Point of Care program staffing

I would recommend looking at the number of waived and non-waived methods you have at each location and the number of testing operators you have by method. Those are much better factors to use when determining need for POC Oversight than number of facilities and bed size.

I would also recommend getting data on amount of testing methods (waived and non-waived), number of instruments, number of operators, number of actual tests performed, number of units, etc. 

Thank you all for your feedback, that is very helpful. I will be sure to pull volumes also. 

Breakdown of my facility: 
Non-waived: Amniotest (100 operators), iSTAT (19 devices/650 operators), ACT (8 devices/90 operators), Avox (4 devices/38 operators)

Waived: Glucose (140 devices/2839 operators), Manual Preg (225 operators), Medical Imaging (4 devices/80 operators), Clinitek (4 devices/318 operators), Coagucheck (4 devices/5 operators), various waived testing for urgent cares.

Oh my! That is a lot to handle as a one man operation. At the very least, I would think 2.5 FTEs would be a benefit. Dependent on the amount of POC testing you provide as well as the number of operators within the system. If there was a perfect world that you could get whatever help you wanted, I would say 1 POC to manage the 400 bed, 1 POC to manage the 100 bed plus FSED and UCCs. and at least 0.5 - 1 FTE to float and assist with all facilities. 

Focus on your testing operators - for starters, do you need that many? How many people are you investing time and energy into that never touch the device or perform a test? Eliminate those.  Then focus on automation - do you have auto-verify turned on for all tests? If no, consider adding interfaces for your non-interfaced tests either via the glucometer or other means. Finally, calculate your time investment per test operator - waived operators may only require 15-20 minutes of total hands-on time from you per year - or less if you are not the one training them. Whereas a non-waived test operator may require 60 minutes of hands on time per year from you for initial, 6 month, and annual competency. Add up those hours to get a good ballpark of your needs. Waived testing requires minimal oversight and in most cases can be 100% automated and managed remotely by one person for many sites, so really the only thing that counts is non-waived. Based on my calculation you would need 1.3 FTE's for this program.

Like Silka was saying, your breakdown of waived vs non-waived (mod. complex) testing platforms and users along with onsite vs clinics and/or urgent care sites. But do not forget about your time training users or training nurse educators, etc. With all of the Travel staff rotating through your facilities, you may actually be spreading yourself thin and pushing work to the side in order to facilitate training and troubleshooting.  We have three FTEs with a possible fourth since a new Mental Health hospital has opened up on campus. They may expand their current POC needs.

We have 2 FTEs (1 Coordinator, 1 Med Tech) for a 335 bed hospital, 3 Imaging Centers, 1 Surgery Center, 1 Home Care, and 8, soon to be 9, ambulatory practices.  Operators are Nova Glu (69 devices, 965 operators), Clinitek-hCG (1 instrument, 80 operators), Strep (80 operators), manual hCG (55 operators), ROM Plus (32 operators), Hemochron Elite (8 instruments, 110 operators), HemoCue (1 instrument, 30 operators), ACT Plus (2 instruments, 3 operators), Rotem (1 instrument, 3 operators), HemaPrompt OCB/GOCB (ER docs), i-STATs (22 instruments, 90 operators), Avox (4 instruments, 50 operators).  The i-STATs and Avox are primarily managed by our RT Managers and the Cath Lab Coordinator helps out with the Hemochron Elites, but I still help and have oversight.  Our ambulatory's perform 10-14 waived tests.  I think you need help!