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Martha's Vineyard Hospital - Inpatient

Acute Care
Inpatient
Adult & Pediatric 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: 13.60

      Number of Staff
Direct Caregivers Scheduled Hours Shift Length Mon Tues Wed Thurs Fri Sat Sun
  Day Shift
RN 7am-3pm 8.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00
LPN 7am-3pm 8.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
Unlicensed Assistive Personnel 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 3.00 3.00 3.00 3.00 3.00 3.00 3.00
RN/LPN 3pm-11pm 8.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
Unlicensed Assistive Personnel 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 3.00 3.00 3.00 3.00 3.00 3.00 3.00
RN/LPN 11pm-7am 8.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
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) 		10.00
    Actual Worked Hours Per Patient Day 10.36
    % Difference 3.60%

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 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 inpatient unit is a mixed unit comprised of primarily geriatric patients. The medical-surgical beds can be used as skilled nursing beds for patients requiring rehabilitative services such as physical therapy, occupational and speech therapy. Staffing is adjusted on a daily basis according to patient volume and acuity, in those cases where 1:1 for safety is indicated additional staff are called in or float personnel are used if available. There are many variables to consider in establishing safe, efficient staffed units. Patient care units differ based on the types of patients cared for on a given unit along with the way in which care is organized and delivered. The educational level and experience of staff, support from nursing supervisors and managers also factors into unit staffing decisions as does the unique characteristics and missions of each hospital. It is important to look at patient outcomes including fall rates, pressure ulcer rates, and Hospital Compare measures related to heart attack, heart failure pneumonia and surgical care.
 
 
Other Team Members:
Respiratory Therapy and Pharmacists are available during the day shift and on-call off-shift. Pharmacy is covered by a remote Pharmacist for order verification. There is a provider in the department on the day shift and part of the evening shift. The Emergency Department has an MD 24/7 who is responsible for covering emergencies until the Hospitalist can assume 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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