FTEs Calculation for Medical Surgical Unit: Budget Planning Report

This report analyzes the calculation of Full-Time Equivalents (FTEs) for a 30-bed medical-surgical unit, focusing on budget planning and optimal staffing. The student calculated FTEs for both 8-hour and 12-hour shift models, considering factors such as vacation time, holidays, sick leave, and break times to determine the total number of staff required. The report highlights the comparative efficiency of each shift length, concluding that 12-hour shifts require fewer FTEs while still ensuring quality patient care. Calculations were based on the assumption of a minimum of one staff member per bed, with detailed steps outlined for each scenario. The report references relevant literature on healthcare staffing and provides a clear methodology for determining staffing needs, ultimately offering insights into effective resource allocation within a medical-surgical environment.

Running head: MEDICAL SURGICAL UNIT
BUDGET PLANNING
Name of the Student:
Name of the University:
Author Note:

1FTEs CALCULATION
The key element for managing a budget is optimal staffing management. Currently,
the medical-surgical unit holds the capacity of 12 beds. The budget planning needs to be done
to increase the size of the medical-surgical unit by 30 beds in the coming year. According to
Girasek et al. (2016), calculation of FTEs would give the number of employees required.
This paper would examine the numbers of additional FTEs and the necessary factors for
delivering quality care services to the patients.
Currently, the budget is allocated for an average daily census (ADC) of 27. According
to Zhang, J. (2014), FTE is referred as total hours worked by the employees annually.
Calculation of FTE working for 8 hours
First Step: To find the total hours required in each week, number of bed would be multiplied
with total hours in each week.
30 X 8 X 5 = 1200
The total hours every week is 1200
Second Step: Total hours of week multiplied by the number of people per bed
1200 X 1 = 1200
The total hours every week is 1200.
Third step: Basic FTE = total working hours each week is divided by 40hours work per week
1200/40 = 30
The total basic FTEs required would be 30.
Fourth Step: calculation of benefits per staff annually
Average vacation hours = 100

2FTEs CALCULATION
Holiday hours = 50
Sick leaves hours = 98
15-minutes small breaks x 260 days divided by 60-minutes = 65
45-minutes of meal break multiply by 260 days by 60-minutes = 195
The total value hours is 508 hours per year.
Fifth step: Basic FTE X benefits annually divided by 2080 hours
30 x 508 / 2080 = 7.3
The relief FTEs are 7.3
Sixth step: Addition of basic FTEs and relief FTEs
30 + 7.3 = 37.3 = 37 FTEs.
A total of 37 FTEs would be required for a 30-bed medical-surgical unit working for the
timing of the shift of 8 hours.
Calculation of FTE working for 12 hours
First Step: To find the total hours required in each week, number of bed would be multiplied
with total hours in each week. (Here working days is considered as 3 per week as the
maximum number of hours per week should be 40) (Reliasmedia.com, 2020)
30 X 12 X 3 = 1080
The total hours every week is 1080
Second step: Total hours are multiplied with the number of required people (staff) per bed
1080 X 1 = 1080

3FTEs CALCULATION
The total hours every week is 1080.
Third step: Basic FTE = total working hours per week is divided by 40hours work per week
1080/40 = 27
The total basic FTEs required would be 27.
Fourth step: calculation of benefits per staff annually
Average vacation hours = 100
Holiday hours = 50
Sick leaves hours = 98
15-minutes small breaks x 156 days divided by 60 minutes = 39
(Number of working days in year = working days in week x number of weeks in a year
= 53 x 3
= 156 days)
45 minutes of lunch break x 156 days by 60 minutes = 117
The total benefit hour is 404 hours per year.
Fifth step: Basic FTE X benefits annually divided by 1872 hours
(36 hours (per week) x 52 (52 weeks annually) = 1872 hours)
30 x 404 / 1872 = 6.4
The relief FTEs are 6.4
Sixth Step: Addition of basic FTEs and relief FTEs
27 + 6.4 = 33.4 = 33 FTEs

4FTEs CALCULATION
Total 33 FTEs would be required for a 30-bed medical-surgical unit working for the timing
of the shift of 12 hours
From the above calculation and justification, it has been clear that the 12 hours shifts
would require a lesser number of FTEs for delivering effective quality care towards the
patients. The calculation has been formulated according to the number of beds and assumed
that a minimum of one assistance per bed.

5FTEs CALCULATION
References
Girasek, E., Kovács, E., Aszalós, Z., Eke, E., Ragány, K., Kovács, R., ... & Szócska, M.
(2016). Headcount and FTE data in the European health workforce monitoring and
planning process. Human resources for health, 14(1), 42.
Reliasmedia.com. (2020). 6 steps to determining your staffing needs | 1997-10-01 | AHC
Media: Continuing Medical Education Publishing. Retrieved 25 March 2020, from
https://www.reliasmedia.com/articles/52434-6-steps-to-determining-your-staffing-
needs
Zhang, J. (2014). Assessing the economic importance of meetings activities in
Denmark. Scandinavian Journal of Hospitality and Tourism, 14(3), 192-210.