Boston Children's Hospital - 8S - Cardiac ICU

Acute Care
8S - Cardiac ICU
Pediatrics - Critical Care - Cardiothoracic
395 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: 26.97

      Number of Staff
Direct Caregivers Scheduled Hours Shift Length Mon Tues Wed Thurs Fri Sat Sun
  Day Shift
RN 7am-7pm 12.00 20.00 21.00 21.00 21.00 21.00 21.00 19.00
Unlicensed Assistive Personnel 7am-3pm 8.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
                   
 
  Evening Shift
Unlicensed Assistive Personnel 3pm-11pm 8.00 1.00 1.00 1.00 1.00 1.00    
                   
 
  Night Shift
RN 7pm-7am 12.00 20.00 21.00 21.00 21.00 21.00 20.00 19.00
                   

    Plan / Budgeted Direct WHPPD
(Worked Hours Per Patient Day)
18.75
    Actual Worked Hours Per Patient Day 21.11
    % Difference 12.59%
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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 X X  
Unit Clerical Support X X X
1:1 Patient Observer      
Admissions Nurse      
Patient Transport Team      
IV Therapy Team / Line Access X 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    
Licensed Social Services / Case Management X    
Spiritual Services X X X
Hospitalist / NP / PA X X X
Intensivist / Neonatologist X X X
Nursing Student X    
Recreation / Milieu Therapist X    
Intern / Resident      
Other      
The list of caregivers in these boxes were provided to all hospitals.
Additional Unit Information:
Center of Excellence for acute critical care of infants/children/adults with congenital/acquired heart disease. Approximately 1,400 admissions per year. Includes patients on heart-Lung and ventricular assist devices. Nursing Director has 24 hours per day accountability. Nursing Coop Students as well as senior practicum students are scheduled according to their academic schedule. 15 Ventilators/Day with average ventilator duration 5.3 days. Total Ventilator Cases 1,002. Advance Nurse Practioners available day/ evening shifts.
 
 
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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