Spaulding Rehabilitation Hospital Boston - Pediatrics

Rehabilitation
Pediatrics
Pediatrics - Rehabilitation
132 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: 10.63

      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 4.00 4.00 4.00 4.00 4.00 4.00
Unlicensed Assistive Personnel 7am-3pm 8.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
                   
 
  Evening Shift
RN 3pm-11pm 8.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00
Unlicensed Assistive Personnel 3pm-11pm 8.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
                   
 
  Night Shift
RN 11pm-7am 8.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00
Unlicensed Assistive Personnel 11pm-7am 8.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
                   

    Plan / Budgeted Direct WHPPD
(Worked Hours Per Patient Day)
9.03
    Actual Worked Hours Per Patient Day 9.95
    % Difference 10.19%
    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 X    
Unit Clerical Support X X  
1:1 Patient Observer X X X
Admissions Nurse      
Patient Transport Team      
IV Therapy Team / Line Access      
Monitor Technician      
Rapid Response Team X X X
Respiratory Therapy Support X X X
Nutritionist X X  
Rehab Activities (OT, PT, Speech) X X  
Clinical Pharmacist X X X
Licensed Social Services / Case Management      
Spiritual Services      
Hospitalist / NP / PA X X X
Intensivist / Neonatologist      
Nursing Student X X X
Recreation / Milieu Therapist X X  
Intern / Resident X X X
Other      
The list of caregivers in these boxes were provided to all hospitals.
Additional Unit Information:
There are many variables to consider when establishing a safe, efficiently staffed hospital unit. Our patient units differ based on the types of patients that we care for on that particular unit. Education and experience levels of unit staff, support from nurse educators and nurse managers also factor into unit decision, as does the unique characteristics and mission of the hospital. We look at patient outcomes (including our fall rate, pressure ulcer rate).
 
 
Other Team Members:
Physical Medicine and Rehabilitation (PM& R), attending MDs on unit daily, NP on unit days/eves and nights managing all medical needs on evenings and nights, Nursing Students daily/evenings during semesters, 1:1 patient observers as assigned to patients, Nursing Supervisor coverage on evenings and nights, holidays and weekends, Nurse Educator & CNSs provide education and support across all 5 inpatient units, these roles are not unit based.
 
 
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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