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BMT Acuity Tool

  • 1.  BMT Acuity Tool

    Posted 08-13-2019 15:49
    Hi.  I was wondering if anyone utilized an acuity tool to calculate staffing ratios for either their inpatient or outpatient BMT areas and if you wouldn't mind sharing it with me.  We are just opening up our inpatient BMT unit, and are trying to standardize our staffing ratios based on patient acuity.   

    Thank you so much!

    Annette Caravia, MSN, APRN, BMTCN

  • 2.  RE: BMT Acuity Tool

    Posted 08-14-2019 11:46
    Here at our hospital we have a 25 bed unit and staffing is 3:1 I think it is a little to much like a ICU ratio but that is what it is. Currently am working on a time in motion study for our oncology floor to see if we are adequately staffed. There isn't a lot of studies that have been performed on this matter.

    Ashleigh Lewis BSN
    Huntsman Cancer Hospital
    Riverton UT

  • 3.  RE: BMT Acuity Tool

    Posted 08-14-2019 16:24

    we are a 35 bed inpatient unit (mix of BMT and new leukemia) ratio is 2 or 3 to 1 nurse. Sometimes 1:1 if patient acuity warrants or pre ICU transfer for example.
    We have 14 nurses on days and 13 on nights ( so one more nurse has 3 patients on nights). If needed we can staff up +1 too but that is rare.
    our outpatient BMT clinic sees up to 65 patients a day (M-F 07-19) (S/S 0800-1700) each nurse has 6 ( sometimes 7 depending on reason for appointment)
    We staff similar levels to our high acuity unit (like a step down) because of patient complexity.

    We used to have a tool many years ago but stopped using it.

    Rebecca St.Jean
    Leukemia/BMT program of BC
    604-875-4111 loc 61885
    Vancouver, BC, Canada