Instructions: Complete the case study below by answering each question. Utilize a minimum of 2 scholarly resources to support responses to Part I of the case study. For Part II show all calculations. This is not a formal written paper; however, an APA style title page with running head and reference page are required. Answers may be recorded as Part I 1.), 2.), and 3.). Part II 1.), 2.) . . .

Scenario: Mary Jane Smith has recently accepted a position as nurse manager on 1 West, a medical surgical nursing unit at Mercy Hospital Center.

Part I

1. Identify the nursing-sensitive indicators Mary Jane should consider in making staffing decisions.
2. Discuss how nursing-sensitive indicator data can be utilized to enhance safety and quality of patient care.
3. Discuss the relationship between nurse staffing and 2 of the following: urinary tract infections, pneumonia, length of stay, upper gastrointestinal bleeding, or shock.

Part II: Mary Jane has been asked by the Chief Nursing Officer to prepare a personnel budget for the coming fiscal year. Mary Jane has collected the following information, in addition to what she has determined based on nursing-sensitive indicator data discussed in Part I:

Patient Data
Average Daily Census 28
Unit Capacity 30
Average HPPD 8.8 
Total Care Hours 96,360

Staff Data
Productive hours/employee/year 1,780
Nonproductive hours/employee/year 300
Total Hours/employee/year 2,080

Skill Mix
RNs 80%
LVNs 10%
Nurse aides 10%

Average Salary per Employee Category:
RN $36.00/hour
LVN $22.00/hour
Nurses Aide $12.00/hour

1. Calculate the number of productive full-time equivalents (FTEs) that would be needed. Show calculations.
2. Calculate how many RNs, LVNs, and nurse aides will be needed to staff this unit for a 24-hour period (identify if the staff will be working 12-hour shifts or 8-hour shifts in your calculation and display work accordingly)? Show calculations.

A.M. Shift

• • # of RNs
  • # of LVNs
  • # of Nurse Aides

P.M. Shift

• • # of RNs
  • # of LVNs
  • # of Nurse Aides

1. Convert staff positions from item 2 to FTE positions. Show your calculations.

A.M. Shift

• • FTE of RNs
  • FTE of LVNs
  • FTE of Nurse Aides

P.M. Shift

• • FTE of RNs
  • FTE of LVNs
  • FTE of Nurse Aides

1. Calculate the total annual FTE salary costs.Show your calculations.
   • FTE RN personnel costs.
   • FTE LVN personnel costs.
   • FTE Nurse Aide personnel costs.
   • Total annual personnel salary (RN, LVN, plus Nurse Aids).