Positions Variable FTEs % by Position FTEs by Position RN 40 0.75 30 LVN 40 0.10 4 NA 40 0.15 6 Totals 1.0 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 MANAGE R 1.0 $78,000 XXXX $78,000 $27,300 $105,300 RN 30 $36 2080 $2,246,400 $786,24 0 $3,032,64 0 LVN 4 $22 2080 $183,040 $64,064 $247,104 NA 6 $12.50 2080 $156,000 $54,600 $210,600 Sec 2.5 $11.00 2080 $57,200 $20,020 $77,220 Totals 43.5 XXXXX XXXXXX $2,720,640 $952,22 4 $3,672,86 4 ©2020 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) 4.7 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? We have more staff than is currently needed and I would be prudent to float a nurse unless someone calls off or if we receive more patients. This would create balance in the operating budget based on the calculated HPPD of 6.2 needed. 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 nurse manager it is important to look at all costs instead of only personnel costs. It is true that personnel costs are the largest expense but to balance the budget your supply costs and other operating expenses need to balance as well. The spending of supplies for 60 patients versus 50 would create overage in this area. A lower census will need a reduced amount of supplies and lower personnel costs by calling off employees or floating an employee. It is
You've reached the end of your free preview.
Want to read all 8 pages?
- Summer '17
- Nursing, Registered nurse, Nurse Manager