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- Title
CREATING A STAFFING MODEL FOR RN BLOOD AND MARROW TRANSPLANTATION COORDINATORS IN THE PRE-TRANSPLANT PHASE OF THE BLOOD AND MARROW TRANSPLANTATION JOURNEY.
- Authors
Adornetto-Garcia, Debra; Kersten, Bill; Koval, Eric; Vines, Larry
- Abstract
At one of the largest Blood and Marrow Transplantation centers in the country, determining the correct number of pre-transplant RN Coordinators has always been a challenge. Staffing based on volume of patients and transplant numbers has proven to be an ineffective measure of actual workload. A staffing model was created to determine the correct numbers of personnel necessary. The goal was to improve morale, retention and create a data source that could be used to justify and request additional positions. First, data was collected on volumes of total "active" BMT patients that each coordinator is responsible for on a monthly basis. Next, a list of the coordinator activities were created and loaded into a hand held device which was used to capture the time spent on each of the coordinator activities such as consults visits, teaching, phone calls, email, and documentation. The coordinator activities were captured and recorded during a two-week pilot. The hand held device randomly beeped 20 times in 8 hours prompting the coordinators to enter the activity they were performing at that moment. The findings from the pilot resulted in the calculation of the standard work hours for the week with an additional 63 minutes per person added for fatigue or personal time. The hours were then divided by the patient activity level to determine the activity hours per patient and were multiplied by the projected weekly patient load to calculate the projected activity hours. A 15% allowance for productivity variability was added and divided by 40 hours per workweek to obtain the projected number of coordinators The staffing model demonstrated to the current 6 coordinators and lead coordinator the optimal number of patients that each of them can effectively manage. Creation of the staff model has added meaning to the work of the team and a basis to support growth.
- Subjects
BONE marrow transplantation; BONE marrow purging; CANCER patients; CANCER treatment; MEDICAL care
- Publication
Oncology Nursing Forum, 2006, Vol 33, Issue 2, p409
- ISSN
0190-535X
- Publication type
Article