This assignment provides learners with the opportunity to apply budgeting knowledge and skills by calculating full-time equivalents for a nursing unit, projecting FTE needs related to census changes, and analyzing a variance scenario.

Due Date:  Week 4


Description of the Assignment

This assignment is in two scenario-based sections each related to staffing budgets. In the first, the student will perform multistep calculations of FTEs and projections of future FTE needs for a selected nursing unit. The second section involves the calculation of budget variance and its analysis. Each section requires a supported written interpretation of findings.  

Criteria for Content

Answer the questions and complete the calculations required for the two sections of the assignment.

 Key points related to Calculations:

1. When performing calculations, standard rounding rules apply. If the number to the right of the decimal is less than 5, round down to the nearest whole number, e.g., 33.4 = 33 If the number to the right of the decimal is 5 or greater, round up to the nearest whole number, e.g. 33.5 =34.

2. Read the question carefully. Pay close attention to the units be asked and keep them consistent. For example, hours vs FTEs; days vs months vs years.

3. Provide ALL formulas with references. Designate which formula associates with which source. It is not sufficient to simply list the source at the beginning of the section. Write out the formula used BEFORE filling in the numbers.

Example: Efficiency Variance + Volume Variance + Cost Variance = Total Variance

Rundio, A. (2022). The nurse manager’s guide to budgeting and finance (3rd ed.).Sigma Theta Tau International.

  • Section One: Staffing Budget and FTEs
    • Calculations of full-time equivalents (FTEs)
    • Project FTE needs related to census changes
  • Section Two: Variance Analysis
    • Calculating variance
    • Variance analysis with explanation


Section One—Staffing Budget and FTEs

Personnel Budget Case Study

Sandra Chambers has recently accepted the position of assistant administrator for the department of nursing at Potter Regional Medical Center where she will oversee the operations of five medical units. As she evaluates the budgets for the different cost centers, she finds that all are being used at near or full capacity. The activity in four of the five has remained steady over the past 2 years. A fifth unit has realized a steady increase in patient volume during that time and is currently at 88% capacity. It has been projected that within the next 12 months the volume of patients moving through that unit will increase by 20%. Sandra needs to determine if the current FTEs for the unit will be sufficient to ensure quality and safe care continues to be provided, and if not, what is the number of FTEs that will be needed to cover a 20% increase in volume. 

  1. Suggest all the information Sandra needs to collect in order to project the FTEs needed for the next fiscal year accounting for the projected increased capacity. Remember, she is new to her position so be sure to include background data on the unit itself as it relates to previous budgets, nursing staff, and the organization. In other words, summarize your approach to this Case Study.

Sandra is required to put more effort into collecting data. One month may not be enough to collect the required data thus the need to extend it longer. Besides, another critical information that Sandra needs to consider is the patient acuity population. In this case, the patients who are at higher acuity need more nurses due to the decreased patient-to-nurse….Kindly click the purchase icon to  purchase the full solution at $10

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