Memorial Hospital

981 Words Feb 27th, 2012 4 Pages
CASE

MEMORIAL HOSPITAL
The nurses at Memorial Hospital work a regular schedule of four 10-hour days per week. The average regulartime pay across all nursing grades is $12.00 per hour. Overtime may be scheduled when necessary. However, because of the intensity of the demands placed on nurses, only a limited amount of overtime is permitted per week. Nurses may be scheduled for as many as 12 hours per day for a maximum of five days per week. Overtime is compensated at a rate of $18.00 per hour. In periods of extremely high demand, temporary part-time nurses may be hired for a limited period of time. Temporary nurses are paid $15.00 per hour. Memorial Hospital has a policy that limits the proportion of temporary nurses to 15 percent of the
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Emergency surgery is scheduled as needed. ‡ Daily equivalents are used to schedule nurses because patients flow through these wards in relatively short periods of time. A daily equivalent of 5 indicates that, throughout a typical day, an average of five patients are treated in the ward.

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TABLE C11.2 Average Daily Patient Census per Month
MONTH WARD J F M A M J J A S O N D

Intensive care Cardiac Maternity Pediatric Surgery* Post op† Emergency† General

13 18 8 22 20 10 6 110

10 16 8 23 18 8 4 108

8 15 12 24 18 7 4 100

7 13 13 24 17 7 7 98

7 14 10 25 16 6 8 95

6 12 8 21 16 6 5 90

11 13 13 22 22 10 5 88

13 12 13 20 21 10 4 92

9 13 14 18 17 7 4 98

10 15 10 20 18 8 3 102

12 18 8 21 20 9 4 107

14 20 7 19 22 10 6 94

* Average surgeries per day. † Daily equivalents.

After looking over the information that she has collected, Darlene Fry decides that it is time to roll up her sleeves and get started. She wants to consider staffing changes in all areas except the surgery ward, which is already correctly staffed. Questions 1. Explain the alternatives available to Darlene Fry as she develops a nurse staffing plan for Memorial Hospital. How does each meet the objectives stated by the CEO?

2. Based on the data presented, develop a nurse staffing plan for Memorial Hospital. Explain your rationale for this plan.
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