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 MNGR 1.0 $82,000 XXXX $82,000 $28,700 $110,700 RN 28.7 $ 38.00 2080 $2,268,448 $793,956.80 $3,062,405 LVN 4.1 $ 24.00 2080 $204,672 $71,635.20 $276,307 NA 8.2 $ 13.50 2080 $230,256 $80,589.60 $310,846 Sec 2.3 $ 12.25 2080 $58,604 $20,511.40 $79,115 Totals 44.3 XXXXX XXXX $2,843,980 $995,393 $3,839,373 ©2018 University of Texas at Arlington Page 5 of 8 Positions Variable FTEs % by Position FTEs by Posi- tion RN 41 0.7 28.7 LVN 41 0.1 4.1 NA 41 0.2 8.2 Totals 1.0 41
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 54 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 Re- quired Average Daily Census Total Hours of Care Per Day (ADC) I 1.4 8 11.2 II 3.9 21 81.9 III 5.6 19 106.4 IV 8.8 6 52.8 Totals 54 252.3 Hours per patient day (HPPD) 4.7 B. Remember that your established personnel budget for 3 West assumes a HPPD of 5.2. If your calculated HPPD is different, explain the significance of the variance. ( If your calculated HPPD is different than 5.2, 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? The variance created is significant because it allows managers to determine their unit’s staffing needs within the next 24 hours, and allows them time to make adjustments accordingly. The census on the unit and acuity level of the patients will affect the HPPD by decreasing or increasing it. Leaving objective data a nurse manger can utilize for staffing and recognize and changes in acuity of patients. According to the calculations and the data presented the unit will require less nurses on the unit in the next 24 hour period to staff the unit appropriately. The given HPPD is 5.2 and the calculated HPPD is now 4.7 with a difference of 0.5 hours less face to face time needed for ©2018 University of Texas at Arlington Page 6 of 8
N4455 Nursing Leadership and Management patient care per patient overall. Multiplying the difference of 0.5 by number of patients 54 will give us 27 working hours not needed.
- Spring '16
- Nursing, Registered nurse, Nurse Manager, Nursing Leadership