Milford Regional Medical Center - ED

Acute Care
ED
145 Hospital Licensed Beds
Patient Population : Adult & Pediatric
Types of Services Provided: Mixed Acuity
Average Daily Visit Volume: 170.28
Total Emergency Visits: 62322
 
Speciality Services : Certified (AHA) Stroke Center

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.

  Number of Staff  
Direct Caregivers 7am 8am 9am 10am 11am 12 1pm 2pm 3pm 4pm 5pm 6pm Total
RN 11.00 13.00 13.00 13.00 17.00 17.00 17.00 17.00 17.00 17.00 16.00 16.00 184.00
Unlicensed Assistive Personnel 6.00 6.00 6.00 6.00 6.00 6.00 6.00 6.00 6.00 6.00 6.00 6.00 72.00
Paramedic 2.00 2.00 2.00 6.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 76.00
Total Direct Caregiver Staff by Hour of the Day 19.00 21.00 21.00 25.00 31.00 31.00 31.00 31.00 31.00 31.00 30.00 30.00 332.00
Direct Caregivers 7pm 8pm 9pm 10pm 11pm 12 1am 2am 3am 4am 5am 6am Total
RN 16.00 16.00 16.00 16.00 10.00 10.00 10.00 10.00 8.00 8.00 8.00 8.00 136.00
Unlicensed Assistive Personnel 6.00 6.00 6.00 6.00 6.00 6.00 6.00 6.00 6.00 6.00 6.00 6.00 72.00
Paramedic 8.00 8.00 8.00 8.00 6.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 52.00
Total Direct Caregiver Staff by Hour of the Day 30.00 30.00 30.00 30.00 22.00 18.00 18.00 18.00 16.00 16.00 16.00 16.00 260.00

    Plan / Budgeted Direct WHPPV
(Worked Hours Per Patient Visit) 		3.48
    Actual Worked Hours Per Patient Visit 2.05
    % Difference -41.09%
    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 X X
Unit Nurse Management X X X
Staff Educator X    
Staff Educator X    
Clinical Nurse Specialist      
Clinical Nurse Specialist      
Unit Clerical Support X X X
Unit Clerical Support X X X
1:1 Patient Observer X X X
1:1 Patient Observer X X X
Admissions Nurse      
Admissions Nurse      
Patient Transport Team X X  
Patient Transport Team X X  
IV Therapy Team / Line Access X X X
IV Therapy Team / Line Access X X X
Respiratory Therapy Support X X X
Respiratory Therapy Support X X X
Clinical Pharmacist X    
Clinical Pharmacist X    
Licensed Social Services / Case Management X X  
Licensed Social Services / Case Management X X  
Rapid Response Team X X X
Rapid Response Team X X X
Spiritual Services X X X
Spiritual Services X X X
Nurse Practitioner / Physician Assistant      
Nurse Practitioner / Physician Assistant      
Security X X X
Security X X X
Behavioral Health Counselor X X X
Behavioral Health Counselor X X X
Intern / Resident X X X
Intern / Resident X X X
ED Registration Staff X X X
ED Registration Staff X X X
Patient Greeter   X  
Patient Greeter   X  
Financial Counseling X    
Financial Counseling X    
Interpreter X X  
Interpreter X X  
Other      
Other      
The list of caregivers in these boxes were provided to all hospitals.
Additional Unit Information:
MRMC celebrated the opening of the new 78,000 square foot expansion to our Medical Center. The size of new ED is about 30,000 square feet and consists of a North wing and an East wing . The ED is a community Emergency Department with 50 individual rooms. Within the 50 beds we have a closed Behavioral Health area and a Pediatric area. The new ED has a Diagnostic Imaging Department that has 2 Radiographic rooms, an Ultrasound room and a CT Scanner. Behavioral counseling 24 hour staff are onsite and on call. Security staff assist the PSA and the Behavioral Health Nurses to provide watches and care and also to provide a safe environment for our staff. The Patient greeter is on site 4pm to9 pm daily. We have a dedicated phlebotomist for the ED 24 hours a day. Pharmacy is centralized. Interpreter services is available part time on site and on call at other times.
 
 
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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