You are the manager for 3 West, a medical/surgical unit. You have been given the following data to assist you in preparing your budget for the upcoming fiscal year.

Patient Data

ADC: 54

Budget based on 5.4 Avg. HPPD

(5.4 HPPD excludes head nurse and unit secretaries)

Staff Data

Total FTEs 37.0 Variable FTEs

1.0 Nurse Manager

2.2 Unit Secretaries

40.2 Total FTEs

Staffing Mix

RN 65%

LVN 20%

NA 15%

Average Salary Scale per Employee

(Fringe benefits are 35% of salaries)

Nurse Manager	$77,999.00 per year
Registered Nurses (RN)	$36.00 per hour
Licensed Vocational Nurses (LVN)	$24.00 per hour
Nurse Aides (NA)	$13.50 per hour
Unit Secretary (US)	$11.25 per hour

Rubric

Use this rubric to guide your work on this assignment.

Criteria	Target		Acceptable	Unacceptable
Question 1		Both % and FTEs column totals within 2 of correct answers (13-16 Points)	Either % or FTEs column totals within 2 of correct answers (5-12 points)	Neither % nor FTEs column totals within 2 of correct answers (0-4 points)
Question 2		All column (except Hours and Salary) totals within 2 of correct answers (17-20 Points)	At least 4 column totals within 2 of correct answers (5-16 points)	Less than 4 column totals within 2 of correct answers (0-4 points)
Question 3 Table		All six values within 2 of correct answers (6-8 points)	At least five values within 2 of correct answers (1-7 points)	Less than five values within 2 of correct answers (0-1 point)
Significance of variance in HPPD		Response is clearly stated and explains some potential details, ramifications, and/or solutions (6-8 points)	Response states some potential details or ramifications (27 points)	Response is unclear or lacks potential details or ramifications (0-2 points)
Implications for nurse leader		Response shows keen understanding of responsibilities of the nurse leader regarding staff budgets (6-8 points)	Response shows some knowledge of responsibilities of the nurse leader (2-7 points)	Response fails to demonstrate knowledge of responsibilities of the nurse leader (0-1 point)
Question 4		All columns (except Hours and Salary) totals within 2 of correct answers (17-20 Points)	At least 4 column totals within 2 of correct answers (5-16 points)	Less than 4 column totals within 2 of correct answers (0-4 points)
Question 5		All columns (except Hours and Salary) totals within 2 of correct answers (17-20 points)	At least 4 column totals within 2 of correct answers (5-16 points)	Less than 4 column totals within 2 of correct answers (0-4 points)

Questions

How many RNs, LVNs, and NAs, by category, are on the staff of 3 West? (Round FTEs to the nearest tenth.) Compute totals for each column.

Positions	Variable FTEs	% by Position	FTEs by Position
RN	37.0	.65
LVN	37.0	.20
NA	37.0	.15
Totals

Compute the annual salary budget for 3 West. (Round to the nearest tenth.)

Compute totals for appropriate columns.

Positions	FTEs	Salary	Hours	Salary Subtotals	Benefits	Total
MANAGER	1.0	77,999	XXXX
Totals		XXXXX	XXXXXX

HPPD=hours per patient day

can you review my answers with close attn to rounding to nearest 10

How many RNs, LVNs, and NAs, by category, are on the staff of 3 West? (Round FTEs to the nearest tenth.) Compute totals for each column.

Positions	Variable FTEs	% by Position	FTEs by Position
RN	37.0	.65	24.1
LVN	37.0	.20	7.4
NA	37.0	.15	5.5
Totals		1.0	37

Compute the annual salary budget for 3 West. (Round to the nearest tenth.)

Compute totals for appropriate columns.

Positions	FTEs	Salary	Hours	Salary Subtotals	Benefits	Total
MANAGER	1.0	77,999	XXXX	77,999	27,299.7	105,298.7
RN	24.1	XXXXX	50,128	1,804,608	631,612.8	2,436,220.8
LVN	7.4	XXXXX	15,392	369,408	129,292.8	498,700.8
NA	5.5	XXXXX	11,440	154,440	54,054	208,494
US	2.2	XXXXX	4,576	51,480	18,018	69,498
Totals	40.2	XXXXX	XXXXXX	2,457,935	860,277.3	3,318,212.3

Your hospital unit, 3 West, is a 60-bed general medical-surgical unit. Over the past year, the ADC (Ave. Daily Census) was 54 patients.

Use the following data on 3 West during the last year to perform these calculations and answer these questions.

Complete this table to calculate the actual average hours of care required per patient day (HPPD) for the patients in 3 West.

Acuity Mix	Average Hours of Care Required	Average Daily Census (ADC)	Total Hours of Care Per Day
I	1.4	8	5.7
II	3.9	22	5.6
III	5.6	16	2.9
IV	8.8	8	0.9
Totals		54	15.1
Hours per patient day (HPPD)		3.6

Remember that your established personnel budget for 3 West assumes a HPPD of 5.4. If your calculated HPPD is different, explain the significance of the variance. (If your calculated HPPD is different than 5.4, you must write more than, We need more/less nurses.)

What is the Significance of the variance? If you believe you need more staff, what will be your rationale for making this requires? If you have too much staff, what would your proposal be for bringing your staffing into a better balance?

These calculations show that the HPPD was less and would require that there is less staff needed. This can be associated with the fact that there are less hours need for acuity mix III and IV. For this you could XXXXXXXXXXXX to bring staff in balance.

What are the implications for the Nurse Manager? As an example, based on your conclusions in Section B, what other observations would you make as you review your total budget and what would you expect to see as a result? (HINT: supply costs; overtime hours, average census of 43 on a 45 bed unit, etc.)

You have set two new goals for your unit for the next year related to personnel:

Provide stronger unit management support on evening and night shifts and in the absence of the manager.

Correct unfavorable efficiency variances due to overtime.

To accomplish these goals, you plan to make these changes:

Add 1.0 RN FTE position

Eliminate 2.2 LVN positions

Add 2.5 FTEs NA positions

Add 1.0 Assistant HN position at $65,000/year

Calculate ONLY the cost of the proposed recommendations for 3 West. Compute totals for each column. If the change represents a reduction in the budget for that category, record the total as a negative number. If it represents an increase in the budget for that category, record the total as a positive number. (DO NOT INCLUDE INFORMATION IN Q 2)

Positions	FTEs	Salary	Hours	Salary Subtotals	Benefits	Total
RN	1.0	XXXXX	2080	74,880	26,208	101,088
LVN	-2.2	XXXXX	-4,576	-109,824	-38,438.4	-148,262.4
NA	2.5	XXXXX	5,200	70,200	24,570	94,770
AHN	1.0	65,000	XXXXX	65,000	22,750	87,750
Totals		XXXXX	XXXXX	100,256	35,089.6	135,345.6

Assume your proposal was approved. Calculate the new personnel budget. Compute totals for each column. (ADJUST Q 2 TO INCLUDE RECOMMENDED CHANGES)

Positions	FTEs	Salary	Hours	Salary Subtotals	Benefits	Total
MANAGER	1.0	77,999	XXXXX	77,999	27,299.7	105,298.7
RN	25.1	XXXXX	52,208	1,879,488	657,820.8	2,537,308.8
LVN	5.2	XXXXX	10,816	259,584	90,854.4	350,438.4
NA	8.0	XXXXX	16,640	224,640	78,624	303,264
US	2.2	XXXXX	4,576	51,480	18,018	69,498
AHN	1.0	65,000	XXXXX	65,000	22,750	87,750
Totals	42.5	XXXXX	XXXXX	2,558,191	895,366.9	3,453,557.9