1.How many RNs, LVNs, and NAs, by category, are on the staff of 3 West? (Round FTEs to the nearest tenth.) Compute totals for each column. 2. Compute the annual salary budget for 3 West. Compute totals for appropriate columns. Positions FTEs Salary Hours Salary Subtotals Amount of Benefits Total MANAGE R 1.0 $78,000 XXXX $78,000 $27,300 $105,300 RN 30 $38 2080 $2,371,20 0 $829,920 $3,201,12 0 LVN 4 $24 2080 $199,680 $69,888 $269,568 NA 4 $13.50 2080 $112,320 $39,312 $151,632 Sec 2 $12.25 2080 $50,960 $17,836 $68,796 Totals 41 XXXXX XXXXXX $2,812,16 0 $984,256 $3,796,41 6 ©2019 University of Texas at Arlington Page 5 of 8
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) 4.8 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? I calculated an average of 4.8 HPPD. With that average we would need less nurses than expected on average. The HPPD should be calculated daily to meet needs. With those numbers we would either call nurses in for extra help or if we are trending similar to the average we would send nurses home when we are low census and deny overtime. I would like to see this trend over time to ensure that 4.8 HPPD was consistent. If it was I would reevaluate staffing to meet needs. We could lower our over all need significantly. 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 a nurse manager with a HPPD at 4.8 we could expect our supply costs to decrease as well as overtime hours. However with only having an average of 55 beds filled in a 60 bed unit our
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- Nursing, Registered nurse, Nurse Manager