Melrose Wakefield Hospital - Special Care Unit

Acute Care
Special Care Unit
Neonate Level II Intermediate Care
174 Hospital Licensed Beds
Date of Services Budgeted: FY 2020

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: 1.99

      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)

Additional Care Team Members
Click here for Care Team Member definitions
Skills Shift Coverage
  Day Evening Night
Unit Nurse Management X X X
Staff Educator X X  
Clinical Nurse Specialist      
Unit Clerical Support X    
1:1 Patient Observer      
Admissions Nurse      
Patient Transport Team X 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 X  
Rehab Activities (OT, PT, Speech)      
Clinical Pharmacist X X X
Licensed Social Services / Case Management X X  
Spiritual Services X X X
Hospitalist / NP / PA X X X
Intensivist / Neonatologist X X X
Nursing Student      
Recreation / Milieu Therapist      
Intern / Resident      
The list of caregivers in these boxes were provided to all hospitals.
Additional Unit Information:
The SCN is a community-based Level IIA nursery with 10 beds designed to provide on-going medical and nursing assessment/care to stable pre-term infants or newborns who experience a significant change in health status requiring closer observation and care than can be rendered in the Well-Newborn Nursery. The family-centered care concept is supported in the SCN where upon each family member (mother, father/partner, sibling, extended family) is recognized as important and is a recipient of care by members of the health care team. When the newborn is separated from his/her mother, as when the infant is in the SCN, interventions to foster maternal-infant contact are initiated.
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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