Spaulding Hospital for Continuing Medical Care Cambridge - 4 West

Long Term Acute Care
4 West
Adult Medical
180 Hospital Licensed Beds
Date of Services Budgeted: FY 2019


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: 20.00

      Number of Staff
Direct Caregivers Scheduled Hours Shift Length Mon Tues Wed Thurs Fri Sat Sun
  Day Shift
RN 7am-3pm 8.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00
Unlicensed Assistive Personnel 7am-3pm 8.00 4.00 4.00 4.00 4.00 4.00 4.00 4.00
                   
 
  Evening Shift
RN 3pm-11pm 8.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00
Unlicensed Assistive Personnel 3pm-11pm 8.00 4.00 4.00 4.00 4.00 4.00 4.00 4.00
                   
 
  Night Shift
RN 11pm-7am 8.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00
Unlicensed Assistive Personnel 11pm-7am 8.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00
                   

    Plan / Budgeted Direct WHPPD
(Worked Hours Per Patient Day)
9.60
    Actual Worked Hours Per Patient Day 10.97
    % Difference 14.27%
    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 X X  
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 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    
Clinical Pharmacist X X X
Licensed Social Services / Case Management X    
Spiritual Services X    
Hospitalist / NP / PA X X X
Intensivist / Neonatologist      
Nursing Student X X  
Recreation / Milieu Therapist X X  
Intern / Resident      
Other      
The list of caregivers in these boxes were provided to all hospitals.
Additional Unit Information:
4 West is a 30 bed unit providing care for a complex neurological patient population. The unit also is the location for the disorders of consciousness program which is a research driven protocol focused on caring for patients in vegetative through minimally conscious state. The protocol utilizes a combination of pharmaceutical and therapy interventions to stimulate the brain to respond. Other patients on the unit may have had traumatic brain injuries, strokes or other neurological deficits. The goals of the medical, nursing and therapy staff is to stabilize the medical status of the patient while increasing their functional independence.
 
 
Other Team Members:
Additional Team members include Avasys monitoring technicians to provided 24/7 coverage for patients requiring visual observation. Also SHC had patient observers who can be assigned to provide 1:1 direct supervision for those patients identified at high risk for falls or removal of a medical device. SHC has a Nursing administrative supervisor assigned to cover 4pm- 7am Mon- Friday and 24 hours on Sat and Sun.
 
 
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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