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 MANAGE R 1.0 $80,000 XXXX $80,000 $28,000 $108,000 RN 27.8 $38 2080 $2,197,31 2 $769,059 $2,966,37 1 LVN 3.7 $25 2080 $192,400 $67,340 $259,740 NA 5.6 $13.50 2080 $157,248 $55,036 $212,284 Sec 2.2 $12.25 2080 $56,056 $19,619 $19,619 Totals 40.3 XXXXX XXXXXX $2,683,01 6 $939,054 $3,622,07 0 ©2017 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 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 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 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? Based on this variance of 0.5 (approximately a half hour) I do not believe any changes are necessary in staffing. An additional nurse is not necessary to complete 30 additional minutes of patient care. If 30 minutes is the issues, currently working nurses need to be assessed in care to see what tasks are time consuming and these tasks need to be addressed so time may be managed more efficiently. 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 43 on a 45 bed unit, etc.) It is unknown what could occur with supply costs as the deficit of 30 minutes could cause overuse or underuse of supplies if tasks are forgotten entirely or if tasks are completed incorrectly and need to be corrected. Overtime hours may occur if assessments and reviewing
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- Spring '16
- Nursing, Registered nurse, Nurse Manager