Reply To: Staffing, once again

  • Angela Tidwell

    August 19, 2016 at 9:53 am

    We see anywhere from 60-80 patients per day in our infusion center (medicine room). Our infusion center is open 24 hours per day, 7 days per week. IN a 24-hour shift, there are different shifts. For dayshift, there may be 5 or 6 nurses scheduled for the morning, 1 or 2 that come in midday, 1 or 2 later afternoon, and 2-3 evening shift. So may be a total of 6 for the morning and 11 for the day. Shifts are staggered as there is typically less volume of patients in the morning but anticipating the number of add-on patients, a higher volume in the afternoons/evenings. There is one lead nurse (Resource Nurse) that oversees the day to day operation. We also have a nurse assigned to the “counter” room. This counter room nurse serves as the first verifier of chemotherapy. By having the counter room nurse separate from the other nursing staff, this allows a “private” area for verification of chemo/roadmaps, etc.


    All of the nurses assigned to our infusion center (medicine room) are chemo certified. There is a small float pool (extra care) nurses that can be pulled into the medicine room.


    We have 8 outpatient clinics that roughly see about 300 patients per day. Our medicine room nurses are separate from the outpatient clinics but do care for patients from all outpatient clinics.

    Angela Tidwell, MSN,RN
    St. Jude Children’s Research Hospital
    Memphis, TN
    United States
    Original Message:
    Sent: 11-23-2015 05:48 PM
    From: Vicki Schaefers
    Subject: Staffing, once again


    We are an outpatient infusion center/clinic. Our nurses cover both infusion center and case management, although usually not on the same day.  We see about 15-22 patients in our infusion center a day.  I am wondering if anyone has a staffing matrix or if you can tell me how you staff your infusion center.  Right now we have 5 nurses, 4 infusionists and a lead nurse to help run things in the infusion center.  Our case management staff varies on a day to day basis.  They have about 30-40 patients and generally 6 nurses for those patients and all the phone calls from families, order preps for next couple of days etc. 

    We do not have a matrix, we just get by with what we have scheduled, with occasional increase in staffing based on our current staffs availability to work extra.  We do not have a float pool to pull from.  Any bench marking we can do from other institutions would be helpful.  Even a quick reply with a better way to contact you would be great. 

    Thanks so much.

    Vicki Schaefers


    Vicki Schaefers, CNP,CPON,RN
    Children’s Hospital & Clinics of MN
    Burnsville, MN
    United States