| Date of Services Reported: FY 2006 |
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Average Number of Patients Per Day: |
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Number of Staff |
| Direct Caregivers |
Scheduled Hours |
Shift Length |
Mon |
Tues |
Wed |
Thurs |
Fri |
Sat |
Sun |
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Day Shift |
| RN |
7am-3pm |
8.0 |
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Evening
Shift |
| RN |
3pm-11pm |
8.0 |
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Night
Shift |
| RN |
11pm-7am |
8.0 |
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Plan / Budgeted Direct WHPPD
(Worked Hours Per Patient Day) |
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Actual Worked Hours Per Patient Day |
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% Difference |
| Additional Care Team Members |
| Click here for Care Team Member definitions |
| Skills |
Shift Coverage |
| |
Day |
Evening |
Night |
| Unit Nurse Management |
x
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| Staff Educator |
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| Clinical Nurse Specialist |
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| Unit Clerical Support |
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| 1:1 Patient Observer |
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| Admissions Nurse |
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| Patient Transport Team |
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| IV Therapy Team / Line Access |
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| Monitor Technician |
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| Rapid Response Team |
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| Respiratory Therapy Support |
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| Nutritionist |
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| Rehab Activities (OT, PT, Speech) |
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| Clinical Pharmacist |
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| Licensed Social Services / Case Management |
x
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| Spiritual Services |
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| Hospitalist / NP / PA |
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| Intensivist / Neonatologist |
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| Nursing Student |
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| Recreation / Milieu Therapist |
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| Intern / Resident |
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 The list of caregivers in these boxes were provided to all hospitals. |
 Individual hospitals added the types of caregivers shown in these boxes. |
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| Additional Unit Information: |
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