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 Benefits Total MANAGER 1.0 79,999 XXXX 79,999 27,999.7 107,998.7 RN 25.9 \$38 2080 79,040 27,664 106,704 LVN 7.4 \$25 2080 52,000 18,200 70,200 NA 3.7 13.50 2080 28,080 9,828 37,908 Sec 2.2 12.25 2080 25,480 8,918 34,398 Totals 40.2 XXXXX XXXXXX 264,599 67,409.7 357,208 ©2015 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 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. 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? My computed HPPD came out to 4.7 and the budgeted HPPD is 4.2. This means that the acuity and ADC are more than projected in the original budget. Staffing needs to be adjusted to meet the actual acuity in order for the unit to run properly and be profitable. Which means more nurses need to be staffed accordingly.. We can decrease the HPPD by putting staffed nurses on call when the census on the floor is low or sending them home early when the census drops during the shift and vise versa when the acuity and census is up. 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 nurse manager must adjust the staffing based on the acuity of the patients and the census at any given time. If the census changes in the middle of the day then the staffing must be adjusted as ©2015 University of Texas at Arlington Page 6 of 8

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• Spring '17
• Nursing, Registered nurse, Nurse Manager, Arlington