I need the formula to complete this table. Your hospital unit, 3 West, is a 60-b
ID: 3199306 • Letter: I
Question
I need the formula to complete this table.
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.
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
III
5.6
19
IV
8.8
6
Totals
54
Hours per patient day (HPPD)
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?
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.)
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
III
5.6
19
IV
8.8
6
Totals
54
Hours per patient day (HPPD)
Explanation / Answer
Acuity Mix
Average Hours of Care Required (AHCR)
Average Daily Census
(ADC)
Total Hours of Care Per Day = AHCR*ADC
I
1.4
8
11.2
II
3.9
21
III
5.6
19
IV
8.8
6
Totals
54
Hours per patient day (HPPD)= Total Hours of Care Per Day / Total Average Daily Census
Given that the assumed HPPD is 5.2 hours per patient-day but the calcukated HPPD is 4.67 hours per patient-day. Means that the actual HPPD is lesser than the assumed HPPD by 0.53 hours. Since we require lesser HPPD, which implies that we need lesser number of nurses for taking care of these patients.
Since from the above we have known that we have more number of nurses than required we can use them in shifts so that at every time enough nurses will be present at the unit.
We would have to use our resources carefully to meet the requirements. Since we have access number of nurses, we will ask the nurse manager to prepare the shift reports according to the required average hours per patient day, so that we don't have to spend more on the overtime hours that were caused due to the assumed HPPD, thus optimizing the budget.
Acuity Mix
Average Hours of Care Required (AHCR)
Average Daily Census
(ADC)
Total Hours of Care Per Day = AHCR*ADC
I
1.4
8
11.2
II
3.9
21
81.9III
5.6
19
106.4IV
8.8
6
52.8Totals
54
252.3Hours per patient day (HPPD)= Total Hours of Care Per Day / Total Average Daily Census
252.3/54=4.67Related Questions
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