medicine and surgical short-stay. Postoperative care focuses on pain management, rehabilitation, wound management and patient education. Daily staffing is reviewed and adjusted each shift for volume and acuity. RN Clinical Level and experience is considered in scheduling and assignments. Volume is somewhat predictable because most surgeries are elective. This unit runs on a 5 day cycle. It generally opens Monday mid-day and closes later on Friday evening after discharges. The worked direct care hours are skewed because there is staff scheduled on Fridays to provide care until the patients transfer or are discharged. However, there is no midnight census for Friday. On shifts that indicate only 1 RN, there are actually 2 RNs working 4 hours because there are no patients for half of the shift. |
|
|
Other Team Members: |
Other Team Members: Nurse Manager has 24 hour accountability. Clinical Leader, Monday through Friday. This individual provides operational and administrative oversight assistance to the Nurse Manager and some direct patient care. The position is not counted in direct patient care worked hours. Case Managers are unit based. Residents for Orthopedic patients, twlelve hours per day. Physical Therapy provides two visits per day for Orthopedic patients. Centralized Pharmacy. AT&T line available 24 hours/day for interpreting needs. There is also a contract for in person interpreters when needed, There is a Throughput Facilitator (RN) managing patient flow during the day, Monday through Friday. Nursing Coordinators assume this responsibility for off-shifts, weekends and holidays |
|
|
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.
|
|
|