| 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 2013 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 2013.
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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 2013 staffing plan.
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X |
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 2013 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 2013 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 2013 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 2013 unit staffing plan.
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X |
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 2013 staffing plan.
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Plan based on high needs in critical care
The 2013 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 2013 staffing plan requirements.
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| Other Reasons for +/- 5% Variance |
| When unit census is low or even one, two licensed nurses must be on duty.
When unit is closed, one RN must be on duty - she may be doing administrative work or she may be floated elsewhere.
Unable to carve out orientation hours, preceptor hours, council work, educator hours, transporting patient time, emergency response calls (e.g. Code Blue, Code White), inservices and other training time.
Unit based educator hours are also included in working hours.
Staff also responsible for: insertion of catheters for VCUGs in xray; sedation and monitoring of MRI and CT scans; care of outpatients requiring IM or IV antibiotics or other injections, insertion of NG tubes and catheters for specimen collection or applying uring bag for specimen collection.
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| Additional Comments |
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