Does anyone know what kind of acuity tool is used at their hospital to determine the numbers of staff that should be on your floors????
Has anyone ever heard of something called the Navy Work Time acuity tool?? They use units called FTEs.
How often is the acuity tool used??? Every day??? Can you actually see the tool????
Nov 21, '02
I've never heard of that specific tool, but FTE's (Full Time Equivalent) is used for staffing according to a census percentage and the actual patient contact time of nurses in a particular unit. It does not take into consideration acuity. The mathematical calculation to determine FTE's (staffing) is based on the facilities past history of the occupancy rate (ie. 90% of the beds were filled over x period of time) and standard number of hours per day per patient that nurses are in actual contact with patients (ex. 10 hrs/day/patient); I suppose this could be adjusted for acuity (I dont know). I'm not a staffing coordinator or a manager, so I don't know how often FTE's are calculated. To further complicate the process, the facility/manager has to consider the number of staff needed to cover sick days, vacation time, etc., so when core staff take time off for whatever reason, there are enough staff available to cover this time. At any rate, it's a mathematical calculation. I'm not sure where we fall short in using this system, as most know, staffing ratios can be horrid. Considering the complexity of all the factors to consider, my hat goes off to all those managers who strive for adequate staffing levels. It's a tough job.
Last edit by WashYaHands on Nov 21, '02