Positions Variable FTEs % by Position FTEs by Position RN 40 0.75 30 LVN 40 0.10 4 NA 40 0.15 6 Totals 40 2. Compute the annual salary budget for 3 West. Compute totals for appropriate columns. Positions FTEs Salary Hours Salary Subtotals Amount of Benefits Total MANAGER 1.0 $78,000 XXXX $78,000 $27,300 $105,300 RN 30 $36 2080 $2,246, 400 $786,24 0 $3,032,640 LVN 4 $22 2080 $183,040 $64,064 $247,104 NA 6 $12.50 2080 $156,000 $54,600 $210,600 Sec 2.5 $11 2080 $57,200 $20,020 $77,220 Totals 43.5 XXXXX XXXXXX $2,720,640 $952,22 4 $3,672,864 ©2020 University of Texas at Arlington Page 4 of 7
N4455 Nursing Leadership and Management 3. Your hospital unit, 3 West, is a 60-bed general medical-surgical unit. Over the past year, the ADC (Ave. Daily Census) was 55 patients. Use the following data on 3 West during the last year to perform these calculations and answer these questions. A. Complete this table to calculate the actual average hours of care required per patient day (HPPD) for the patients in 3 West. Round to the nearest tenth Acuity Mix Average Hours of Care Required Average Daily Census (ADC) Total Hours of Care Per Day I 1.4 8 11.2 II 3.9 21 81.9 III 5.6 19 106.4 IV 8.8 7 61.6 Totals 55 261.1 Hours per patient day (HPPD) 261.1/55 = 4.7 HPPD B. Remember that your established personnel budget for 3 West assumes a HPPD of 6.2. If your calculated HPPD is different, explain the significance of the variance. ( If your calculated HPPD is different than 6.2, you must write more than, “We need more/less nurses.” ) What is the Significance of the variance? If you believe you need more staff, what will be your rationale for making this requires? If you have too much staff, what would your proposal be for bringing your staffing into a better balance? Our actual HPPD is 4.7 which is less than the assumed HPPD of 6.2. This means that each patient on average requires 4.7 hours of face to face hands on nursing care each day. The variance in HPPD could be from change in patient acuity or average daily census as the value of HPPD depends on these two variables. Low HPPD would mean that we would require less staff to provide nursing care. The variable staff that is not needed could be called off or floated to another departments. C. What are the implications for the Nurse Manager? As an example, based on your conclusions in Section B, what other observations would you make as you review your total budget and what would you expect to see as a result? (Ex: supply costs; overtime hours, average census of 50 on a 60-bed unit, etc.) As the patient census is low, 50 on a 60-bed unit, I would try to decrease staffing to accommodate the average daily census and keep the salary expenses down. I would also
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