Swedish Health Services 2020 Staffing Plans - 1 - Cover Page The following is the nurse staffing plan for _______Swedish Health Services ___________ submitted to the Washington State Department of Health in accordance with Revised Code of Washington 70.41.420. This area intentionally left blank
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Swedish Health Services 2020 Staffing Plans · Swedish Health Services 2020 Staffing Plans - 3 - Founded in 1910, Swedish is the largest nonprofit health provider in the Puget Sound
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Swedish Health Services
2020 Staffing Plans
- 1 -
Cover Page
The following is the nurse staffing plan for _______Swedish Health Services ___________ submitted to
the Washington State Department of Health in accordance with Revised Code of Washington 70.41.420.
This area intentionally left blank
Swedish Health Services
2020 Staffing Plans
- 3 -
Founded in 1910, Swedish is the largest nonprofit health provider in the Puget Sound area. It is
comprised of five hospital campuses (First Hill, Cherry Hill, Ballard, Edmonds and Issaquah), and
ambulatory care centers in Redmond and Mill Creek. Swedish is known as a regional referral center,
providing specialized treatment in areas such as cardiovascular care, cancer care, neuroscience,
orthopedics, high-risk obstetrics, pediatric specialties, organ transplantation and clinical research.
Swedish Medical Center – Ballard
5300 Tallman Avenue NW, Seattle, WA 98107
133 Licensed Beds
Inpatient Units Medical/Surgical
Emergency Department
Behavior Health
Family Childbirth Center
Addiction Recovery Services
Swedish Medical Center – First Hill
747 Broadway, Seattle, WA 98122
697 Licensed Beds
Inpatient Units Medical/Surgical
Emergency Department
Swedish Orthopedic Institute
Neonatal ICU
Pediatrics
Obstetrics
Oncology
Transplant
Swedish Medical Center – Cherry Hill
507 17th Avenue, Seattle, WA 98122
349 Licensed Beds
Neuro/Cardiac Inpatient Units
Emergency Department
Inpatient Rehabilitation
Short Stay Unit
Telemetry
Neuro ICU
Cardiac ICU
Swedish Health Services
2020 Staffing Plans
- 4 -
Swedish Medical Center – Issaquah
751 NE Blakely Drive, Issaquah, WA 98029
175 Licensed Beds
Surgical Medical/Oncology Inpatient Units
Emergency Department
ICU/Telemetry
Obstetrics
Level II Nursery
Swedish Medical Center – Edmonds
21601 76th Avenue West, Edmonds, WA 98026
217 Licensed Beds
Inpatient Units
Emergency Department
Behavioral Health
Childbirth Center
Level II Nursery
Swedish Health Services
2020 Staffing Plans
- 5 -
Nurse Staffing Plan Purpose
This plan was developed for the management of scheduling and provision of daily staffing needs for the hospital, and to define a process that ensures the availability of qualified nursing staff to provide safe, reliable and effective care to our patients. This plan applies to all parts of the hospital licensed under RCW 70.41.
Nurse Staffing Plan Principles
Access to high-quality nursing staff is critical to providing patients safe, reliable and effective care.
The optimal staffing plan represents a partnership between nursing leadership and direct nursing care staff.
Staffing is multifaceted and dynamic. The development of the plan must consider a wide range of variables.
Data and measurable nurse sensitive indicators should help inform the staffing plan. *These principles correspond to The American Nursing Association Principles of Safe Staffing.
Nurse Staffing Plan Policy The nurse staffing committee (committee) is responsible for the development and oversight of
the nurse staffing plan to ensure the availability of qualified nursing staff to provide safe, reliable and effective care to our patients.
The committee’s work is informed by information and data from individual patient care units. Appropriate staffing levels for a patient care unit reflect an analysis of:
o Individual and aggregate patient needs; o Staffing guidelines developed for specific specialty areas; o The skills and training of the nursing staff; o Resources and supports for nurses; o Hospital data and outcomes from relevant quality indicators; and o Hospital finances.
*The American Nurses Association does not recommend a specific staffing ratio, but rather to make care assignments based on acuity, patient needs and staff competencies.
The analysis of the above information is aggregated into the hospital’s nurse staffing plan.
Staff continuously monitor individual and aggregate patient care needs and make adjustments to staffing per agreed upon policy and collective bargaining agreement.
The committee will perform a semiannual review of the staffing plan. If changes are made to the staffing plan throughout the calendar year, an updated staffing plan will be submitted to DOH.
The hospital is committed to ensuing staff are able to take meal and rest breaks as required by law. The committee considers breaks and strategies to ensure breaks when developing the plan. A global break policy may be used, or individual patient care units may have discretion in structuring breaks to meet specific needs while meeting the requirements of the law. Data regarding missed or interrupted breaks will be reviewed by the committee to help develop strategies to ensure nurses are able to take breaks.
Swedish Health Services
2020 Staffing Plans
- 6 -
Nurse Staffing Plan Scope
*Acute care hospitals licensed under RCW 70.41 are required by law to develop a nurse staffing plan.
The plan must cover areas of the hospital that: 1) are under the hospital’s license (RCW 70.41) and 2)
where a nurse(s) provides patient care (i.e., “patient care unit”).
The following areas of the hospital are covered by the nurse staffing plan: All Inpatient units and
Emergency Departments are included in this plan.
Nurse Staffing Plan Critical Elements
The following represents adjustments to our upcoming 2020 nurse staffing plan:
Ballard Behavioral Health Unit- increased 1.6 FTE due to acuity redistribution
Cherry Hill 5 East approved addition of a resource NAC 1.0 FTE
Mill Creek Emergency Department increased Hours per UOS to 2.3 due to volume and acuity
•An RN can be substituted for an NAC or vice versa
•The charge nurse will have minimal or no assignment
•Insulin drips will have additional staffing considerations *If no designated House Float scheduled, ICU Charge RN will clock into ICU Float Pool Cost Center 22587301
Swedish Health Services
2020 Staffing Plans
- 53 -
Level 2 Post Partum – Issaquah
Shift
Days Nights Actual Direct HPPD
12 12 8 12 12 12 12
Census Charge RN Lactation HUC/NAC Charge RN HUC/NAC
21 1 7 1 2 1 7 2
6.00 12 84 12 24 12 84 24
20 1 7 1 2 1 7 2
6.20 12 84 8 24 12 84 24
19 1 6 1 2 1 6 2
5.89 12 72 8 24 12 72 24
18 1 6 1 2 1 6 1.5
6.06 12 72 8 24 12 72 18
17 1 6 1 1 1 6 1
5.88 12 72 8 12 12 72 12
16 1 6 1 1 1 6 1
6.25 12 72 8 12 12 72 12
15 1 5 1 1 1 5 1
5.87 12 60 8 12 12 60 12
14 1 5 1 1 1 5 1
6.29 12 60 8 12 12 60 12
13 1 4 1 1 1 4 1
5.69 12 48 8 12 12 48 8
12 1 4 1 1 1 4 0.75
6.21 12 48 8 12 12 48 9
11 1 3 1 1 1 3 1
5.82 12 36 8 12 12 36 12
10 1 3 1 1 1 3 0.75
6.25 12 36 8 12 12 36 9
9 1 3 1 0.5 1 3 0
6.11 12 36 8 6 12 36 0
8 0 3 0.67 1 0 3 0.5
5.96 0 36 5.36 12 0 36 6
7 0 3 0.67 0.5 0 3 0.33
6.24 0 36 5.36 6 0 36 3.96
6 0 2 0.5 1 0 2 0.5
5.83 0 24 4 12 0 24 6
5 0 2 0.5 0.5 0 2 0.5
6.40 0 24 4 6 0 24 6
4 0 2 0 0 0 2 0 6.00
Swedish Health Services
2020 Staffing Plans
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0 24 0 0 0 24 0
3 0 2 0 0 0 2 0
8.00 0 24 0 0 0 24 0
2 0 2 0 0 0 2 0
12.00 0 24 0 0 0 24 0
1 0 2 0 0 0 2 0
24.00 0 24 0 0 0 24 0
•At certain census points of if HUC is not available, it may be appropriate to substitute the role with an RN
•At postpartum census of 14 charge nurse remains unassigned
Swedish Health Services
2020 Staffing Plans
- 55 -
Medical Oncology – Issaquah
Census 0700-1900 1900-0700 Direct HPPD
Charge RN NAC NAC/HUC Charge RN NAC
18 1 4 2 1 1 4 1 8.89
12 48 24 7 12 48 16
17 1 4 2 1 1 4 1 8.94
12 48 20 7 12 48 12
16 1 4 1 1 1 4 1 9.00
12 48 12 7 12 48 12
15 1 4 1 1 1 3 1 8.80
12 48 12 7 12 36 12
14 1 3 1 1 1 3 1 8.57
12 36 12 7 12 36 12
13 1 3 1 1 1 3 1 9.23
12 36 12 7 12 36 12
12 1 3 1 1 1 3 0 9.00
12 36 12 7 12 36 0
11 1 3 1 0 1 3 0 9.45
12 36 8 0 12 36 0
10 1 3 1 0 1 2 0 9.20
12 32 12 0 12 24 0
9 1 2 1 0 1 2 0 9.33
12 24 12 0 12 24 0
8 1 2 0 0 1 2 0 9.00
12 24 0 0 12 24 0
7 1 2 0 0 1 2 0
10.29 12 24 0 0 12 24 0
6 1 1 0 0 1 1 0
8.00 12 12 0 0 12 12 0
5 1 1 0 0 1 1 0
9.60 12 12 0 0 12 12 0
An RN can be substituted for an NAC or vice versa
Insulin drips will have additional staffing considerations
The charge nurse will have minimal or no assignment
Swedish Health Services
2020 Staffing Plans
- 56 -
MSU 4 Olympic South – Issaquah
Census
0700-1900 1900-0700 Actual Direct HPPD Charge RN NAC Charge RN NAC
14 1 3 1 1 3 1
8.57 12 36 12 12 36 12
13 1 3 1 1 3 1
9.23 12 36 12 12 36 12
12 1 3 1 1 2 1
9.00 12 36 12 12 24 12
11 1 2 1 1 2 1
8.73 12 24 12 12 24 12
10 1 2 1 1 2 0
8.40 12 24 12 12 24 0
9 1 2 0 1 2 0
8.00 12 24 0 12 24 0
8 1 2 0 1 2 0
9.00 12 24 0 12 24 0
7 1 2 0 1 1 0
8.57 12 24 0 12 12 0
6 1 1 0 1 1 0
8.00 12 12 0 12 12 0
5 1 1 0 1 1 0
9.60 12 12 0 12 12 0
•An RN can be substituted for an NAC or vice versa
•The charge nurse will have minimal or no assignment
•Insulin drips will have additional staffing considerations
Swedish Health Services
2020 Staffing Plans
- 57 -
Emergency Department – Issaquah
Swedish Health Services
2020 Staffing Plans
- 58 -
General Surgical – Issaquah
Census
0700-1900 1900-0700 Actual Direct HPPD Charge RN NAC HUC Charge RN NAC
35 1 9 4 1 1 8 4
9.26 12 108 48 12 12 96 48
34 1 8 4 1 1 7 4
8.82 12 96 48 12 12 84 48
33 1 8 4 1 1 7 4
9.09 12 96 48 12 12 84 48
32 1 8 4 1 1 7 4
9.38 12 96 48 12 12 84 48
31 1 7 4 1 1 7 3
8.90 12 84 48 12 12 84 36
30 1 7 4 1 1 6 3
8.80 12 84 48 12 12 72 36
29 1 7 4 1 1 6 3
9.10 12 84 48 12 12 72 36
28 1 7 4 1 1 6 3
9.43 12 84 48 12 12 72 36
27 1 7 3 1 1 6 3
9.33 12 84 36 12 12 72 36
26 1 6 3 1 1 6 3
9.23 12 72 36 12 12 72 36
25 1 6 3 1 1 5 3
9.12 12 72 36 12 12 60 36
24 1 5 3 1 1 5 3
9.00 12 60 36 12 12 60 36
23 1 5 3 1 1 5 3
9.39 12 60 36 12 12 60 36
22 1 5 3 1 1 5 2
9.27 12 60 36 12 12 60 24
21 1 5 3 1 1 5 2
9.71 12 60 36 12 12 60 24
20 1 5 3 1 1 4 2
9.60 12 60 36 12 12 48 24
19 1 4 3 1 1 4 2
9.47 12 48 36 12 12 48 24
18 1 4 2 1 1 4 2
9.33 12 48 24 12 12 48 24
17 1 4 2 1 1 3 2
9.18 12 48 24 12 12 36 24
16 1 4 2 1 1 3 1
9.00 12 48 24 12 12 36 12
15 1 3 2 1 1 3 1
8.80 12 36 24 12 12 36 12
14 1 3 2 0 1 3 1
9.43 12 36 24 0 12 36 12
Swedish Health Services
2020 Staffing Plans
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13 1 3 1 0 1 3 1
9.23 12 36 12 0 12 36 12
12 1 3 1 0 1 2 1
9.00 12 36 12 0 12 24 12
11 1 2 1 0 1 2 1
8.73 12 24 12 0 12 24 12
10 1 2 1 0 1 2 1
9.60 12 24 12 0 12 24 12
9 1 2 1 0 1 2 1
10.67 12 24 12 0 12 24 12
8 1 2 0 0 1 2 0
9.00 12 24 0 0 12 24 0
7 1 2 0 0 1 1 0
8.57 12 24 0 0 12 12 0
6 1 1 0 0 1 1 0
8.00 12 12 0 0 12 12 0
5 1 1 0 0 1 1 0
9.60 12 12 0 0 12 12 0
4 1 1 0 0 1 1 0
12.00 12 12 0 0 12 12 0
3 1 1 0 0 1 1 0
16.00 12 12 0 0 12 12 0
2 1 1 0 0 1 1 0
24.00 12 12 0 0 12 12 0
1 1 1 0 0 1 1 0
48.00 12 12 0 0 12 12 0
•An RN can be substituted for an NAC or vice versa
•The charge nurse will have minimal or no assignment
•Insulin drips will have additional staffing considerations
Swedish Health Services
2020 Staffing Plans
- 60 -
EDMONDS CAMPUS
Emergency Department – Mill Creek
Current Plan Future Plan
Hours/Day FTE Hours/Day FTE
RN 156 27.3 RN 184 32.2
Tech 60 10.5 Tech 72 12.6
HUC 24 4.2 HUC 24 4.2
TOTAL 240 42 TOTAL 280 49
2019 ED Volume Budget = 123.4 patients/day (45,051 pt/yr) Hours per UOS = 1.955 2019 Budget = 42.3FTE
Proposed increase to 2.3 HUOS = 49.82FTE
Swedish Health Services
2020 Staffing Plans
- 61 -
Emegency Department – Edmonds
ED RNs Sun Mon Tue Wed Thur Fri Sat
7a-7p 7 7 7 7 7 7 7
7a-5p 1 1 1 1 1 1 1
9a-7p 1 1 1 1 1 1 1
9a-9p 1 1 1 1 1 1 1
11a-11p 3 3 3 3 3 3 3
1p-1a 3 3 3 3 3 3 3
3p-3a 2 2 2 2 2 2 2
5p-5a 1 1 1 1 1 1 1
7p-7a 8 8 8 8 8 8 8
ED Techs Sun Mon Tue Wed Thur Fri Sat
7a-7p 3 3 3 3 3 3 3
9a-9p 1 1 1 1 1 1 1
11a-11p 2 2 2 2 2 2 2
3p-3a 1 1 1 1 1 1 1
7p-7a 3 3 3 3 3 3 3
HUC Sun Mon Tue Wed Thur Fri Sat
7a-7p 1 1 1 1 1 1 1
7p-7a 1 1 1 1 1 1 1
Total Staff* 39 39 39 39 39 39 39
*Depending on factors including ED volume and patient support needs, additional staff may be added to support patient care and flow/monitoring or perform Patient Safety Attendant duties.
Swedish Health Services
2020 Staffing Plans
- 62 -
Family Birth – Edmonds
Fixed staffing DAY EVE NOC Charge RN 1 1 1
Triage/NST RN 1 1 1
Surgical Techs 1 1 1
Unit Secretary 7W 1 1 1
Unit Secretary 6W 1 1 1
Level II NICU 2 2 2
CENSUS NURSING STAFF Early labor DAY EVE NOC
2 → 1 1 1
Active labor DAY EVE NOC
0 → 1 1 1
1 → 1 1 1
2 → 2 2 2
3 3 3 3
4 4 4 4
SCHEDULED C-SECTIONS DAY EVE NOC
1 → 2 2 2
Twin delivery 4 4 4
ANTEPARTUM DAY EVE NOC Unstable → 1 1 1
Stable → 1-3 1-3 1-3 POSTPARTUM COUPLETS DAY EVE NOC
1 → 1 1 1
2 → 1 1 1
3 1 1 1
4 1-2 1-2 1-2
5 2 2 2
6 2 2 2
7 3 3 3
WOMEN SURGICAL DAY EVE NOC
1 → 1 1 1
2 → 1 1 1
3 1 1 1 4 1-2 1-2 1-2
Swedish Health Services
2020 Staffing Plans
- 63 -
5 2 2 2
LEVEL II NICU DAY EVE NOC
0 → 0 0 0
1 → 1 1 1
2 → 1 1 1 Other Level II nurse assigned to postpartum
3 2 2 2 4 2 2 2 5 2 2 2
6 2-3 2-3 2-3 7 3 3 3
Swedish Health Services
2020 Staffing Plans
- 64 -
5W Med Ortho – Edmonds
Day
EVENING 3p-7p
Census Charge Day RN
Day NAC HUC Charge Eve RN
Eve NAC HUC
34
1.00
9.00 4.00
1.00
1.00
9.00
4.00
1.00
33
1.00
9.00 4.00
1.00
1.00
9.00
4.00
1.00
32
1.00
8.00 4.00
1.00
1.00
8.00
4.00
1.00
31
1.00
8.00 4.00
1.00
1.00
8.00
4.00
1.00
30
1.00
8.00 3.00
1.00
1.00
8.00
3.00
1.00
29
1.00
8.00 3.00
1.00
1.00
8.00
3.00
1.00
28
1.00
7.00 3.00
1.00
1.00
7.00
3.00
1.00
27
1.00
7.00 3.00
1.00
1.00
7.00
3.00
1.00
26
1.00
7.00 3.00
1.00
1.00
7.00
3.00
1.00
25
1.00
7.00 3.00
1.00
1.00
7.00
3.00
1.00
24
1.00
6.00 3.00
1.00
1.00
6.00
3.00
1.00
23
1.00
6.00 3.00
1.00
1.00
6.00
3.00
1.00
22
1.00
6.00 3.00
1.00
1.00
6.00
3.00
1.00
21
1.00
6.00 3.00
1.00
1.00
6.00
3.00
1.00
20
1.00
5.00 3.00
1.00
1.00
5.00
3.00
1.00
19
1.00
5.00 3.00
1.00
1.00
5.00
3.00
1.00
18
1.00
5.00 2.00
1.00
1.00
5.00
2.00
1.00
17
1.00
5.00 2.00
1.00
1.00
5.00
2.00
1.00
16
1.00
4.00 2.00
1.00
1.00
4.00
2.00
1.00
Swedish Health Services
2020 Staffing Plans
- 65 -
15
1.00
4.00 2.00 -
1.00
4.00
2.00 -
14
1.00
4.00 2.00 -
1.00
4.00
2.00 -
13
1.00
4.00 2.00 -
1.00
4.00
2.00 -
12
1.00
3.00 2.00 -
1.00
3.00
2.00 -
11
1.00
3.00 2.00 -
1.00
3.00
2.00 -
10
1.00
3.00 2.00 -
1.00
3.00
2.00 -
9
1.00
3.00 2.00 -
1.00
3.00
2.00 -
8
1.00
2.00 - -
1.00
2.00 - -
7
1.00
2.00 - -
1.00
2.00 - -
6
1.00
2.00 - -
1.00
2.00 - -
EVENING 7p-11p NIGHT 9.67
Census Charge Eve RN Eve NAC HUC Charge
Night RN
Night NAC HUC HPPD
34
1.00
8.00 4.00 -
1.00 7.00 3.00
-
-
33
1.00
8.00 4.00 -
1.00 7.00 3.00
-
-
32
1.00
8.00 4.00 -
1.00 7.00 3.00
-
-
31
1.00
8.00 3.00 -
1.00 7.00 3.00
-
-
30
1.00
8.00 3.00 -
1.00 6.00 3.00
-
-
29
1.00
8.00 3.00 -
1.00 6.00 3.00
-
-
28
1.00
7.00 3.00 -
1.00 6.00 3.00
-
-
27
1.00
7.00 3.00 -
1.00 6.00 3.00
-
-
26
1.00
7.00 3.00 -
1.00 6.00 3.00
-
-
Swedish Health Services
2020 Staffing Plans
- 66 -
25
1.00
7.00 3.00 -
1.00 5.00 3.00
-
-
24
1.00
6.00 3.00 -
1.00 5.00 3.00
-
-
23
1.00
6.00 3.00 -
1.00 5.00 3.00
-
-
22
1.00
6.00 3.00 -
1.00 5.00 2.00
-
-
21
1.00
6.00 3.00 -
1.00 5.00 2.00
-
-
20
1.00
5.00 3.00 -
1.00 4.00 2.00
-
-
19
1.00
5.00 3.00 -
1.00 4.00 2.00
-
-
18
1.00
5.00 2.00 -
1.00 4.00 2.00
-
-
17
1.00
5.00 2.00 -
1.00 4.00 2.00
-
-
16
1.00
4.00 2.00 -
1.00 4.00 2.00
-
-
15
1.00
4.00 2.00 -
1.00 3.00 2.00
-
-
14
1.00
4.00 2.00 -
1.00 3.00 2.00
-
-
13
1.00
4.00 2.00 -
1.00 3.00 2.00
-
-
12
1.00
3.00 2.00 -
1.00 3.00 2.00
-
-
11
1.00
3.00 2.00 -
1.00 3.00 2.00
-
-
10
1.00
3.00 2.00 -
1.00 2.00 1.00
-
-
9
1.00
3.00 2.00 -
1.00 2.00 -
-
-
8
1.00
2.00 - -
1.00 2.00 -
-
-
7
1.00
2.00 - -
1.00 2.00 -
-
-
6
1.00
2.00 - -
1.00 2.00 -
-
-
Swedish Health Services
2020 Staffing Plans
- 67 -
8W Surgical Oncology – Edmonds
Day EVENING
Census Charge Day RN
Day NAC HUC Charge Eve RN
Eve NAC HUC
26
1.00
7.00 3.00
1.00
1.00
7.00
3.00
1.00
25
1.00
6.00 3.00
1.00
1.00
6.00
3.00
1.00
24
1.00
6.00 3.00
1.00
1.00
6.00
3.00
1.00
23
1.00
6.00 3.00
1.00
1.00
6.00
3.00
1.00
22
1.00
5.00 3.00
1.00
1.00
5.00
3.00
1.00
21
1.00
5.00 3.00
1.00
1.00
5.00
3.00
1.00
20
1.00
5.00 3.00
1.00
1.00
5.00
3.00
1.00
19
1.00
5.00 3.00
1.00
1.00
5.00
3.00
1.00
18
1.00
5.00 3.00
1.00
1.00
5.00
3.00
1.00
17
1.00
4.00 2.00
1.00
1.00
4.00
2.00
1.00
16
1.00
4.00 2.00
1.00
1.00
4.00
2.00
1.00
15
1.00
3.00 2.00
1.00
1.00
3.00
2.00
1.00
14
1.00
3.00 2.00
1.00
1.00
3.00
2.00
1.00
13
1.00
3.00 2.00
1.00
1.00
3.00
2.00
1.00
12
1.00
3.00 1.00 -
1.00
3.00
1.00 -
11
1.00
3.00 1.00 -
1.00
3.00
1.00 -
10
1.00
2.00 1.00 -
1.00
2.00
1.00 -
9
1.00
2.00 - -
1.00
2.00 - -
8
1.00
2.00 - -
1.00
2.00 - -
Swedish Health Services
2020 Staffing Plans
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7
1.00
1.00 - -
1.00
1.00 - -
6
1.00
1.00 - -
1.00
1.00 - -
NIGHT 9.74
Census Charge Night
RN Night NAC HUC HPPD
26
1.00 5.00 2.00
-
-
25
1.00 5.00 2.00
-
-
24
1.00 5.00 2.00
-
-
23
1.00 5.00 2.00
-
-
22
1.00 5.00 2.00
-
-
21
1.00 5.00 2.00
-
-
20
1.00 4.00 2.00
-
-
19
1.00 4.00 2.00
-
-
18
1.00 4.00 2.00
-
-
17
1.00 4.00 2.00
-
-
16
1.00 3.00 2.00
-
-
15
1.00 3.00 1.00
-
-
14
1.00 3.00 1.00
-
-
13
1.00 3.00 1.00
-
-
12
1.00 2.00 1.00
-
-
11
1.00 2.00 1.00
-
-
10
1.00 1.00 1.00
-
-
Swedish Health Services
2020 Staffing Plans
- 69 -
9
1.00 1.00 -
-
-
8
1.00 1.00 -
-
-
7
1.00 1.00 -
-
-
6
1.00 1.00 -
-
-
Swedish Health Services
2020 Staffing Plans
- 70 -
9W Psych – Edmonds
DAY EVENING
Census Charge Day RN
Day MHS HUC Charge Eve RN
Eve MHS HUC
25
1.00
4.00 3.00
1.00
1.00
4.00
3.00 -
24
1.00
4.00 2.00
1.00
1.00
4.00
2.00 -
23
1.00
3.00 2.00
1.00
1.00
4.00
2.00 -
22
1.00
3.00 2.00
1.00
1.00
3.00
2.00 -
21
1.00
3.00 2.00
1.00
1.00
3.00
2.00 -
20
1.00
3.00 2.00
1.00
1.00
3.00
2.00 -
19
1.00
3.00 2.00
1.00
1.00
3.00
2.00 -
18
1.00
3.00 2.00
1.00
1.00
3.00
2.00 -
17
1.00
3.00 1.00
1.00
1.00
3.00
2.00 -
16
1.00
3.00 1.00
1.00
1.00
3.00
2.00 -
15
1.00
3.00 1.00
1.00
1.00
3.00
2.00 -
14
1.00
3.00 1.00
1.00
1.00
3.00
2.00 -
13
1.00
3.00 1.00
1.00
1.00
3.00
2.00 -
12
1.00
3.00 1.00
1.00
1.00
3.00
2.00 -
11
1.00
3.00 1.00
1.00
1.00
3.00
2.00 -
10 - - - - - - - -
9 - - - - - - - -
8 - - - - - - - -
7 - - - - - - - -
6 - - - - - - - -
Swedish Health Services
2020 Staffing Plans
- 71 -
NIGHT 6.79
Census Charge Night
RN Night MHS HUC HPPD
25
1.00 3.00 2.00
-
-
24
1.00 3.00 2.00
-
-
23
1.00 3.00 2.00
-
-
22
1.00 2.00 2.00
-
-
21
1.00 2.00 2.00
-
-
20
1.00 1.00 2.00
-
-
19
1.00 1.00 2.00
-
-
18
1.00 1.00 2.00
-
-
17
1.00 1.00 2.00
-
-
16
1.00 1.00 2.00
-
-
15
1.00 1.00 2.00
-
-
14
1.00 1.00 2.00
-
-
13
1.00 1.00 2.00
-
-
12
1.00 1.00 2.00
-
-
11
1.00 1.00 2.00
-
-
10 - - - -
9 - - - -
8 - - - -
7 - - - -
6 - - - -
Swedish Health Services
2020 Staffing Plans
- 72 -
CDU – Edmonds
DAY NIGHT 10.97
Census
Day RN
Day NAC
Night RN HPPD
10
3.00 1.00
3.00
8.40
9
3.00 1.00
3.00
9.33
8
3.00 1.00
3.00
10.50
7
2.00 1.00
3.00
10.29
6
2.00 -
2.00
8.00
5 *
2.00 -
2.00
9.60
4 *
2.00 -
2.00
12.00
3 *
2.00 -
2.00
16.00
2 *
2.00 -
2.00
24.00
1 *
2.00 -
2.00
48.00
*When census is very low, SOC & TELE CN will review CDU patients & assess possible IP transfers and ED admits to CDU.
Swedish Health Services
2020 Staffing Plans
- 73 -
ICU – Edmonds
ICU ICU Target 17.38
Day Shift Night Shift
Census CN RNs RESOURCE RN CN RN RESOURCE
RN HOC
13 1 7 1 1 7 1 16.62
12 1 6 1 1 6 1 16.00
11 1 6 1 1 6 1 17.45
10 1 5 1 1 5 1 16.80
9 1 5 1 1 5 1 18.67
8 1 4 1 1 4 1 18.00
7 1 4 0 1 4 0 17.14
6 1 3 0 1 3 0 16.00
5 1 3 0 1 3 0 19.20
4 1 2 0 1 2 0 18.00
3 1 2 0 1 2 0 24.00
2 1 1 0 1 1 0 24.00
1 1 1 0 1 1 0 48.00
Swedish Health Services
2020 Staffing Plans
- 74 -
IMCU – Edmonds
IMCU
Day Shift Night Shift HOC
Census
RN NAC RN NAC
12 4 0 4 0 8.00
11 4 0 4 0 8.73
10 4 0 4 0 9.60
9 3 0 3 0 8.00
8 3 0 3 0 9.00
7 3 0 3 0 10.29
6 2 0 2 0 8.00
5 2 0 2 0 9.60
4 2 0 2 0 12.00
3 2 0 2 0 16.00
2 1 0 1 0 12.00
1 1 0 1 0 24.00
Note: Staffing plan adjusted when 201-204 are occupied with non-inpatient or non-observation extended stay patients. Staffing will increase by one RN and one NAC for patient and staff safety.