How many RNs LVNs and NAs by category are on the staff of 3 West Round FTEs to

How many rns lvns and nas by category are on the

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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. ( Round to the nearest tenth.) Compute totals for appropriate columns. Positions FTEs Salary Hours Salary Subtotals Amount of Benefits Total MANAGER 1.0 79,999 XXXX 79,999 27,999.70 107,998.7 RN 25.9 $38 2080 2,047,136 716,497.6 2,763,633.6 LVN 7.4 25.0 2080 384,800 134,680 519,480 NA 3.7 13.50 2080 103,896 36,363.6 140,259.6 Sec 2.2 12.25 2080 56,056 19,619.6 75,675.6 Totals 40.2 80,087.8 8320 2,671,887 935,160.5 3,607,047.5 ©2017 University of Texas at Arlington Page 5 of 8
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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 58 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 9 12.6 II 3.9 24 93.6 III 5.6 16 89.6 IV 8.8 9 79.2 Totals 58 275 Hours per patient day (HPPD) 4.7 B. Remember that your established personnel budget for 3 West assumes a HPPD of 4.2. If your calculated HPPD is different, explain the significance of the variance. ( If your calculated HPPD is different than 4.2, 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 significance of the variance is that the unit 3 wests is under staff for the number of HPPD needed to care for the patient load. The budgeted accounted for a HPPD of 4.2 but when taking into account the census and total hours of care per day its calculated at 4.7 (Hours per patient pay). The unit manager would need to account for the extended care needs by increasing the unit workforce. The manager can extend the work shift of the unit nurses or seek additional help from another unit floor or contact a staffing agency to meet the care needs of the unit. 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? (HINT: supply costs; overtime hours, average census of 43 on a 45 bed unit, etc.) The budget accounted for a HPPD of 4.2 when calculated it came to be 4.7 HPPD which would increase the unit cost. The nursing unit would be understaff and require addition staff to meet the additional care needs of the unit. Overtime would need to be considered vs contacting a unit ©2017 University of Texas at Arlington Page 6 of 8
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  • Spring '17
  • Nursing, Registered nurse, Nurse Manager, NURS 4455

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