Patient Population : |
Adult & Pediatric |
Types of Services Provided: |
Mixed Acuity |
Average Daily Visit Volume: |
40.18
|
Total Emergency Visits: |
14707 |
|
|
Speciality Services : |
Certified (AHA) Stroke Center |
|
|
|
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Date of Services Budgeted: FY 2016 |
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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 |
1.60
|
2.60
|
2.60
|
2.90
|
2.90
|
2.90
|
2.90
|
2.90
|
2.90
|
2.90
|
2.90
|
2.90
|
32.90 |
Unlicensed Assistive Personnel |
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
12.00 |
Total Direct Caregiver Staff by Hour of the Day |
2.60
|
3.60
|
3.60
|
3.90
|
3.90
|
3.90
|
3.90
|
3.90
|
3.90
|
3.90
|
3.90
|
3.90
|
44.90 |
Direct
Caregivers |
7pm |
8pm |
9pm |
10pm |
11pm |
12 |
1am |
2am |
3am |
4am |
5am |
6am |
Total |
RN |
2.90
|
2.90
|
2.90
|
2.90
|
2.90
|
2.60
|
1.60
|
1.60
|
1.60
|
1.60
|
1.60
|
1.60
|
26.70 |
Unlicensed Assistive Personnel |
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
12.00 |
Total Direct Caregiver Staff by Hour of the Day |
3.90
|
3.90
|
3.90
|
3.90
|
3.90
|
3.60
|
2.60
|
2.60
|
2.60
|
2.60
|
2.60
|
2.60
|
38.70 |
Additional
Care Team Members |
Click
here for Care Team Member definitions |
Skills |
Shift
Coverage |
|
Day |
Evening |
Night |
Unit Nurse Management |
X |
|
|
Staff Educator |
|
|
|
Clinical Nurse Specialist |
|
|
|
Unit Clerical Support |
X |
X |
X |
1:1 Patient Observer |
X |
X |
X |
Admissions Nurse |
|
|
|
Patient Transport Team |
|
|
|
IV Therapy Team / Line Access |
|
|
|
Respiratory Therapy Support |
X |
|
|
Clinical Pharmacist |
X |
|
|
Licensed Social Services / Case Management |
X |
|
|
Rapid Response Team |
X |
X |
X |
Spiritual Services |
|
|
|
Nurse Practitioner / Physician Assistant |
X |
|
|
Security |
|
|
|
Behavioral Health Counselor |
|
|
|
Intern / Resident |
|
|
|
ED Registration Staff |
X |
X |
|
Patient Greeter |
|
|
|
Financial Counseling |
X |
|
|
Interpreter |
|
|
|
Other |
|
|
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The list of caregivers in these boxes were provided
to all hospitals. |
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Additional
Unit Information: |
Martha's Vineyard Hosptial has a wide seasonal variation in the ED census, winter months see 30-35 patients per day while July and August range 80-90 patients per day. In the summer and shoulder season staffing is augmented to accomodate this volume change. A Fast Track is offered 12 hours per day during the high season and is staffed with a PA, RN and unlicensed assistant. The RN staff is augmented with additional RNs and unlicensed assistive personnel. ED registration including a dedicated patient greeter are also added for the high season. Behavioral health counselors are on call 24/7, A T & T Interpreter services are availale 24/7, and additional staff are called in for 1:1 observation when needed.
There are many variables to consider in establishing safe, efficiently staffed units. Patient care units differ based on the types of patients cared for on a given unit, and the way in which care is organized and delivered. Educaation and experience levels of staff, support from nurse educators and nurse managers also factors into unit staffing decisions as does the unique characteristics and missions 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 rate, pneumonia and surgical care. |
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Other Team Members: |
Respiratory therapy and Pharmacists are in the hosptial during the day shft and available on call off-shift. |
|
|
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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