Formula help to calculate RN to Patient ratios based off certain conditions

charliemike9285

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Can someone help with formulas that would help calculate the RN to Patient ratio depending on the Census, Total # of RNs, and # of IMU patients?
The green highlighted cells would be the ones that I would change based on the data.
The orange cells may or may not be used depending on the data (if i don't have a high enough census or acuity, then I don't need a 9th or 10th RN).

So, the conditions are:
1) The Charge would have a max of 2 patients, but could have less
2) there would be a max of 3 IMU pts per IMU RN, but also even if the number of IMU pts is not divisible by 3, the IMU RN would always only have 3 pts total (Ex. 1 IMU pt = 1 IMU RN w/ 3 pts ; 4 IMU pts = 2 IMU RNs w/ 3 pts each)
3) the regular RNs would have a max of 5 patients if there are any IMU patients and maxed at 6 patients if no IMU patients.

The problems I'm running into are:
1) I know there is probably a better formula to use than how I've written it so if there is please let me know
2) obviously, nurses can't have a "part" of a patient so how can I write the formula so it will essentially do the math in whole numbers
3) write the formula so that depending on how many IMU pts there are, the max ratio would be 3 for however many RNs.

Hopefully this makes sense but if not let me know and I will do my best to explain.



Staffing Ratios Problem.xlsx
ABCDEFGHIJKLMNOPQRSTUVWXYZ
1RN #12345678910RN #123456789
2CensusChargeRN 2RN 3RN 4RN 5RN 6RN 7RN 8RN 9RN 10CensusChargeIMU RNRN 3RN 4RN 5RN 6RN 7RN 8RN 9
3Total # of pts3624.857144.8574.8574.8574.8574.8574.8571#DIV/0!#DIV/0!Total # of pts3623.0005.1675.1675.1675.1675.1675.1667#DIV/0!
4# of IMU pts1# of IMU pts1
5Total # of RNs8Total # of RNs8
6
7
8
9Examples of how it should be with different scenarios:
10Fully staffed, no IMURN #123456789
11CensusChargeRN 2RN 3RN 4RN 5RN 6RN 7RN 8RN 9
12Total # of pts3624555555N/A36
13# of IMU pts0
14Total # of RNs8
15
16Understaffed, no IMURN #123456789
17CensusChargeRN 2RN 3RN 4RN 5RN 6RN 7RN 8RN 9
18Total # of pts362556666N/AN/A36
19# of IMU pts0
20Total # of RNs7
21
22
23Full census, 4 IMU ptsRN #123456789
24CensusChargeIMU RNIMU RNRN 4RN 5RN 6RN 7RN 8RN 9
25Total # of pts3623344555536
26# of IMU pts4
27Total # of RNs8
28
29Low census, 2 IMU ptsRN #123456789
30CensusChargeIMU RNRN 3RN 4RN 5RN 6RN 7RN 8RN 9
31Total # of pts3323445555N/A33
32# of IMU pts2
33Total # of RNs8
Sheet1
Cell Formulas
RangeFormula
D3D3=($B$3-$C$3)/($B$5-C1)
E3E3=($B$3-$C$3-$D$3)/($B$5-D1)
F3F3=($B$3-$C$3-$D$3-$E$3)/($B$5-E1)
G3G3=($B$3-$C$3-$D$3-$E$3-$F$3)/($B$5-F1)
H3H3=($B$3-$C$3-$D$3-$E$3-$F$3-$G$3)/($B$5-G1)
I3I3=($B$3-$C$3-$D$3-$E$3-$F$3-$G$3-$H$3)/($B$5-H1)
J3J3=($B$3-$C$3-$D$3-$E$3-$F$3-$G$3-$H$3-$I$3)/($B$5-I1)
K3K3=($B$3-$C$3-$D$3-$E$3-$F$3-$G$3-$H$3-$I$3-$J$3)/($B$5-J1)
L3L3=($B$3-$C$3-$D$3-$E$3-$F$3-$G$3-$H$3-$I$3-$J$3-$K$3)/($B$5-K1)
R3R3=($O$3-$P$3-$Q$3)/($O$5-Q1)
S3S3=($O$3-$P$3-$Q$3-$R$3)/($O$5-R1)
T3T3=($O$3-$P$3-$Q$3-$R$3-$S$3)/($O$5-S1)
U3U3=($O$3-$P$3-$Q$3-$R$3-$S$3-$T$3)/($O$5-T1)
V3V3=($O$3-$P$3-$Q$3-$R$3-$S$3-$T$3-$U$3)/($O$5-U1)
W3W3=($O$3-$P$3-$Q$3-$R$3-$S$3-$T$3-$U$3-$V$3)/($O$5-V1)
X3X3=($O$3-$P$3-$Q$3-$R$3-$S$3-$T$3-$U$3-$V$3-$W$3)/($O$5-W1)
Z12,Z31,Z25,Z18Z12=SUM(P12:X12)
 

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I figured out how to round down (cell D3) so it calculates it in whole numbers (problem 2 listed above).
Any help with figuring out the other 2 problems would be greatly appreciated! Thank you!

Staffing Ratios Problem.xlsx
ABCDEFGHIJKL
1RN #12345678910
2CensusChargeRN 2RN 3RN 4RN 5RN 6RN 7RN 8RN 9RN 10
3Total # of pts36245.05.05.05.05.05.0#DIV/0!#DIV/0!
4# of IMU pts1
5Total # of RNs8
Sheet1
Cell Formulas
RangeFormula
D3D3=ROUNDDOWN(($B$3-$C$3)/($B$5-C1),0)
E3E3=($B$3-$C$3-$D$3)/($B$5-D1)
F3F3=($B$3-$C$3-$D$3-$E$3)/($B$5-E1)
G3G3=($B$3-$C$3-$D$3-$E$3-$F$3)/($B$5-F1)
H3H3=($B$3-$C$3-$D$3-$E$3-$F$3-$G$3)/($B$5-G1)
I3I3=($B$3-$C$3-$D$3-$E$3-$F$3-$G$3-$H$3)/($B$5-H1)
J3J3=($B$3-$C$3-$D$3-$E$3-$F$3-$G$3-$H$3-$I$3)/($B$5-I1)
K3K3=($B$3-$C$3-$D$3-$E$3-$F$3-$G$3-$H$3-$I$3-$J$3)/($B$5-J1)
L3L3=($B$3-$C$3-$D$3-$E$3-$F$3-$G$3-$H$3-$I$3-$J$3-$K$3)/($B$5-K1)
 
Upvote 0
@charliemike9285 Hopefully I have properly understood your conditions?
If so then maybe the below will help.
Maximum of 10 staff and 56 patients
I'm assuming that manual data entered in B3:B5 and also that the number of patients for the Charge is a manual entry in C3
You could use Data Validation to limit C3 to a max of 2 if you wish.
D2:L2 will auto populate with staff headings that match the numbers in B3:B5

🤞C3:L3 will compute the number of patients per staff member.
If sum of patients does not equate to B3 then the range C3:L3 will conditional show as red indicating that the numbers B3:B5 create understaffing.

AutoTraining.xlsm
ABCDEFGHIJKL
1RN #12345678910
2CensusChargeRN 2RN 3RN 4RN 5RN 6RN 7RN 8------
3Total # of pts3624555555------
4# of IMU pts0
5Total # of RNs8
6
Sheet9
Cell Formulas
RangeFormula
D2:L2D2=IF(D1>$B5,"---",IF($B4>COUNTIF($C2:C2,"IMU RN")*3,"IMU RN","RN "&D1))
D3:L3D3=IF(D2="---","---",MIN(QUOTIENT($B3-SUM($C3:C3),$B5-C1),IF(D2="IMU RN",3,5+($B4=0))))
Cells with Conditional Formatting
CellConditionCell FormatStop If True
C3:L3Expression=AGGREGATE(9,6, $C$3:$L$3)<>$B$3textNO


RN #12345678910
CensusChargeIMU RNIMU RNRN 4RN 5RN 6RN 7RN 8------
Total # of pts3623355555------
# of IMU pts4
Total # of RNs8


RN #12345678910
CensusChargeIMU RNIMU RNRN 4RN 5RN 6RN 7RN 8RN 9---
Total # of pts36233445555---
# of IMU pts4
Total # of RNs9


HTH
 
Upvote 1
Solution

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