Cambridge Health Alliance - Cambridge - Adolescent Assessment Unit

Acute Care
Adolescent Assessment Unit
Behavioral Health - Adolescent
189 Hospital Licensed Beds
Date of Services Budgeted: FY 2016

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: 10.95

      Number of Staff
Direct Caregivers Scheduled Hours Shift Length Mon Tues Wed Thurs Fri Sat Sun
  Day Shift
RN 7am-3pm 8.00 2.50 2.50 2.50 2.50 2.50 2.50 2.50
Mental Health Counselor 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 2.50 2.50 2.50 2.50 2.50 2.50 2.50
Mental Health Counselor 3pm-11pm 8.00 4.00 4.00 4.00 4.00 4.00 4.00 4.00
  Night Shift
RN 11pm-7am 8.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
Mental Health Counselor 11pm-7am 8.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00

    Plan / Budgeted Direct WHPPD
(Worked Hours Per Patient Day)
    Actual Worked Hours Per Patient Day 9.46
    % Difference -13.69%
    Click for additional information regarding +/-5% difference

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    
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    
Clinical Pharmacist X X X
Licensed Social Services / Case Management X    
Spiritual Services X X X
Hospitalist / NP / PA X    
Intensivist / Neonatologist      
Nursing Student      
Recreation / Milieu Therapist      
Intern / Resident 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. Psychiatrist provides evaluation and treatment planning during the day 7 days a week. Pediatrician 24hrs/ day, 7 days a week available to provide support for medical interventions. Staff Psychologist (0.5 FTE), occupational therapist (0.5 FTE) and one social worker are included in the care delivered. Unit Teacher to provide daily educational services to the children is onsite but not paid out of this cost center.
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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