Positions Variable FTEs % by Position FTEs by Position RN 40 0.75 30 LVN 40 0.10 4 NA 40 0.15 6 Totals 100 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 $75,000 XXXX $75,000 $26,250 $101,250 RN 30 $35 2080 $2,184,00 0 $764,40 0 $2,948,40 0 LVN 4 $20 2080 $166,400 $58,240 $224,640 NA 6 $12.50 2080 $156,000 $54,600 $210,600 Sec 2.5 $11.00 2080 $57200 $20,020 $77,220 Totals XXXXX XXXXXX $2,638,60 0 $923,51 0 $3,562,11 0 ©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? My calculated HPPD is 4.7 which is less than my allotted HPPD. According to this, calculated hours per patient per day, I am overstaffed. My census and acuity of care does not allow for the number of nurses, aides and secretaries scheduled. If I am unable to increase the patient load, i.e. scheduled procedures from the cath lab or OR, I will need to cut hours. I would begin with scheduled OT from my direct patient care staff. 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.) Because my HPPD is below budget; I expect to cut cost in some department. My census is too low for a full staff everyday so I would look at cutting out nursing/aide hours beginning with OT. I would anticipate needing to fill more beds by requesting more post-op patients to begin with.
You've reached the end of your free preview.
Want to read all 8 pages?
- Spring '16
- Nursing, Registered nurse, Nurse Manager