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Melrose Wakefield Hospital - Progressive Care Unit

Acute Care
Progressive Care Unit
Adult Step-Down - Medical / Surgical Combined
174 Hospital Licensed Beds
Date of Services Budgeted: FY 2017


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: 3.61

      Number of Staff
Direct Caregivers Scheduled Hours Shift Length Mon Tues Wed Thurs Fri Sat Sun
  Day Shift
RN 7am-3pm 8.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00
                   
 
  Evening Shift
RN 3pm-11pm 8.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00
                   
 
  Night Shift
RN 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)
13.30
    Actual Worked Hours Per Patient Day 16.98
    % Difference 27.67%
    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  
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 X
Monitor Technician      
Rapid Response Team X X X
Respiratory Therapy Support X X X
Nutritionist X    
Rehab Activities (OT, PT, Speech) X X  
Clinical Pharmacist X X X
Licensed Social Services / Case Management X    
Spiritual Services X    
Hospitalist / NP / PA X X X
Intensivist / Neonatologist      
Nursing Student      
Recreation / Milieu Therapist      
Intern / Resident      
Other      
The list of caregivers in these boxes were provided to all hospitals.
Additional Unit Information:
The Progressive care unit is a 5 bed unit. The unit is used to bridge the gap between the intensive care unit and the medical-surgical unit, with the goal of providing cost-effective, high-quality, safe care. The patients share certain typical features: they require a high intensity of nursing care and/or a high level of surveillance. When compared with patients in the ICU, PCU patients can generally be described as having greater stability, a lower risk of a life-threatening event, less need for invasive monitoring, and a greater ability to participate in their care. Thus PCU patients are on the less acute end of the continuum of critical care.
 
 
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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