Baseline Baseline Q32016 Q32016 April April May May June June Average Range Average Average Range Average Range Average Range 12.1 0-31 11 1-37 13 1-37 14 2-37 13.8 2-37 Orders Scheduled 4.9 0-17 7 0-21 6 1-20 7 1-20 6.7 0-21 PRNs 5.9 0-19 7 8 7.6 10 0-21 0-21 1-21 1-21 Average Medication Number of 3Q2016 4Q2016 Number April May June Patients Average Average Range (Baseline) < 5 7 5 4 4 5 4 5 9 30 18 24 20 18 21 – 10 14 38 32 32 32 28 31 – 15 19 15 15 11 16 20 16 – 20 24 4 9 8 9 8 8 – 25 29 2 3 5 4 4 4 – > 30 2 1 3 3 3 3 Number of Patients Falling into Range of Medication Orders Nursing Responsible Party: Renee Pfingst, RN, Acting Director of Nursing I. Measure Name: Mandate Occurrences Definition: When no volunteers are to cover a required staffing need, an employee is mandated to cover the staffing need according to policy. This creates difficulty for the employee who is required to unexpectedly stay at work up to 16 hours. It also creates a safety risk. Objective: Through collaboration among direct care staff and management, solutions will be identified to improve the staffing process in order to reduce and eventually eliminate mandate
Baseline Average Baseline Range Q32016 Average Q32016 April Average April Range May Average May Range June Average June Range Orders 12.1 0-31 11 1-37 13 1-37 14 2-37 13.8 2-37 Scheduled 4.9 0-17 7 0-21 6 1-20 7 1-20 6.7 0-21 PRNs 5.9 0-19 10 0-21 7 0-21 8 1-21 7.6 1-21 Medication Number Range Average Number of Patients (Baseline) 3Q2016 Average April May June 4Q2016 Average < 5 7 5 4 4 5 4 5 – 9 30 18 24 20 18 21 10 – 14 38 32 32 32 28 31 15 – 19 15 15 11 16 20 16 20 – 24 4 9 8 9 8 8 25 – 29 2 3 5 4 4 4 > 30 2 1 3 3 3 3 Number of Patients Falling into Range of Medication Orders Nursing Responsible Party: Renee Pfingst, RN, Acting Director of Nursing I. Measure Name: Mandate Occurrences Definition: When no volunteers are to cover a required staffing need, an employee is mandated to cover the staffing need according to policy. This creates difficulty for the employee who is required to unexpectedly stay at work up to 16 hours. It also creates a safety risk. Objective: Through collaboration among direct care staff and management, solutions will be identified to improve the staffing process in order to reduce and eventually eliminate mandate
2016Q4.docx