Cambridge Health Alliance - Cambridge - Psych Emergency

Acute Care
Psych Emergency
189 Hospital Licensed Beds
Patient Population : Adult & Pediatric
Types of Services Provided: Dedicated Behavioral Health
Average Daily Visit Volume: 9.04
Total Emergency Visits: 3300
 
Speciality Services :

Date of Services: FY 2014  
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.

  Number of Staff  
Direct Caregivers 7am 8am 9am 10am 11am 12 1pm 2pm 3pm 4pm 5pm 6pm Total
RN 1.00 1.00 1.00 1.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 20.00
Mental Health Counselor 1.00 1.00                     2.00
Total Direct Caregiver Staff by Hour of the Day 2.00 2.00 1.00 1.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 22.00
Direct Caregivers 7pm 8pm 9pm 10pm 11pm 12 1am 2am 3am 4am 5am 6am Total
RN 2.00 2.00 2.00 2.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 16.00
Mental Health Counselor     1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 10.00
Total Direct Caregiver Staff by Hour of the Day 2.00 2.00 3.00 3.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 26.00

    Plan / Budgeted Direct WHPPV
(Worked Hours Per Patient Visit) 		5.31
    Actual Worked Hours Per Patient Visit 6.57
    % Difference 23.73%
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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 X X  
IV Therapy Team / Line Access X X  
Respiratory Therapy Support X X X
Clinical Pharmacist X X X
Licensed Social Services / Case Management X X  
Rapid Response Team X X X
Spiritual Services X   X
Nurse Practitioner / Physician Assistant X    
Security X X X
Behavioral Health Counselor      
Intern / Resident X X  
ED Registration Staff X X X
Patient Greeter      
Financial Counseling      
Interpreter X X X
Other X X X
The list of caregivers in these boxes were provided to all hospitals.
Additional Unit Information:
 
 
Other Team Members:
Staffing based on an average acuity and workload but is adjusted for shifts in acuity and census, the clinical leader/charge nurse takes patient assignments. Nursing Leadership is provide by a Nurse Manager who has 24 hour accountability and an Off Shift Nurse Manager (Nursing Supervisor) every day from 3pm -7am and 7am-3pm for holidays. Nurse Educator provides ongoing nursing education; educator time is split between central-based educational programs and multi-unit based teaching. Precepting, orientation, training and competency educational program requirements require additional unit staffing. Clinical pharmacists are available to the unit for multidisciplinary rounding and as needed; central based pharmacists are available 7 days a week/ 24 hrs a day. Interpreter services are available 24 hrs/day 7 days a week, including holidays and an IV Therapy nurse is available 12hrs/day 7 days a week.
 
 
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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