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Martha's Vineyard Hospital - ICU

Acute Care
ICU
Adult Critical Care - Medical / Surgical Combined
25 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: 0.34

      Number of Staff
Direct Caregivers Scheduled Hours Shift Length Mon Tues Wed Thurs Fri Sat Sun
  Day Shift
RN 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 1.00 1.00 1.00 1.00 1.00 1.00 1.00
                   
 
  Night Shift
RN 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) 		70.65
    Actual Worked Hours Per Patient Day 20.86
    % Difference -70.47%
    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      
Clinical Nurse Specialist      
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    
Nutritionist X    
Rehab Activities (OT, PT, Speech) X    
Clinical Pharmacist X    
Licensed Social Services / Case Management X    
Spiritual Services      
Hospitalist / NP / PA 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:
Martha's Vineyard Hospital is a critical access hospital, the ICU has a variable census, when the department is closed the nursing staff are placed on call or floated to another department as needed. The staffing pattern is based on a 1-2 patient to RN ratio. 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. The educational level and experience of staff members along with support from managers also factor into unit staffing decisions as does the unique characteristics and missions of each hospital. It is also important to look at patient outcomes including patient fall rates, pressure ulcer rate, and Hospital Compare measures related to heart attack care, heart failure rate, pneumonia and surgical care.
 
 
Other Team Members:
Respiratory Therapy and Pharmacists are in the hospital during the day shift and available on call during off-shift hours. There is a provider on the inpatient units during the day and part of the evening shift. The Emergency Department has a physician on duty 24/7 and responds to any emergencies when the hospitalist is not present.
 
 
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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