Instructions: Answer the math calculation questions below along with some questi

Instructions: Answer the math calculation questions below along with some questions listed at the end. Please be sure to fill in your calculations on the attached word document provided. Must includeone scholarly articles that is cited in APA format and PDF for articele must be attached. See questions below. I have attached gradingrubric and worksheet as attachments.
Staffing Worksheet and Nurse Evaluation Considerations
1) Staffing: Emergency Department
• Please complete the worksheet, filling in all blanks. If needed, round to the nearest hundredth (ex. 1.15)
Welcome to the Medical Annual Budget Retreat!
You have been provided your 2022-2023 staffing budget. According to the upcoming budget, the hospital is projecting an average ED daily visits of 92 per day in our 20 bed unit. Emergency room staffing is based on Nursing Hours Per Patient Visit. This means that over the course of the year, your daily patient visits will average to 92. Some days you may have 120 come through and others you may have 50 come through, but on the average it will be 92 overall.
According to the Chief Financial Officer, Emergency rooms within the hospital corporation are routinely running at 2.5 nursing hours per patient visit (in total). He states that all EDs in the healthcare system will all be expected to meet this goal every month. Knowing your new budget numbers, and that your prior requested hours per patient day were denied, you now have to come up with a new staffing allocation plan.
These are some basic staffing facts on the unit. Your nurses, assistants and monitor techs who are full-time work 12 hour shifts and three shifts per week for a total of 36 hours. The rest of your staff are PRN and they work 12 hour shifts, but not on a regular pattern, just as you need them.
Below are some basic calculations and facts that will be needed to set your plan:
Your unit runs at 90% productivity, meaning that to remain at 2.5 nursing hours per patient visit, you have to subtract 10% before calculating your staffing numbers to account for extra hours or $’s paid for PTO, meeting time, etc.
NURSING HPPV = 2.5 X .90 = ________ NHPPV for Actual Staffing
You earlier noted that you are budgeted to run an average patient volume of 92 visits per day. If you are going to determine the amount of hours you will have available for each day, you multiple your Actual NHPPV X Average Number of ED Visits of 2.5.
Actual NHPPV ________ X 92 visits = ________ Nursing Hours per Day
There are 365 days in a year, so you now need to know how many hours are allowed per year.
You multiply your
_________ Nursing Hours per Day X 365 = _________ Nursing Hours per Year
Full-Time Equivalents: FTE’s per CFO & HR
Your CFO and the Human Resources Department consider full-time to equal 40 hours per week. To determine how many hours this is in a year,…
You multiply 40 hours per week x 52 weeks which equals _________________________ TOTAL FTE HOURS PER YEAR.
To determine how many FTE’s you are allowed to have employed based on the new budget, you must divide the Nursing Hours per Year by TOTAL FTE HOURS PER YEAR.
________________Nursing Hours per Year divided by _____________TOTAL FTE HOURS PER YEAR = ____________ FTEs
Optimization in Hiring:
In the ED, all employees however work 3, 12-hour shifts per week (36 hours per week). For many years, each time your unit has hired an employee in this category, they are counting the person as a FTE (40 hours per week). You have discovered that this means that for each full-time employee, you are losing 10% of hiring power as these employees are only required to work 36/40 hour or 90%.
As this new budget is going to be stricter, you must devise a new plan to optimize hiring. So to do this, you will make the case for being allowed to count these full-time employees based on what they really work, not 40 hours.
First you must determine the TOTAL 36 hour FTE HOURS PER YEAR.
You multiply 36 hours per week x 52 weeks which equals ____________________________= TOTAL 36 hour FTE HOURS PER YEAR.
This adjustment means you would then need more FTEs because in your units, the staff work less hours.
To determine the true amount of 36 hour employees you can hire, you must divide the Nursing Hours per Year by TOTAL 36 hour FTE HOURS PER YEAR.
________________Nursing Hours per Year divided by _____________TOTAL 36 hour FTE HOURS PER YEAR = ____________ FTEs
This is the now the total number of 36 hour, full-time employees you can use to staff day shift and night shift combined.
Constructing the Nursing Budgeting Staff Matrices:
To first consider this, you may want to know that 70% of the ED patient visits occurs between 7a-11pm.
____________Patient visits per day x 70% = __________________ Patient visits (7a-11p)
____________Patient visits per day x 30% = ________________ Patient visits (11p-7a)
• Staffing for 7a-11p: As 7a-11p = 16 hours, you want to calculate how many patients would likely be in the ED for each hour.
# of patient visits (7a-11p) divided by 16 hours = __________Average Patient Visits per Hour.
• Staffing for 11p-7a: As 11p-7a = 8 hours, you want to calculate how many patients would like be in the ED for each hour.
# of patient visits (11p-7a) divided by 8 hours = __________Average Patient Visits per Hour.
What seems like a reasonable amount of nurses to assign on the 16 hour day shift based on these numbers of patients? Please explain your rationale: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
2) Nurse Evaluation Considerations:
• Please answer the following questions, and include at least one current, scholarly reference in your response. Include the full reference below your answer in APA format.
Consider your most recent annual evaluation- if you have a copy that is accessible, you are encouraged to review it. Below, clearly explain one question/piece of criteria you were evaluated on. To what degree do you believe an annual evaluation influences your performance and personal growth for the future year? If you were in a management position, what change(s) would you make to the evaluation process to make it a more holistic or meaningful process?
*If you have not yet had an annual evaluation, please take this opportunity to ask your leadership team what is involved in that process