virginia mason medical center hospital nurse staffing plan · updated nurse staffing plan . the...
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12/24/2019
Updated Nurse Staffing Plan The following is an updated nurse staffing plan for Virginia Mason Medical Center, submitted to the Washington State Department of Health on December 24, 2019, in accordance with Revised Code of Washington 70.41.420. The following nurse staffing plan replaces the nurse staffing plan previously submitted to the Washington State Department of Health.
Virginia Mason Medical Center, Seattle Washington
2020 CCU
DAYS
CENSUS Chg RN RN PCT chg 0 pt Chg RN RN PCT chg 0 pt
28 1 14 4 2.0 1 14 3 2.027 1 14 4 1.9 1 14 3 1.926 1 13 4 2.0 1 13 3 2.025 1 13 4 1.9 1 13 3 1.924 1 12 3 2.0 1 12 3 2.023 1 12 3 1.9 1 12 3 1.922 1 11 3 2.0 1 11 3 2.021 1 11 3 1.9 1 11 3 1.920 1 10 3 2.0 1 10 2 2.019 1 10 3 1.9 1 10 2 1.918 1 9 3 2.0 1 9 2 2.017 1 9 3 1.9 1 9 2 1.916 1 8 2 2.0 1 8 2 2.015 1 8 2 1.9 1 8 2 1.914 1 7 2 2.0 1 7 2 2.013 1 7 2 1.9 1 7 2 1.912 1 6 2 2.0 1 6 2 2.011 1 6 2 1.8 1 6 2 1.810 1 5 1 2.0 1 5 1 2.09 1 5 1 1.8 1 5 1 1.88 1 4 1 2.0 1 4 1 2.07 1 4 1 1.8 1 4 1 1.86 1 3 1 2.0 1 3 1 2.0
CCU
NOC
2020
Virginia Mason Medical Center, Seattle Washington
2020 CP 9
CENSUS Chg RN RN PCT chg 0 pt Chg RN RN PCTchg w 0
pt
18 1 6 3 3.0 1 6 3 3.017 1 6 3 2.8 1 6 3 2.816 1 6 2 2.7 1 6 2 2.715 1 5 3 3.0 1 5 3 3.014 1 5 2 2.8 1 5 2 2.813 1 5 2 2.6 1 5 2 2.612 1 4 2 3.0 1 4 2 3.011 1 4 2 2.8 1 4 2 2.810 1 4 2 2.5 1 4 2 2.59 1 3 2 3.0 1 3 2 3.08 1 3 1 2.7 1 3 1 2.77 1 2 1 3.5 1 2 1 3.56 1 2 1 3.0 1 2 1 3.05 1 2 1 2.5 1 2 1 2.5
Progressive Care
NOC
2020
Days
Virginia Mason Medical Center, Seattle Washington
2020 CP 12
DAYS
CENSUS Chg RN RN PCT chg 0 pt Chg RN RN PCT
up to pts/rn
chg w1 pt
26 1 6 4 4.3 1 6 4 4.225 1 6 4 4.2 1 5 4 4.824 1 6 4 4.0 1 5 4 4.623 1 5 4 4.6 1 5 4 4.422 1 5 4 4.4 1 5 4 4.221 1 5 3 4.2 1 5 3 4.020 1 5 3 4.0 1 5 3 3.819 1 5 3 3.8 1 4 3 4.518 1 4 3 4.5 1 4 3 4.317 1 4 3 4.3 1 4 3 4.016 1 4 3 4.0 1 3 3 5.015 1 4 3 3.8 1 3 2 4.714 1 3 2 4.7 1 3 2 4.313 1 3 2 4.3 1 3 2 4.012 1 3 2 4.0 1 2 2 5.511 1 3 2 3.7 1 2 2 5.010 1 3 2 3.3 1 2 2 4.59 1 3 2 3.0 1 2 2 4.08 1 2 2 4.0 1 2 2 3.5
Short Stay
NOC
2020
Virginia Mason Medical Center, Seattle Washington
2020 CP 15
CENSUS Chg RN RN PCT chg 0 pt Chg RN RN PCT
up to pts/rn
chg w 0 pt
20 1 5 4 4.0 1 5 4 4.019 1 5 4 3.8 1 5 3 3.818 1 5 3 3.6 1 4 3 4.017 1 4 3 4.3 1 4 3 3.816 1 4 3 4.0 1 4 3 3.515 1 4 3 3.8 1 4 2 3.314 1 3 3 4.7 1 3 2 4.013 1 3 3 4.3 1 3 2 3.712 1 3 3 4.0 1 3 2 3.311 1 3 2 3.7 1 2 2 4.510 1 2 2 5.0 1 2 2 4.0
CP 15 General Surgery
NOC
2020
Days
Virginia Mason Medical Center, Seattle WA
2020 CP 16
CENSUS Chg RN RN PCT chg 0 pt Chg RN RN PCT
up to pts/rn
chg w 2 pt
22 1 6 4 3.7 1 5 3 4.021 1 5 4 4.2 1 5 3 3.820 1 5 4 4.0 1 4 3 4.519 1 5 4 3.8 1 4 3 4.318 1 4 4 4.5 1 4 3 4.017 1 4 3 4.3 1 4 3 3.816 1 4 3 4.0 1 4 2 3.515 1 4 3 3.8 1 3 2 4.314 1 3 3 4.7 1 3 2 4.013 1 3 3 4.3 1 3 2 3.712 1 3 2 4.0 1 2 2 5.011 1 3 2 3.7 1 2 2 4.510 1 2 2 5.0 1 2 2 4.09 1 2 2 4.5 1 2 2 3.5
CP 16 Thoracic Surgery
NOC
2020
Days
Virginia Mason Medical Center, Seattle Washington
2020 CP8
DAYS
CENSUS Chg RN RN PCT chg 0 pt Chg RN RN PCT
up to pts/rn
chg w 2 pt
24 1 6 5 4.0 1 5 4 4.423 1 6 5 3.8 1 5 4 4.222 1 5 4 4.4 1 5 4 4.021 1 5 4 4.2 1 5 4 3.820 1 5 4 4.0 1 4 3 4.519 1 5 4 3.8 1 4 3 4.318 1 5 4 3.6 1 4 3 4.017 1 4 3 4.3 1 4 3 3.816 1 4 3 4.0 1 3 3 4.715 1 4 3 3.8 1 3 3 4.314 1 4 3 3.5 1 3 2 4.013 1 3 3 4.3 1 3 2 3.712 1 3 3 4.0 1 2 2 5.011 1 3 2 3.7 1 2 2 4.5
CP 8 TELE
NOC
2020
Virginia Mason Medical Center, Seattle Washington
2020 CP10
DAYS
CENSUS Chg RN RN PCT chg 0 pt Chg RN RN PCT
up to pts/rn
chg w 2 pt
21 1 5 4 4.2 1 5 3 3.820 1 5 4 4.0 1 4 3 4.519 1 5 3 3.8 1 4 3 4.318 1 4 3 4.5 1 4 3 4.017 1 4 3 4.3 1 3 3 5.016 1 4 3 4.0 1 3 3 4.715 1 4 3 3.8 1 3 2 4.314 1 3 3 4.7 1 3 2 4.013 1 3 2 4.3 1 3 2 3.712 1 3 2 4.0 1 2 2 5.011 1 3 2 3.7 1 2 2 4.510 1 2 2 5.0 1 2 2 4.09 1 2 2 4.5 1 2 1 3.58 1 2 1 4.0 1 2 1 3.0
CP10 Medicine
NOC
2020
Virginia Mason Medical Center, Seattle Washington
2020 CP14
DAYS
CENSUS Chg RN RN PCT chg 0 pt Chg RN RN PCT chg up to 2 pt
17 1 4 3 4.3 1 3 3 5.016 1 4 3 4.0 1 3 3 4.715 1 4 3 3.8 1 3 2 4.314 1 3 3 4.7 1 3 2 4.013 1 3 2 4.3 1 3 2 3.712 1 3 2 4.0 1 2 2 5.011 1 3 2 3.7 1 2 2 4.510 1 2 2 5.0 1 2 2 4.09 1 2 2 4.5 1 2 1 3.58 1 2 1 4.0 1 2 1 3.07 1 2 1 3.5 1 1 1 5.06 1 1 1 6.0 1 1 1 4.0
CP14 Medicine
NOC
2020
Virginia Mason Medical Center, Seattle Washington
2020 CP17
CENSUS Chg RN RN PCT chg 0 pt Chg RN RN PCT chg 0 pt
21 1 6 4 3.5 1 5 4 4.220 1 5 4 4.0 1 5 4 4.019 1 5 4 3.8 1 5 3 3.818 1 5 4 3.6 1 5 3 3.617 1 5 3 3.4 1 4 3 4.316 1 4 3 4.0 1 4 3 4.015 1 4 3 3.8 1 4 3 3.814 1 4 3 3.5 1 4 2 3.513 1 4 3 3.3 1 3 2 4.312 1 3 2 4.0 1 3 2 4.011 1 3 2 3.7 1 3 2 3.710 1 3 1 3.3 1 3 1 3.39 1 2 2 4.5 1 2 2 4.58 1 2 1 4.0 1 2 1 4.0
CP17 Neuro
NOC
2020
Days
Virginia Mason Medical Center, Seattle Washington
2020 J11
CENSUS Chg RN RN PCT chg 0 pt Chg RN RN PCT
up to pts/rn
chg w 2 pt
24 1 5 5 4.8 1 5 4 4.423 1 5 4 4.6 1 5 4 4.222 1 5 4 4.4 1 5 4 4.021 1 5 4 4.2 1 4 4 4.820 1 4 4 5.0 1 4 4 4.519 1 4 4 4.8 1 4 4 4.318 1 4 4 4.5 1 4 3 4.017 1 4 3 4.3 1 3 3 5.016 1 4 3 4.0 1 3 3 4.715 1 3 3 5.0 1 3 3 4.314 1 3 3 4.7 1 3 2 4.013 1 3 3 4.3 1 2 2 5.512 1 3 2 4.0 1 2 2 5.011 1 2 2 5.5 1 2 2 4.5
J11 Ortho
NOC
2020
Days
Virginia Mason Medical Center, Seattle Washington
2020 Jones 18
CENSUS Chg RN RN PCT chg 0 pt Chg RN RN PCT
up to pts/rn
chg w 2 pt
23 1 6 4 3.8 1 5 4 4.222 1 6 4 3.7 1 5 4 4.021 1 5 4 4.2 1 5 4 3.820 1 5 4 4.0 1 4 4 4.519 1 5 4 3.8 1 4 3 4.318 1 4 4 4.5 1 4 3 4.017 1 4 3 4.3 1 4 3 3.816 1 4 3 4.0 1 4 3 3.515 1 4 3 3.8 1 4 2 3.314 1 4 3 3.5 1 3 2 4.013 1 3 3 4.3 1 3 2 3.712 1 3 3 4.0 1 2 2 5.011 1 2 2 5.5 1 2 2 4.510 1 2 2 5.0 1 2 2 4.0
Jones 18
NOC
2020
Days
Virginia Mason Medical CenterSeattle, Washington
CENSUS Chg RN RN PCT chg 0 pt Chg RN RN PCT chg 0 pt18 1 5 4 3.6 1 5 3 3.617 1 5 4 3.4 1 4 3 4.316 1 4 4 4.0 1 4 3 4.015 1 4 3 3.8 1 4 3 3.814 1 4 3 3.5 1 3 3 4.713 1 4 3 3.3 1 3 3 4.312 1 3 3 4.0 1 3 2 4.011 1 3 3 3.7 1 3 2 3.710 1 3 3 3.3 1 3 2 3.39 1 3 2 3.0 1 3 2 3.08 1 3 2 2.7 1 2 2 4.07 1 2 2 3.5 1 2 2 3.56 1 2 1 3.0 1 1 1 6.05 1 1 1 5.0 1 1 1 5.04 1 1 1 4.0 1 1 1 4.03 1 1 1 3.0 1 1 1 3.0
CP7 OBS
NOC
2020
Days
Virginia Mason Medical Center, Seattle Emergency Department -- 2020
While med/surg units rely upon staffing grids to guide staffing decisions, the ED approaches staffing following the guidelines listed below:
• The RN to patient ratio is 4:1 as a baseline (Emergency Nurses Association standard) • The above patient ratio is flexible as per Emergency
Severity Index levels • in the 2nd Quarter of 2020 we will add (1) RN to our
triage. area.
Virginia Mason Medical Center, Seattle Washington
PACU 2020
Time of Day Shift Number of Shifts 530 (630) 2 x 10's x 1 530 (630) 3 x 10's x 4 530 (630) 4 x 10's x 5 600 (700) 3 x 10's x 2
730 2 x 10's x 1 730 3 x 10's x1 730 4 x 10's x 1 800 3 x 10's x 2 800 4 x 10's x 1 830 2 x 10's x 1 830 3 x 10's x 1 830 4 x 10's x 1 900 2 x 10's x 2 900 3 x 10's x 1 900 4 x 10's x 3
1000 2 x 10's x 1 1000 3 x 10's x 2 1000 4 x 10's x 3 1100 3 x 10's x 2 1100 4 x 10's x 2 1200 3 x 10's x 1 1200 4 x 10's x 2
2 x 10's = 0.5 FTE 3 x 10's = 0.75 FTE 4 x 10's = 1.0 FTE
** all 0530 (630) shifts require a return demonstration for proficient IV starts to bid for this shift.
OR Rooms 23RNs 23STs 23Support Staff
Desk Facilitator 3CSR Support 1Equipment Support 1Case Cart Support 1
Area SupportTurnover Team Support 8
TOTAL 60
OR Rooms 23General RNs 5Ortho RNs 2
BREAK RELIEF 11:00Total Relief Staff 15RNs 10STs 5TOTAL 15
OR Rooms 17RNs 17STs 17Call Team 4Support Staff
Desk Facilitator 2CSR Support 0Equipment Support 1Case Cart Support 0
Area SupportTurnover Team Support 3Break Support 0
TOTAL 40
OR Rooms 6RNs 6STs 6Call Team 4Support Staff
Desk Facilitator 1CSR Support 0Equipment Support 1Case Cart Support 0
Area SupportTurnover Team Support/Break 2
TOTAL 16
OR Rooms 5RNs 5STs 5Call Team 4Support Staff
Desk Facilitator 1CSR Support 0Equipment Support 1Case Cart Support 0
Area SupportTurnover Team Support 2
TOTAL 14
OR Rooms 3RNs 3STs 3Call Team 4Support Staff
Desk Facilitator 1CSR Support 0Equipment Support 1Case Cart Support 0
Area SupportTurnover Team Support 0
TOTAL 8
OR Rooms 2RNs 2STs 2Call Team 4Support Staff
Desk Facilitator 1CSR Support 0Equipment Support 1Case Cart Support 0
Area SupportTurnover Team Support
TOTAL 6
OR Rooms 2
Virginia Mason Medicla Center, Seattle WAOR STAFFING TO DEMAND
START: 21:30
START: 18:00
START: 19:30
START: 20:00
BREAK RELIEF: 9:30
START: 7:00 AM
START: 15:30
START: 17:30
RNs 2STs 2Call Team 4Support Staff
Desk Facilitator 1CSR Support 0Equipment Support 1Case Cart Support 0
Area SupportTurnover Team Support
TOTAL 6
OR Rooms 1RNs 1STs 1Call Team 6Support Staff
Desk FacilitatorCSR SupportEquipment SupportCase Cart Support
Area SupportTurnover Team Support
TOTAL 6
START: 23:30
Virginia Mason Medical CenterSeattle WA
JONES IPC - GI/ENDOSCOPY 2020
Core Roles # hr/day # hr/day # hr/day # hr/day # hr/day Hours/WeekGI Point RN 1 10 1 10 1 10 1 10 1 10 50Room 2 0 0 2 20 0 0 0 0 0 0 20Room 3 2 20 2 20 2 20 2 20 2 20 100Room 4 2 20 2 20 2 20 2 20 2 20 100Room 5 2 20 2 20 2 20 2 20 2 20 100Resource RN 1 10 2 20 1 10 1 10 1 10 60DAILY Total 8 80 11 110 8 80 8 80 8 80 430
Monday Tuesday Wednesday Thursday Friday Sunday
On call On call
Saturday
Virginia Mason Medical CenterSeattle, Washington
JONES IPC -- INTERVENTIONAL RADIOLOGY2020
Core Roles # hr/day # hr/day # hr/day # hr/day # hr/day Hours/WeekCharge RN 1 10 1 10 1 10 1 10 1 10 50J5 Room 6 RN 1 10 1 10 1 10 1 10 1 10 50J5 Room 6 RT** 0 0 0 0 0J5 Room 7 RN 1 10 1 10 1 10 1 10 1 10 50J5 Room 7 RT** 0 0 0 0 0Resource RN 1 10 1 10 1 10 1 10 1 10 50CP5 Room 7 RN 1 10 1 10 1 10 1 10 1 10 50CP5 Room 15 RN 1 10 1 10 1 10 1 10 1 10 50CP5 CT 3 RN 1 10 1 10 1 10 1 10 1 10 50CP5 RT** 0 0 0 0 0DAILY Total 7 70 7 70 7 70 7 70 7 70 150
SundayMonday Tuesday Wednesday Thursday Friday Saturday
On call On call
Virginia Mason Medical CenterSeattle WA
JONES IPC -- CATH LAB2020
Core Roles # hr/day # hr/day # hr/day # hr/day # hr/day Hours/WeekPoint Person 1 10 1 10 1 10 1 10 1 10 50Room 11 RN 1 10 1 10 1 10 1 10 1 10 50Room 11 RT/RCIS 2 20 2 20 2 20 2 20 2 20 100Room 11 RN 2 20 2 20 2 20 2 20 2 20 100Room 12 RT/RCIS 1 10 1 10 1 10 1 10 1 10 50Resource person 0 0 1 10 1 10 0 0 0 0 20DAILY Total 7 70 8 80 8 80 7 70 7 70 300
Monday Tuesday Wednesday Thursday Friday Sunday
On call On call
Saturday
Virginia Mason Medical CenterSeattle, Washington
JONES IPC -- ELECTROPHYSIOLOGY LAB
2020
Core Roles # hr/day # hr/day # hr/day # hr/day # hr/day Hours/WeekCharge RN 1 10 1 10 1 10 1 10 1 10 50Room 8 3 30 3 30 3 30 3 30 3 30 150Room 9 3 30 3 30 3 30 3 30 3 30 150Resource RN 0 0 0 0 1 10 1 10 0 0 20DAILY Total 7 70 7 70 8 80 8 80 7 70 370
Monday Tuesday Wednesday Thursday Friday Sunday
On call On call
Saturday
Virginia Mason Medical CenterSeattle, Washington
JONES IPC - PROCEDURAL PREP PACU
2020
Core Roles # hr/day # hr/day # hr/day # hr/day # hr/day Hours/WeekCharge RN 1 10 1 10 1 10 1 10 1 10 50Prep RNs 5 50 5 50 5 50 5 50 5 50 250PACU RNs 3 30 4 40 3 30 3 30 3 30 160Resource RNs 2 20 3 30 2 20 2 20 2 20 110Prep PCTs 3 30 3 30 3 30 3 30 3 30 150PACU PCTs 1 10 1 10 1 10 1 10 1 10 50DAILY Total 15 150 17 170 15 150 15 150 15 150 770
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
On call On call
Virginia Mason Medical Center, Seattle Washington
Core Roles
Charge RN Outpatient Infusions Specialty Infusions Float
DAILY Total
Core Roles
Core Roles Charge RN Outpatient Infusions Specialty Infusions Float
DAILY Total
Outpatient & Specialty Infusion Centers Nursing Staffing Plan 2020
Monday Tuesday Wednesday # hr/day # hr/day # hr/day
1 10 1 10 1 10 10 100 10 108 10 108 3 30 3 30 3 30 1 10 1 10 1 10
15 150 15 158 15 158
Thursday Friday Saturday Sunday
#
hr/day
#
hr/day
#
Hr/Day
#
Hr/Day
Hours/Week
1 10 1 10 - 0 - 0 50 10 108 10 100 4 40 2 8 572 3 30 3 30 - 0 - 0 150 1 10 1 10 - 0 - 0 50
15 158 15 150 4 40 2 8 822