Part I: Calculating RN Full Time Equivalents (FTEs)
As the manager, you have been asked to provide an RN staffing plan for a 40-bed in-patient nursing unit with an Average Daily Census of 40. The proposed staffing ratio is 1:6 (1 nurse for each 6 patients per shift). Using the Nursing Hours Per Patient Day (NHPPD) methodology, calculate the number of FTEs needed to staff the unit for a 14-day pay period. Use the information in the Welch and Smith (2020) article to assist with your analysis.
• Convert Nurse Patient Ratio to NHPPD.
• Determine the nursing unit annual volume in patient days.
• Determine total NHPPD for the previous year.
• Determine number of FTEs needed to staff the unit.
• Explain why the unit uses a particular staffing ratio and how that ratio is determined.
• Explain whether other units in the same facility would have the same staffing ratio or different staffing ratios. Justify your response.
Part II: Calculating Salary Costs
Based on the FTEs you calculated in Part I, calculate the salary cost for each nurse FTE using the hourly wage multiplied by 2,080 (number of hours worked per year), then add 30% to cover benefits. Use the following to make your calculations: RN salary: $32.50 per hour + 30% for benefits = $42.25 per hour.
• Determine the salary per year for one RN FTE.
• Calculate the total salary costs for the entire RN staff to determine your initial professional staff budget for the entire year.
• Explain the importance of budgeting when making staffing decisions.
Part III: Creating a Staffing Chart for 4 North Day Shift
Using the FTEs you have determined you need in Part 1, create a staffing plan for a 14 day pay period for the 4 North day shift.
Remember that a nurse who works 36 hours per week (72 hours per pay period) is a 0.9 FTE; 24hrs/week (48 hours per pay period) is a 0.6 FTE; and 12hrs/week (24 hours per pay period) is a 0.3 FTE. Each pay period is 2 weeks, but overtime is accrued after 40 hours each week. Each week runs from Sunday through Saturday. No one can be scheduled in overtime either week.
4 North Schedule
FTE
Sun
Mon
Tues
Wed
Thu
Fri
Sat
Sun
Mon
Tues
Wed
Thu
Fri
Sat
Day Shift 7a-7p
Example RN
0.9
X
X
X
X
X
X
K. Barnes RN
H. Keller RN
J. Jones RN
A. Hills RN
D. Scott RN
S. Guyan RN
J. Williams RN
Z. David RN
M. Williamson RN
P. Webb RN
D. Carey RN
(Add or delete RNs as needed)
Total FTEs/Staff scheduled
?
References Please add the references cited in your narrative responses here in APA
