8.1

Using the information from Exercise 7.14, first determine the final core-level FTEs for the Intensive Care Unit (ICU) and Coronary Care Unit (CCU), where registered nurses (RNs) and licensed practical nurses (LPNs) work on a 4/40 scheduling plan and nursing aides (NAs) on a 5/40 scheduling plan; then reevaluate the final core-level staffing requirements if all staff work on either a 5/40 or a (2 days 8 hours + 2 days 12 hours)/40 scheduling plan, and make recommendations.

Information from Question 7.14:

0.8 0.8 Hours of Care required by 0.85 Unadjusted FTES Departments RN LPN NA RN LPN NA 117 25 42 ICU CCU Surgical Medical Pediatric OB/GYN 133 175 208 67 58 79 108 125 58 125 17.21 19.56 25.74 30.59 23.24 25.74 9.06 12.34 16.88 19.53 9.06 19.53 3.91 6.56 10.47 11.72 6.56 10.47 158 75 42 67 175 5/40 plan 4/40 plan Coverage Factor RN LPN NA RN LPN NA 1. Required coverage days per year 365 365 365 365 365 365 104 104 104 156 156 156 7 7 7 5 18 5 14 7 5 10 7 5 18 5 14 7 5 10 2. Weekends per year 3. Benefit Days Holidays Sick days Vacation Total benefit days 4. Total allowance days 5. Total available days 30 26 22 30 26 22 134 130 126 186 182 178 231 235 239 179 183 187 6. Coverage fax 1.58 1.55 1.53 2.04 1.99 1.95 Adjusted FTES using 4/40 plan RN Adjusted FTEs using 5/40 plan RN LPN Total NA NA LPN FTES 5.97 35.08 18.08 0.00 39.88 Departments ICU CCU Surgical Medical Pediatric OB/GYN Unadjusted FTES RN 17.21 19.56 25.74 30.59 23.24 25.74 LPN 9.06 12.34 16.88 19.53 9.06 19.53 3.91 6.56 10.47 11.72 6.56 10.47 40.66 48.33 36.71 40.66 26.21 30.34 14.08 30.34 10.02 15.99 17.90 10.02 15.99 59.13 49.90 82.86 96.56 60.81 86.99 Total FTES 436.26