Swedish Health Services 2020 Staffing Plans · Swedish Health Services 2020 Staffing Plans - 3 -...

Swedish Health Services

2020 Staffing Plans

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Cover Page

The following is the nurse staffing plan for _______Swedish Health Services ___________ submitted to

the Washington State Department of Health in accordance with Revised Code of Washington 70.41.420.

This area intentionally left blank


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Founded in 1910, Swedish is the largest nonprofit health provider in the Puget Sound area. It is

comprised of five hospital campuses (First Hill, Cherry Hill, Ballard, Edmonds and Issaquah), and

ambulatory care centers in Redmond and Mill Creek. Swedish is known as a regional referral center,

providing specialized treatment in areas such as cardiovascular care, cancer care, neuroscience,

orthopedics, high-risk obstetrics, pediatric specialties, organ transplantation and clinical research.

Swedish Medical Center – Ballard

5300 Tallman Avenue NW, Seattle, WA 98107

133 Licensed Beds

Inpatient Units Medical/Surgical

Emergency Department

Behavior Health

Family Childbirth Center

Addiction Recovery Services

Swedish Medical Center – First Hill

747 Broadway, Seattle, WA 98122

697 Licensed Beds

Inpatient Units Medical/Surgical


Swedish Orthopedic Institute

Neonatal ICU

Pediatrics

Obstetrics

Oncology

Transplant

Swedish Medical Center – Cherry Hill

507 17th Avenue, Seattle, WA 98122

349 Licensed Beds

Neuro/Cardiac Inpatient Units


Inpatient Rehabilitation

Short Stay Unit

Telemetry

Neuro ICU

Cardiac ICU


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Swedish Medical Center – Issaquah

751 NE Blakely Drive, Issaquah, WA 98029

175 Licensed Beds

Surgical Medical/Oncology Inpatient Units


ICU/Telemetry

Obstetrics

Level II Nursery

Swedish Medical Center – Edmonds

21601 76th Avenue West, Edmonds, WA 98026

217 Licensed Beds

Inpatient Units


Behavioral Health

Childbirth Center

Level II Nursery


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Nurse Staffing Plan Purpose

This plan was developed for the management of scheduling and provision of daily staffing needs for the hospital, and to define a process that ensures the availability of qualified nursing staff to provide safe, reliable and effective care to our patients. This plan applies to all parts of the hospital licensed under RCW 70.41.

Nurse Staffing Plan Principles

Access to high-quality nursing staff is critical to providing patients safe, reliable and effective care.

The optimal staffing plan represents a partnership between nursing leadership and direct nursing care staff.

Staffing is multifaceted and dynamic. The development of the plan must consider a wide range of variables.

Data and measurable nurse sensitive indicators should help inform the staffing plan. *These principles correspond to The American Nursing Association Principles of Safe Staffing.

Nurse Staffing Plan Policy The nurse staffing committee (committee) is responsible for the development and oversight of

the nurse staffing plan to ensure the availability of qualified nursing staff to provide safe, reliable and effective care to our patients.

The committee’s work is informed by information and data from individual patient care units. Appropriate staffing levels for a patient care unit reflect an analysis of:

o Individual and aggregate patient needs; o Staffing guidelines developed for specific specialty areas; o The skills and training of the nursing staff; o Resources and supports for nurses; o Hospital data and outcomes from relevant quality indicators; and o Hospital finances.

*The American Nurses Association does not recommend a specific staffing ratio, but rather to make care assignments based on acuity, patient needs and staff competencies.

The analysis of the above information is aggregated into the hospital’s nurse staffing plan.

Staff continuously monitor individual and aggregate patient care needs and make adjustments to staffing per agreed upon policy and collective bargaining agreement.

The committee will perform a semiannual review of the staffing plan. If changes are made to the staffing plan throughout the calendar year, an updated staffing plan will be submitted to DOH.

The hospital is committed to ensuing staff are able to take meal and rest breaks as required by law. The committee considers breaks and strategies to ensure breaks when developing the plan. A global break policy may be used, or individual patient care units may have discretion in structuring breaks to meet specific needs while meeting the requirements of the law. Data regarding missed or interrupted breaks will be reviewed by the committee to help develop strategies to ensure nurses are able to take breaks.


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Nurse Staffing Plan Scope

*Acute care hospitals licensed under RCW 70.41 are required by law to develop a nurse staffing plan.

The plan must cover areas of the hospital that: 1) are under the hospital’s license (RCW 70.41) and 2)

where a nurse(s) provides patient care (i.e., “patient care unit”).

The following areas of the hospital are covered by the nurse staffing plan: All Inpatient units and

Emergency Departments are included in this plan.

Nurse Staffing Plan Critical Elements

The following represents adjustments to our upcoming 2020 nurse staffing plan:

Ballard Behavioral Health Unit- increased 1.6 FTE due to acuity redistribution

Cherry Hill 5 East approved addition of a resource NAC 1.0 FTE

Mill Creek Emergency Department increased Hours per UOS to 2.3 due to volume and acuity

https://app.leg.wa.gov/RCW/default.aspx?cite=70.41


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Nurse Staffing Plan Matrices

*Matrices are developed as a guide for shift-by-shift unit-based staffing decisions and are adjusted up

or down based on patient factors and skill-mix of hospital staff.

FIRST HILL CAMPUS

Antepartum 5SW – First Hill


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Emergency Department – First Hill


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General Medical 9SW – Weekday – First Hill


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General Medical 9SW – Weekend – First Hill


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General Surgery 10E – First Hill


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Gyn Surgical 11SW – First Hill


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ICU 6E, 7E, 8E – First Hill


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Labor and Delivery 5E, 5S – First Hill


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Medical Respiratory 8SW – First Hill


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MedSurg Orthopedics 5SOI – First Hill


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MedSurg Telemetry 10SW – First Hill


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Nephrology Surgical 11E – Weekdays – First Hill


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Nephrology Surgical 11E – Weekends – First Hill


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NICU and ISCU 2S, 3S, 6S – First Hill


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Oncology 12E – First Hill


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Oncology 12E – First Hill


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Orthopedic 3SOI, 4SOI – Monday through Wednesday – First Hill


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Orthopedic 3SOI, 4SOI – Thursday and Friday – First Hill


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Orthopedic 3SOI, 4SOI – Saturday and Sunday – First Hill


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Pediatrics 9E – First Hill


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PICU 9E – First Hill


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Postpartum 4S, 4SW, 6SW – First Hill


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Short Stay 3SW – Monday through Friday – First Hill


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Short Stay 3SW – Saturday and Sunday – First Hill


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Telemetry 7SW – First Hill


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CHERRY HILL CAMPUS

Emergency Department – Cherry Hill

00-01

01-02

02-03

03-04

04-05

05-06

06-07

07-08

08-09

09-10

10-11

11-12

RN

0700-1930 1 1 1 1 1

0700-1930 1 1 1 1 1

0700-1930 1 1 1 1 1

0700-1930 1 1 1 1 1

0900-2130 1 1 1

0900-2130 1 1 1

1000-2230 1 1

1200-0030

1200-0030

1500-0330 1 1 1

1900-0730 1 1 1 1 1 1 1

1900-0730 1 1 1 1 1 1 1

1900-0730 1 1 1 1 1 1 1

1900-0730 1 1 1 1 1 1 1

TECH

0700-1930 1 1 1 1 1

0700-1930 1 1 1 1 1

1100-2330 1

1200-2230

1900-0730 1 1 1 1 1 1 1

1900-0730 1 1 1 1 1 1 1

HUC

0700-1930 1 1 1 1 1

1900-0730 1 1 1 1 1 1 1 0 0 0 0 0

RN Count 5 5 5 4 4 4 4 4 4 6 7 7 Total Count 8 8 8 7 7 7 7 7 7 9 10 11

**Minus one 0900 RN on weekends only.

12-13

13-14

14-15

15-16

16-17

17-18

18-19

19-20

20-21

21-22

22-23

23-24

RN

0700-1930 1 1 1 1 1 1 1

0700-1930 1 1 1 1 1 1 1

0700-1930 1 1 1 1 1 1 1

0700-1930 1 1 1 1 1 1 1


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0900-2130 1 1 1 1 1 1 1 1 1

0900-2130 1 1 1 1 1 1 1 1 1

1000-2230 1 1 1 1 1 1 1 1 1 1

1200-0030 1 1 1 1 1 1 1 1 1 1 1 1

1200-0030 1 1 1 1 1 1 1 1 1 1 1 1

1500-0330 1 1 1 1 1 1 1 1 1

1900-0730 1 1 1 1 1

1900-0730 1 1 1 1 1

1900-0730 1 1 1 1 1

1900-0730 1 1 1 1 1

TECH

0700-1930 1 1 1 1 1 1 1

0700-1930 1 1 1 1 1 1 1

1100-2330 1 1 1 1 1 1 1 1 1 1 1 1200-2230 1 1 1 1 1 1 1 1 1 1

1900-0730 1 1 1 1 1

1900-0730 1 1 1 1 1

HUC

0700-1930 1 1 1 1 1 1 1

1900-0730 0 0 0 0 0 0 0 1 1 1 1 1

RN Count 9 9 9 10 10 10 10 10 10 8 7 7 Total Count 14 14 14 15 15 15 15 15 15 13 11 10

**Minus one 0900 RN on weekends only.


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Short Stay Unit – Cherry Hill


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2E ICVU – Cherry Hill


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4E – Cherry Hill


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5E – Cherry Hill


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6E – Cherry Hill


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CVICU – Cherry Hill


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NCCU – Cherry Hill


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BALLARD CAMPUS

Emergency Department – Ballard

Emergency Department Staffing Matrix

Time 700 900 1100 1300 1500 1900

Registered Nurse 3 1 1 1 2 3

ED Technician 1 1 1 1

HUC 1 1


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Behavioral Health Unit – Ballard


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Addiction Recovery Services – Ballard


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Family Childbirth Center – Ballard


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Med/Surg 4S – Ballard


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Acute Care 4S – Ballard


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ISSAQUAH CAMPUS

ICU-Telemetry 3 Cascade South – Issaquah

ICU Census

ICU RN

NAC Tele

census tele RN

NAC Monitor

tech Charge

# of Staff

Hours/ day

Actual Direct HPPD

0 0 0 4 1 0 1 1 3 72 18.00

0 5 1 0 1 1 3 72 14.40

0 6 2 0 1 1 4 96 16.00

0 7 2 0 1 1 4 96 13.71

0 8 2 0 1 1 4 96 12.00

0 9 3 0 1 1 5 120 13.33

0 10 3 0 1 1 5 120 12.00

0 11 3 1 1 1 6 144 13.09

0 12 3 1 1 1 6 144 12.00

0 13 4 1 1 1 7 168 12.92

0 14 4 2 1 1 8 192 13.71

0 15 4 2 1 1 8 192 12.80

0 16 4 2 1 1 8 192 12.00

0 17 5 2 1 1 9 216 12.71

0 18 5 2 1 1 9 216 12.00

ICU Census

ICU RN

NAC Tele

census tele RN

NAC Monitor

tech Charge

# of Staff

Hours/ day

Actual Direct HPPD

1 1 0 4 1 0 1 1 4 96 19.20

1 5 1 0 1 1 4 96 16.00

1 6 2 0 1 1 5 120 17.14

1 7 2 0 1 1 5 120 15.00

1 8 2 0 1 1 5 120 13.33

1 9 3 0 1 1 6 144 14.40

1 10 3 0 1 1 6 144 13.09

1 11 3 1 1 1 7 168 14.00

1 12 3 1 1 1 7 168 12.92

1 13 4 1 1 1 8 192 13.71

1 14 4 2 1 1 9 216 14.40

1 15 4 2 1 1 9 216 13.50

1 16 4 2 1 1 9 216 12.71

ICU Census

ICU RN

NAC Tele

census tele RN

NAC Monitor

tech Charge

# of Staff

Hours/ day

Actual Direct HPPD

2 1 0 4 1 0 1 1 4 96 16.00

2 5 1 0 1 1 4 96 13.71

2 6 2 0 1 1 5 120 15.00

2 7 2 0 1 1 5 120 13.33

2 8 2 0 1 1 5 120 12.00


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2 9 3 0 1 1 6 144 13.09

2 10 3 1 1 1 7 168 14.00

2 11 3 1 1 1 7 168 12.92

2 12 3 1 1 1 7 168 12.00

2 13 4 1 1 1 8 192 12.80

2 14 4 2 1 1 9 216 13.50

2 15 4 2 1 1 9 216 12.71

2 16 4 2 1 1 9 216 12.00

ICU Census

ICU RN

NAC Tele

census tele RN

NAC Monitor

tech Charge

# of Staff

Hours/ day

Actual Direct HPPD

3 2 0 4 1 0 1 1 5 120 17.14

3 5 1 0 1 1 5 120 15.00

3 6 2 0 1 1 6 144 16.00

3 7 2 0 1 1 6 144 14.40

3 8 2 0 1 1 6 144 13.09

3 9 2 0 1 1 6 144 12.00

3 10 3 0 1 1 7 168 12.92

3 11 3 1 1 1 8 192 13.71

3 12 3 1 1 1 8 192 12.80

3 13 4 1 1 1 9 216 13.50

3 14 4 2 1 1 10 240 14.12

3 15 4 2 1 1 10 240 13.33

ICU Census

ICU RN

NAC Tele

census tele RN

NAC Monitor

tech Charge

# of Staff

Hours/ day

Actual Direct HPPD

4 2 0 4 1 0 1 1 5 120 15.00

4 5 1 0 1 1 5 120 13.33

4 6 2 0 1 1 6 144 14.40

4 7 2 0 1 1 6 144 13.09

4 8 2 0 1 1 6 144 12.00

4 9 2 0 1 1 6 144 11.08

4 10 3 1 1 1 8 192 13.71

4 11 3 1 1 1 8 192 12.80

4 12 3 1 1 1 8 192 12.00

4 13 4 1 1 1 9 216 12.71

4 14 4 2 1 1 10 240 13.33

ICU Census

ICU RN

NAC Tele

census tele RN

NAC Monitor

tech Charge

# of Staff

Hours/ day

Actual Direct HPPD

5 3 0 4 1 0 1 1 6 144 16.00

5 5 1 0 1 1 6 144 14.40

5 6 2 0 1 1 7 168 15.27

5 7 2 0 1 1 7 168 14.00

5 8 2 1 1 1 8 192 14.77


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5 9 2 1 1 1 8 192 13.71

5 10 3 1 1 1 9 216 14.40

5 11 3 1 1 1 9 216 13.50

5 12 3 1 1 1 9 216 12.71

5 13 4 1 1 1 10 240 13.33

ICU Census

ICU RN

NAC Tele

census tele RN

NAC Monitor

tech Charge

# of Staff

Hours/ day

ActualDirect HPPD

6 3 0 4 1 0 1 1 6 144 14.40

6 5 1 0 1 1 6 144 13.09

6 6 2 0 1 1 7 168 14.00

6 7 2 0 1 1 7 168 12.92

6 8 2 1 1 1 8 192 13.71

6 9 3 1 1 1 9 216 14.40

6 10 3 1 1 1 9 216 13.50

6 11 3 1 1 1 9 216 12.71

6 12 3 1 1 1 9 216 12.00

ICU Census

ICU RN

NAC Tele

census tele RN

NAC Monitor

tech Charge

# of Staff

Hours/ day

Actual Direct HPPD

7 4 0 4 1 0 1 1 7 168 15.27

7 5 2 0 1 1 8 192 16.00

7 6 2 0 1 1 8 192 14.77

7 7 2 0 1 1 8 192 13.71

7 8 2 1 1 1 9 216 14.40

7 9 2 1 1 1 9 216 13.50

7 10 3 1 1 1 10 240 14.12

7 11 3 1 1 1 10 240 13.33

ICU Census

ICU RN

NAC Tele

census tele RN

NAC Monitor

tech Charge

# of Staff

Hours/ day

Actual Direct HPPD

8 4 0 4 1 0 1 1 7 168 14.00

8 5 2 0 1 1 8 192 14.77

8 6 2 0 1 1 8 192 13.71

8 7 2 1 1 1 9 216 14.40

8 8 2 1 1 1 9 216 13.50

8 9 3 1 1 1 10 240 14.12

8 10 3 1 1 1 10 240 13.33

ICU Census

ICU RN

NAC Tele

census tele RN

NAC Monitor

tech Charge

# of Staff

Hours/ day

Actual Direct HPPD

9 5 0 4 1 0 1 1 8 192 14.77

9 5 2 0 1 1 9 216 15.43

9 6 2 0 1 1 9 216 14.40

9 7 2 0 1 1 9 216 13.50

9 8 2 1 1 1 10 240 14.12


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9 9 3 1 1 1 11 264 14.67

ICU Census

ICU RN

NAC Tele

census tele RN

NAC Monitor

tech Charge

# of Staff

Hours/ day

Actual Direct HPPD

10 5 0 4 1 0 1 1 8 192 13.71

10 5 2 0 1 1 9 216 14.40

10 6 2 0 1 1 9 216 13.50

10 7 2 1 1 1 10 240 14.12

10 8 2 1 1 1 10 240 13.33

ICU Census

ICU RN

NAC Tele

census tele RN

NAC Monitor

tech Charge

# of Staff

Hours/ day

Actual Direct HPPD

11 6 0 4 1 0 1 1 9 216 14.40

11 5 2 0 1 1 10 240 15.00

11 6 2 0 1 1 10 240 14.12

11 7 2 1 1 1 11 264 14.67

ICU Census

ICU RN

NAC Tele

census tele RN

NAC Monitor

tech Charge

# of Staff

Hours/ day

Actual Direct HPPD

12 6 0 4 1 0 1 1 9 216 13.50

12 5 2 0 1 1 10 240 14.12

12 6 2 0 1 1 10 240 13.33

ICU Census

ICU RN

NAC Tele

census tele RN

NAC Monitor

tech Charge

# of Staff

Hours/ day

Actual Direct HPPD

13 7 0 4 1 0 1 1 10 240 14.12

13 5 2 0 1 1 11 264 14.67

ICU Census

ICU RN

NAC Tele

census tele RN

NAC Monitor

tech Charge

# of Staff

Hours/ day

Actual Direct HPPD

14 7 0 4 1 0 1 1 10 240 13.33

•An RN can be substituted for an NAC or vice versa

•The charge nurse will have minimal or no assignment

•Insulin drips will have additional staffing considerations *If no designated House Float scheduled, ICU Charge RN will clock into ICU Float Pool Cost Center 22587301


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Level 2 Post Partum – Issaquah

Shift

Days Nights Actual Direct HPPD

12 12 8 12 12 12 12

Census Charge RN Lactation HUC/NAC Charge RN HUC/NAC

21 1 7 1 2 1 7 2

6.00 12 84 12 24 12 84 24

20 1 7 1 2 1 7 2

6.20 12 84 8 24 12 84 24

19 1 6 1 2 1 6 2

5.89 12 72 8 24 12 72 24

18 1 6 1 2 1 6 1.5

6.06 12 72 8 24 12 72 18

17 1 6 1 1 1 6 1

5.88 12 72 8 12 12 72 12

16 1 6 1 1 1 6 1

6.25 12 72 8 12 12 72 12

15 1 5 1 1 1 5 1

5.87 12 60 8 12 12 60 12

14 1 5 1 1 1 5 1

6.29 12 60 8 12 12 60 12

13 1 4 1 1 1 4 1

5.69 12 48 8 12 12 48 8

12 1 4 1 1 1 4 0.75

6.21 12 48 8 12 12 48 9

11 1 3 1 1 1 3 1

5.82 12 36 8 12 12 36 12

10 1 3 1 1 1 3 0.75

6.25 12 36 8 12 12 36 9

9 1 3 1 0.5 1 3 0

6.11 12 36 8 6 12 36 0

8 0 3 0.67 1 0 3 0.5

5.96 0 36 5.36 12 0 36 6

7 0 3 0.67 0.5 0 3 0.33

6.24 0 36 5.36 6 0 36 3.96

6 0 2 0.5 1 0 2 0.5

5.83 0 24 4 12 0 24 6

5 0 2 0.5 0.5 0 2 0.5

6.40 0 24 4 6 0 24 6

4 0 2 0 0 0 2 0 6.00


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0 24 0 0 0 24 0

3 0 2 0 0 0 2 0

8.00 0 24 0 0 0 24 0

2 0 2 0 0 0 2 0

12.00 0 24 0 0 0 24 0

1 0 2 0 0 0 2 0

24.00 0 24 0 0 0 24 0

•At certain census points of if HUC is not available, it may be appropriate to substitute the role with an RN

•At postpartum census of 14 charge nurse remains unassigned


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Medical Oncology – Issaquah

Census 0700-1900 1900-0700 Direct HPPD

Charge RN NAC NAC/HUC Charge RN NAC

18 1 4 2 1 1 4 1 8.89

12 48 24 7 12 48 16

17 1 4 2 1 1 4 1 8.94

12 48 20 7 12 48 12

16 1 4 1 1 1 4 1 9.00

12 48 12 7 12 48 12

15 1 4 1 1 1 3 1 8.80

12 48 12 7 12 36 12

14 1 3 1 1 1 3 1 8.57

12 36 12 7 12 36 12

13 1 3 1 1 1 3 1 9.23

12 36 12 7 12 36 12

12 1 3 1 1 1 3 0 9.00

12 36 12 7 12 36 0

11 1 3 1 0 1 3 0 9.45

12 36 8 0 12 36 0

10 1 3 1 0 1 2 0 9.20

12 32 12 0 12 24 0

9 1 2 1 0 1 2 0 9.33

12 24 12 0 12 24 0

8 1 2 0 0 1 2 0 9.00

12 24 0 0 12 24 0

7 1 2 0 0 1 2 0

10.29 12 24 0 0 12 24 0

6 1 1 0 0 1 1 0

8.00 12 12 0 0 12 12 0

5 1 1 0 0 1 1 0

9.60 12 12 0 0 12 12 0

An RN can be substituted for an NAC or vice versa

Insulin drips will have additional staffing considerations

The charge nurse will have minimal or no assignment


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MSU 4 Olympic South – Issaquah

Census

0700-1900 1900-0700 Actual Direct HPPD Charge RN NAC Charge RN NAC

14 1 3 1 1 3 1

8.57 12 36 12 12 36 12

13 1 3 1 1 3 1

9.23 12 36 12 12 36 12

12 1 3 1 1 2 1

9.00 12 36 12 12 24 12

11 1 2 1 1 2 1

8.73 12 24 12 12 24 12

10 1 2 1 1 2 0

8.40 12 24 12 12 24 0

9 1 2 0 1 2 0

8.00 12 24 0 12 24 0

8 1 2 0 1 2 0

9.00 12 24 0 12 24 0

7 1 2 0 1 1 0

8.57 12 24 0 12 12 0

6 1 1 0 1 1 0

8.00 12 12 0 12 12 0

5 1 1 0 1 1 0

9.60 12 12 0 12 12 0



•Insulin drips will have additional staffing considerations


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Emergency Department – Issaquah


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General Surgical – Issaquah

Census

0700-1900 1900-0700 Actual Direct HPPD Charge RN NAC HUC Charge RN NAC

35 1 9 4 1 1 8 4

9.26 12 108 48 12 12 96 48

34 1 8 4 1 1 7 4

8.82 12 96 48 12 12 84 48

33 1 8 4 1 1 7 4

9.09 12 96 48 12 12 84 48

32 1 8 4 1 1 7 4

9.38 12 96 48 12 12 84 48

31 1 7 4 1 1 7 3

8.90 12 84 48 12 12 84 36

30 1 7 4 1 1 6 3

8.80 12 84 48 12 12 72 36

29 1 7 4 1 1 6 3

9.10 12 84 48 12 12 72 36

28 1 7 4 1 1 6 3

9.43 12 84 48 12 12 72 36

27 1 7 3 1 1 6 3

9.33 12 84 36 12 12 72 36

26 1 6 3 1 1 6 3

9.23 12 72 36 12 12 72 36

25 1 6 3 1 1 5 3

9.12 12 72 36 12 12 60 36

24 1 5 3 1 1 5 3

9.00 12 60 36 12 12 60 36

23 1 5 3 1 1 5 3

9.39 12 60 36 12 12 60 36

22 1 5 3 1 1 5 2

9.27 12 60 36 12 12 60 24

21 1 5 3 1 1 5 2

9.71 12 60 36 12 12 60 24

20 1 5 3 1 1 4 2

9.60 12 60 36 12 12 48 24

19 1 4 3 1 1 4 2

9.47 12 48 36 12 12 48 24

18 1 4 2 1 1 4 2

9.33 12 48 24 12 12 48 24

17 1 4 2 1 1 3 2

9.18 12 48 24 12 12 36 24

16 1 4 2 1 1 3 1

9.00 12 48 24 12 12 36 12

15 1 3 2 1 1 3 1

8.80 12 36 24 12 12 36 12

14 1 3 2 0 1 3 1

9.43 12 36 24 0 12 36 12


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13 1 3 1 0 1 3 1

9.23 12 36 12 0 12 36 12

12 1 3 1 0 1 2 1

9.00 12 36 12 0 12 24 12

11 1 2 1 0 1 2 1

8.73 12 24 12 0 12 24 12

10 1 2 1 0 1 2 1

9.60 12 24 12 0 12 24 12

9 1 2 1 0 1 2 1

10.67 12 24 12 0 12 24 12

8 1 2 0 0 1 2 0

9.00 12 24 0 0 12 24 0

7 1 2 0 0 1 1 0

8.57 12 24 0 0 12 12 0

6 1 1 0 0 1 1 0

8.00 12 12 0 0 12 12 0

5 1 1 0 0 1 1 0

9.60 12 12 0 0 12 12 0

4 1 1 0 0 1 1 0

12.00 12 12 0 0 12 12 0

3 1 1 0 0 1 1 0

16.00 12 12 0 0 12 12 0

2 1 1 0 0 1 1 0

24.00 12 12 0 0 12 12 0

1 1 1 0 0 1 1 0

48.00 12 12 0 0 12 12 0



•Insulin drips will have additional staffing considerations


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EDMONDS CAMPUS

Emergency Department – Mill Creek

Current Plan Future Plan

Hours/Day FTE Hours/Day FTE

RN 156 27.3 RN 184 32.2

Tech 60 10.5 Tech 72 12.6

HUC 24 4.2 HUC 24 4.2

TOTAL 240 42 TOTAL 280 49

2019 ED Volume Budget = 123.4 patients/day (45,051 pt/yr) Hours per UOS = 1.955 2019 Budget = 42.3FTE

Proposed increase to 2.3 HUOS = 49.82FTE


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Emegency Department – Edmonds

ED RNs Sun Mon Tue Wed Thur Fri Sat

7a-7p 7 7 7 7 7 7 7

7a-5p 1 1 1 1 1 1 1

9a-7p 1 1 1 1 1 1 1

9a-9p 1 1 1 1 1 1 1

11a-11p 3 3 3 3 3 3 3

1p-1a 3 3 3 3 3 3 3

3p-3a 2 2 2 2 2 2 2

5p-5a 1 1 1 1 1 1 1

7p-7a 8 8 8 8 8 8 8

ED Techs Sun Mon Tue Wed Thur Fri Sat

7a-7p 3 3 3 3 3 3 3

9a-9p 1 1 1 1 1 1 1

11a-11p 2 2 2 2 2 2 2

3p-3a 1 1 1 1 1 1 1

7p-7a 3 3 3 3 3 3 3

HUC Sun Mon Tue Wed Thur Fri Sat

7a-7p 1 1 1 1 1 1 1

7p-7a 1 1 1 1 1 1 1

Total Staff* 39 39 39 39 39 39 39

*Depending on factors including ED volume and patient support needs, additional staff may be added to support patient care and flow/monitoring or perform Patient Safety Attendant duties.


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Family Birth – Edmonds

Fixed staffing DAY EVE NOC Charge RN 1 1 1

Triage/NST RN 1 1 1

Surgical Techs 1 1 1

Unit Secretary 7W 1 1 1

Unit Secretary 6W 1 1 1

Level II NICU 2 2 2

CENSUS NURSING STAFF Early labor DAY EVE NOC

2 → 1 1 1

Active labor DAY EVE NOC

0 → 1 1 1

1 → 1 1 1

2 → 2 2 2

3 3 3 3

4 4 4 4

SCHEDULED C-SECTIONS DAY EVE NOC

1 → 2 2 2

Twin delivery 4 4 4

ANTEPARTUM DAY EVE NOC Unstable → 1 1 1

Stable → 1-3 1-3 1-3 POSTPARTUM COUPLETS DAY EVE NOC

1 → 1 1 1

2 → 1 1 1

3 1 1 1

4 1-2 1-2 1-2

5 2 2 2

6 2 2 2

7 3 3 3

WOMEN SURGICAL DAY EVE NOC

1 → 1 1 1

2 → 1 1 1

3 1 1 1 4 1-2 1-2 1-2


2020 Staffing Plans

- 63 -

5 2 2 2

LEVEL II NICU DAY EVE NOC

0 → 0 0 0

1 → 1 1 1

2 → 1 1 1 Other Level II nurse assigned to postpartum

3 2 2 2 4 2 2 2 5 2 2 2

6 2-3 2-3 2-3 7 3 3 3


2020 Staffing Plans

- 64 -

5W Med Ortho – Edmonds

Day

EVENING 3p-7p

Census Charge Day RN

Day NAC HUC Charge Eve RN

Eve NAC HUC

34

1.00

9.00 4.00

1.00

1.00

9.00

4.00

1.00

33

1.00

9.00 4.00

1.00

1.00

9.00

4.00

1.00

32

1.00

8.00 4.00

1.00

1.00

8.00

4.00

1.00

31

1.00

8.00 4.00

1.00

1.00

8.00

4.00

1.00

30

1.00

8.00 3.00

1.00

1.00

8.00

3.00

1.00

29

1.00

8.00 3.00

1.00

1.00

8.00

3.00

1.00

28

1.00

7.00 3.00

1.00

1.00

7.00

3.00

1.00

27

1.00

7.00 3.00

1.00

1.00

7.00

3.00

1.00

26

1.00

7.00 3.00

1.00

1.00

7.00

3.00

1.00

25

1.00

7.00 3.00

1.00

1.00

7.00

3.00

1.00

24

1.00

6.00 3.00

1.00

1.00

6.00

3.00

1.00

23

1.00

6.00 3.00

1.00

1.00

6.00

3.00

1.00

22

1.00

6.00 3.00

1.00

1.00

6.00

3.00

1.00

21

1.00

6.00 3.00

1.00

1.00

6.00

3.00

1.00

20

1.00

5.00 3.00

1.00

1.00

5.00

3.00

1.00

19

1.00

5.00 3.00

1.00

1.00

5.00

3.00

1.00

18

1.00

5.00 2.00

1.00

1.00

5.00

2.00

1.00

17

1.00

5.00 2.00

1.00

1.00

5.00

2.00

1.00

16

1.00

4.00 2.00

1.00

1.00

4.00

2.00

1.00


2020 Staffing Plans

- 65 -

15

1.00

4.00 2.00 -

1.00

4.00

2.00 -

14

1.00

4.00 2.00 -

1.00

4.00

2.00 -

13

1.00

4.00 2.00 -

1.00

4.00

2.00 -

12

1.00

3.00 2.00 -

1.00

3.00

2.00 -

11

1.00

3.00 2.00 -

1.00

3.00

2.00 -

10

1.00

3.00 2.00 -

1.00

3.00

2.00 -

9

1.00

3.00 2.00 -

1.00

3.00

2.00 -

8

1.00

2.00 - -

1.00

2.00 - -

7

1.00

2.00 - -

1.00

2.00 - -

6

1.00

2.00 - -

1.00

2.00 - -

EVENING 7p-11p NIGHT 9.67

Census Charge Eve RN Eve NAC HUC Charge

Night RN

Night NAC HUC HPPD

34

1.00

8.00 4.00 -

1.00 7.00 3.00

-

-

33

1.00

8.00 4.00 -

1.00 7.00 3.00

-

-

32

1.00

8.00 4.00 -

1.00 7.00 3.00

-

-

31

1.00

8.00 3.00 -

1.00 7.00 3.00

-

-

30

1.00

8.00 3.00 -

1.00 6.00 3.00

-

-

29

1.00

8.00 3.00 -

1.00 6.00 3.00

-

-

28

1.00

7.00 3.00 -

1.00 6.00 3.00

-

-

27

1.00

7.00 3.00 -

1.00 6.00 3.00

-

-

26

1.00

7.00 3.00 -

1.00 6.00 3.00

-

-


2020 Staffing Plans

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25

1.00

7.00 3.00 -

1.00 5.00 3.00

-

-

24

1.00

6.00 3.00 -

1.00 5.00 3.00

-

-

23

1.00

6.00 3.00 -

1.00 5.00 3.00

-

-

22

1.00

6.00 3.00 -

1.00 5.00 2.00

-

-

21

1.00

6.00 3.00 -

1.00 5.00 2.00

-

-

20

1.00

5.00 3.00 -

1.00 4.00 2.00

-

-

19

1.00

5.00 3.00 -

1.00 4.00 2.00

-

-

18

1.00

5.00 2.00 -

1.00 4.00 2.00

-

-

17

1.00

5.00 2.00 -

1.00 4.00 2.00

-

-

16

1.00

4.00 2.00 -

1.00 4.00 2.00

-

-

15

1.00

4.00 2.00 -

1.00 3.00 2.00

-

-

14

1.00

4.00 2.00 -

1.00 3.00 2.00

-

-

13

1.00

4.00 2.00 -

1.00 3.00 2.00

-

-

12

1.00

3.00 2.00 -

1.00 3.00 2.00

-

-

11

1.00

3.00 2.00 -

1.00 3.00 2.00

-

-

10

1.00

3.00 2.00 -

1.00 2.00 1.00

-

-

9

1.00

3.00 2.00 -

1.00 2.00 -

-

-

8

1.00

2.00 - -

1.00 2.00 -

-

-

7

1.00

2.00 - -

1.00 2.00 -

-

-

6

1.00

2.00 - -

1.00 2.00 -

-

-


2020 Staffing Plans

- 67 -

8W Surgical Oncology – Edmonds

Day EVENING


Day NAC HUC Charge Eve RN

Eve NAC HUC

26

1.00

7.00 3.00

1.00

1.00

7.00

3.00

1.00

25

1.00

6.00 3.00

1.00

1.00

6.00

3.00

1.00

24

1.00

6.00 3.00

1.00

1.00

6.00

3.00

1.00

23

1.00

6.00 3.00

1.00

1.00

6.00

3.00

1.00

22

1.00

5.00 3.00

1.00

1.00

5.00

3.00

1.00

21

1.00

5.00 3.00

1.00

1.00

5.00

3.00

1.00

20

1.00

5.00 3.00

1.00

1.00

5.00

3.00

1.00

19

1.00

5.00 3.00

1.00

1.00

5.00

3.00

1.00

18

1.00

5.00 3.00

1.00

1.00

5.00

3.00

1.00

17

1.00

4.00 2.00

1.00

1.00

4.00

2.00

1.00

16

1.00

4.00 2.00

1.00

1.00

4.00

2.00

1.00

15

1.00

3.00 2.00

1.00

1.00

3.00

2.00

1.00

14

1.00

3.00 2.00

1.00

1.00

3.00

2.00

1.00

13

1.00

3.00 2.00

1.00

1.00

3.00

2.00

1.00

12

1.00

3.00 1.00 -

1.00

3.00

1.00 -

11

1.00

3.00 1.00 -

1.00

3.00

1.00 -

10

1.00

2.00 1.00 -

1.00

2.00

1.00 -

9

1.00

2.00 - -

1.00

2.00 - -

8

1.00

2.00 - -

1.00

2.00 - -


2020 Staffing Plans

- 68 -

7

1.00

1.00 - -

1.00

1.00 - -

6

1.00

1.00 - -

1.00

1.00 - -

NIGHT 9.74

Census Charge Night

RN Night NAC HUC HPPD

26

1.00 5.00 2.00

-

-

25

1.00 5.00 2.00

-

-

24

1.00 5.00 2.00

-

-

23

1.00 5.00 2.00

-

-

22

1.00 5.00 2.00

-

-

21

1.00 5.00 2.00

-

-

20

1.00 4.00 2.00

-

-

19

1.00 4.00 2.00

-

-

18

1.00 4.00 2.00

-

-

17

1.00 4.00 2.00

-

-

16

1.00 3.00 2.00

-

-

15

1.00 3.00 1.00

-

-

14

1.00 3.00 1.00

-

-

13

1.00 3.00 1.00

-

-

12

1.00 2.00 1.00

-

-

11

1.00 2.00 1.00

-

-

10

1.00 1.00 1.00

-

-


2020 Staffing Plans

- 69 -

9

1.00 1.00 -

-

-

8

1.00 1.00 -

-

-

7

1.00 1.00 -

-

-

6

1.00 1.00 -

-

-


2020 Staffing Plans

- 70 -

9W Psych – Edmonds

DAY EVENING


Day MHS HUC Charge Eve RN

Eve MHS HUC

25

1.00

4.00 3.00

1.00

1.00

4.00

3.00 -

24

1.00

4.00 2.00

1.00

1.00

4.00

2.00 -

23

1.00

3.00 2.00

1.00

1.00

4.00

2.00 -

22

1.00

3.00 2.00

1.00

1.00

3.00

2.00 -

21

1.00

3.00 2.00

1.00

1.00

3.00

2.00 -

20

1.00

3.00 2.00

1.00

1.00

3.00

2.00 -

19

1.00

3.00 2.00

1.00

1.00

3.00

2.00 -

18

1.00

3.00 2.00

1.00

1.00

3.00

2.00 -

17

1.00

3.00 1.00

1.00

1.00

3.00

2.00 -

16

1.00

3.00 1.00

1.00

1.00

3.00

2.00 -

15

1.00

3.00 1.00

1.00

1.00

3.00

2.00 -

14

1.00

3.00 1.00

1.00

1.00

3.00

2.00 -

13

1.00

3.00 1.00

1.00

1.00

3.00

2.00 -

12

1.00

3.00 1.00

1.00

1.00

3.00

2.00 -

11

1.00

3.00 1.00

1.00

1.00

3.00

2.00 -

10 - - - - - - - -

9 - - - - - - - -

8 - - - - - - - -

7 - - - - - - - -

6 - - - - - - - -


2020 Staffing Plans

- 71 -

NIGHT 6.79

Census Charge Night

RN Night MHS HUC HPPD

25

1.00 3.00 2.00

-

-

24

1.00 3.00 2.00

-

-

23

1.00 3.00 2.00

-

-

22

1.00 2.00 2.00

-

-

21

1.00 2.00 2.00

-

-

20

1.00 1.00 2.00

-

-

19

1.00 1.00 2.00

-

-

18

1.00 1.00 2.00

-

-

17

1.00 1.00 2.00

-

-

16

1.00 1.00 2.00

-

-

15

1.00 1.00 2.00

-

-

14

1.00 1.00 2.00

-

-

13

1.00 1.00 2.00

-

-

12

1.00 1.00 2.00

-

-

11

1.00 1.00 2.00

-

-

10 - - - -

9 - - - -

8 - - - -

7 - - - -

6 - - - -


2020 Staffing Plans

- 72 -

CDU – Edmonds

DAY NIGHT 10.97

Census

Day RN

Day NAC

Night RN HPPD

10

3.00 1.00

3.00

8.40

9

3.00 1.00

3.00

9.33

8

3.00 1.00

3.00

10.50

7

2.00 1.00

3.00

10.29

6

2.00 -

2.00

8.00

5 *

2.00 -

2.00

9.60

4 *

2.00 -

2.00

12.00

3 *

2.00 -

2.00

16.00

2 *

2.00 -

2.00

24.00

1 *

2.00 -

2.00

48.00

*When census is very low, SOC & TELE CN will review CDU patients & assess possible IP transfers and ED admits to CDU.


2020 Staffing Plans

- 73 -

ICU – Edmonds

ICU ICU Target 17.38

Day Shift Night Shift

Census CN RNs RESOURCE RN CN RN RESOURCE

RN HOC

13 1 7 1 1 7 1 16.62

12 1 6 1 1 6 1 16.00

11 1 6 1 1 6 1 17.45

10 1 5 1 1 5 1 16.80

9 1 5 1 1 5 1 18.67

8 1 4 1 1 4 1 18.00

7 1 4 0 1 4 0 17.14

6 1 3 0 1 3 0 16.00

5 1 3 0 1 3 0 19.20

4 1 2 0 1 2 0 18.00

3 1 2 0 1 2 0 24.00

2 1 1 0 1 1 0 24.00

1 1 1 0 1 1 0 48.00


2020 Staffing Plans

- 74 -

IMCU – Edmonds

IMCU

Day Shift Night Shift HOC

Census

RN NAC RN NAC

12 4 0 4 0 8.00

11 4 0 4 0 8.73

10 4 0 4 0 9.60

9 3 0 3 0 8.00

8 3 0 3 0 9.00

7 3 0 3 0 10.29

6 2 0 2 0 8.00

5 2 0 2 0 9.60

4 2 0 2 0 12.00

3 2 0 2 0 16.00

2 1 0 1 0 12.00

1 1 0 1 0 24.00

Note: Staffing plan adjusted when 201-204 are occupied with non-inpatient or non-observation extended stay patients. Staffing will increase by one RN and one NAC for patient and staff safety.


2020 Staffing Plans

- 75 -

IMCU Telemetry – Edmonds

Tele 2 Target 12.03


Census

CN RN NAC CN RN NAC

24 1 6 3 1 6 3 10.00

23 1 6 3 1 6 3 10.43

22 1 6 3 1 6 3 10.91

21 1 6 3 1 6 3 11.43

20 1 5 3 1 5 3 10.80

19 1 5 3 1 5 3 11.37

18 1 5 3 1 5 2 11.33

17 1 5 2 1 5 2 11.29

16 1 4 2 1 4 2 10.50

15 1 4 2 1 4 2 11.20

14 1 4 2 1 4 2 12.00

13 1 4 2 1 4 2 12.92

12 1 3 1 1 3 1 10.00

11 1 3 1 1 3 1 10.91

10 1 3 1 1 3 1 12.00

9 1 3 0 1 3 0 10.67

8 1 2 0 1 2 0 9.00

7 1 2 0 1 2 0 10.29

6 1 2 0 1 2 0 12.00

5 1 2 0 1 2 0 14.40

4 1 2 0 1 2 0 18.00

3 1 1 0 1 1 0 16.00

2 1 1 0 1 1 0 24.00

1 1 1 0 1 1 0 48.00

Tele 3


Census

RN NAC RN NAC

12 3 2 3 2 10.00

11 3 2 3 2 10.91

10 3 2 3 2 12.00

9 3 1 3 1 10.67


2020 Staffing Plans

- 76 -

8 2 1 2 1 9.00

7 2 1 2 1 10.29

6 2 1 2 1 12.00

5 2 1 2 1 14.40

4 1 1 1 1 12.00

3 1 1 1 1 16.00

2 1 0 1 0 12.00

1 1 0 1 0 24.00

Swedish Health Services 2020 Staffing Plans · Swedish Health Services 2020 Staffing Plans - 3 -...

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