Boston Children's Hospital - Emergency Department

Please note: MHA and our member hospitals are committed to delivering the most reliable, transparent data on staffing. Due to the extreme and unprecedented challenges that hospitals are facing through the COVID-19 pandemic, it is not possible to accurately capture staffing data representative of 2020 and 2021. Other healthcare authorities across the country have also suspended data collection over the course of the pandemic, including the Centers for Medicare and Medicaid Services (CMS). We look forward to resuming regular public posting of staffing plans and data in 2022 and 2023, should circumstances permit.

We welcome any questions about staffing data, which can be directed to Pat Noga, MHA's Vice President of Clinical Affairs at pnoga@mhalink.org.

Acute Care
Emergency Department
415 Hospital Licensed Beds
Patient Population : Pediatric Only
Types of Services Provided: Mixed Acuity
Average Daily Visit Volume: 166.67
Total Emergency Visits: 61000
 
Speciality Services : Trauma Designated ED

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.

  Number of Staff  
Direct Caregivers 7am 8am 9am 10am 11am 12 1pm 2pm 3pm 4pm 5pm 6pm Total
RN 8.70 9.70 9.70 11.70 12.70 15.40 15.40 17.00 18.00 21.70 21.70 21.70 183.40
Unlicensed Assistive Personnel 4.20 5.20 5.20 6.20 6.20 7.20 7.20 7.20 7.20 9.70 9.70 9.70 84.90
Total Direct Caregiver Staff by Hour of the Day 12.90 14.90 14.90 17.90 18.90 22.60 22.60 24.20 25.20 31.40 31.40 31.40 268.30
Direct Caregivers 7pm 8pm 9pm 10pm 11pm 12 1am 2am 3am 4am 5am 6am Total
RN 21.70 22.70 22.70 20.70 19.70 16.00 16.00 12.30 10.70 8.70 8.70 8.70 188.60
Unlicensed Assistive Personnel 9.70 10.70 10.70 9.10 9.10 5.90 5.90 4.50 4.50 4.20 4.20 4.20 82.70
Total Direct Caregiver Staff by Hour of the Day 31.40 33.40 33.40 29.80 28.80 21.90 21.90 16.80 15.20 12.90 12.90 12.90 271.30

    Plan / Budgeted Direct WHPPV
(Worked Hours Per Patient Visit)
3.24

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 X
Clinical Nurse Specialist X    
Unit Clerical Support X X X
1:1 Patient Observer X X X
Admissions Nurse      
Patient Transport Team      
IV Therapy Team / Line Access X X X
Respiratory Therapy Support X X X
Clinical Pharmacist X X X
Licensed Social Services / Case Management X X X
Rapid Response Team X X X
Spiritual Services X X X
Nurse Practitioner / Physician Assistant X X X
Security X X X
Behavioral Health Counselor X X X
Intern / Resident X X X
ED Registration Staff X X X
Patient Greeter      
Financial Counseling X    
Interpreter X X X
Other X X X
The list of caregivers in these boxes were provided to all hospitals.
Additional Unit Information:
Radiology services available within unit.
 
 
Other Team Members:
Child Life Specialist - Eve Shift Coverage; Family Liaison - Eve Shift Coverage; Nursing Student - Day, Eve, Night Shift Coverage
 
 
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.

« Back to Units