How do you analyze and compare the productivity of the two nursing units (for each productivity ratio and indicate which unit is more productive) with respect to:
Adjusted nursing hours per adjusted discharge
Nursing salary expense per adjusted discharge
Percentage of adjusted nursing hours in direct patient care
Table EX 9.10Unit 1Unit 2Measurement200,000Annual Hours Worked (paid)175,00015,000Annual Patient Days12,0005Average Length of Stay (days)6Distribution of PatientsPatient ClassificationDirect Care HoursUnit 1Unit 2Low-Level Care2.00.200.25Medium-Level Care4.50.400.55Medium-High-Level Care6.00.300.15High-Level Care8.50.100.05Skill Mix DistributionRNs ($35/hour)0.401.00LPNs ($20/hour)0.300.00NAs ($14/hour)0.300.00Assume that 1 LPN = 0.80 RN and 1 NA = 0.60 RN. The table below shows the number of male and female students enrolled in nursing at a university for a certain semester. A student is selected at random. Complete parts (a) through (d) Being a critical care nurse in a NICU demands that many daily decisions be made. Some of these decisions can be relatively routine, but often they involve complex moral and ethical concerns embracing the parents as well as the patients. Naturally one makes these decisions based on science and medicine, but sometimes there are other less tangible factors that may inform decisions, factors that are born of a sensitivity to a situation, a sensitivity one develops only after years of compassionate experience. The following example will help explain and clarify this point. On his first day of life, baby S, a full term baby, was transported to us from Rhode Island to receive ECMO (extra corporeal membrane oxygenation), heart lung bypass, for severe pulmonary hypertension (PPHN) and questionable cardiac defects. He was a second child to a married 44-year-old mother, Mrs. S. who had lost her first son at two days of life. The first child’s death had been due to severe pulmonary hypertension and a cardiac abnormality. Additionally, her first child had been described as an FLK (funny looking kid) which in the neonatal world can sometimes mean a genetic disorder; however due to his quick and early demise this issue and the cardiac abnormality had not been worked up. Due to the extreme severity of his illness, little baby S was brought to us by helicopter on full life supports; transport by ambulance would have taken too long and therefore, was not an option.