360-Degree Nurse Staffing Benchmarks - Advisory · 2013-10-15 · ©2013 The Advisory Board Company • 27092 advisory.com Methodology 9 Access the Benchmarking Surveys The Nursing

©2013 The Advisory Board Company • advisory.com

360-Degree Nurse

Staffing Benchmarks Unit- and Site-Specific Snapshots

Nursing Executive Center

©2013 The Advisory Board Company • 27092 advisory.com

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2

Project Director

Kate Vonderhaar

Contributing Consultants

Jessica Downing

Ann Forman

Isabel Yoon

Design Consultant

Matt Starchak

Practice Manager

Katherine Virkstis, ND


Managing Director

Jennifer Stewart

Executive Director

Steven Berkow, JD


Table of Contents

3

Executive Summary………………………………………………………………………………………………………………....

Special Message from the Nursing Executive Center………………………………………………………………………....

Methodology………………………………………………………………………………………………………………………...…

Understanding and Applying Staffing Benchmarks……………………………………………………………………........

First Findings from the 360-Degree Nurse Benchmarking Database.………………………………………….................

All Respondent Demographics…………………………………………………………………………………………………...

Staffing Trade-Off Analyses for Select Unit Types and Non-Acute Care Sites………………………………………….

Snapshots of Acute Care Hospital Unit Types………………….……………………………………………………………..

Cardiac……………………………..……………………………………………………………………………………………….

Critical Care………………………………………………………………………………………………………………….……..

Emergency Department…………………………………………………………………………………………………….……..

Interventional Procedure…………………………………………………………………………………………………….…….

Medical.……………………………………………………………………………………………………………………….…….

Medical/Surgical……………………………………………………………………………………………………………….…..

Neurology/Neurosurgery………………………………………………………………………………………………………….

Nursery/NICU………………………………………………………………………………………………………………….…..

OB-GYN/Labor and Delivery…..…………………………………………………………………………………….…….…….

Observation/Short-Stay………………………………………………………………………………………….………………..

Oncology………………………………………………………………………………………………….………………………...

Operating Room…………………………………………………………………………………………………………….……..

Pediatrics……………...…………………………………………………………………………………………………….……..

Post-Acute Care Unit ……………………………………………………………………………………………………….……..

Psychiatric/Behavioral Health……………………………………………………………………………………………….…....

Rehab………………………………………………………………………………………………………………………….…....

Step-Down…………………………………………………………………………………………………………………….…….

Surgical………………………………………………………………………………………………………………………….…..

Telemetry…………………………………………………………………………………………………………………………...

Snapshots of Non-Acute Care Sites……………………………………………………………………………………………..

Physician Practices…………………………………………………………………………………………………………………

Ambulatory Centers…………………………………………………………………………………………………………….....

Post-Acute Care Organizations.…………………………………………………………………………………………………

Appendix: Nursing Executive Center 360-Degree Nurse Benchmarking Surveys……………………………………….

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©2013 The Advisory Board Company • 27092 advisory.com 4

Available Within Your Nursing Executive Center Membership

Staffing to Provide Safe, Cost-Effective Care

The Nursing Executive Center has developed numerous resources to assist nurse leaders in staffing to

deliver safe, cost-effective care. Select resources are shown here. All resources are available in unlimited

quantities through the Nursing Executive Center.

Achieving Top-of-License

Nursing Practice

Best Practices for Elevating the

Impact of the Frontline Nurse

• Defining “Top-of-License” Practice

• Protecting Nurses from Avoidable

Time Sinks

• Removing Interprofessional Barriers

to Full Scope of Nursing Practice

The Highly Productive

Nursing Organization

Multimedia Presentation on Safely

Streamlining Clinical Labor Costs

• Decreasing Non-Value-Added

Time at the Bedside

• Hitting Existing HPPD Targets

More Cost Effectively

• Matching Staffing to Fluctuating

Patient Demand

Bridging the Preparation

Practice Gap: Volumes I and II

Best Practices for Accelerating Practice

Readiness of Nursing Students

• Assessing Competency of New

Graduate Nurses

• Developing Targeted Clinical Rotations

• Enhancing Clinical Instruction

• Providing Exceptional Student

Experiences

The ADT Efficiency Toolkit

Benchmarking, Analyzing, and Managing

Admissions, Discharges, and Transfers

• Incorporating Data into Throughput

Decision Making

• Analyzing ADT Activity

• Realigning Existing Staff with

ADT Needs

AVAILABLE ONLINE

To access these resources or order hard copies of the publications,

please visit the Nursing Executive Center’s website: advisory.com/nec


Executive Summary

5

Nurse Leaders Forced to Make Trade-Offs with Every Staffing Decision

Nurse leaders routinely make difficult decisions about how to structure care teams to deliver safe and cost-

effective care. These decisions inherently involve trade-offs: investing in one aspect of a care team often

requires scaling back in another.

Historically, nurse leaders have had to make these staffing trade-offs without access to benchmarks or

comparative data. To date, nearly all staffing benchmarks have focused exclusively on a single element of a care

team, such as the ratio of nurses to patients, or the percentage of nurses with bachelor degrees. While providing

helpful context for each individual element of a care team, these individual benchmarks do not capture the full

composition of a care team and the inherent trade-offs made by nurse leaders in assembling it.

Enabling More Informed Trade-Offs Through 360-Degree Benchmarks

Our goal is to fill this gap by equipping nurse leaders with a unique set of benchmarks that quantify multiple

elements of a care team, as well as their peers’ decisions about difficult trade-offs across multiple elements of a

care team.

To that end, the Nursing Executive Center assembled the 360-Degree Nurse Benchmarking Database. It

contains multiple staffing variables for more than 2,600 acute care hospital units and ambulatory sites. Staffing

variables include: nurse workload, education, specialty certification, experience, and amount of support staff.

These benchmarks provide nurse leaders with quantitative analysis of how peers at like institutions are allocating

scarce staffing resources. For example, the benchmarks equip nurse leaders to answer the question: if they

choose to invest in creating more favorable nurse-to-patient ratios, what may be the impact on the level of

support staff and nurse preparation?

Read the Full Publication to Learn More

This report offers 360-degree staffing benchmarks for 19 types of acute care hospital units, as well as for

physician practices, ambulatory centers, and post-acute care organizations. These benchmarks provide nurse

leaders with a unique dataset quantifying trade-offs among staffing variables (including: nurse workload,

education, specialty certification, experience, and amount of support staff) within the same type of unit or

ambulatory site.



Special Message from the


7


Special Message from the Nursing Executive Center

8

With Deep Appreciation to Participating Nurse Leaders

The Nursing Executive Center created the 360-Degree Nurse Benchmarking Database—which contains data

from 19 different types of acute care hospital units and a wide range of ambulatory and post-acute care sites—

with the help of thousands of nurse leaders around the country. Nearly 4,500 leaders responded to our request

for staffing data. In addition, nurse leaders ranging from chief nursing officers to frontline managers offered

valuable feedback on initial drafts of the benchmarking survey. We are sincerely grateful to all the nurse leaders

who participated in the survey’s development and who submitted data.

Forthcoming Reports Based on the 360-Degree Nurse Benchmarking Database

In response to tremendous member interest in the survey results, this report is intended to be the first of many

analyzing this database. In the coming months, we will issue supplemental reports offering further analysis,

which will include the data elements shown in the box below. To help us prioritize our analyses, we welcome

member feedback about which information would be most valuable. To share feedback, please contact your

Advisory Board Account Manager.

Additional Variables

Analyzed in Future Reports

Core Care Team Elements

Analyzed in All Reports

• Patient satisfaction

• Falls per patient day

• Pressure ulcers per patient day

• ADT index

• Number of unit-based pharmacists

• Number of unit-based environmental

service staff

• Number of unit-based transport staff

• Number of unit-based secretaries

• Magnet designation

• Union status

• RN-to-patient ratio

• RN-to-assistant ratio

• BSN degree

• Specialty certification

• RN experience


Methodology

9

Access the Benchmarking Surveys

The Nursing Executive Center’s 360-Degree Nurse Benchmarking Surveys for acute

care hospital units and ambulatory sites can be found in the Appendix of this report.

These surveys, along with the survey for post-acute care organizations, can be

accessed through an online version of this publication on advisory.com/nec.


Methodology

10

Data Collection

The Nursing Executive Center conducted an online survey in the spring of 2013 to collect data for the 360-

Degree Nurse Benchmarking Database. We emailed the survey link to approximately 27,000 health care

leaders. Nearly 4,500 unique respondents (16.9% of the sample) started the survey. More than 2,600 nurse

managers and directors submitted usable1 data, representing a final response rate of 9.9%. Respondents work

for hospitals, ambulatory sites, and post-acute care organizations of varying size and scope. Complete

respondent demographic information can be found on page 19.

Survey Design and Segmentation

All respondents self-selected their main work site from the following five options:

1. Acute care hospital unit (for example, medical/surgical, ICU, emergency department)

2. Outpatient ancillary department (for example, outpatient rehab, lab, imaging)

3. Physician office/clinic (for example, primary care office, specialty physician practice)

4. Other outpatient site (for example, dialysis center, cancer center, ambulatory surgical center)

5. Post-acute care facility or service (for example, skilled nursing facility, long-term acute care

hospital, home health, hospice)

The survey questionnaire changed slightly based on the option participants selected. The participants’ selection

of main work site determined if question sets were modified, added, or omitted to ensure they were relevant to

the participants’ work setting. If survey respondents worked at more than one site (for example, they managed

multiple units), they were instructed to report data for the unit or site with the largest number of staff nurses.

Study Limitations

Nursing Executive Center researchers made every effort to ensure the benchmarks in this report are accurate.

However, nurse leaders should be aware of the following study limitations:

• Potential response bias. Nurse leaders facing perceived staffing challenges may have greater

interest in staffing benchmarks and may have been more likely to participate in the survey. This

response bias may skew the data.

• Data based on nurse leader estimates. Several of the survey questions asked respondents to

estimate the percentage of staff nurses at their main work site who meet particular criteria (for

example, the percentage of staff nurses with more than five years of nursing experience). This method

of collecting data may not be as accurate as aggregating responses from staff nurses themselves or

analyzing personnel records.

• Limited sample size for select groups. In some instances, sample sizes for data segments are

relatively small. The sample size (“n”) is listed for each group. Results with smaller sample sizes may

not necessarily reflect national figures and should be used only as guidelines.

• Aggregate data includes sites with unique characteristics. Whenever possible, we provide cohort-

specific benchmarks (for example, by facility type or geographic region) to enable nurse leaders to

compare their staffing data to benchmarks from peer organizations. However, even the cohort-specific

benchmarks likely include data from some organizations with unique characteristics (for example,

patient population, payer mix, or patient volume) that may not match your unit’s or site’s.

1) Usable data was limited to responses that included the respondent’s role, state, specific work site (i.e., type of acute care hospital unit,

type of physician practice, etc.), number of nurses at the work site during a typical weekday shift, and the number of patients per nurse.


• How to Read Staffing Trade-Off Analysis Tables

• How to Read Unit- and Site-Specific Snapshots

Understanding and Applying

Staffing Benchmarks

11


Source: Nursing Executive Center 360-Degree

Nurse Benchmarking Database, 2013.

1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the largest number of staff nurses.

2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”

3) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”


5) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a

typical weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”


7) Due to the smaller sample size for non-acute care sites, we include sites where 40% to 60% of staff RNs have a BSN degree.

How to Read Staffing Trade-Off Analysis Tables

This report provides Staffing Trade-Off Analysis Tables for select acute care units and non-acute care sites. The

goal of these analyses is to quantify how nurse leaders allocate their staffing resources and make trade-offs

among key staffing variables including RN-to-patient ratio, RN-to-assistant ratio, nurse education, specialty

certification, and experience. This page explains how to read the Staffing Trade-Off Analysis Tables, which begin

on page 29.

Staffing Trade-Off Analysis: Medical/Surgical Unit1

The first few rows in the table include the most

common RN-to-patient ratios we found in the

data for that particular unit or site. In this

example, RN-to-patient ratios of 1:4, 1:5, and 1:6

were most common in the medical/surgical unit

data. If you do not see your unit or site’s RN-to-

patient ratio in a table, the ratio was not common in

our sample.

3

The last rows in each table show three levels of

BSN preparation. For the sake of consistency

across unit and site types, we show how 20% or

less BSN preparation, 50%7 BSN preparation, and

80% or more BSN preparation impact other key

care team elements.

4

Reading down a column allows you to see how

peers at like units are allocating scarce staffing

resources. In this example, this column shows the

trade-offs nurse leaders are making in the number

of assistants available to support each RN. As you

might expect, the data shows that the more

patients a nurse cares for, the more assistants

there are on the unit to support him or her.

5

Bold formatting indicates the independent

variable—the one we’re changing to see how it

interacts with other variables. In the first three rows

of this example, the RN-to-patient ratio is the

independent variable. The independent variable in

the last three rows is the level of BSN

preparation.

1

Read across each row to see how the value of

the independent variable impacts other key

elements of a care team. In this example, this row

shows the median RN-to-assistant ratio and

median percentage of RNs with a BSN degree on

medical/surgical units with a 1:5 RN-to-patient

ratio.

2




How to Read Unit- and Site-Specific Snapshots

13

This report includes staffing snapshots of specific acute care hospital unit types and non-acute care sites. The

Nursing Executive Center recommends using the three-step approach shown below to apply these staffing

benchmarks to your unique unit or non-acute care site.

The more specific you make your comparison—for example, comparing your staffing data to benchmarks for

medical/surgical units in a particular geographic region—the smaller the sample size will be. For this reason, we

recommend you start with the shaded column titled “Entire Cohort” to compare your data to the most valid

benchmarks with the largest sample size before you make more specific comparisons.





4) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”

5) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”

6) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”

7) Due to the smaller sample size for non-acute care sites, we provide cohort benchmarks for sites of a similar type (for example: ambulatory surgical centers, primary

care practices, skilled nursing facilities), but we do not provide cohort benchmarks for non-acute care sites by geographic region or site size.

8) For more information, type “Towards Evidence-Based Staffing” into the search engine on advisory.com and view Tool #6: Unit Assessment Worksheet and Tool #7:

Guide to Crosswalking Unit Attributes to Staffing Priorities.

Acute Care Hospital Unit Snapshot: Medical/Surgical Unit

Factor in “real-world”

considerations. Real-world

circumstances, such as your local

nursing pipeline and patient

population, will impact how

achievable the benchmarks are for

your unique unit or site.8

3

Compare your staffing data to

benchmarks for the specific

cohort(s) most similar to your

unit or site. You can find peer

cohorts for acute care units by

looking for units in a similar

geographic region, hospital type, or

hospital size. You can find peer

cohorts for non-acute care sites by

looking for sites of a similar type.7

2

Compare your staffing data to

the national benchmarks shown

in the shaded column titled

“Entire Cohort.” The 50th

percentile (the median) for each

variable is in bold font: This number

falls squarely in the middle of all the

data reported for the care team

element.

1



First Findings from the 360-Degree

Nurse Benchmarking Database

15




Our preliminary observations drawn from the 360-degree benchmarks are shown below. These observations are not

intended to be a comprehensive analysis of the data but a starting point to help nurse leaders quickly identify high-level

trends.

Bachelor of Science in Nursing (BSN) Preparation

1. The BSN degree is less prevalent among RNs in post-acute care organizations than at all other studied sites.

The median percentage of staff RNs with a BSN degree is 50% for acute care hospital units, physician practices, and

ambulatory centers.1 At post-acute care sites,2 the median percentage of staff RNs with a BSN degree drops to 38%.

2. Across sites, hospitals most commonly require newly hired RNs to have or quickly earn a BSN degree.

About 15% of acute care hospital unit respondents report their organizations only hire nurses who already have a

BSN degree. An additional 25% of acute care hospital unit respondents report their organizations hire RNs who don’t

have a BSN degree, but require them to earn one within five years of employment. Fewer non-acute care

respondents report their organizations have such requirements: About 11% of physician practices and post-acute

care sites hire only baccalaureate-prepared RNs, and 10% of physician practices require RNs to earn a BSN degree

within five years of employment. For more information, please see page 22.

3. Units in teaching hospitals and larger hospitals have a greater proportion of staff RNs with a BSN degree.

Across all acute care hospital units, the median percentage of staff RNs with a BSN degree is 50%. This percentage

rises to 60% for units in teaching hospitals and falls to 45% for units in non-teaching community hospitals. Likewise,

the median is 65% for units at hospitals with more than 600 beds, but only 40% for units in hospitals with 200 beds or

fewer. For unit-specific data cuts by hospital type and bed size, please see the Snapshots of Acute Care Hospital

Unit Types beginning on page 39.

4. Acute care hospital units with more BSN-prepared RNs tend to have more specialty-certified RNs as well.

Regardless of unit type, units with a relatively larger percentage of baccalaureate-prepared RNs tend to have a larger

percentage of specialty-certified RNs. For more information, please see the Staffing Trade-Off Analyses on pages

29-35.

Specialty Certification

5. Across sites, ambulatory centers have the largest percentage of specialty-certified RNs.

The median percentage of RNs with a national specialty certification is 15% across all care settings. For all

ambulatory centers, the median percentage of specialty-certified RNs is 40% and rises to 70% for RNs in cancer

centers. Respondents at physician practices report the smallest percentage of RNs with a specialty certification: a

median of only 5%.

6. Units in teaching hospitals and larger hospitals have a greater proportion of specialty-certified RNs.

Across all acute care hospital units, the median percentage of staff RNs with a national specialty certification is 15%.

The median rises to 20% for units in teaching hospitals and falls to 10% for units in specialty hospitals. Likewise, the

median is 20% for units in hospitals with more than 400 beds, but only 10% for units in hospitals with 200 beds or

fewer. For unit-specific data cuts by hospital type and bed size, please see the Snapshots of Acute Care Hospital

Unit Types beginning on page 39.



16

1) Ambulatory centers include ambulatory surgical centers, cancer centers, dialysis centers, and infusion centers.

2) Post-acute care sites include skilled nursing facilities, long-term acute care hospitals, home health agencies, and hospice providers.




Nurse Workload

7. On acute care hospital units, RNs caring for fewer patients tend to have fewer assistants.

We examined how the number of patients per RN on acute care hospital units interacts with other care team

elements, including the number of assistants per RN. Among units of the same type (for example, critical care units

or medical/surgical units), units with a relatively smaller number of patients per RN generally have fewer assistants

per RN. For more information, please see the Staffing Trade-Off Analyses on pages 29-35.

8. Non-acute care sites seeing fewer patients each day per RN tend to have fewer support staff per RN.

To examine the workload of RNs at non-acute care sites, we compared the number of patients seen at a site during a

typical weekday with the number of RNs staffed to the site during a typical weekday. Non-acute care sites seeing

relatively fewer patients each day per RN tend to have fewer licensed practical nurses (LPNs) and assistants per RN.

For more information, please see the Staffing Trade-Off Analyses on pages 36-38.

Nurse Experience

9. The majority of staff RNs have more than five years of nursing experience.

Across all care settings, the majority of staff RNs have more than five years of nursing experience. The median

percentage of RNs with more than five years of experience is 75% across all sites, and the median percentage of

RNs with less than one year of nursing experience is just 5%.

10. More non-acute care RNs have more than five years of experience than acute care hospital RNs.

The median percentage of acute care hospital RNs with more than five years of nursing experience is 70%. The

median rises to 85% for post-acute care sites, 95% for ambulatory centers, and 100% for physician practices.

11. Units in larger hospitals have a smaller proportion of experienced RNs.

Across all acute care hospital units, the median percentage of staff RNs with more than five years of nursing

experience is 70%. The median rises to 75% for units in hospitals with 200 beds or fewer and falls to 60% for units in

hospitals with more than 600 beds. For unit-specific data cuts by hospital type and bed size, please see the

Snapshots of Acute Care Hospital Unit Types beginning on page 39.



17



All Respondent Demographics

19




1) Nurse leaders reported data for one of four work sites: acute care hospital unit, physician practice, ambulatory center, or post-acute care

organization. If nurse leaders worked at more than one site, they were instructed to report data for the site with the largest number of staff nurses.

2) Defined as a nurse leader who oversees multiple managers.

3) Defined as a nurse leader who oversees a group of frontline nurses.

4) Physician practice, ambulatory center, or post-acute care organization.

5) Does not sum to 100% due to rounding.


Respondents’ Roles and Location

Respondents’ Roles, Main Work Site1, and Region

20

Respondents’ Geographical Distribution5

n=2,633

8%

9%

23% 25%

18% 16%

Respondents’ Roles

n=2,633

15%

18%

67%

Respondents’ Main Work Site

n=2,633

84% 16% Acute Care

Hospital Unit

Non-Acute

Care4

Nurse

Manager3

Nurse

Director2

Assistant Nurse

Manager/Supervisor




1) Nurse leaders reported data for one of four work sites: acute care hospital unit, physician practice, ambulatory center, or post-acute care organization. If

nurse leaders worked at more than one site, they were instructed to report data for the site with the largest number of staff nurses.

2) Based on the survey question “Which of the following best describes the organization where you work?” Answer options: “Organization within a larger

system (for example, one hospital in a multi-hospital health system, one hospital with several outpatient clinics spread across the region, a physician

practice affiliated with a health system);” “Freestanding organization (for example, freestanding hospital, independent physician practice).”

3) Based on the survey question “At this site, are RNs represented by a union?” Answer options: No, Yes.

4) Based on the survey question “If new RN hires do not currently have a BSN degree, does your organization require them to earn one within five years?”

Answer options: No, Yes, “My organization only hires RNs who already have a BSN.”


Respondents’ Main Work Site1

System Status, RN Unionization Prevalence, and BSN Requirements for New RN Hires

21

29%

Percentage of Respondents

at Unionized Sites3

n=2,619

15%

Percentage of Respondents at

Freestanding Organizations2

n=2,633

n=2,532


Reporting Their Organization Only

Hires RNs with a BSN Degree4

n=2,532

23%

Percentage of Respondents Reporting Their

Organization Requires Newly Hired RNs to

Earn a BSN Degree Within Five Years4

15%




1) Nurse leaders reported data for one of four work sites: acute care hospital unit, physician practice, ambulatory center, or post-acute care

organization. If nurse leaders worked at more than one site, they were instructed to report data for the site with the largest number of staff nurses.

2) Based on the survey question “Which of the following best describes the organization where you work?” Answer options: “Organization within a

larger system (for example, one hospital in a multi-hospital health system, one hospital with several outpatient clinics spread across the region, a

physician practice affiliated with a health system);” “Freestanding organization (for example, freestanding hospital, independent physician practice).”

3) Based on the survey question “At this site, are RNs represented by a union?” Answer options: No, Yes.

4) Based on the survey question “If new RN hires do not currently have a BSN degree, does your organization require them to earn one within five

years?” Answer options: No, Yes, “My organization only hires RNs who already have a BSN.”

5) Ambulatory surgical center, cancer center, dialysis center, or infusion center.

6) Skilled nursing facility, long-term acute care hospital, home health agency, or hospice provider.


Respondents’ Roles and Main Work Site1

Detailed Report

Entire

Cohort

Acute Care

Hospital Unit

Non-Acute Care Sites

Physician

Practice

Ambulatory

Center5

Post-Acute

Care6

Respondents’

Roles

n 2,633 2,214 181 142 96

Nurse Manager 67.0% 65.9% 79.0% 71.1% 62.5%

Assistant Nurse

Manager/Supervisor 14.9% 15.3% 12.7% 11.3% 16.7%

Nurse Director 18.1% 18.8% 8.3% 17.6% 20.8%

Respondents’

Geographical

Distribution

n 2,633 2,214 181 142 96

New England/

Middle Atlantic

(CT, MA, ME, NH, NJ,

NY, PA, RI, VT)

23.2% 23.3% 13.8% 26.1% 34.4%

South Atlantic

(DC, DE, FL, GA, MD,

NC, SC, VA, WV)

18.2% 18.8% 13.3% 16.2% 15.6%

North Central

(IA, IL, IN, KS, MI, MN, MO,

ND, NE, OH, SD, WI)

25.4% 23.8% 37.6% 33.1% 28.1%

South Central

(AL, AR, KY, LA,

MS, OK, TN, TX)

16.4% 17.5% 14.4% 10.6% 5.2%

Mountain/Pacific

(AK, AZ, CO, HI, ID, MT,

NM, NV, OR, UT, WA, WY)

9.0% 8.4% 16.6% 8.5% 8.3%

California 7.7% 8.1% 4.4% 5.6% 8.3%

Percentage of Respondents at

Freestanding Organizations2

n 2,633 2,214 181 142 96

14.8% 15.7% 8.3% 12.0% 9.4%


at Unionized Sites3

n 2,619 2,201 180 142 96

28.7% 27.4% 44.4% 23.9% 35.4%


Reporting Their Organization Only

Hires RNs with a BSN Degree4

n 2,532 2,123 178 139 92

14.8% 15.3% 11.2% 13.7% 10.9%


Reporting Their Organization

Requires Newly Hired RNs to Earn

a BSN Degree Within Five Years4

n 2,532 2,123 178 139 92

22.8% 24.7% 10.1% 16.6% 13.0%

22





Staff RN Preparation at Respondents’ Main Work Site1

Staff RN Education, Certification, and Experience

23

0% 5%

15%

25thPercentile

50thPercentile

75thPercentile

Percentage of Staff RNs with Less

than One Year of Nursing Experience4

n=2,430

50%

75%

90%

25thPercentile

50thPercentile

75thPercentile

Percentage of Staff RNs with More than

Five Years of Nursing Experience5

n=2,487

1) Nurse leaders reported data for one of four work sites: acute care hospital unit, physician practice, ambulatory center, or post-acute care organization. If nurse leaders

worked at more than one site, they were instructed to report data for the site with the largest number of staff nurses.

2) Based on the survey question “At this site, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”

3) Based on the survey question “At this site, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”

4) Based on the survey question “At this site, approximately what percentage of RNs have less than one year of nursing experience?”

5) Based on the survey question “At this site, approximately what percentage of RNs have more than five years of nursing experience?”

5%

15%

25thPercentile

50thPercentile

75thPercentile

Percentage of Staff RNs with

a Specialty Certification3

n=2,538

30%

50%

70%

25thPercentile

50thPercentile

75thPercentile

Percentage of Staff RNs

with a BSN Degree2

n=2,536

35%




1) Nurse leaders reported data for one of four work sites: acute care hospital unit, physician practice, ambulatory center, or post-acute care organization. If nurse leaders

worked at more than one site, they were instructed to report data for the site with the largest number of staff nurses.

2) Based on the survey question “At this site, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”




6) Ambulatory surgical center, cancer center, dialysis center, infusion center.

7) Skilled nursing facility, long-term acute care hospital, home health agency, hospice provider.



Detailed Report

Entire

Cohort

Acute Care

Hospital Unit


Physician

Practice

Ambulatory

Center6 Post-Acute Care7

BSN Degree2 n 2,536 2,126 177 141 92

Median 50% 50% 50% 50% 38%

Specialty Certification3 n 2,538 2,126 178 142 92

Median 15% 15% 5% 40% 10%

Less than One

Year of Experience4

n 2,430 2,075 150 119 86

Median 5% 5% 0% 0% 5%

More than Five

Years of Experience5

n 2,487 2,080 177 139 91

Median 75% 70% 100% 95% 85%

24




1) Nurse leaders who oversee multiple units were asked to report data

for the single unit which has the largest number of staff nurses.


Acute Care Hospital Unit Respondent Demographics

Acute Care Hospital Respondents’ Main Work Site1

Hospital Type, Magnet Designation, Bed Size, and Main Unit Type

25

39%

Magnet Status of

Respondents’ Hospital

n=2,185

Teaching 53% 42%

3% 2%

Community

(Non-teaching)

Specialty Other

Respondents’

Hospital Type

7% 14%

20%

19% 12%

10%

6%

14%

n=2,214

Respondents’

Main Unit Type2

6%

4%

4%

1%

5%

3%

3%

6%

4%

1%

8%

4%

3%

3%

2%

6%

14%

3%

Telemetry

Surgical

Step-Down

Rehab

Psychiatric/Behavioral Health

Pediatrics

PACU

Operating Room

Oncology

Observation/Short-Stay

OB-GYN/Labor and Delivery

Nursery/NICU

Neurology/Neurosurgery

Medical/Surgical

Medical

Interventional Procedure

Emergency Department

Critical Care

Cardiac

19%

n=2,214

n=2,208

Less than

100 Beds 100-200

Beds

201-300

Beds

301-400

Beds

401-500

Beds

501-600

Beds

601-700

Beds

More than

700 Beds

Number of Staffed Beds at

Respondents’ Hospital2

Magnet

Designated





Staff RN Scheduling on Respondents’ Main Unit1

Shift Lengths and Percentage of Hours Filled by Flexible Staff

26

0%

10%

30%

25thPercentile

50thPercentile

75thPercentile

Percentage of RNs

Working 8-Hour Shifts2

n=1,327

Percentage of Hours

Filled by Flexible Staff5

n=2,177

0% 0% 0%

25thPercentile

50thPercentile

75thPercentile

Percentage of RNs


n=1,327

0%

10% 10%

25th

Percentile

50th

Percentile

75th

Percentile

1) Nurse leaders who oversee multiple units were asked to report data for the single unit which has the largest number of staff nurses.

2) Based on the survey question “On this unit, approximately what percentage of RNs typically work 8-hour shifts?”



5) Based on the survey question “During a typical weekday shift on this unit, approximately what percentage of hours are filled by

flexible staff? (For example, PRN staff, float pool staff, agency staff).”

50%

90% 100%

25thPercentile

50thPercentile

75thPercentile

Percentage of RNs


n=1,327





Staff RN Preparation on Respondents’ Main Unit1


27

0%

5%

15%

25thPercentile

50thPercentile

75thPercentile

Percentage of Staff RNs with Less than

One Year of Nursing Experience4

n=2,075

50%

70%

90%

25thPercentile

50thPercentile

75thPercentile



n=2,080






5%

15%

35%

25thPercentile

50thPercentile

75thPercentile

Percentage of Staff RN with a

Specialty Certification3

n=2,126

35%

50%

70%

25thPercentile

50thPercentile

75thPercentile


with a BSN Degree2

n=2,126










Staff RN Preparation on Respondents’ Main Unit1

Detailed Report

BSN

Degree2

Specialty

Certification3

Less than

One Year of

Experience4

More than

Five Years of

Experience5

Entire Cohort n 2,126 2,126 2,075 2,080

Median 50% 15% 5% 70%

Hospital

Type

Teaching n 1,115 1,108 1,088 1,096

Median 60% 20% 5% 70%

Community

(Non-teaching)

n 904 911 881 878

Median 45% 15% 5% 70%

Specialty n 72 72 72 71

Median 50% 10% 10% 75%

Region

New England/

Middle Atlantic

(CT, MA, ME, NH, NJ,

NY, PA, RI, VT)

n 501 497 487 487

Median 50% 20% 5% 75%

South Atlantic

(DC, DE, FL, GA, MD,

NC, SC, VA, WV)

n 399 400 391 390

Median 50% 20% 10% 65%

North Central

(IA, IL, IN, KS, MI,

MN, MO, ND, NE,

OH, SD, WI)

n 506 508 495 497

Median 50% 15% 10% 65%

South Central

(AL, AR, KY, LA,

MS, OK, TN, TX)

n 368 368 360 361

Median 55% 15% 10% 65%

Mountain/Pacific

(AK, AZ, CO, HI,

ID, MT, NM, NV,

OR, UT, WA, WY)

n 180 181 176 177

Median 50% 20% 5% 70%

California n 172 172 166 168

Median 53% 20% 5% 75%

Hospital

Bed Size

0-200

Beds

n 441 444 428 428

Median 40% 10% 5% 75%

201-400

Beds

n 825 823 806 812

Median 50% 15% 5% 70%

401-600

Beds

n 455 455 449 445

Median 55% 20% 10% 70%

More than

600 Beds

n 403 402 390 393

Median 65% 20% 10% 60%

28


Staffing Trade-Off Analyses for Select

Unit Types and Non-Acute Care Sites

29

This section contains detailed Staffing Trade-Off Analyses for the unit types

and non-acute care sites listed below. The goal of these analyses is to

quantify how nurse leaders allocate their staffing resources and make trade-

offs among key staffing variables including: RN-to-patient ratio, RN-to-

assistant ratio, nurse education, specialty certification, and experience.

Acute Care Hospital Unit Types

• Critical Care……………………………………………………………………

• Emergency Department……………………………………………………..

• Medical/Surgical………………………………………………………………

• OB-GYN/Labor and Delivery………………………………………………..

• Psychiatric/Behavioral Health………………………………………………..

• Telemetry………………………………………………………………………


• Physician Practices…………………………………………………………..

• Ambulatory Centers………………………………………………………….

• Post-Acute Care Organizations……………………………………………..

30

31

32

33

34

35

36

37

38




Staffing Trade-Off Analysis: Critical Care Unit

Data Reported by Critical Care Unit Nurse Leaders1

RN-to-

Patient

Ratio4

RN-to-

Assistant

Ratio5

BSN

Degree6

Specialty

Certification7

Less than

One Year of

Experience8

More than

Five Years of

Experience9

For units with a 1:2 RN-to-patient

ratio, what are the median values of

other key nurse staffing variables?2 (n=254)

1:2 1:0.13 63% 30% 5% 60%



other key nurse staffing variables?

(n=20)

1:3 1:0.24 58% 15% 18% 60%

For units on which 20% or less of

staff RNs have a BSN degree, what are the median values of other

key nurse staffing variables?3 (n=15)

1:2 1:0.17 20% 15% 10% 80%

For units on which 50% of staff

RNs have a BSN degree, what

are the median values of other key

nurse staffing variables? (n=32)

1:2 1:0.13 50% 23% 10% 73%

For units on which 80% or more of


key nurse staffing variables? (n=70)

1:2 1:0.13 80% 28% 5% 60%


2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?” We selected the RN-to-patient ratios to include

in the table based on the most common ratios we found in the data. If you do not see your unit’s RN-to-patient ratio listed in the table, the ratio was not common in our sample.

3) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?” For the sake of consistency

across unit types, we show how 20% or less BSN preparation, 50% preparation, and 80% or more BSN preparation impact other key care team elements.


5) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical

weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”





30




Staffing Trade-Off Analysis: Emergency Department

Data Reported by Emergency Department Nurse Leaders1

RN-to-

Patient

Ratio4

RN-to-

Assistant

Ratio5

BSN

Degree6

Specialty

Certification7

Less than

One Year of

Experience8

More than

Five Years of

Experience9




1:3.0 1:0.26 60% 23% 10% 70%



other key nurse staffing variables? (n=63)

1:4.0 1:0.29 50% 20% 5% 70%




(n=14)

1:5.0 1:0.35 45% 20% 5% 58%




1:4.0 1:0.35 15% 5% 5% 78%



are the median values of other


1:4.0 1:0.25 50% 20% 5% 80%




1:6.0 1:0.31 85% 15% 5% 80%













31




Staffing Trade-Off Analysis: Medical/Surgical Unit

Data Reported by Medical/Surgical Unit Nurse Leaders1

RN-to-

Patient

Ratio4

RN-to-

Assistant

Ratio5

BSN

Degree6

Specialty

Certification7

Less than

One Year of

Experience8

More than

Five Years of

Experience9




1:4.0 1:0.43 50% 15% 10% 60%




1:5.0 1:0.48 50% 10% 10% 60%




(n=69)

1:6.0 1:0.55 40% 10% 15% 60%




1:5.0 1:0.50 15% 5% 10% 65%





1:5.0 1:0.45 50% 10% 10% 60%




1:5.0 1:0.43 85% 15% 10% 70%













32




Staffing Trade-Off Analysis: OB-GYN/Labor and Delivery Unit

Data Reported by OB-GYN/Labor and Delivery Unit Nurse Leaders1

RN-to-

Patient

Ratio4

RN-to-

Assistant

Ratio5

BSN

Degree6

Specialty

Certification7

Less than

One Year of

Experience8

More than

Five Years of

Experience9




1:2.0 1:0.20 45% 33% 5% 80%




(n=21)

1:3.0 1:0.20 50% 30% 5% 75%




(n=21)

1:4.0 1:0.17 40% 25% 0% 85%




1:4.0 1:0.20 10% 25% 5% 80%





1:2.0 1:0.20 50% 30% 5% 80%




1:2.0 1:0.24 90% 45% 10% 78%













33




Staffing Trade-Off Analysis: Psychiatric/Behavioral Health Unit

Data Reported by Psychiatric/Behavioral Health Unit Nurse Leaders1

RN-to-

Patient

Ratio4

RN-to-

Assistant

Ratio5

BSN

Degree6

Specialty

Certification7

Less than

One Year of

Experience8

More than

Five Years of

Experience9




1:5 1:0.63 43% 5% 5% 70%




(n=24)

1:6 1:0.71 40% 5% 3% 75%




(n=14)

1:7 1:1.00 50% 5% 5% 68%




1:6 1:0.73 5% 5% 0% 80%





1:6 1:0.67 50% 10% 5% 60%




1:6 1:0.67 85% 10% 5% 75%













34




Staffing Trade-Off Analysis: Telemetry Unit

Data Reported by Telemetry Unit Nurse Leaders1

RN-to-

Patient

Ratio4

RN-to-

Assistant

Ratio5

BSN

Degree6

Specialty

Certification7

Less than

One Year of

Experience8

More than

Five Years of

Experience9




1:4 1:0.38 50% 10% 10% 55%




1:5 1:0.50 40% 10% 10% 63%




(n=18)

1:6 1:0.50 65% 10% 10% 50%




1:5 1:0.50 15% 5% 20% 50%





1:4 1:0.43 50% 10% 10% 70%




1:4 1:0.37 80% 20% 10% 58%













35




Staffing Trade-Off Analysis: Physician Practices

Data Reported by Physician Practice Nurse Leaders1

RN-to-

Patient

Ratio4

RN-to-LPN

Ratio5

RN-to-

Assistant

Ratio5

BSN

Degree6

Specialty

Certification7

Less than

One Year of

Experience8

More than

Five Years of

Experience9

For sites with 5 to 15

patients daily per

RN, what are the median

values of other key nurse

staffing variables?2 (n=24)

1:10.4 1:0.33 1:0.15 55% 8% 0% 88%


patients daily per



staffing variables? (n=22)

1:27.1 1:0.67 1:0.50 50% 10% 0% 90%


patients daily per



staffing variables?

(n=18)

1:48.3 1:1.17 1:1.67 63% 8% 0% 100%

For sites at which 20%

or less of staff RNs

have a BSN degree, what are the median



1:40.0 1:1.25 1:1.00 5% 0% 0% 100%


to 60% of staff RNs

have a BSN degree, what are the median



1:22.2 1:0.50 1:0.50 50% 5% 0% 90%


or more of staff

RNs have a BSN

degree, what are the

median values of other

key nurse staffing

variables? (n=32)

1:46.3 1:0.75 1:1.00 100% 20% 0% 100%

1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single physician practice where they work which has the largest number of staff nurses.

2) Based on the survey questions “During a typical weekday at this site, approximately how many Registered Nurses (RNs) are present?” and “During a typical weekday at this site, approximately how many patients are seen?”

We selected the RN-to-patient ratios to include in the table based on the most common ratios we found in the data. If you do not see your site’s RN-to-patient ratio listed in the table, the ratio was not common in our sample.

3) Based on the survey question “At this site, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?” For the sake of consistency across site types, we show how 20% or less BSN

preparation, 40% to 60% BSN preparation, and 80% or more BSN preparation impact other key care team elements.

4) Based on the survey questions “During a typical weekday at this site, approximately how many Registered Nurses (RNs) are present?” and “During a typical weekday at this site, approximately how many patients are seen?”

5) Based on the survey questions “During a typical weekday at this site, approximately how many Registered Nurses (RNs) are present?” and “During a typical weekday at this site, approximately how many of the following staff

are present? Licensed Practical Nurses (LPNs)/Licensed Vocational Nurses (LVNs); Assistants (for example, CNAs, PCAs, PCTs, MAs, NAs).”

6) Based on the survey question “At this site, approximately what percentage of Registered Nurses (RNs) have a Bachelor of Science in Nursing (BSN) degree?”




36




Staffing Trade-Off Analysis: Ambulatory Centers

Data Reported by Ambulatory Center Nurse Leaders1

RN-to-

Patient

Ratio4

RN-to-Non-

Provider Staff

Ratio5

BSN

Degree6

Specialty

Certification7

Less than

One Year of

Experience8

More than

Five Years of

Experience9


patients daily per RN,

what are the median values of

other key nurse staffing

variables?2 (n=22)

1:2.4 1:0.21 55% 28% 0% 100%


patients daily per RN, what are the median values of


variables? (n=19)

1:5.5 1:0.24 60% 45% 0% 95%


patients daily per RN, what are the median values of


variables?

(n=21)

1:8.8 1:0.50 50% 25% 0% 90%

For sites at which 20% or

less of staff RNs have a

BSN degree, what are the

median values of other key

nurse staffing variables?3 (n=19)

1:4.7 1:0.33 10% 10% 0% 95%

For sites at which 40% to

60% of staff RNs have a

BSN degree, what are the



1:5.7 1:0.28 50% 50% 0% 100%

For sites at which 80% or

more of staff RNs have

a BSN degree, what are

the median values of other key


1:7.0 1:0.25 85% 50% 0% 100%

1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single ambulatory center where they work which has the largest number of staff nurses.

2) Based on the survey questions “During a typical weekday at this site, approximately how many Registered Nurses (RNs) are present?” and “During a typical weekday at this site,

approximately how many patients are seen?” We selected the RN-to-patient ratios to include in the table based on the most common ratios we found in the data. If you do not see your site’s

RN-to-patient ratio listed in the table, the ratio was not common in our sample.

3) Based on the survey question “At this site, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?” For the sake of consistency across site

types, we show how 20% or less BSN preparation, 40% to 60% BSN preparation, and 80% or more BSN preparation impact other key care team elements.

4) Based on the survey questions “During a typical weekday at this site, approximately how many Registered Nurses (RNs) are present?” and “During a typical weekday at this site,

approximately how many patients are seen?”

5) Non-provider staff includes LPNs and assistants. Based on the survey questions “During a typical weekday at this site, approximately how many Registered Nurses (RNs) are present?” and

“During a typical weekday at this site, approximately how many of the following staff are present? Licensed Practical Nurses (LPNs)/Licensed Vocational Nurses (LVNs); Assistants (for

example, CNAs, PCAs, PCTs, MAs, NAs).”





37




Staffing Trade-Off Analysis: Post-Acute Care Organizations

Data Reported by Post-Acute Care Nurse Leaders1

RN-to-

Patient

Ratio4

RN-to-LPN

Ratio5

RN-to-

Assistant

Ratio5

BSN

Degree6

Specialty

Certification7

Less than

One Year of

Experience8

More than

Five Years of

Experience9

For organizations with

5 to 6 patients per




1:5.2 1:0.09 1:0.55 38% 10% 0% 90%


8 to 10 patients per




1:9.5 1:0.50 1:1.50 30% 10% 5% 85%


15 to 25 patients per



staffing variables?

(n=17)

1:20.0 1:0.86 1:3.00 40% 10% 5% 80%

For organizations at which

20% or less of staff

RNs have a BSN



nurse staffing variables?3 (n=20)

1:8.0 1:0.33 1:1.75 13% 5% 5% 78%


40% to 60% of staff

RNs have a BSN




1:9.5 1:0.50 1:1.00 40% 15% 5% 80%


80% or more of staff

RNs have a BSN




1:5.0 1:0.08 1:0.72 90% 20% 0% 98%

1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single post-acute care organization where they work which has the largest number of staff nurses.

2) For skilled nursing facilities and long-term acute care hospitals, based on survey question “During a typical weekday shift at this facility, how many patients is each RN usually responsible for?” For home health agencies and hospice providers, based on

survey questions “During a typical weekday for this organization, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical weekday for this organization, approximately how many patients are seen?” We selected

the RN-to-patient ratios to include in the table based on the most common ratios we found in the data. If you do not see your site’s RN-to-patient ratio listed in the table, the ratio was not common in our sample.

3) Based on the survey question “At this site, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?” For the sake of consistency across site types, we show how 20% or less BSN preparation, 40% to 60%

BSN preparation, and 80% or more BSN preparation impact other key care team elements.

4) For skilled nursing facilities and long-term acute care hospitals, based on survey question “During a typical weekday shift at this facility, how many patients is each RN usually responsible for?” For home health agencies and hospice providers, based on

survey questions “During a typical weekday for this organization, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical weekday for this organization, approximately how many patients are seen?”

5) For skilled nursing facilities and long-term acute care hospitals, based on survey questions “During a typical weekday shift at this facility, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical weekday shift at

this facility, approximately how many Licensed Practical Nurses (LPNs)/Licensed Vocational Nurses (LVNs) provide patient care? Approximately how many nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the facility?” For home

health agencies and hospice providers, based on survey questions “During a typical weekday for this organization, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical weekday for this organization,

approximately how many Licensed Practical Nurses (LPNs)/Licensed Vocational Nurses (LVNs) provide patient care? Approximately how many aides provide patient care?”

6) Based on the survey question “At this organization, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”

7) Based on the survey question “At this organization, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”

8) Based on the survey question “At this organization, approximately what percentage of RNs have less than one year of nursing experience?”

9) Based on the survey question “At this organization, approximately what percentage of RNs have more than five years of nursing experience?”

38


This section provides detailed information about nurse workload and nurse

preparation for the individual unit types listed below. We cut the data by hospital

type, region, and hospital bed size. We do not provide data for any cohort with

fewer than 10 respondents.

• Cardiac………………………………

• Critical Care…………………………

• Emergency Department……………

• Interventional Procedure……………

• Medical……………………………...

• Medical/Surgical…………………....

• Neurology/Neurosurgery………….

• Nursery/NICU………………………

• OB-GYN/Labor and Delivery…………

• Observation/Short-Stay…………….

Snapshots of Acute Care

Hospital Unit Types

39

• Oncology..……………………………

• Operating Room…….……………….

• Pediatrics…..…….………………..

• Post-Acute Care Unit.……………

• Psychiatric/Behavioral Health………

• Rehab………………………………...

• Step-Down……………………………

• Surgical………………………………..

• Telemetry……………………………..

40

43

46

49

51

54

57

60

63

66

67

70

73

76

79

82

83

86

89




1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.








Cardiac Unit Snapshot: Hospital Type

Data Reported by Cardiac Unit Nurse Leaders1

Entire Cohort Teaching Community Specialty

RN-to-Patient

Ratio2

n 76 37 35 3

25th Percentile 1:4.0 1:4.0 1:4.0 --

50th Percentile 1:4.0 1:4.0 1:4.0 --

75th Percentile 1:5.0 1:5.0 1:5.0 --

RN-to-Assistant

Ratio3

n 75 36 35 3

25th Percentile 1:0.33 1:0.33 1:0.33 --

50th Percentile 1:0.40 1:0.46 1:0.40 --

75th Percentile 1:0.50 1:0.59 1:0.50 --

BSN

Degree4

n 73 35 34 3

25th Percentile 40% 40% 40% --



Specialty

Certification5

n 74 35 35 3




Less than

One Year of

Experience6

n 73 35 34 3




More than

Five Years of

Experience7

n 73 35 34 3




40












Cardiac Unit Snapshot: Region


Entire

Cohort

New England/

Middle Atlantic

(CT, MA, ME,

NH, NJ, NY,

PA, RI, VT)

South

Atlantic

(DC, DE, FL,

GA, MD, NC,

SC, VA, WV)

North

Central

(IA, IL, IN,

KS, MI, MN,

MO, ND, NE,

OH, SD, WI)

South

Central

(AL, AR, KY,

LA, MS, OK,

TN, TX)

Mountain/

Pacific

(AK, AZ, CO,

HI, ID, MT,

NM, NV, OR,

UT, WA, WY)

California

RN-to-Patient

Ratio2

n 76 20 19 21 10 3 3

25th 1:4.0 1:4.0 1:4.0 1:4.0 1:3.0 -- --

50th 1:4.0 1:5.0 1:4.0 1:4.0 1:4.0 -- --

75th 1:5.0 1:5.8 1:5.0 1:5.0 1:5.3 -- --

RN-to-Assistant

Ratio3

n 75 20 19 20 10 3 3

25th 1:0.33 1:0.34 1:0.33 1:0.38 1:0.33 -- --

50th 1:0.40 1:0.50 1:0.38 1:0.44 1:0.48 -- --

75th 1:0.50 1:0.60 1:0.42 1:0.50 1:0.63 -- --

BSN

Degree4

n 73 19 19 19 10 3 3

25th 40% 25% 30% 50% 35% -- --

50th 50% 55% 50% 55% 55% -- --

75th 70% 70% 60% 70% 71% -- --

Specialty

Certification5

n 74 20 19 19 10 3 3

25th 5% 5% 5% 5% 0% -- --

50th 10% 13% 10% 5% 5% -- --

75th 30% 34% 25% 25% 29% -- --

Less than

One Year of

Experience6

n 73 19 19 19 10 3 3

25th 5% 5% 5% 5% 0% -- --

50th 10% 10% 10% 15% 8% -- --

75th 20% 20% 20% 40% 21% -- --

More than

Five Years of

Experience7

n 73 19 19 19 10 3 3

25th 40% 40% 30% 40% 48% -- --

50th 60% 60% 70% 50% 65% -- --

75th 80% 80% 80% 60% 80% -- --

41












Cardiac Unit Snapshot: Hospital Bed Size


42

Entire

Cohort

0-200

Beds

201-400

Beds

401-600

Beds

More than

600 Beds

RN-to-Patient

Ratio2

n 76 10 35 20 11

25th Percentile 1:4.0 1:3.8 1:4.0 1:4.0 1:4.0

50th Percentile 1:4.0 1:4.5 1:4.0 1:4.0 1:4.0

75th Percentile 1:5.0 1:5.3 1:5.0 1:5.0 1:4.0

RN-to-Assistant

Ratio3

n 75 10 34 20 11

25th Percentile 1:0.33 1:0.38 1:0.33 1:0.28 1:0.33

50th Percentile 1:0.40 1:0.55 1:0.44 1:0.39 1:0.38

75th Percentile 1:0.50 1:0.60 1:0.56 1:0.50 1:0.40

BSN

Degree4

n 73 10 32 20 11

25th Percentile 40% 18% 40% 50% 30%

50th Percentile 50% 40% 50% 65% 70%

75th Percentile 70% 56% 60% 79% 75%

Specialty

Certification5

n 74 10 33 20 11

25th Percentile 5% 5% 5% 5% 5%

50th Percentile 10% 8% 10% 15% 10%

75th Percentile 30% 38% 25% 30% 40%

Less than

One Year of

Experience6

n 73 10 32 20 11


50th Percentile 10% 10% 10% 10% 10%

75th Percentile 20% 16% 20% 24% 20%

More than

Five Years of

Experience7

n 73 10 32 20 11

25th Percentile 40% 68% 40% 33% 25%

50th Percentile 60% 75% 58% 53% 60%

75th Percentile 80% 84% 80% 79% 80%












Critical Care Unit Snapshot: Hospital Type



RN-to-Patient

Ratio2

n 319 175 135 5

25th Percentile 1:2.0 1:2.0 1:2.0 --

50th Percentile 1:2.0 1:2.0 1:2.0 --

75th Percentile 1:2.0 1:2.0 1:2.0 --

RN-to-Assistant

Ratio3

n 312 170 133 5

25th Percentile 1:0.09 1:0.09 1:0.08 --

50th Percentile 1:0.14 1:0.14 1:0.14 --

75th Percentile 1:0.22 1:0.20 1:0.25 --

BSN

Degree4

n 306 166 132 5




Specialty

Certification5

n 306 166 132 5




Less than

One Year of

Experience6

n 299 162 129 5




More than

Five Years of

Experience7

n 298 162 128 5




43












Critical Care Unit Snapshot: Region


Entire

Cohort

New England/

Middle Atlantic

(CT, MA, ME,

NH, NJ, NY,

PA, RI, VT)

South

Atlantic

(DC, DE, FL,

GA, MD, NC,

SC, VA, WV)

North

Central

(IA, IL, IN,

KS, MI, MN,

MO, ND, NE,

OH, SD, WI)

South

Central

(AL, AR, KY,

LA, MS, OK,

TN, TX)

Mountain/

Pacific

(AK, AZ, CO,

HI, ID, MT,

NM, NV, OR,

UT, WA, WY)

California

RN-to-Patient

Ratio2

n 319 72 68 70 60 22 27

25th 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0

50th 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0

75th 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0

RN-to-Assistant

Ratio3

n 312 69 67 69 59 22 26

25th 1:0.09 1:0.10 1:0.06 1:0.11 1:0.10 1:0.08 1:0.00

50th 1:0.14 1:0.15 1:0.13 1:0.19 1:0.14 1:0.11 1:0.10

75th 1:0.22 1:0.20 1:0.21 1:0.25 1:0.25 1:0.16 1:0.18

BSN

Degree4

n 306 69 66 65 58 22 26

25th 45% 40% 35% 45% 50% 50% 50%

50th 60% 70% 50% 65% 60% 70% 68%

75th 75% 85% 70% 80% 75% 75% 80%

Specialty

Certification5

n 306 68 66 66 58 22 26

25th 15% 11% 15% 10% 10% 15% 20%

50th 25% 33% 30% 20% 18% 40% 30%

75th 45% 49% 35% 30% 30% 60% 50%

Less than

One Year of

Experience6

n 299 68 63 64 57 21 26

25th 0% 0% 0% 0% 5% 0% 0%

50th 5% 5% 5% 10% 15% 5% 5%

75th 15% 5% 15% 20% 23% 10% 10%

More than

Five Years of

Experience7

n 298 69 63 62 56 22 26

25th 49% 50% 50% 44% 30% 55% 54%

50th 60% 75% 65% 60% 50% 73% 70%

75th 80% 90% 85% 75% 60% 83% 81%

44












Critical Care Unit Snapshot: Hospital Bed Size


45

Entire

Cohort

0-200

Beds

201-400

Beds

401-600

Beds

More than

600 Beds

RN-to-Patient

Ratio2

n 319 39 121 82 77

25th Percentile 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0

50th Percentile 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0

75th Percentile 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0

RN-to-Assistant

Ratio3

n 312 38 119 80 75

25th Percentile 1:0.09 1:0.04 1:0.08 1:0.09 1:0.10

50th Percentile 1:0.14 1:0.20 1:0.14 1:0.14 1:0.13

75th Percentile 1:0.22 1:0.25 1:0.22 1:0.22 1:0.20

BSN

Degree4

n 306 36 117 78 75

25th Percentile 45% 30% 40% 49% 55%

50th Percentile 60% 50% 60% 65% 75%

75th Percentile 75% 70% 70% 80% 80%

Specialty

Certification5

n 306 36 116 79 75

25th Percentile 15% 5% 11% 15% 15%

50th Percentile 25% 20% 28% 30% 25%

75th Percentile 45% 30% 40% 40% 40%

Less than

One Year of

Experience6

n 299 34 117 78 70


50th Percentile 5% 0% 5% 10% 5%

75th Percentile 15% 5% 15% 20% 20%

More than

Five Years of

Experience7

n 298 35 116 77 70

25th Percentile 49% 70% 50% 45% 30%

50th Percentile 60% 85% 60% 60% 50%

75th Percentile 80% 95% 80% 80% 75%












Emergency Department Snapshot: Hospital Type



RN-to-Patient

Ratio2

n 138 61 72 1

25th Percentile 1:4.0 1:4.0 1:4.0 --

50th Percentile 1:4.0 1:4.0 1:4.0 --

75th Percentile 1:5.0 1:5.5 1:4.0 --

RN-to-Assistant

Ratio3

n 135 60 70 1

25th Percentile 1:0.22 1:0.22 1:0.21 --

50th Percentile 1:0.31 1:0.30 1:0.30 --

75th Percentile 1:0.41 1:0.40 1:0.42 --

BSN

Degree4

n 133 59 69 1




Specialty

Certification5

n 132 58 69 1




Less than

One Year of

Experience6

n 132 60 67 1




More than

Five Years of

Experience7

n 132 60 67 1




46












Emergency Department Snapshot: Region


Entire

Cohort

New England/

Middle Atlantic

(CT, MA, ME,

NH, NJ, NY,

PA, RI, VT)

South

Atlantic

(DC, DE, FL,

GA, MD, NC,

SC, VA, WV)

North

Central

(IA, IL, IN,

KS, MI, MN,

MO, ND, NE,

OH, SD, WI)

South

Central

(AL, AR, KY,

LA, MS, OK,

TN, TX)

Mountain/

Pacific

(AK, AZ, CO,

HI, ID, MT,

NM, NV, OR,

UT, WA, WY)

California

RN-to-Patient

Ratio2

n 138 33 18 31 25 13 18

25th 1:4.0 1:4 1:3.8 1:4.0 1:3.0 1:3.0 1:3.0

50th 1:4.0 1:5 1:4.0 1:4.0 1:4.0 1:4.0 1:4.0

75th 1:5.0 1:6 1:4.0 1:5.0 1:4.0 1:4.0 1:4.0

RN-to-Assistant

Ratio3

n 135 33 17 30 25 12 18

25th 1:0.22 1:0.23 1:0.25 1:0.25 1:0.15 1:0.17 1:0.10

50th 1:0.31 1:0.36 1:0.38 1:0.33 1:0.29 1:0.28 1:0.24

75th 1:0.41 1:0.45 1:0.41 1:0.50 1:0.41 1:0.41 1:0.28

BSN

Degree4

n 133 33 16 30 25 12 17

25th 33% 30% 20% 30% 38% 41% 43%

50th 50% 55% 38% 50% 50% 50% 60%

75th 65% 78% 54% 63% 65% 64% 73%

Specialty

Certification5

n 132 33 16 29 25 12 17

25th 10% 5% 10% 5% 10% 6% 20%

50th 20% 15% 23% 15% 20% 20% 30%

75th 35% 35% 30% 30% 40% 20% 40%

Less than

One Year of

Experience6

n 132 31 17 30 25 12 17

25th 0% 0% 5% 0% 5% 0% 0%

50th 5% 0% 10% 10% 10% 3% 0%

75th 14% 10% 25% 11% 18% 15% 8%

More than

Five Years of

Experience7

n 132 32 16 30 25 12 17

25th 50% 40% 33% 60% 40% 50% 70%

50th 70% 68% 65% 70% 70% 68% 80%

75th 90% 90% 88% 90% 88% 84% 90%

47












Emergency Department Snapshot: Hospital Bed Size


48

Entire

Cohort

0-200

Beds

201-400

Beds

401-600

Beds

More than

600 Beds

RN-to-Patient

Ratio2

n 138 46 56 21 15

25th Percentile 1:4.0 1:4.0 1:3.0 1:4.0 1:4.0

50th Percentile 1:4.0 1:4.0 1:4.0 1:4.0 1:4.0

75th Percentile 1:5.0 1:4.0 1:5.0 1:5.5 1:6.0

RN-to-Assistant

Ratio3

n 135 46 54 21 14

25th Percentile 1:0.22 1:0.22 1:0.22 1:0.20 1:0.22

50th Percentile 1:0.31 1:0.33 1:0.30 1:0.25 1:0.28

75th Percentile 1:0.41 1:0.44 1:0.40 1:0.44 1:0.39

BSN

Degree4

n 133 45 53 21 14

25th Percentile 33% 23% 30% 50% 50%

50th Percentile 50% 40% 50% 60% 63%

75th Percentile 65% 63% 65% 70% 80%

Specialty

Certification5

n 132 45 53 20 14

25th Percentile 10% 10% 5% 20% 10%

50th Percentile 20% 20% 20% 25% 18%

75th Percentile 35% 30% 40% 34% 26%

Less than

One Year of

Experience6

n 132 43 54 21 14


50th Percentile 5% 5% 5% 10% 3%

75th Percentile 14% 10% 15% 18% 10%

More than

Five Years of

Experience7

n 132 44 53 21 14

25th Percentile 50% 61% 40% 50% 55%

50th Percentile 70% 80% 60% 70% 70%

75th Percentile 90% 90% 90% 80% 90%




* Due to the limited sample size, interventional procedure unit data is cut by hospital type and bed size only.









Interventional Procedure Unit* Snapshot: Hospital Type

Data Reported by Interventional Procedure Unit Nurse Leaders1


RN-to-Patient

Ratio2

n 42 21 20 1

25th Percentile 1:2.0 1:1.5 1:2.0 --

50th Percentile 1:4.0 1:4.0 1:4.0 --

75th Percentile 1:5.3 1:5.5 1:6.5 --

RN-to-Assistant

Ratio3

n 37 19 17 1

25th Percentile 1:0.00 1:0.07 1:0.00 --

50th Percentile 1:0.20 1:0.25 1:0.17 --

75th Percentile 1:0.40 1:0.45 1:0.35 --

BSN

Degree4

n 36 18 17 1




Specialty

Certification5

n 36 18 17 1




Less than

One Year of

Experience6

n 32 15 16 1




More than

Five Years of

Experience7

n 36 18 17 1


50th Percentile 100% 100% 100% --

75th Percentile 100% 100% 100% --

49




* Due to the limited sample size, interventional procedure unit data is cut by hospital type and bed size only.









Interventional Procedure Unit* Snapshot: Hospital Bed Size

Data Reported by Interventional Procedure Unit Nurse Leaders1

50

Entire

Cohort

0-200

Beds

201-400

Beds

401-600

Beds

More than

600 Beds

RN-to-Patient

Ratio2

n 42 3 17 9 10

25th Percentile 1:2.0 -- 1:1.0 -- 1:3.8

50th Percentile 1:4.0 -- 1:3.0 -- 1:4.5

75th Percentile 1:5.3 -- 1:6.5 -- 1:5.3

RN-to-Assistant

Ratio3

n 37 3 15 9 10

25th Percentile 1:0.00 -- 1:0.00 -- 1:0.16

50th Percentile 1:0.20 -- 1:0.00 -- 1:0.40

75th Percentile 1:0.40 -- 1:0.29 -- 1:0.61

BSN

Degree4

n 36 3 16 8 9

25th Percentile 33% -- 46% -- --

50th Percentile 50% -- 58% -- --

75th Percentile 75% -- 75% -- --

Specialty

Certification5

n 36 3 16 8 9

25th Percentile 6% -- 1% -- --

50th Percentile 15% -- 15% -- --

75th Percentile 34% -- 50% -- --

Less than

One Year of

Experience6

n 32 2 14 8 8




More than

Five Years of

Experience7

n 36 3 16 8 9

25th Percentile 90% -- 90% -- --

50th Percentile 100% -- 100% -- --

75th Percentile 100% -- 100% -- --












Medical Unit Snapshot: Hospital Type

Data Reported by Medical Unit Nurse Leaders1


RN-to-Patient

Ratio2

n 68 43 22 1

25th Percentile 1:4.0 1:4.0 1:4.8 --

50th Percentile 1:5.0 1:4.0 1:5.0 --

75th Percentile 1:5.0 1:5.0 1:6.0 --

RN-to-Assistant

Ratio3

n 67 42 22 1

25th Percentile 1:0.33 1:0.25 1:0.39 --

50th Percentile 1:0.44 1:0.41 1:0.50 --

75th Percentile 1:0.57 1:0.54 1:0.67 --

BSN

Degree4

n 64 41 20 1




Specialty

Certification5

n 64 40 21 1




Less than

One Year of

Experience6

n 63 40 20 1




More than

Five Years of

Experience7

n 64 40 21 1




51












Medical Unit Snapshot: Region


Entire

Cohort

New England/

Middle Atlantic

(CT, MA, ME,

NH, NJ, NY,

PA, RI, VT)

South

Atlantic

(DC, DE, FL,

GA, MD, NC,

SC, VA, WV)

North

Central

(IA, IL, IN,

KS, MI, MN,

MO, ND, NE,

OH, SD, WI)

South

Central

(AL, AR, KY,

LA, MS, OK,

TN, TX)

Mountain/

Pacific

(AK, AZ, CO,

HI, ID, MT,

NM, NV, OR,

UT, WA, WY)

California

RN-to-Patient

Ratio2

n 68 12 9 26 10 8 3

25th 1:4.0 1:4.3 -- 1:4.0 1:4.0 -- --

50th 1:5.0 1:5.0 -- 1:4.0 1:5.0 -- --

75th 1:5.0 1:6.0 -- 1:5.0 1:5.0 -- --

RN-to-Assistant

Ratio3

n 67 12 9 26 9 8 3

25th 1:0.33 1:0.63 -- 1:0.26 -- -- --

50th 1:0.44 1:0.46 -- 1:0.40 -- -- --

75th 1:0.57 1:0.58 -- 1:0.60 -- -- --

BSN

Degree4

n 64 12 8 24 9 8 3

25th 21% 5% -- 23% -- -- --

50th 53% 25% -- 55% -- -- --

75th 70% 79% -- 79% -- -- --

Specialty

Certification5

n 64 11 8 25 9 8 3

25th 5% 0% -- 3% -- -- --

50th 10% 5% -- 10% -- -- --

75th 24% 10% -- 30% -- -- --

Less than

One Year of

Experience6

n 63 12 8 23 9 8 3

25th 5% 0% -- 5% -- -- --

50th 10% 5% -- 15% -- -- --

75th 20% 14% -- 25% -- -- --

More than

Five Years of

Experience7

n 64 12 8 25 9 7 3

25th 36% 11% -- 45% -- -- --

50th 58% 40% -- 60% -- -- --

75th 75% 59% -- 78% -- -- --

52












Medical Unit Snapshot: Hospital Bed Size


53

Entire

Cohort

0-200

Beds

201-400

Beds

401-600

Beds

More than

600 Beds

RN-to-Patient

Ratio2

n 68 15 20 16 17

25th Percentile 1:4.0 1:4.0 1:4.3 1:4.0 1:4.0

50th Percentile 1:5.0 1:5.0 1:5.0 1:4.0 1:4.0

75th Percentile 1:5.0 1:5.0 1:6.0 1:5.0 1:5.0

RN-to-Assistant

Ratio3

n 67 15 20 16 16

25th Percentile 1:0.33 1:0.17 1:0.38 1:0.38 1:0.26

50th Percentile 1:0.44 1:0.33 1:0.47 1:0.50 1:0.36

75th Percentile 1:0.57 1:0.50 1:0.60 1:0.61 1:0.50

BSN

Degree4

n 64 14 18 16 16

25th Percentile 21% 5% 30% 23% 56%

50th Percentile 53% 15% 48% 58% 68%

75th Percentile 70% 49% 63% 80% 80%

Specialty

Certification5

n 64 14 18 16 16


50th Percentile 10% 10% 5% 13% 18%

75th Percentile 24% 13% 10% 39% 25%

Less than

One Year of

Experience6

n 63 13 18 16 16

25th Percentile 5% 3% 5% 5% 10%

50th Percentile 10% 5% 10% 5% 23%

75th Percentile 20% 13% 31% 15% 29%

More than

Five Years of

Experience7

n 64 14 18 16 16

25th Percentile 36% 49% 39% 23% 28%

50th Percentile 58% 73% 60% 53% 50%

75th Percentile 75% 91% 73% 71% 64%












Medical/Surgical Unit Snapshot: Hospital Type



RN-to-Patient

Ratio2

n 421 191 212 11

25th Percentile 1:5.0 1:4.0 1:5.0 1:4.0

50th Percentile 1:5.0 1:5.0 1:5.0 1:5.0

75th Percentile 1:6.0 1:6.0 1:6.0 1:8.0

RN-to-Assistant

Ratio3

n 416 187 211 11

25th Percentile 1:0.33 1:0.33 1:0.33 1:0.29

50th Percentile 1:0.50 1:0.50 1:0.50 1:0.50

75th Percentile 1:0.60 1:0.63 1:0.60 1:0.67

BSN

Degree4

n 409 184 207 11

25th Percentile 30% 40% 25% 35%

50th Percentile 50% 55% 40% 50%

75th Percentile 65% 75% 55% 80%

Specialty

Certification5

n 409 182 209 11

25th Percentile 5% 5% 5% 5%


75th Percentile 25% 25% 25% 40%

Less than

One Year of

Experience6

n 403 180 205 11



75th Percentile 20% 20% 20% 20%

More than

Five Years of

Experience7

n 399 180 201 11

25th Percentile 50% 40% 50% 50%

50th Percentile 60% 60% 60% 70%

75th Percentile 80% 80% 75% 90%

54












Medical/Surgical Unit Snapshot: Region


Entire

Cohort

New England/

Middle Atlantic

(CT, MA, ME,

NH, NJ, NY,

PA, RI, VT)

South

Atlantic

(DC, DE, FL,

GA, MD, NC,

SC, VA, WV)

North

Central

(IA, IL, IN,

KS, MI, MN,

MO, ND, NE,

OH, SD, WI)

South

Central

(AL, AR, KY,

LA, MS, OK,

TN, TX)

Mountain/

Pacific

(AK, AZ, CO,

HI, ID, MT,

NM, NV, OR,

UT, WA, WY)

California

RN-to-Patient

Ratio2

n 421 96 67 98 102 35 23

25th 1:5.0 1:5.0 1:5.0 1:4.0 1:5.0 1:4.0 1:4.0

50th 1:5.0 1:5.0 1:5.0 1:5.0 1:5.0 1:5.0 1:4.0

75th 1:6.0 1:6.0 1:6.0 1:5.0 1:6.0 1:5.0 1:5.0

RN-to-Assistant

Ratio3

n 416 95 67 97 101 33 23

25th 1:0.33 1:0.40 1:0.33 1:0.33 1:0.36 1:0.40 1:0.25

50th 1:0.50 1:0.50 1:0.43 1:0.50 1:0.50 1:0.50 1:0.40

75th 1:0.60 1:0.75 1:0.50 1:0.61 1:0.57 1:0.60 1:0.57

BSN Degree4

n 409 94 66 94 99 33 23

25th 30% 30% 20% 30% 25% 40% 30%

50th 50% 48% 40% 45% 50% 50% 55%

75th 65% 70% 66% 60% 70% 73% 70%

Specialty

Certification5

n 409 94 66 94 100 33 22

25th 5% 5% 5% 0% 5% 5% 5%

50th 10% 10% 15% 5% 8% 15% 18%

75th 25% 26% 30% 20% 20% 30% 30%

Less than

One Year of

Experience6

n 403 90 65 93 99 33 23

25th 5% 5% 8% 8% 5% 5% 0%

50th 10% 10% 15% 15% 10% 10% 5%

75th 20% 20% 25% 25% 20% 15% 10%

More than

Five Years of

Experience7

n 399 91 64 92 97 32 23

25th 50% 60% 50% 40% 43% 40% 60%

50th 60% 70% 60% 58% 60% 60% 80%

75th 80% 85% 70% 74% 80% 75% 90%

55












Medical/Surgical Unit Snapshot: Hospital Bed Size


56

Entire

Cohort

0-200

Beds

201-400

Beds

401-600

Beds

More than

600 Beds

RN-to-Patient

Ratio2

n 421 130 140 74 75

25th Percentile 1:5.0 1:4.0 1:5.0 1:5.0 1:4.0

50th Percentile 1:5.0 1:5.0 1:5.0 1:5.0 1:5.0

75th Percentile 1:6.0 1:6.0 1:6.0 1:6.0 1:5.0

RN-to-Assistant

Ratio3

n 416 129 139 73 74

25th Percentile 1:0.33 1:0.33 1:0.38 1:0.38 1:0.33

50th Percentile 1:0.50 1:0.50 1:0.50 1:0.50 1:0.44

75th Percentile 1:0.60 1:0.60 1:0.60 1:0.64 1:0.57

BSN

Degree4

n 409 128 137 71 72

25th Percentile 30% 20% 35% 30% 40%

50th Percentile 50% 35% 50% 50% 60%

75th Percentile 65% 50% 65% 70% 80%

Specialty

Certification5

n 409 129 136 72 71


50th Percentile 10% 5% 10% 10% 15%

75th Percentile 25% 15% 25% 30% 30%

Less than

One Year of

Experience6

n 403 127 133 72 70


50th Percentile 10% 10% 15% 10% 10%

75th Percentile 20% 20% 25% 20% 30%

More than

Five Years of

Experience7

n 399 125 133 71 69

25th Percentile 50% 50% 50% 40% 40%

50th Percentile 60% 60% 60% 60% 60%

75th Percentile 80% 80% 75% 80% 78%












Neurology/Neurosurgery Unit Snapshot: Hospital Type

Data Reported by Neurology/Neurosurgery Unit Nurse Leaders1


RN-to-Patient

Ratio2

n 57 41 12 3

25th Percentile 1:3.0 1:3.0 1:4.0 --

50th Percentile 1:4.0 1:4.0 1:5.0 --

75th Percentile 1:5.0 1:5.0 1:5.8 --

RN-to-Assistant

Ratio3

n 55 39 12 3

25th Percentile 1:0.23 1:0.13 1:0.26 --

50th Percentile 1:0.36 1:0.29 1:0.50 --

75th Percentile 1:0.50 1:0.50 1:0.59 --

BSN

Degree4

n 54 38 12 3




Specialty

Certification5

n 54 38 12 3




Less than

One Year of

Experience6

n 53 38 11 3




More than

Five Years of

Experience7

n 51 36 11 3




57












Neurology/Neurosurgery Unit Snapshot: Region


Entire

Cohort

New England/

Middle Atlantic

(CT, MA, ME,

NH, NJ, NY,

PA, RI, VT)

South

Atlantic

(DC, DE, FL,

GA, MD, NC,

SC, VA, WV)

North

Central

(IA, IL, IN,

KS, MI, MN,

MO, ND, NE,

OH, SD, WI)

South

Central

(AL, AR, KY,

LA, MS, OK,

TN, TX)

Mountain/

Pacific

(AK, AZ, CO,

HI, ID, MT,

NM, NV, OR,

UT, WA, WY)

California

RN-to-Patient

Ratio2

n 57 9 10 16 9 12 1

25th 1:3.0 -- 1:2.0 1:3.0 -- 1:2.3 --

50th 1:4.0 -- 1:4.0 1:4.0 -- 1:3.5 --

75th 1:5.0 -- 1:5.0 1:4.8 -- 1:4.0 --

RN-to-Assistant

Ratio3

n 55 9 10 15 9 12 1

25th 1:0.23 -- 1:0.09 1:0.29 -- 1:0.13 --

50th 1:0.36 -- 1:0.25 1:0.45 -- 1:0.19 --

75th 1:0.50 -- 1:0.50 1:0.50 -- 1:0.25 --

BSN

Degree4

n 54 8 10 15 8 11 1

25th 45% -- 41% 35% -- 50% --

50th 60% -- 60% 60% -- 60% --

75th 76% -- 76% 70% -- 80% --

Specialty

Certification5

n 54 8 10 15 8 11 1

25th 9% -- 10% 10% -- 10% --

50th 10% -- 15% 10% -- 40% --

75th 25% -- 25% 15% -- 70% --

Less than

One Year of

Experience6

n 53 8 10 14 8 11 1

25th 8% -- 9% 10% -- 5% --

50th 15% -- 18% 23% -- 15% --

75th 20% -- 21% 41% -- 15% --

More than

Five Years of

Experience7

n 51 8 10 13 8 11 1

25th 30% -- 24% 20% -- 60% --

50th 55% -- 40% 45% -- 60% --

75th 70% -- 60% 73% -- 75% --

58












Neurology/Neurosurgery Unit Snapshot: Hospital Bed Size


59

Entire

Cohort

0-200

Beds

201-400

Beds

401-600

Beds

More than

600 Beds

RN-to-Patient

Ratio2

n 57 3 14 25 15

25th Percentile 1:3.0 -- 1:3.0 1:3.0 1:2.0

50th Percentile 1:4.0 -- 1:4.0 1:4.0 1:4.0

75th Percentile 1:5.0 -- 1:5.0 1:5.0 1:5.0

RN-to-Assistant

Ratio3

n 55 3 14 25 13

25th Percentile 1:0.23 -- 1:0.29 1:0.15 1:0.16

50th Percentile 1:0.36 -- 1:0.46 1:0.25 1:0.33

75th Percentile 1:0.50 -- 1:0.50 1:0.48 1:0.54

BSN

Degree4

n 54 3 14 24 13

25th Percentile 45% -- 20% 43% 60%

50th Percentile 60% -- 50% 63% 70%

75th Percentile 76% -- 69% 75% 88%

Specialty

Certification5

n 54 3 14 24 13

25th Percentile 9% -- 5% 6% 10%

50th Percentile 10% -- 10% 13% 15%

75th Percentile 25% -- 13% 38% 20%

Less than

One Year of

Experience6

n 53 3 13 24 13

25th Percentile 8% -- 10% 5% 10%

50th Percentile 15% -- 15% 13% 15%

75th Percentile 20% -- 20% 20% 25%

More than

Five Years of

Experience7

n 51 2 13 23 13

25th Percentile 30% -- 23% 45% 28%

50th Percentile 55% -- 50% 60% 35%

75th Percentile 70% -- 75% 75% 50%












Nursery/NICU Unit Snapshot: Hospital Type

Data Reported by Nursery/NICU Unit Nurse Leaders1


RN-to-Patient

Ratio2

n 81 52 22 3

25th Percentile 1:2.0 1:2.0 1:2.0 --

50th Percentile 1:2.0 1:2.5 1:2.0 --

75th Percentile 1:3.0 1:3.0 1:3.0 --

RN-to-Assistant

Ratio3

n 77 48 22 3

25th Percentile 1:0.00 1:0.00 1:0.00 --

50th Percentile 1:0.05 1:0.05 1:0.04 --

75th Percentile 1:0.14 1:0.15 1:0.14 --

BSN

Degree4

n 77 48 22 3




Specialty

Certification5

n 77 48 22 3




Less than

One Year of

Experience6

n 74 47 20 3




More than

Five Years of

Experience7

n 76 48 21 3



75th Percentile 90% 90% 100% --

60












Nursery/NICU Unit Snapshot: Region


Entire

Cohort

New England/

Middle Atlantic

(CT, MA, ME,

NH, NJ, NY,

PA, RI, VT)

South

Atlantic

(DC, DE, FL,

GA, MD, NC,

SC, VA, WV)

North

Central

(IA, IL, IN,

KS, MI, MN,

MO, ND, NE,

OH, SD, WI)

South

Central

(AL, AR, KY,

LA, MS, OK,

TN, TX)

Mountain/

Pacific

(AK, AZ, CO,

HI, ID, MT,

NM, NV, OR,

UT, WA, WY)

California

RN-to-Patient

Ratio2

n 81 19 10 17 16 6 13

25th 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0 -- 1:2.0

50th 1:2.0 1:3.0 1:2.0 1:3.0 1:2.0 -- 1:2.0

75th 1:3.0 1:3.0 1:3.3 1:3.0 1:3.0 -- 1:3.0

RN-to-Assistant

Ratio3

n 77 19 10 16 15 5 12

25th 1:0.00 1:0.00 1:0.00 1:0.00 1:0.04 -- 1:0.00

50th 1:0.05 1:0.08 1:0.01 1:0.05 1:0.08 -- 1:0.00

75th 1:0.14 1:0.38 1:0.30 1:0.15 1:0.13 -- 1:0.06

BSN

Degree4

n 77 18 10 16 15 5 13

25th 43% 40% 26% 36% 50% -- 45%

50th 60% 63% 40% 50% 65% -- 60%

75th 70% 86% 71% 64% 70% -- 75%

Specialty

Certification5

n 77 18 10 16 15 5 13

25th 10% 14% 19% 5% 10% -- 10%

50th 20% 20% 33% 18% 20% -- 30%

75th 40% 45% 55% 30% 30% -- 40%

Less than

One Year of

Experience6

n 74 17 10 16 15 5 11

25th 0% 0% 0% 1% 0% -- 0%

50th 5% 0% 5% 5% 5% -- 0%

75th 10% 5% 6% 10% 20% -- 10%

More than

Five Years of

Experience7

n 76 18 10 16 15 5 12

25th 65% 80% 65% 60% 60% -- 70%

50th 80% 90% 88% 75% 75% -- 75%

75th 90% 96% 95% 89% 80% -- 90%

61












Nursery/NICU Unit Snapshot: Hospital Bed Size


62

Entire

Cohort

0-200

Beds

201-400

Beds

401-600

Beds

More than

600 Beds

RN-to-Patient

Ratio2

n 81 5 32 21 23

25th Percentile 1:2.0 -- 1:2.0 1:2.0 1:2.0

50th Percentile 1:2.0 -- 1:2.0 1:3.0 1:2.0

75th Percentile 1:3.0 -- 1:3.0 1:3.0 1:3.0

RN-to-Assistant

Ratio3

n 77 5 30 21 21

25th Percentile 1:0.00 -- 1:0.00 1:0.00 1:0.00

50th Percentile 1:0.05 -- 1:0.04 1:0.07 1:0.04

75th Percentile 1:0.14 -- 1:0.18 1:0.15 1:0.10

BSN

Degree4

n 77 5 30 21 21

25th Percentile 43% -- 49% 38% 40%

50th Percentile 60% -- 60% 60% 50%

75th Percentile 70% -- 65% 78% 65%

Specialty

Certification5

n 77 5 30 21 21

25th Percentile 10% -- 10% 15% 13%

50th Percentile 20% -- 15% 25% 25%

75th Percentile 40% -- 35% 45% 38%

Less than

One Year of

Experience6

n 74 5 29 19 21

25th Percentile 0% -- 0% 0% 5%


75th Percentile 10% -- 8% 5% 13%

More than

Five Years of

Experience7

n 76 5 30 20 21

25th Percentile 65% -- 70% 80% 60%

50th Percentile 80% -- 80% 90% 70%

75th Percentile 90% -- 90% 95% 80%












OB-GYN/Labor and Delivery Unit Snapshot: Hospital Type



RN-to-Patient

Ratio2

n 169 81 79 6

25th Percentile 1:2.0 1:2.0 1:2.0 --

50th Percentile 1:3.0 1:2.0 1:3.0 --

75th Percentile 1:5.0 1:5.0 1:5.0 --

RN-to-Assistant

Ratio3

n 165 79 78 5

25th Percentile 1:0.14 1:0.13 1:0.14 --

50th Percentile 1:0.20 1:0.22 1:0.20 --

75th Percentile 1:0.33 1:0.30 1:0.33 --

BSN

Degree4

n 164 79 77 5




Specialty

Certification5

n 165 79 78 5




Less than

One Year of

Experience6

n 162 77 77 5




More than

Five Years of

Experience7

n 162 78 76 5




63












OB-GYN/Labor and Delivery Unit Snapshot: Region


Entire

Cohort

New England/

Middle Atlantic

(CT, MA, ME,

NH, NJ, NY,

PA, RI, VT)

South

Atlantic

(DC, DE, FL,

GA, MD, NC,

SC, VA, WV)

North

Central

(IA, IL, IN,

KS, MI, MN,

MO, ND, NE,

OH, SD, WI)

South

Central

(AL, AR, KY,

LA, MS, OK,

TN, TX)

Mountain/

Pacific

(AK, AZ, CO,

HI, ID, MT,

NM, NV, OR,

UT, WA, WY)

California

RN-to-Patient

Ratio2

n 169 32 29 47 24 20 17

25th 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0

50th 1:3.0 1:3.5 1:3.0 1:2.0 1:5.0 1:2.5 1:2.0

75th 1:5.0 1:5.0 1:4.5 1:4.0 1:6.0 1:4.8 1:7.0

RN-to-Assistant

Ratio3

n 165 32 28 46 22 20 17

25th 1:0.14 1:0.14 1:0.12 1:0.11 1:0.19 1:0.21 1:0.07

50th 1:0.20 1:0.23 1:0.21 1:0.20 1:0.28 1:0.33 1:0.17

75th 1:0.33 1:0.33 1:0.32 1:0.25 1:0.50 1:0.60 1:0.23

BSN

Degree4

n 164 32 27 46 23 20 16

25th 30% 31% 20% 40% 25% 26% 26%

50th 45% 45% 40% 53% 40% 40% 48%

75th 60% 69% 50% 65% 65% 60% 64%

Specialty

Certification5

n 165 32 28 46 23 20 16

25th 10% 20% 10% 10% 10% 11% 6%

50th 25% 43% 30% 20% 20% 43% 15%

75th 50% 73% 50% 40% 30% 74% 29%

Less than

One Year of

Experience6

n 162 32 27 46 22 20 15

25th 0% 0% 0% 5% 0% 0% 0%

50th 5% 0% 5% 5% 5% 5% 5%

75th 10% 5% 10% 10% 10% 10% 5%

More than

Five Years of

Experience7

n 162 31 27 46 22 20 16

25th 65% 70% 70% 60% 65% 61% 68%

50th 80% 85% 80% 75% 78% 75% 90%

75th 90% 95% 85% 90% 86% 85% 95%

64












OB-GYN/Labor and Delivery Unit Snapshot: Hospital Bed Size


65

Entire

Cohort

0-200

Beds

201-400

Beds

401-600

Beds

More than

600 Beds

RN-to-Patient

Ratio2

n 169 43 70 33 23

25th Percentile 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0

50th Percentile 1:3.0 1:3.0 1:2.5 1:3.0 1:2.0

75th Percentile 1:5.0 1:4.0 1:5.3 1:6.0 1:5.0

RN-to-Assistant

Ratio3

n 165 43 68 31 23

25th Percentile 1:0.14 1:0.05 1:0.16 1:0.13 1:0.14

50th Percentile 1:0.20 1:0.20 1:0.22 1:0.20 1:0.22

75th Percentile 1:0.33 1:0.33 1:0.33 1:0.29 1:0.38

BSN

Degree4

n 164 43 67 32 22

25th Percentile 30% 20% 30% 35% 39%

50th Percentile 45% 40% 50% 45% 60%

75th Percentile 60% 50% 65% 64% 76%

Specialty

Certification5

n 165 43 68 32 22

25th Percentile 10% 5% 15% 10% 10%

50th Percentile 25% 20% 30% 25% 20%

75th Percentile 50% 50% 54% 44% 35%

Less than

One Year of

Experience6

n 162 42 67 32 21



75th Percentile 10% 6% 5% 10% 10%

More than

Five Years of

Experience7

n 162 41 68 31 22

25th Percentile 65% 70% 70% 60% 55%

50th Percentile 80% 80% 80% 75% 68%

75th Percentile 90% 90% 90% 90% 90%




* Due to the limited sample size, observation/short-stay unit data is cut by hospital type only.









Observation/Short-Stay Unit* Snapshot: Hospital Type

Data Reported by Observation/Short-Stay Unit Nurse Leaders1

66


RN-to-Patient

Ratio2

n 21 9 12 0

25th Percentile 1:4.0 -- 1:3.3 --

50th Percentile 1:5.0 -- 1:4.0 --

75th Percentile 1:6.0 -- 1:5.0 --

RN-to-Assistant

Ratio3

n 20 9 11 0

25th Percentile 1:0.15 -- 1:0.05 --

50th Percentile 1:0.33 -- 1:0.40 --

75th Percentile 1:0.49 -- 1:0.50 --

BSN

Degree4

n 20 9 11 0

25th Percentile 50% -- 35% --



Specialty

Certification5

n 20 9 11 0




Less than

One Year of

Experience6

n 19 9 10 0




More than

Five Years of

Experience7

n 20 9 11 0















Oncology Unit Snapshot: Hospital Type

Data Reported by Oncology Unit Nurse Leaders1


RN-to-Patient

Ratio2

n 92 49 40 3

25th Percentile 1:4.0 1:3.0 1:4.0 --

50th Percentile 1:4.0 1:4.0 1:5.0 --

75th Percentile 1:5.0 1:4.0 1:5.0 --

RN-to-Assistant

Ratio3

n 90 48 39 3

25th Percentile 1:0.29 1:0.27 1:0.29 --

50th Percentile 1:0.41 1:0.40 1:0.43 --

75th Percentile 1:0.50 1:0.50 1:0.57 --

BSN

Degree4

n 89 47 39 3




Specialty

Certification5

n 89 47 39 3




Less than

One Year of

Experience6

n 87 47 37 3




More than

Five Years of

Experience7

n 83 46 34 3




67












Oncology Unit Snapshot: Region


Entire

Cohort

New England/

Middle Atlantic

(CT, MA, ME,

NH, NJ, NY,

PA, RI, VT)

South

Atlantic

(DC, DE, FL,

GA, MD, NC,

SC, VA, WV)

North

Central

(IA, IL, IN,

KS, MI, MN,

MO, ND, NE,

OH, SD, WI)

South

Central

(AL, AR, KY,

LA, MS, OK,

TN, TX)

Mountain/

Pacific

(AK, AZ, CO,

HI, ID, MT,

NM, NV, OR,

UT, WA, WY)

California

RN-to-Patient

Ratio2

n 92 20 23 23 12 3 11

25th 1:4.0 1:4.0 1:4.0 1:4.0 1:3.0 -- 1:4.0

50th 1:4.0 1:5.0 1:4.0 1:4.0 1:4.5 -- 1:4.0

75th 1:5.0 1:6.0 1:5.0 1:5.0 1:5.0 -- 1:5.0

RN-to-Assistant

Ratio3

n 90 19 22 23 12 3 11

25th 1:0.29 1:0.33 1:0.31 1:0.30 1:0.20 -- 1:0.23

50th 1:0.41 1:0.50 1:0.41 1:0.44 1:0.33 -- 1:0.33

75th 1:0.50 1:0.67 1:0.50 1:0.50 1:0.49 -- 1:0.50

BSN

Degree4

n 89 20 21 23 11 3 11

25th 40% 28% 38% 40% 50% -- 30%

50th 60% 70% 50% 65% 60% -- 50%

75th 75% 91% 73% 85% 75% -- 70%

Specialty

Certification5

n 89 20 21 23 11 3 11

25th 8% 5% 5% 15% 10% -- 5%

50th 25% 25% 20% 25% 25% -- 20%

75th 35% 44% 35% 35% 35% -- 50%

Less than

One Year of

Experience6

n 87 18 21 23 11 3 11

25th 5% 4% 5% 5% 5% -- 5%

50th 10% 5% 10% 20% 5% -- 10%

75th 20% 20% 28% 25% 20% -- 10%

More than

Five Years of

Experience7

n 83 19 20 22 11 2 9

25th 45% 65% 36% 30% 50% -- --

50th 60% 75% 50% 50% 60% -- --

75th 80% 85% 78% 70% 80% -- --

68












Oncology Unit Snapshot: Hospital Bed Size


69

Entire

Cohort

0-200

Beds

201-400

Beds

401-600

Beds

More than

600 Beds

RN-to-Patient

Ratio2

n 92 10 43 16 23

25th Percentile 1:4.0 1:3.8 1:4.0 1:4.0 1:3.0

50th Percentile 1:4.0 1:4.0 1:5.0 1:4.0 1:4.0

75th Percentile 1:5.0 1:5.5 1:6.0 1:5.0 1:5.0

RN-to-Assistant

Ratio3

n 90 10 42 15 23

25th Percentile 1:0.29 1:0.33 1:0.36 1:0.25 1:0.14

50th Percentile 1:0.41 1:0.50 1:0.48 1:0.43 1:0.29

75th Percentile 1:0.50 1:0.54 1:0.62 1:0.53 1:0.40

BSN

Degree4

n 89 10 41 15 23

25th Percentile 40% 25% 38% 35% 60%

50th Percentile 60% 38% 55% 50% 75%

75th Percentile 75% 60% 70% 80% 85%

Specialty

Certification5

n 89 10 41 15 23

25th Percentile 8% 4% 5% 15% 15%

50th Percentile 25% 25% 25% 25% 25%

75th Percentile 35% 36% 50% 35% 40%

Less than

One Year of

Experience6

n 87 10 39 15 23


50th Percentile 10% 10% 5% 10% 20%

75th Percentile 20% 20% 20% 10% 25%

More than

Five Years of

Experience7

n 83 9 38 14 22

25th Percentile 45% -- 50% 38% 30%

50th Percentile 60% -- 70% 55% 50%

75th Percentile 80% -- 81% 75% 70%












Operating Room Snapshot: Hospital Type

Data Reported by Operating Room Nurse Leaders1


RN-to-Patient

Ratio2

n 125 53 66 4

25th Percentile 1:1.0 1:1.0 1:1.0 --

50th Percentile 1:1.0 1:1.0 1:1.5 --

75th Percentile 1:4.0 1:3.0 1:4.3 --

RN-to-Assistant

Ratio3

n 117 51 61 3

25th Percentile 1:0.10 1:0.05 1:0.13 --

50th Percentile 1:0.20 1:0.20 1:0.28 --

75th Percentile 1:0.40 1:0.33 1:0.49 --

BSN

Degree4

n 114 48 61 3




Specialty

Certification5

n 115 48 62 3




Less than

One Year of

Experience6

n 111 48 58 3




More than

Five Years of

Experience7

n 113 48 60 3



75th Percentile 95% 95% 100% --

70












Operating Room Snapshot: Region


Entire

Cohort

New England/

Middle Atlantic

(CT, MA, ME,

NH, NJ, NY,

PA, RI, VT)

South

Atlantic

(DC, DE, FL,

GA, MD, NC,

SC, VA, WV)

North

Central

(IA, IL, IN,

KS, MI, MN,

MO, ND, NE,

OH, SD, WI)

South

Central

(AL, AR, KY,

LA, MS, OK,

TN, TX)

Mountain/

Pacific

(AK, AZ, CO,

HI, ID, MT,

NM, NV, OR,

UT, WA, WY)

California

RN-to-Patient

Ratio2

n 125 34 24 32 22 7 6

25th 1:1.0 1:1.0 1:1.0 1:1.0 1:1.0 -- --

50th 1:1.0 1:1.5 1:1.5 1:1.5 1:1.0 -- --

75th 1:4.0 1:4.0 1:4.0 1:3.0 1:4.0 -- --

RN-to-Assistant

Ratio3

n 117 30 23 32 20 7 5

25th 1:0.10 1:0.16 1:0.15 1:0.00 1:0.03 -- --

50th 1:0.20 1:0.28 1:0.20 1:0.18 1:0.22 -- --

75th 1:0.40 1:0.50 1:0.38 1:0.30 1:0.48 -- --

BSN

Degree4

n 114 31 22 31 20 7 3

25th 24% 20% 24% 25% 20% -- --

50th 40% 50% 40% 35% 50% -- --

75th 65% 65% 66% 60% 69% -- --

Specialty

Certification5

n 115 31 22 32 20 7 3

25th 10% 10% 19% 6% 11% -- --

50th 25% 35% 30% 23% 25% -- --

75th 45% 60% 51% 30% 48% -- --

Less than

One Year of

Experience6

n 111 30 21 32 19 6 3

25th 0% 0% 0% 0% 0% -- --

50th 5% 0% 0% 5% 5% -- --

75th 10% 6% 10% 10% 10% -- --

More than

Five Years of

Experience7

n 113 30 22 32 19 7 3

25th 70% 75% 50% 66% 70% -- --

50th 90% 90% 80% 90% 75% -- --

75th 95% 96% 96% 99% 95% -- --

71












Operating Room Snapshot: Hospital Bed Size


72

Entire

Cohort

0-200

Beds

201-400

Beds

401-600

Beds

More than

600 Beds

RN-to-Patient

Ratio2

n 125 36 47 24 18

25th Percentile 1:1.0 1:1.0 1:1.0 1:1.0 1:1.0

50th Percentile 1:1.0 1:2.0 1:1.0 1:1.5 1:1.0

75th Percentile 1:4.0 1:4.0 1:4.0 1:3.0 1:3.3

RN-to-Assistant

Ratio3

n 117 34 44 21 18

25th Percentile 1:0.10 1:0.08 1:0.14 1:0.06 1:0.00

50th Percentile 1:0.20 1:0.20 1:0.29 1:0.20 1:0.16

75th Percentile 1:0.40 1:0.46 1:0.42 1:0.30 1:0.38

BSN

Degree4

n 114 33 43 21 17

25th Percentile 24% 13% 25% 38% 35%

50th Percentile 40% 25% 40% 50% 60%

75th Percentile 65% 63% 70% 60% 70%

Specialty

Certification5

n 115 34 43 21 17

25th Percentile 10% 5% 10% 23% 15%

50th Percentile 25% 20% 30% 35% 25%

75th Percentile 45% 43% 55% 48% 30%

Less than

One Year of

Experience6

n 111 32 41 21 17



75th Percentile 10% 5% 13% 13% 13%

More than

Five Years of

Experience7

n 113 33 42 21 17

25th Percentile 70% 78% 60% 70% 53%

50th Percentile 90% 95% 85% 90% 65%

75th Percentile 95% 100% 95% 95% 83%












Pediatrics Unit Snapshot: Hospital Type

Data Reported by Pediatrics Unit Nurse Leaders1


RN-to-Patient

Ratio2

n 73 57 15 0

25th Percentile 1:3.0 1:3.0 1:4.0 --

50th Percentile 1:4.0 1:4.0 1:4.0 --

75th Percentile 1:4.0 1:4.5 1:4.0 --

RN-to-Assistant

Ratio3

n 71 55 15 0

25th Percentile 1:0.20 1:0.22 1:0.00 --

50th Percentile 1:0.33 1:0.33 1:0.33 --

75th Percentile 1:0.40 1:0.40 1:0.38 --

BSN

Degree4

n 70 54 15 0




Specialty

Certification5

n 70 54 15 0




Less than

One Year of

Experience6

n 68 52 15 0




More than

Five Years of

Experience7

n 69 54 14 0




73












Pediatrics Unit Snapshot: Region


Entire

Cohort

New England/

Middle Atlantic

(CT, MA, ME,

NH, NJ, NY,

PA, RI, VT)

South

Atlantic

(DC, DE, FL,

GA, MD, NC,

SC, VA, WV)

North

Central

(IA, IL, IN,

KS, MI, MN,

MO, ND, NE,

OH, SD, WI)

South

Central

(AL, AR, KY,

LA, MS, OK,

TN, TX)

Mountain/

Pacific

(AK, AZ, CO,

HI, ID, MT,

NM, NV, OR,

UT, WA, WY)

California

RN-to-Patient

Ratio2

n 73 12 15 15 18 7 6

25th 1:3.0 1:3.3 1:4.0 1:3.0 1:3.0 -- --

50th 1:4.0 1:5.0 1:4.0 1:4.0 1:4.0 -- --

75th 1:4.0 1:5.0 1:4.0 1:4.0 1:4.0 -- --

RN-to-Assistant

Ratio3

n 71 12 14 15 17 7 6

25th 1:0.20 1:0.19 1:0.22 1:0.06 1:0.17 -- --

50th 1:0.33 1:0.33 1:0.33 1:0.27 1:0.33 -- --

75th 1:0.40 1:0.48 1:0.40 1:0.33 1:0.33 -- --

BSN

Degree4

n 70 11 14 15 17 7 6

25th 44% 35% 45% 50% 63% -- --

50th 63% 50% 55% 70% 70% -- --

75th 80% 70% 85% 75% 85% -- --

Specialty

Certification5

n 70 11 14 15 17 7 6

25th 10% 5% 15% 10% 13% -- --

50th 25% 30% 28% 15% 30% -- --

75th 40% 40% 41% 25% 45% -- --

Less than

One Year of

Experience6

n 68 11 13 15 17 7 5

25th 0% 0% 5% 0% 3% -- --

50th 10% 0% 10% 10% 20% -- --

75th 20% 5% 25% 15% 20% -- --

More than

Five Years of

Experience7

n 69 11 14 15 16 7 6

25th 50% 80% 59% 40% 36% -- --

50th 70% 80% 68% 60% 58% -- --

75th 80% 90% 83% 80% 80% -- --

74












Pediatrics Unit Snapshot: Hospital Bed Size


Entire

Cohort

0-200

Beds

201-400

Beds

401-600

Beds

More than

600 Beds

RN-to-Patient

Ratio2

n 73 9 32 16 15

25th Percentile 1:3.0 -- 1:3.0 1:3.0 1:4.0

50th Percentile 1:4.0 -- 1:4.0 1:4.0 1:4.0

75th Percentile 1:4.0 -- 1:4.0 1:4.0 1:5.0

RN-to-Assistant

Ratio3

n 71 9 31 15 15

25th Percentile 1:0.20 -- 1:0.22 1:0.17 1:0.20

50th Percentile 1:0.33 -- 1:0.33 1:0.27 1:0.33

75th Percentile 1:0.40 -- 1:0.40 1:0.33 1:0.40

BSN

Degree4

n 70 9 30 15 15

25th Percentile 44% -- 40% 55% 45%

50th Percentile 63% -- 63% 65% 50%

75th Percentile 80% -- 80% 85% 70%

Specialty

Certification5

n 70 9 30 15 15

25th Percentile 10% -- 10% 15% 10%

50th Percentile 25% -- 25% 30% 15%

75th Percentile 40% -- 41% 40% 40%

Less than

One Year of

Experience6

n 68 9 29 15 14


50th Percentile 10% -- 10% 0% 10%

75th Percentile 20% -- 20% 20% 18%

More than

Five Years of

Experience7

n 69 9 29 15 15

25th Percentile 50% -- 50% 55% 55%

50th Percentile 70% -- 65% 70% 70%

75th Percentile 80% -- 78% 90% 80%

75












Post-Acute Care Unit Snapshot: Hospital Type

Data Reported by Post-Acute Care Unit Nurse Leaders1


RN-to-Patient

Ratio2

n 76 49 25 0

25th Percentile 1:2.0 1:2.0 1:2.0 --

50th Percentile 1:2.0 1:2.0 1:2.0 --

75th Percentile 1:5.0 1:4.0 1:5.0 --

RN-to-Assistant

Ratio3

n 75 49 24 0

25th Percentile 1:0.08 1:0.11 1:0.01 --

50th Percentile 1:0.20 1:0.20 1:0.17 --

75th Percentile 1:0.27 1:0.31 1:0.26 --

BSN

Degree4

n 75 48 25 0




Specialty

Certification5

n 74 47 25 0




Less than

One Year of

Experience6

n 68 45 22 0




More than

Five Years of

Experience7

n 74 47 25 0


50th Percentile 100% 95% 100% --

75th Percentile 100% 100% 100% --

76












Post-Acute Care Unit Snapshot: Region


Entire

Cohort

New England/

Middle Atlantic

(CT, MA, ME,

NH, NJ, NY,

PA, RI, VT)

South

Atlantic

(DC, DE, FL,

GA, MD, NC,

SC, VA, WV)

North

Central

(IA, IL, IN,

KS, MI, MN,

MO, ND, NE,

OH, SD, WI)

South

Central

(AL, AR, KY,

LA, MS, OK,

TN, TX)

Mountain/

Pacific

(AK, AZ, CO,

HI, ID, MT,

NM, NV, OR,

UT, WA, WY)

California

RN-to-Patient

Ratio2

n 76 20 16 19 10 5 6

25th 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0 -- --

50th 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0 -- --

75th 1:5.0 1:4.0 1:5.0 1:2.0 1:6.3 -- --

RN-to-Assistant

Ratio3

n 75 20 16 19 10 5 5

25th 1:0.08 1:0.17 1:0.02 1:0.00 1:0.05 -- --

50th 1:0.20 1:0.26 1:0.19 1:0.18 1:0.18 -- --

75th 1:0.27 1:0.42 1:0.24 1:0.31 1:0.33 -- --

BSN

Degree4

n 75 19 16 19 10 5 6

25th 40% 45% 39% 15% 35% -- --

50th 50% 60% 53% 40% 60% -- --

75th 75% 85% 70% 60% 84% -- --

Specialty

Certification5

n 74 18 16 19 10 5 6

25th 9% 19% 10% 5% 4% -- --

50th 20% 35% 20% 10% 18% -- --

75th 35% 46% 40% 15% 31% -- --

Less than

One Year of

Experience6

n 68 18 14 17 9 4 6

25th 0% 0% 0% 0% -- -- --

50th 0% 0% 0% 0% -- -- --

75th 0% 0% 1% 0% -- -- --

More than

Five Years of

Experience7

n 74 19 15 19 10 5 6

25th 80% 80% 75% 70% 71% -- --

50th 100% 100% 95% 80% 100% -- --

75th 100% 100% 100% 100% 100% -- --

77












Post-Acute Care Unit Snapshot: Hospital Bed Size


78

Entire

Cohort

0-200

Beds

201-400

Beds

401-600

Beds

More than

600 Beds

RN-to-Patient

Ratio2

n 76 11 31 19 15

25th Percentile 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0

50th Percentile 1:2.0 1:2.0 1:2.0 1:3.0 1:2.0

75th Percentile 1:5.0 1:6.0 1:5.0 1:4.0 1:2.0

RN-to-Assistant

Ratio3

n 75 11 30 19 15

25th Percentile 1:0.08 1:0.00 1:0.02 1:0.08 1:0.14

50th Percentile 1:0.20 1:0.14 1:0.17 1:0.23 1:0.25

75th Percentile 1:0.27 1:0.20 1:0.33 1:0.31 1:0.33

BSN

Degree4

n 75 11 31 19 14

25th Percentile 40% 15% 30% 35% 59%

50th Percentile 50% 50% 50% 50% 73%

75th Percentile 75% 50% 80% 60% 85%

Specialty

Certification5

n 74 11 30 19 14

25th Percentile 9% 5% 5% 10% 9%

50th Percentile 20% 35% 15% 25% 20%

75th Percentile 35% 50% 23% 35% 41%

Less than

One Year of

Experience6

n 68 9 28 17 14




More than

Five Years of

Experience7

n 74 11 31 18 14

25th Percentile 80% 100% 90% 80% 65%

50th Percentile 100% 100% 100% 95% 78%

75th Percentile 100% 100% 100% 100% 83%












Psychiatric/Behavioral Health Unit Snapshot: Hospital Type



RN-to-Patient

Ratio2

n 121 69 29 22

25th Percentile 1:5.0 1:5.0 1:5.0 1:5.0

50th Percentile 1:6.0 1:6.0 1:6.0 1:6.0

75th Percentile 1:7.0 1:7.0 1:7.5 1:8.3

RN-to-Assistant

Ratio3

n 118 66 29 22

25th Percentile 1:0.38 1:0.38 1:0.29 1:0.58

50th Percentile 1:0.66 1:0.67 1:0.67 1:0.88

75th Percentile 1:1.00 1:1.00 1:1.00 1:1.04

BSN

Degree4

n 118 68 27 22


50th Percentile 40% 48% 30% 40%

75th Percentile 65% 79% 55% 50%

Specialty

Certification5

n 119 67 29 22



75th Percentile 20% 25% 20% 10%

Less than

One Year of

Experience6

n 117 66 18 22



75th Percentile 10% 10% 10% 20%

More than

Five Years of

Experience7

n 113 64 27 21

25th Percentile 60% 48% 60% 48%

50th Percentile 75% 70% 80% 70%

75th Percentile 90% 80% 95% 80%

79












Psychiatric/Behavioral Health Unit Snapshot: Region


Entire

Cohort

New England/

Middle Atlantic

(CT, MA, ME,

NH, NJ, NY,

PA, RI, VT)

South

Atlantic

(DC, DE, FL,

GA, MD, NC,

SC, VA, WV)

North

Central

(IA, IL, IN,

KS, MI, MN,

MO, ND, NE,

OH, SD, WI)

South

Central

(AL, AR, KY,

LA, MS, OK,

TN, TX)

Mountain/

Pacific

(AK, AZ, CO,

HI, ID, MT,

NM, NV, OR,

UT, WA, WY)

California

RN-to-Patient

Ratio2

n 121 39 32 22 9 7 12

25th 1:5.0 1:6.0 1:4.0 1:4.0 -- -- 1:4.0

50th 1:6.0 1:7.0 1:6.0 1:5.0 -- -- 1:5.0

75th 1:7.0 1:9.0 1:7.0 1:6.3 -- -- 1:5.8

RN-to-Assistant

Ratio3

n 118 37 31 22 9 7 12

25th 1:0.38 1:0.50 1:0.33 1:0.30 -- -- 1:0.21

50th 1:0.66 1:0.75 1:0.68 1:0.68 -- -- 1:0.33

75th 1:1.00 1:1.39 1:1.00 1:1.00 -- -- 1:0.59

BSN

Degree4

n 118 39 30 22 9 7 11

25th 20% 10% 18% 30% -- -- 20%

50th 40% 40% 33% 50% -- -- 40%

75th 65% 65% 50% 80% -- -- 50%

Specialty

Certification5

n 119 38 31 22 9 7 12

25th 5% 5% 5% 5% -- -- 5%

50th 5% 10% 5% 10% -- -- 5%

75th 20% 26% 20% 20% -- -- 24%

Less than

One Year of

Experience6

n 117 38 30 22 9 7 11

25th 0% 0% 0% 4% -- -- 0%

50th 5% 3% 5% 5% -- -- 5%

75th 10% 10% 21% 10% -- -- 5%

More than

Five Years of

Experience7

n 113 35 30 21 9 7 11

25th 60% 60% 60% 63% -- -- 70%

50th 75% 80% 70% 80% -- -- 75%

75th 90% 90% 95% 90% -- -- 95%

80












Psychiatric/Behavioral Health Unit Snapshot: Hospital Bed Size


81

Entire

Cohort

0-200

Beds

201-400

Beds

401-600

Beds

More than

600 Beds

RN-to-Patient

Ratio2

n 121 33 47 23 18

25th Percentile 1:5.0 1:4.5 1:5.0 1:5.0 1:4.0

50th Percentile 1:6.0 1:6.0 1:6.0 1:6.0 1:6.0

75th Percentile 1:7.0 1:8.0 1:7.0 1:8.0 1:10.0

RN-to-Assistant

Ratio3

n 118 33 45 23 17

25th Percentile 1:0.38 1:0.45 1:0.33 1:0.40 1:0.33

50th Percentile 1:0.66 1:0.75 1:0.67 1:0.67 1:1.00

75th Percentile 1:1.00 1:1.08 1:1.00 1:1.00 1:1.00

BSN

Degree4

n 118 32 46 23 17

25th Percentile 20% 11% 25% 10% 28%

50th Percentile 40% 38% 45% 25% 50%

75th Percentile 65% 60% 69% 50% 80%

Specialty

Certification5

n 119 33 46 23 23


50th Percentile 5% 5% 10% 5% 10%

75th Percentile 20% 18% 20% 20% 33%

Less than

One Year of

Experience6

n 117 32 47 23 15



75th Percentile 10% 10% 10% 5% 10%

More than

Five Years of

Experience7

n 113 29 46 22 16

25th Percentile 60% 63% 58% 58% 60%

50th Percentile 75% 80% 75% 73% 88%

75th Percentile 90% 90% 90% 95% 94%




* Due to the limited sample size, rehab unit data is cut by hospital type only. This cohort includes data from nurse leaders who selected “Other” in response to the survey

question “Which of the following best describes the type of unit you manage?” and specified their unit type as rehab (Free-text responses included variations of “rehab,”

“inpatient rehab,” “acute rehab,” “acute inpatient rehabilitation”). Rehab was not a multiple-choice response option for the survey question.









Rehab Unit* Snapshot: Hospital Type

Data Reported by Rehab Unit Nurse Leaders1


RN-to-Patient

Ratio2

n 31 17 8 6

25th Percentile 1:4.0 1:4.0 -- --

50th Percentile 1:5.0 1:5.0 -- --

75th Percentile 1:6.0 1:6.0 -- --

RN-to-Assistant

Ratio3

n 30 17 8 5

25th Percentile 1:0.38 1:0.37 -- --

50th Percentile 1:0.55 1:0.60 -- --

75th Percentile 1:0.77 1:0.92 -- --

BSN

Degree4

n 30 17 8 5

25th Percentile 29% 25% -- --



Specialty

Certification5

n 28 16 7 5




Less than

One Year of

Experience6

n 29 17 7 5




More than

Five Years of

Experience7

n 28 16 7 5




82












Step-Down Unit Snapshot: Hospital Type

Data Reported by Step-Down Unit Nurse Leaders1


RN-to-Patient

Ratio2

n 83 50 32 1

25th Percentile 1:4.0 1:4.0 1:3.0 --

50th Percentile 1:4.0 1:4.0 1:4.0 --

75th Percentile 1:5.0 1:5.0 1:5.0 --

RN-to-Assistant

Ratio3

n 82 49 32 1

25th Percentile 1:0.25 1:0.29 1:0.17 --

50th Percentile 1:0.37 1:0.38 1:0.37 --

75th Percentile 1:0.43 1:0.43 1:0.43 --

BSN

Degree4

n 80 47 32 1




Specialty

Certification5

n 79 46 32 1




Less than

One Year of

Experience6

n 77 45 31 1




More than

Five Years of

Experience7

n 80 47 32 1




83












Step-Down Unit Snapshot: Region


Entire

Cohort

New England/

Middle Atlantic

(CT, MA, ME,

NH, NJ, NY,

PA, RI, VT)

South

Atlantic

(DC, DE, FL,

GA, MD, NC,

SC, VA, WV)

North

Central

(IA, IL, IN,

KS, MI, MN,

MO, ND, NE,

OH, SD, WI)

South

Central

(AL, AR, KY,

LA, MS, OK,

TN, TX)

Mountain/

Pacific

(AK, AZ, CO,

HI, ID, MT,

NM, NV, OR,

UT, WA, WY)

California

RN-to-Patient

Ratio2

n 83 18 24 15 13 5 8

25th 1:4.0 1:3.8 1:4.0 1:4.0 1:3.0 -- --

50th 1:4.0 1:4.0 1:4.0 1:4.0 1:4.0 -- --

75th 1:5.0 1:5.0 1:5.0 1:5.0 1:4.0 -- --

RN-to-Assistant

Ratio3

n 82 17 24 15 13 5 8

25th 1:0.25 1:0.25 1:0.30 1:0.17 1:0.32 -- --

50th 1:0.37 1:0.33 1:0.38 1:0.33 1:0.40 -- --

75th 1:0.43 1:0.42 1:0.44 1:0.44 1:0.46 -- --

BSN

Degree4

n 80 17 23 14 13 5 8

25th 35% 40% 30% 35% 38% -- --

50th 60% 65% 50% 60% 60% -- --

75th 75% 78% 60% 75% 75% -- --

Specialty

Certification5

n 79 16 23 14 13 5 8

25th 5% 11% 5% 4% 3% -- --

50th 15% 20% 15% 13% 10% -- --

75th 25% 24% 25% 20% 18% -- --

Less than

One Year of

Experience6

n 77 16 22 14 13 5 7

25th 5% 5% 5% 10% 5% -- --

50th 10% 5% 10% 15% 10% -- --

75th 20% 15% 18% 23% 28% -- --

More than

Five Years of

Experience7

n 80 17 23 14 13 5 8

25th 41% 45% 30% 49% 25% -- --

50th 60% 60% 55% 53% 50% -- --

75th 75% 78% 70% 66% 90% -- --

84












Step-Down Unit Snapshot: Hospital Bed Size


85

Entire

Cohort

0-200

Beds

201-400

Beds

401-600

Beds

More than

600 Beds

RN-to-Patient

Ratio2

n 83 8 39 18 18

25th Percentile 1:4.0 -- 1:3.0 1:4.0 1:3.0

50th Percentile 1:4.0 -- 1:4.0 1:4.0 1:4.0

75th Percentile 1:5.0 -- 1:5.0 1:5.0 1:4.3

RN-to-Assistant

Ratio3

n 82 8 39 17 18

25th Percentile 1:0.25 -- 1:0.22 1:0.25 1:0.30

50th Percentile 1:0.37 -- 1:0.38 1:0.40 1:0.33

75th Percentile 1:0.43 -- 1:0.43 1:0.50 1:0.38

BSN

Degree4

n 80 8 39 16 17

25th Percentile 35% -- 30% 43% 55%

50th Percentile 60% -- 50% 60% 65%

75th Percentile 75% -- 70% 64% 80%

Specialty

Certification5

n 79 8 38 16 17

25th Percentile 5% -- 5% 5% 13%

50th Percentile 15% -- 10% 13% 20%

75th Percentile 25% -- 25% 25% 28%

Less than

One Year of

Experience6

n 77 8 37 15 17


50th Percentile 10% -- 10% 10% 15%

75th Percentile 20% -- 20% 15% 25%

More than

Five Years of

Experience7

n 80 8 39 16 17

25th Percentile 41% -- 40% 50% 30%

50th Percentile 60% -- 55% 63% 60%

75th Percentile 75% -- 75% 79% 78%












Surgical Unit Snapshot: Hospital Type

Data Reported by Surgical Unit Nurse Leaders1


RN-to-Patient

Ratio2

n 94 55 34 3

25th Percentile 1:4.0 1:4.0 1:4.0 --

50th Percentile 1:5.0 1:5.0 1:5.0 --

75th Percentile 1:5.0 1:5.0 1:5.0 --

RN-to-Assistant

Ratio3

n 93 54 34 3

25th Percentile 1:0.30 1:0.25 1:0.36 --

50th Percentile 1:0.43 1:0.41 1:0.46 --

75th Percentile 1:0.57 1:0.57 1:0.58 --

BSN

Degree4

n 90 53 33 2




Specialty

Certification5

n 90 53 33 2




Less than

One Year of

Experience6

n 87 52 31 2




More than

Five Years of

Experience7

n 88 53 31 2




86












Surgical Unit Snapshot: Region


Entire

Cohort

New England/

Middle Atlantic

(CT, MA, ME,

NH, NJ, NY,

PA, RI, VT)

South

Atlantic

(DC, DE, FL,

GA, MD, NC,

SC, VA, WV)

North

Central

(IA, IL, IN,

KS, MI, MN,

MO, ND, NE,

OH, SD, WI)

South

Central

(AL, AR, KY,

LA, MS, OK,

TN, TX)

Mountain/

Pacific

(AK, AZ, CO,

HI, ID, MT,

NM, NV, OR,

UT, WA, WY)

California

RN-to-Patient

Ratio2

n 94 16 20 26 15 12 5

25th 1:4.0 1:4.0 1:4.0 1:4.0 1:5.0 1:4.0 --

50th 1:5.0 1:4.5 1:5.0 1:4.0 1:5.0 1:4.5 --

75th 1:5.0 1:5.0 1:5.0 1:5.0 1:5.0 1:5.0 --

RN-to-Assistant

Ratio3

n 93 16 19 26 15 12 5

25th 1:0.30 1:0.25 1:0.36 1:0.36 1:0.30 1:0.33 --

50th 1:0.43 1:0.40 1:0.43 1:0.50 1:0.43 1:0.39 --

75th 1:0.57 1:0.65 1:0.54 1:0.60 1:0.60 1:0.55 --

BSN

Degree4

n 90 16 19 25 13 12 5

25th 29% 46% 25% 23% 40% 20% --

50th 50% 75% 40% 45% 50% 53% --

75th 71% 95% 50% 60% 75% 74% --

Specialty

Certification5

n 90 16 19 25 13 12 5

25th 5% 16% 5% 5% 5% 5% --

50th 15% 28% 15% 5% 15% 15% --

75th 35% 43% 35% 20% 28% 60% --

Less than

One Year of

Experience6

n 87 16 19 23 12 12 5

25th 5% 5% 0% 5% 1% 1% --

50th 10% 15% 5% 10% 8% 5% --

75th 20% 20% 25% 25% 18% 18% --

More than

Five Years of

Experience7

n 88 16 17 25 13 12 5

25th 50% 53% 55% 50% 33% 34% --

50th 70% 65% 70% 75% 70% 70% --

75th 85% 88% 90% 85% 95% 85% --

87












Surgical Unit Snapshot: Hospital Bed Size


88

Entire

Cohort

0-200

Beds

201-400

Beds

401-600

Beds

More than

600 Beds

RN-to-Patient

Ratio2

n 94 18 33 22 21

25th Percentile 1:4.0 1:3.0 1:4.0 1:4.0 1:4.0

50th Percentile 1:5.0 1:4.5 1:5.0 1:5.0 1:4.0

75th Percentile 1:5.0 1:5.0 1:5.0 1:5.0 1:5.0

RN-to-Assistant

Ratio3

n 93 18 33 22 20

25th Percentile 1:0.30 1:0.31 1:0.33 1:0.29 1:0.21

50th Percentile 1:0.43 1:0.50 1:0.50 1:0.46 1:0.33

75th Percentile 1:0.57 1:0.59 1:0.60 1:0.51 1:0.48

BSN

Degree4

n 90 17 32 21 20

25th Percentile 29% 15% 21% 48% 41%

50th Percentile 50% 25% 48% 50% 68%

75th Percentile 71% 50% 64% 80% 93%

Specialty

Certification5

n 90 17 32 21 20

25th Percentile 5% 5% 5% 13% 6%

50th Percentile 15% 10% 15% 20% 25%

75th Percentile 35% 30% 44% 45% 34%

Less than

One Year of

Experience6

n 87 16 30 21 20


50th Percentile 10% 5% 10% 5% 15%

75th Percentile 20% 20% 20% 13% 29%

More than

Five Years of

Experience7

n 88 17 31 20 20

25th Percentile 50% 50% 50% 50% 40%

50th Percentile 70% 85% 70% 70% 60%

75th Percentile 85% 95% 80% 85% 83%












Telemetry Unit Snapshot: Hospital Type



RN-to-Patient

Ratio2

n 127 59 63 3

25th Percentile 1:4.0 1:4.0 1:4.0 --

50th Percentile 1:4.0 1:4.0 1:5.0 --

75th Percentile 1:5.0 1:5.0 1:5.0 --

RN-to-Assistant

Ratio3

n 127 59 63 3

25th Percentile 1:0.30 1:0.29 1:0.33 --

50th Percentile 1:0.43 1:0.43 1:0.43 --

75th Percentile 1:0.60 1:0.60 1:0.60 --

BSN

Degree4

n 124 56 63 3




Specialty

Certification5

n 125 57 63 3




Less than

One Year of

Experience6

n 121 53 63 3




More than

Five Years of

Experience7

n 121 55 61 3




89












Telemetry Unit Snapshot: Region


Entire

Cohort

New England/

Middle Atlantic

(CT, MA, ME,

NH, NJ, NY,

PA, RI, VT)

South

Atlantic

(DC, DE, FL,

GA, MD, NC,

SC, VA, WV)

North

Central

(IA, IL, IN,

KS, MI, MN,

MO, ND, NE,

OH, SD, WI)

South

Central

(AL, AR, KY,

LA, MS, OK,

TN, TX)

Mountain/

Pacific

(AK, AZ, CO,

HI, ID, MT,

NM, NV, OR,

UT, WA, WY)

California

RN-to-Patient

Ratio2

n 127 37 21 29 15 9 16

25th 1:4.0 1:5.0 1:4.0 1:4.0 1:4.0 -- 1:4.0

50th 1:4.0 1:5.0 1:5.0 1:4.0 1:4.0 -- 1:4.0

75th 1:5.0 1:6.0 1:5.0 1:5.0 1:5.0 -- 1:4.0

RN-to-Assistant

Ratio3

n 127 37 21 29 15 9 16

25th 1:0.30 1:0.32 1:0.32 1:0.33 1:0.43 -- 1:0.29

50th 1:0.43 1:0.50 1:0.33 1:0.50 1:0.60 -- 1:0.35

75th 1:0.60 1:0.61 1:0.50 1:0.65 1:0.67 -- 1:0.45

BSN

Degree4

n 124 37 21 28 15 8 15

25th 35% 40% 23% 25% 50% -- 25%

50th 50% 65% 50% 40% 60% -- 50%

75th 75% 80% 65% 64% 60% -- 75%

Specialty

Certification5

n 125 37 21 28 15 9 15

25th 5% 5% 5% 1% 5% -- 5%

50th 10% 15% 5% 10% 10% -- 10%

75th 20% 28% 15% 20% 30% -- 25%

Less than

One Year of

Experience6

n 121 37 21 26 14 9 14

25th 5% 5% 8% 5% 5% -- 5%

50th 10% 10% 20% 15% 15% -- 8%

75th 20% 18% 35% 20% 30% -- 20%

More than

Five Years of

Experience7

n 121 36 21 26 15 8 15

25th 45% 50% 30% 50% 40% -- 50%

50th 60% 63% 50% 60% 50% -- 55%

75th 75% 75% 78% 71% 80% -- 75%

90












Telemetry Unit Snapshot: Hospital Bed Size


91

Entire

Cohort

0-200

Beds

201-400

Beds

401-600

Beds

More than

600 Beds

RN-to-Patient

Ratio2

n 127 24 63 21 19

25th Percentile 1:4.0 1:4.0 1:4.0 1:4.0 1:4.0

50th Percentile 1:4.0 1:4.0 1:5.0 1:4.0 1:4.0

75th Percentile 1:5.0 1:5.0 1:5.0 1:5.0 1:5.0

RN-to-Assistant

Ratio3

n 127 24 63 21 19

25th Percentile 1:0.30 1:0.31 1:0.33 1:0.27 1:0.29

50th Percentile 1:0.43 1:0.50 1:0.42 1:0.42 1:0.42

75th Percentile 1:0.60 1:0.60 1:0.60 1:0.50 1:0.67

BSN

Degree4

n 124 24 61 20 19

25th Percentile 35% 20% 30% 41% 50%

50th Percentile 50% 40% 50% 63% 70%

75th Percentile 75% 59% 70% 79% 85%

Specialty

Certification5

n 125 24 62 20 19


50th Percentile 10% 5% 10% 20% 10%

75th Percentile 20% 10% 25% 30% 30%

Less than

One Year of

Experience6

n 121 23 62 18 18

25th Percentile 5% 5% 5% 10% 5%

50th Percentile 10% 10% 10% 10% 10%

75th Percentile 20% 20% 25% 16% 20%

More than

Five Years of

Experience7

n 121 24 59 19 19

25th Percentile 45% 46% 40% 50% 50%

50th Percentile 60% 60% 50% 60% 60%

75th Percentile 75% 75% 75% 75% 80%



Snapshots of Non-Acute Care Sites

93

This section provides detailed information about the staffing

complement and nurse preparation at the non-acute care sites

listed below. We do not provide data for any cohort with fewer

than 10 respondents.

Physician Practices...................................................................

• Primary Care Practices

• Specialty Practices

• Multispecialty Practices

Ambulatory Centers………………………………………………….

• Ambulatory Surgical Centers

• Cancer Centers

• Dialysis Centers

• Infusion Centers

Post-Acute Care Organizations……………………………………

• Skilled Nursing Facilities

• Long-Term Acute Care Hospitals

• Home Health Agencies

• Hospice Providers

94

100

106




1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single physician

practice where they work which has the largest number of staff nurses.

2) Based on the survey question “Is your site designated as a ‘medical home’ by one or more accrediting bodies or

health plans? (For example, NCQA—National Committee for Quality Assurance, The Joint Commission).”

3) Based on the survey question “During a typical weekday at this site, approximately how many patients are seen?”

4) Based on the survey question “How many days per week is this site open to see patients?”

5) Based on the survey question “How many days per week does this site see patients after 6 p.m.?”


Physician Practices

Physician Practice Respondents’ Main Work Site1

94

Practice Type, Medical Home Status, Patient Volume, and Days Open per Week

Percentage of

Respondents at Medical

Home-Designated Practice2

51%

Respondents’

Main Work Site

n=181 n=181

80

130

250

25thPercentile

50thPercentile

75thPercentile

Number of Patients Seen

at Practice During a

Typical Weekday3

n=181

45% 42%

13%

Primary

Care

Practice

Specialty

Practice

Multispecialty

Practice

Number of Days per

Week Practice Sees

Patients After 6 p.m.6

n=179

Percentage of Practices

Seeing Patients After 6 p.m. at

Least One Day per Week5

33%

n=59

14%

0%

14%

7%

17%

20%

7 days

6 days

5 days

4 days

3 days

2 days

1 day

29%

11%

10%

78%

1%

7 days

6 days

5 days

4 days

Number of Days Practice

Is Open per Week4

n=180




1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single physician

practice where they work which has the largest number of staff nurses.

2) Based on the survey question “Is your site designated as a ‘medical home’ by one or more accrediting bodies or

health plans? (For example, NCQA—National Committee for Quality Assurance, The Joint Commission).”




Physician Practices

Physician Practice Respondents’ Main Work Site1

Detailed Report

Entire Cohort Primary Care Specialty Multispecialty

Percentage of

Respondents at Medical

Home-Designated Practice2

n 181 82 76 23

50.8% 63.4% 38.2% 47.8%

Number of Patients

Seen at Practice During

a Typical Weekday3

n 181 82 76 23

Median 130.0 140.0 100.0 150.0

Number of Days Practice

Is Open per Week4

n 180 82 76 22

4 days 0.6% 0.0% 1.3% 0.0%

5 days 78.3% 70.7% 89.5% 68.2%

6 days 10.0% 17.1% 1.3% 13.6%

7 days 11.1% 12.2% 7.9% 18.2%

Number of Days per

Week Practice Sees


n 179 81 76 22

0 days 67.0% 59.3% 73.7% 72.7%

1 day 6.7% 7.4% 6.6% 4.5%

2 days 5.6% 8.6% 3.9% 0.0%

3 days 2.2% 1.2% 2.6% 4.5%

4 days 4.5% 4.9% 5.3% 0.0%

5 days 9.5% 12.3% 3.9% 18.2%

6 days 0.0% 0.0% 0.0% 0.0%

7 days 4.5% 6.2% 3.9% 0.0%

95




1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single

physician practice where they work which has the largest number of staff nurses.

2) Based on survey questions “During a typical weekday at this site, approximately how many patients are seen?”

and “During a typical weekday at this site, approximately how many of the following staff are present?”

Physician Practices

Staffing Complement at Respondents’ Main Work Site1

96

Number of Patients per Caregiver per Weekday2

Number of Patients per

Physician Assistant

(per Weekday)

n=68

Number of Patients

per Nurse Practitioner

(per Weekday)

n=121

13 20

33

25thPercentile

50thPercentile

75thPercentile

Number of Patients

per Physician

(per Weekday)

n=181

35

70

125

25thPercentile

50thPercentile

75thPercentile

49

78

181

25thPercentile

50thPercentile

75thPercentile

Number of Patients

per Assistant

(per Weekday)

n=134


Licensed Practical Nurse

(per Weekday)

n=144

14

27

50

25thPercentile

50thPercentile

75thPercentile

Number of Patients

per Registered Nurse

(per Weekday)

n=181

20

32

71

25thPercentile

50thPercentile

75thPercentile

17

30

63

25thPercentile

50thPercentile

75thPercentile





physician practice where they work which has the largest number of staff nurses.

2) Based on survey questions “During a typical weekday at this site, approximately how many patients are seen?”

and “During a typical weekday at this site, approximately how many of the following staff are present?”

Physician Practices


Detailed Report2


Number of Patients

per Physician

(per Weekday)

n 181 82 76 23

Median 20.0 20.0 20.0 18.8


Nurse Practitioner

(per Weekday)

n 121 52 48 21

Median 70.0 81.7 68.3 62.5


Physician Assistant

(per Weekday)

n 68 24 34 10

Median 77.5 137.5 61.0 63.3


Registered Nurse

(per Weekday)

n 181 82 76 23

Median 26.7 33.3 20.0 20.0



(per Weekday)

n 144 70 53 21

Median 31.7 27.5 50.0 35.0

Number of Patients

per Assistant

(per Weekday)

n 134 57 57 20

Median 29.6 35.7 25.0 39.1

97




Physician Practices



98

25thPercentile

50thPercentile

75thPercentile



n=150

75%

100% 100%

25thPercentile

50thPercentile

75thPercentile



n=177






0% 5%

25thPercentile

50thPercentile

75thPercentile

Percentage of Staff RNs with a


n=178

25%

50%

80%

25thPercentile

50thPercentile

75thPercentile


with a BSN Degree2

n=177

0%

0%

0%

25%









Physician Practices


Detailed Report


BSN

Degree2

n 177 81 73 23

Median 50% 50% 50% 60%

Specialty

Certification3

n 178 80 75 23

Median 5% 5% 10% 20%

Less than One Year

of Experience4

n 150 67 65 18

Median 0% 0% 0% 0%

More than Five Years

of Experience5

n 177 80 74 23

Median 100% 100% 95% 85%

99




1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single ambulatory center where

they work which has the largest number of staff nurses.


3) Based on the survey question “How many days per week is this site open to see patients?” Does not sum to 100% due to rounding.


Ambulatory Centers

Ambulatory Center Respondents’ Main Work Site1

100

Ambulatory Center Type, Patient Volume, and Days Open per Week

Respondents’

Main Work Site

n=142

25

48

98

25thPercentile

50thPercentile

75thPercentile

Number of Patients Seen at

Center During a Typical Weekday2

n=142

16%

13%

68%

1%

0%

1%

0%

7 days

6 days

5 days

4 days

3 days

2 days

1 day

Number of Days Center

Is Open per Week3

n=142

45%

31%

12%

12%

Ambulatory

Surgical

Center

Cancer

Center

Dialysis

Center

Infusion

Center

Number of Days per

Week Center Sees

Patients After 6 p.m.

n=141

Percentage of Centers Seeing

Patients After 6 p.m. at Least

One Day per Week4

43%

n=61

8%

13%

41%

3%

20%

7%

8%

7 days

6 days

5 days

4 days

3 days

2 days

1 day




1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single ambulatory

center where they work which has the largest number of staff nurses.




Ambulatory Centers

Ambulatory Center Respondents’ Main Work Site1

Detailed Report

101

Entire

Cohort

Ambulatory

Surgical Center

Cancer

Center

Dialysis

Center

Infusion

Center

Number of Patients

Seen at Center During

a Typical Weekday2

n 142 64 44 17 17

Median 47.5 35.0 86.0 45.0 40.0

Number of Days Center

Is Open per Week3

n 142 64 44 17 17

1 day 0.0% 0.0% 0.0% 0.0% 0.0%

2 days 0.7% 1.6% 0.0% 0.0% 0.0%

3 days 0.0% 0.0% 0.0% 0.0% 0.0%

4 days 1.4% 3.1% 0.0% 0.0% 0.0%

5 days 68.3% 76.6% 88.6% 5.9% 47.1%

6 days 13.4% 4.7% 2.3% 88.2% 0.0%

7 days 16.2% 14.1% 9.1% 5.9% 52.9%

Number of Days per

Week Center Sees


n 141 64 44 16 17

0 days 56.7% 50.0% 75.0% 25.0% 64.7%

1 day 3.5% 6.3% 2.3% 0.0% 0.0%

2 days 2.8% 4.7% 2.3% 0.0% 0.0%

3 days 8.5% 6.3% 6.8% 31.3% 0.0%

4 days 1.4% 3.1% 0.0% 0.0% 0.0%

5 days 17.7% 23.4% 11.4% 0.0% 29.4%

6 days 5.7% 0.0% 2.3% 43.8% 0.0%

7 days 3.5% 6.3% 0.0% 0.0% 5.9%





ambulatory center where they work which has the largest number of staff nurses.

2) Based on survey questions “During a typical weekday at this site, approximately how many patients are

seen?” and “During a typical weekday at this site, approximately how many of the following staff are present?”

Ambulatory Centers


102

Number of Patients per Caregiver per Weekday2


Physician Assistant

(per Weekday)

n=40

Number of Patients

per Nurse Practitioner

(per Weekday)

n=66

4

11

25

25thPercentile

50thPercentile

75thPercentile

Number of Patients

per Physician

(per Weekday)

n=129

24

44

80

25thPercentile

50thPercentile

75thPercentile

20

38

68

25thPercentile

50thPercentile

75thPercentile

Number of Patients

per Assistant

(per Weekday)

n=111



(per Weekday)

n=36

3 6

10

25thPercentile

50thPercentile

75thPercentile

Number of Patients

per Registered Nurse

(per Weekday)

n=142

20 25

53

25thPercentile

50thPercentile

75thPercentile

9

17

30

25thPercentile

50thPercentile

75thPercentile





ambulatory center where they work which has the largest number of staff nurses.

2) Based on survey questions “During a typical weekday at this site, approximately how many patients are

seen?” and “During a typical weekday at this site, approximately how many of the following staff are present?”

Ambulatory Centers


Detailed Report2

Entire

Cohort

Ambulatory

Surgical Center

Cancer

Center

Dialysis

Center

Infusion

Center

Number of Patients

per Physician

(per Weekday)

n 129 62 41 15 11

Median 10.9 4.0 21.3 33.0 25.0


Nurse Practitioner

(per Weekday)

n 66 17 33 10 6

Median 44.4 20.0 56.7 55.0 --


Physician Assistant

(per Weekday)

n 40 25 10 2 3

Median 37.5 24.0 90.0 -- --


Registered Nurse

(per Weekday)

n 142 64 44 17 17

Median 5.8 2.6 7.4 9.0 7.3



(per Weekday)

n 36 11 14 10 1

Median 25.0 20.0 38.8 21.3 --

Number of Patients

per Assistant

(per Weekday)

n 111 56 31 14 10

Median 17.0 12.1 25.0 10.9 23.8

103




Ambulatory Centers



104






25thPercentile

50thPercentile

75thPercentile



n=119

90% 95%

100%

25thPercentile

50thPercentile

75thPercentile



n=139

10%

40%

70%

25thPercentile

50thPercentile

75thPercentile



n=142

30%

50%

80%

25thPercentile

50thPercentile

75thPercentile


with a BSN Degree2

n=141

0% 0% 0%









Ambulatory Centers


Detailed Report

Entire

Cohort

Ambulatory

Surgical Center

Cancer

Center

Dialysis

Center

Infusion

Center

BSN

Degree2

n 141 64 43 17 17

Median 50% 45% 75% 40% 50%

Specialty

Certification3

n 142 64 44 17 17

Median 40% 20% 70% 25% 60%

Less than One Year

of Experience4

n 119 54 38 14 13

Median 0% 0% 0% 0% 0%


of Experience5

n 139 62 44 17 16

Median 95% 98% 95% 95% 100%

105




1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single post-acute care

organization where they work which has the largest number of staff nurses.


3) Skilled nursing facilities and long-term acute care hospitals only.

4) Based on the survey question “During a typical weekday for this organization, approximately how many patients are seen?”

Post-Acute Care Organizations

Post-Acute Care Respondents’ Main Work Site1

106

Post-Acute Care Type, Facility Bed Size, and Patient Volume

Respondents’

Main Work Site2

n=96

38%

21%

25%

17%

Long-Term Acute

Care Hospital

Hospice

Provider

Home Health

Agency

Skilled Nursing

Facility

45%

27%

7%

14%

7%

Less than

100 Beds

100-200

Beds

201-300

Beds

301-400

Beds

More than

400 Beds

Number of Staffed Beds at

Respondents’ Organization3

n=56

Number of Patients Seen by Home

Health Agency or Hospice Organization

During a Typical Weekday4

n=40

34

73

115

25thPercentile

50thPercentile

75thPercentile




1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single post-acute care organization where they work which has the largest

number of staff nurses.

2) For skilled nursing facilities and long-term acute care hospitals, based on survey question “During a typical weekday shift at this facility, how many patients is each RN usually

responsible for?” For home health agencies and hospice providers, based on survey questions “During a typical weekday for this organization, approximately how many patients

are seen?” and “During a typical weekday for this organization, approximately how many Registered Nurses (RNs) provide patient care?”

3) For skilled nursing facilities and long-term acute care hospitals, based on survey questions “During a typical weekday shift at this facility, approximately how many Licensed

Practical Nurses (LPNs)/Licensed Vocational Nurses (LVNs) provide patient care?” and “During a typical weekday shift at this facility, approximately how many Registered

Nurses (RNs) provide patient care?” For home health agencies and hospice providers, based on survey questions “During a typical weekday for this organization, approximately

how many Licensed Practical Nurses (LPNs)/Licensed Vocational Nurses (LVNs) provide patient care?” and “During a typical weekday for this organization, approximately how

many Registered Nurses (RNs) provide patient care?”

4) For skilled nursing facilities and long-term acute care hospitals, based on survey questions “During a typical weekday shift at this facility, approximately how many nurse aides

or techs (for example, CNAs, PCAs, PCTs) are dedicated to the facility?” and “During a typical weekday shift at this facility, approximately how many Registered Nurses (RNs)

provide patient care?” For home health agencies and hospice providers, based on survey questions “During a typical weekday for this organization, approximately how many

aides provide patient care?” and “During a typical weekday for this organization, approximately how many Registered Nurses (RNs) provide patient care?”



107

Patients per RN, LPNs per RN, and Assistants per RN per Weekday

Assistants per RN

(per Weekday)4

n=96

LPNs per RN

(per Weekday)3

n=96

5

8

15

25thPercentile

50thPercentile

75thPercentile

Patients per RN

(per Weekday)2

n=89

0.0

0.3

0.8

25thPercentile

50thPercentile

75thPercentile

0.4

1.0

2.5

25thPercentile

50thPercentile

75thPercentile




1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single post-acute care organization where they work which has the largest

number of staff nurses.

2) For skilled nursing facilities and long-term acute care hospitals, based on survey question “During a typical weekday shift at this facility, how many patients is each RN usually

responsible for?” For home health agencies and hospice providers, based on survey questions “During a typical weekday for this organization, approximately how many

patients are seen?” and “During a typical weekday for this organization, approximately how many Registered Nurses (RNs) provide patient care?”

3) For skilled nursing facilities and long-term acute care hospitals, based on survey questions “During a typical weekday shift at this facility, approximately how many Licensed

Practical Nurses (LPNs)/Licensed Vocational Nurses (LVNs) provide patient care?” and “During a typical weekday shift at this facility, approximately how many Registered

Nurses (RNs) provide patient care?” For home health agencies and hospice providers, based on survey questions “During a typical weekday for this organization,

approximately how many Licensed Practical Nurses (LPNs)/Licensed Vocational Nurses (LVNs) provide patient care?” and “During a typical weekday for this organization,

approximately how many Registered Nurses (RNs) provide patient care?”

4) For skilled nursing facilities and long-term acute care hospitals, based on survey questions “During a typical weekday shift at this facility, approximately how many nurse aides

or techs (for example, CNAs, PCAs, PCTs) are dedicated to the facility?” and “During a typical weekday shift at this facility, approximately how many Registered Nurses (RNs)

provide patient care?” For home health agencies and hospice providers, based on survey questions “During a typical weekday for this organization, approximately how many

Registered Nurses (RNs) provide patient care?” and “During a typical weekday for this organization, approximately how many aides provide patient care?”



Detailed Report

108

Entire

Cohort

Skilled Nursing

Facility

Long-Term Acute

Care Hospital

Home Health

Agency

Hospice

Provider

Patients

per RN

(per Weekday)2

n 89 34 15 24 16

Median 7.5 15.5 8.0 5.7 4.1

LPNs

per RN

(per Weekday)3

n 96 36 20 24 16

Median 0.25 0.76 0.34 0.08 0.15

Assistants

per RN

(per Weekday)4

n 96 36 20 24 16

Median 1.00 2.71 1.09 0.29 0.67







109

0%

5%

10%

25thPercentile

50thPercentile

75thPercentile



n=86

68%

85%

95%

25thPercentile

50thPercentile

75thPercentile



n=91





5) Based on the survey question “At this organization, approximately what percentage of RNs have more than five years of nursing experience

5%

10%

26%

25thPercentile

50thPercentile

75thPercentile



n=92

20%

38%

56%

25thPercentile

50thPercentile

75thPercentile


with a BSN Degree2

n=92








5) Based on the survey question “At this organization, approximately what percentage of RNs have more than five years of nursing experience?”



Detailed Report

Entire

Cohort

Skilled Nursing

Facility

Long-Term Acute

Care Hospital

Home Health

Agency

Hospice

Provider

BSN

Degree2

n 92 33 19 24 16

Median 38% 35% 30% 40% 40%

Specialty

Certification3

n 92 33 19 24 16

Median 10% 10% 15% 5% 30%

Less than One Year

of Experience4

n 86 31 19 21 15

Median 5% 5% 10% 0% 0%


of Experience5

n 91 33 19 24 15

Median 85% 85% 75% 95% 90%

110


Access the Benchmarking Survey for Post-Acute Care Organizations

The survey for post-acute care organizations (as well as the survey for acute care

hospital units and the survey for physician practices and ambulatory centers) can

be accessed through an online version of this publication on advisory.com/nec.

Type “360-Degree Nurse Staffing Benchmarks” into the search engine.

• Acute Care Hospital Unit Survey

• Physician Practice and Ambulatory Center Survey

Appendix: Nursing Executive Center

360-Degree Nurse Benchmarking Surveys

111


Source: Nursing Executive Center.



Acute Care Hospital Unit Survey

NURSE LEADER ROLE AND MAIN WORK SITE

1. Which of the following most accurately describes your role?

o Nurse Manager (oversees a group of frontline nurses)

o Assistant Nurse Manager/Supervisor

o Nurse Director (oversees multiple managers)

o Other (Please specify.)

2. In which state do you primarily work?

3. Which of the following best describes the organization where you work?

o Organization Within a Larger System (e.g., one hospital in a multi-hospital health system, one hospital with

several outpatient clinics spread across the region, a physician practice affiliated with a health system)

o Freestanding Organization (e.g., freestanding hospital, independent physician practice)

4. Which of the following best describes the specific location where you work?

(If you work in multiple locations, please select the location where you oversee the greatest number of staff nurses.)

o Acute Care Hospital Unit (e.g., Med/Surg, ICU, Emergency Department)

o Outpatient Ancillary Department (e.g., Outpatient Rehab, Lab, Imaging)

o Physician Office/Clinic (e.g., Primary Care Office, Specialty Physician Practice)

o Other Outpatient Site (e.g., Heart Failure Clinic, Dialysis Center, Cancer Center, Ambulatory Surgical

Center)

o Post-Acute Care Facility or Service (e.g., Skilled Nursing Facility, Long-Term Acute Care Hospital, Home

Health, Hospice)

SITE CHARACTERISTICS

5. Which of the following best describes the type of unit you manage?

(If you manage more than one unit, please select the unit which has the greatest number of staff nurses.

PLEASE ANSWER ALL REMAINING SURVEY QUESTIONS BASED ON THE UNIT YOU SELECT.)

o Cardiac (Non-Surgical, Non-ICU)

o Critical Care

o Emergency Department

o Interventional Procedure (e.g., Cath Lab, EP Lab)

o Medical

o Medical/Surgical

o Neurology/Neurosurgery

o Nursery or NICU

o Oncology

o OB/GYN or Labor and Delivery

o Observation/Short-Stay

o Operating Room

o PACU

o Pediatrics

o Psychiatric/Behavioral Health

o Step-Down

o Surgical

o Telemetry







6. Which of the following best describes your hospital?

o Teaching Hospital (including Academic Medical Center)

o Community Hospital (Non-teaching)

o Specialty Hospital (including Rehab, Psych)


7. Is your organization Magnet-designated?

8. How many staffed beds does your organization have?

(Please report the number of staffed beds, not licensed beds.)

o Less than 100 beds

o 100-200 beds

o 201-300 beds

o 301-400 beds

o 401-500 beds

o 501-600 beds

o 601-700 beds

o 701-800 beds

o More than 800 beds

WORK INTENSITY

IF YOU MANAGE MULTIPLE UNITS, PLEASE ANSWER THE FOLLOWING QUESTIONS BASED ON THE UNIT WITH

THE GREATEST NUMBER OF STAFF NURSES.

9. During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?

10. During a typical weekday shift on this unit, how many patients is each RN usually responsible for?

11. During a typical weekday shift on this unit, approximately how many Licensed Practical Nurses (LPNs)/Licensed

Vocational Nurses (LVNs) provide patient care?

12. On a typical weekday shift on this unit, what is the starting census?

(How many patients are present at the beginning of the shift?)

13. During a typical weekday shift on this unit, how many patients are:

a) Admitted or transferred into the unit?

b) Discharged or transferred out of the unit?

14. During a typical weekday shift on this unit, approximately what percentage of hours are filled by flexible staff?

(For example, PRN staff, float pool staff, agency staff.)






15. On this unit, approximately what percentage of RNs typically work:

a) 8-hour shifts?

b) 10-hour shifts?

c) 12-hour shifts?

16. On this unit, are RNs represented by a union?

LEVEL OF SUPPORT

17. During a typical weekday shift on this unit, approximately how many of the following staff are dedicated to the unit?

(Please count each staff member only once.)

a) Unit-Based Nurse Aides or Techs (e.g., CNAs, PCAs, PCTs)

b) Unit-Based Pharmacists

c) Unit-Based Environmental Service Staff Members

d) Unit-Based Patient Transport Technicians

e) Unit-Based Secretaries

18. During a typical weekday shift on this unit, approximately what percentage of time do RNs spend on work that could

be accomplished by another care team member with less training?

(For example, emptying trash, fixing equipment, cleaning up spills, etc.)

19. As a nurse leader, approximately how many hours do you spend each week addressing service issues identified

during patient rounds?

(For example, ensuring maintenance staff fix broken equipment or nurses address unmet pain needs.)

NURSE EDUCATION AND EXPERIENCE

20. On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?

21. If new RN hires do not currently have a BSN degree, does your organization require them to earn one within five

years?

o No

o Yes

o My organization only hires RNs who already have a BSN.

22. On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type

of work they do?

23. On this unit, approximately what percentage of RNs have:

a) Less than one year of nursing experience?

b) More than five years of nursing experience?

24. On this unit, approximately what percentage of RNs do you believe will retire within the next five years?






PERFORMANCE METRICS

25. On this unit in the calendar year of 2012:

a) How many patients have occupied a bed? (number of patient days)

b) How many patient falls have occurred?

c) How many pressure ulcers have occurred?

26. For this unit in the calendar year of 2012, what was the average “willingness to recommend” patient satisfaction

score? (This is the percentage of patients who would recommend the hospital to others.)

27. What is the source of the patient satisfaction data you reported in the previous question?

o Press Ganey

o Gallup

o HCAHPS

o PRC

o NRC Picker

o In-house survey

o I did not answer the previous question.






Physician Practice and Ambulatory Center Survey

NURSE LEADER ROLE AND MAIN WORK SITE

1. Which of the following most accurately describes your role?

o Nurse Manager (oversees a group of frontline nurses)

o Assistant Nurse Manager/Supervisor

o Nurse Director (oversees multiple managers)


2. In which state do you primarily work?

3. Which of the following best describes the organization where you work?

o Organization Within a Larger System (e.g., one hospital in a multi-hospital health system, one hospital with

several outpatient clinics spread across the region, a physician practice affiliated with a health system)

o Freestanding Organization (e.g., freestanding hospital, independent physician practice)

4. Which of the following best describes the specific location where you work?

(If you work in multiple locations, please select the location where you oversee the greatest number of staff nurses.)

o Acute Care Hospital Unit (e.g., Med/Surg, ICU, Emergency Department)

o Outpatient Ancillary Department (e.g., Outpatient Rehab, Lab, Imaging)

o Physician Office/Clinic (e.g., Primary Care Office, Specialty Physician Practice)

o Other Outpatient Site (e.g., Heart Failure Clinic, Dialysis Center, Cancer Center, Ambulatory Surgical

Center)

o Post-Acute Care Facility or Service (e.g., Skilled Nursing Facility, Long-Term Acute Care Hospital, Home

Health, Hospice)

IF SELECT “PHYSICIAN OFFICE/CLINIC” IN QUESTION 4:

5a. Which of the following best describes the type of clinic where you work?

(If you work at more than one site, please select the site with the greatest number of staff nurses. PLEASE ANSWER

ALL REMAINING SURVEY QUESTIONS BASED ON THE SITE YOU SELECT IN THIS QUESTION.)

o Primary Care Practice

o Specialty Practice

o Multispecialty Practice


5b. Is your site designated as a “medical home” by one or more accrediting bodies or health plans?

(For example, NCQA—National Committee for Quality Assurance, The Joint Commission.)






IF SELECT “OTHER OUTPATIENT SITE” IN QUESTION 4:

5. Which of the following best describes the type of site where you work?

(If you work at more than one site, please select the site with the greatest number of staff nurses. PLEASE ANSWER

ALL REMAINING SURVEY QUESTIONS BASED ON THE SITE YOU SELECT IN THIS QUESTION.)

o Ambulatory Surgical Center

o Anticoagulation Clinic

o Cancer Center

o Dialysis Center

o Heart Failure Clinic

SITE CHARACTERISTICS

6. How many days per week is this site open to see patients?

7. How many days per week does this site see patients after 6 p.m.?

8. During a typical weekday at this site, approximately how many of the following staff are present?

a) Physicians (MDs, DOs, NDs)

(Please include all physicians who provide patient care at the site during a typical weekday, regardless of

their employment arrangement.)

b) Nurse Practitioners (NPs)

c) Physician Assistants (PAs)

d) Registered Nurses (RNs)

e) Licensed Practical Nurses (LPNs)/Licensed Vocational Nurses (LVNs)

f) Assistants (e.g., CNAs, PCAs, PCTs, MAs, NAs.)

g) Other

9. At this site, are RNs represented by a union?

10. At this site, who do RNs report to?

(Please select all that apply.)

Nurse Leader (Manager or Director)

Medical Director/Practice Manager

Service Line Director

I don’t know.

Other (Please specify.)

o Infusion Center

o Radiation Therapy

o Retail Clinic

o Urgent Care Center







WORK INTENSITY

11. During a typical weekday at this site, approximately how many patients are seen?

12. During a typical weekday at this site, approximately what percentage of time do RNs spend on work that could be

accomplished by another care team member with less training?

(For example, emptying trash, fixing equipment, cleaning up spills, etc.)

NURSE EDUCATION AND EXPERIENCE

13. At this site, approximately what percentage of Registered Nurses (RNs) have a Bachelor of Science in Nursing

(BSN) degree?

14. If new RN hires do not currently have a BSN degree, does your organization require them to earn one within five

years?

o No

o Yes

o My organization only hires RNs who already have a BSN.

15. At this site, approximately what percentage of RNs hold a national specialty certification directly related to the type of

work they do?

16. At this site, approximately what percentage of RNs have:

a) Less than one year of nursing experience?

b) More than five years of nursing experience?

17. At this site, approximately what percentage of RNs do you anticipate retiring within the next five years?

PERFORMANCE METRICS

18. At this site in the calendar year of 2012, what was the average “willingness to recommend” patient satisfaction

score? (This is the percentage of patients who would recommend the site to others.)

19. What is the source of the patient satisfaction data you reported in the previous question?

o Press Ganey

o Gallup

o CAHPS

o PRC

o NRC Picker

o In-house survey

o I did not answer the previous question.




360-Degree Nurse Staffing Benchmarks - Advisory · 2013-10-15 · ©2013 The Advisory Board Company • 27092 advisory.com Methodology 9 Access the Benchmarking Surveys The Nursing

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