Encompass Health Rehabilitation Hospital of Braintree - Brain Injury

Rehabilitation
Brain Injury
Adult Rehabilitation
187 Hospital Licensed Beds
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: 22.69

      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 3.00 3.00 3.00 4.00 3.00 3.00
LPN 7am-3pm 8.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
Unlicensed Assistive Personnel 7am-3pm 8.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00
                   
 
  Evening Shift
RN 3pm-11pm 8.00 3.00 3.00 4.00 4.00 4.00 3.00 3.00
LPN 3pm-11pm 8.00 1.00 1.00       1.00 1.00
Unlicensed Assistive Personnel 3pm-11pm 8.00 3.00 3.00 4.00 4.00 3.00 3.00 3.00
                   
 
  Night Shift
RN 11pm-7am 8.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00
LPN 11pm-7am 8.00 1.00 1.00     1.00 1.00 1.00
Unlicensed Assistive Personnel 11pm-7am 8.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00
                   

    Plan / Budgeted Direct WHPPD
(Worked Hours Per Patient Day)
7.51
    Actual Worked Hours Per Patient Day 8.30
    % Difference 10.52%
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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    
Staff Educator X    
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 X    
Monitor Technician      
Rapid Response Team      
Respiratory Therapy Support      
Nutritionist X    
Rehab Activities (OT, PT, Speech) X    
Clinical Pharmacist      
Licensed Social Services / Case Management X    
Spiritual Services      
Hospitalist / NP / PA X X X
Intensivist / Neonatologist      
Nursing Student      
Recreation / Milieu Therapist X    
Intern / Resident      
Other X    
The list of caregivers in these boxes were provided to all hospitals.
Additional Unit Information:
Braintree Rehabilitation Hospital Acquired Brain Injury Program led by a board certified neurologist; provides comprehensive medical and rehabilitative services to those who have sustained a brain injury including patients who are over 75 years of age. Braintree Hospital's specialized assessments and protocols are designed to meet the needs of the most complex brain injury patient including disorderes of consciouness. The staff are very proud to be the first rehab hospital in Massachusetts to earn The Joint Commission's Disease Specific Certification for Acquired Brain Injury Rehabilitation program. In our ongoing efforts to provide the best care possible, BRH supports Patient First initiatives embracing the opportuntity to benchmark with other rehabilitation hosptials in Massachusetts. The transparency afforded by Patient First reporting is another opportunity to share our efforts to provide quality care.
 
 
Other Team Members:
Neuropsychology, Urology, Physiatry neurology fellow
 
 
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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