ECO 605 Discussion 7.1: Measures of Work Intensity


Discussion Board 7.1

Taking into consideration the three measures of ADT intensity, I believe that the Admission, Discharge, and Transfer Work Intensity Index is the best way to measure unit intensity for an emergency department setting. First, I want to explain why I believe that the other two forms of measurement would not be as accurate for an emergency department setting to measure intensity. The midnight census is not a strong form of measurement for an emergency department due to the busy times for the unit not usually occurring throughout the middle of the night. Through working both day shift and night shift, I have found that our busiest times in the emergency room occur throughout the day and typically get slower throughout the middle of the night. The inverse length of stay considers the turnover of a same hospital bed within a 24-hour stay. This could be beneficial to measure the intensity of the ER, but with recent holds becoming the new normal, this is not an accurate measure for workload intensity since it is not considered. A good example of this is an ICU hold that stays in the ER for days on end. This patient is requiring a ton of resources and is nearly needing 1:1 nurse staffing. The i/LOS does not take the workload of that patient into consideration.

The Admission Discharge and Transfer Work Intensity Index would be most accurate in an emergency department setting because it considers all admissions, discharges, and transfers in a 24 hour period when calculating workload intensity. This is very important to capture the active movement of patients either discharging home or being admitted to the unit in a busy ER setting. This can also be measured during the busiest time of day to help provide adequate staffing when it is needed in the department. (Waxman, 2018, p. 75-78).


Waxman, K.T. (2018). Financial and business management for the doctor of nursing practice (2nd ed.). Springer Publishing Company.


I agree that the ADT method is probably the best measure for staffing the ED. It seems like by your reports the busiest time is during the day or evening when the midnight census is not a fair measure for staffing needs. The ED has a dynamic and often unpredictable census with varying levels of acuity and that workload needs to be reflected in the way the unit is staffed. it seems like there is a need for different types of staff for this unit and the right type of delegation by licensed staff to make everything run smoothly.  The ADT method seems to offer the most flexibility for the ED especially with the ‘hold’ patients who utilize resources and take beds in the ED.  Patients in this category seem to cause stress on the ED especially if they are 1:1 which is not a normal ratio for an ED.  Having the correct number of staff on shift can help to engage employees and help to reduce burnout (Bayoumy, 2019).  The ADT method combined with understanding which type of staff is required for each patient care task can ensure the correct number of licensed and unlicensed personnel needed for the ED.

Bayoumy, S. A. (2019). Relationship between job characteristics and work engagement among nursing staff. International Journal of Nursing Didactics9(01), 24-29.

Savanna Long, you are correct in selecting the admission, discharge, and transfer (ADT) work intensity as the best way to measure intensity for the emergency department because the midnight census and inverse length of stay would not accurately reflect the number of patients seen and treated by the emergency room staff. It is for these reasons that I agree with your selection. You are also correct about the emergency department (ED) having to hold patients for hours or days because other units where they need to go are at capacity. That along call for an extra nurse or two to care for patients who are boarding in the ED so other nurses can take care of the patients that are coming, receiving treatment, and being discharged. So since ADT adds the total number of patients being admitted, discharged, and transferred then divided by the twenty-four-hour period, it is a more accurate measure of unit intensity or business (Bradley University, n.d.). Using ADT in this situation increases calculated nurse staffing requirements, so staffing should be adjusted to accommodate this pattern of activity within the unit.


Bradley University (n.d.). Budgeting, scheduling, and daily staffing for acute nursing units. [Media Presentation]. Retrieved from

Discussion Guidelines

Initial Post

One of the concepts described in this lesson was unit intensity, which measures the “Business” of a unit. In the lesson, three measures of ADT intensity were given: midnight census, inverse length of stay (LOS), and the ADT work intensity index.

Given the type of unit you work in or have worked on, what do you believe is the best measure of unit intensity? Explain why.

Response Post(s)

Respond to the initial posts of two of your peers and provide a reason why you support their response. Alternatively, supply the unit intensity you believe is more aligned to their example. Explain your replies.


Post your initial and follow up responses and review full grading criteria on the page.

Nursing Assignment Help
Calculate your paper price
Pages (550 words)
Approximate price: -

Why Work with Us

Top-notch Quality and Well-researched Paper

Here at, we emphasize thorough research to ensure top-notch quality papers. We are aware that nursing learners should possess in-depth knowledge of research-based practices. As a result, we ensure that our writers strictly adhere to your instructions and are willing to add the touch of extra research to provide well-researched papers. At, you can choose your academic level: high school, college/university, or post graduate levels. *Note: we emphasize extensive research and uncompromised quality regardless of your academic level.

Professional and Experienced Academic Writers

Our team of professional writers are well-versed with a wide range of health-related topics. Apart from reputation and experience in diverse topics, our writers are determined to follow instructions to provide quality papers. Many are native speaker and capable of adhering to up-to-date writing guidelines. With your collaboration, our writers will ensure that your academic journey is smooth and excellent.

Free Unlimited Revisions

You have the autonomy when it comes to scrutinizing our service. Therefore, you can send your order for free revision when you feel that we have missed some aspects consistent with instructions. Once we deliver your paper, you have up to 10 days to submit your order for review. You can do this by logging into your personal account or by contacting our support. Note that your paper's quality is our mission here at

Timely Delivery and 100% Money-Back-Guarantee

Timely delivery is a profound indicator of academic excellence. Here at, we are aware that class assignments are timed and deadline-sensitive. Therefore, we deliver all papers in time without compromising their quality. Regardless of tough deadlines, we ensure that we address every aspect of the papers' instructions. In case we need more time to complete your paper, we shall collaborate with you for deadline extension. In case you cannot provide use with more time, we guarantee you a 100% refund. Remember, your satisfaction is our primary objective.

Original & Confidential

Plagiarism is a punishable offense that may cost you your present and future professional development. With this knowledge, we endeavor to deliver original, plagiarism-free papers. We use several proven software and tools such as Turnitin, LopesWrite, Safe Assign, and Copyscape to check your paper's originality before delivering it to you. Further, our editorial team emphasize word-to-word review of all quotations and citations to ensure that all the papers are original.

While you may feel that providing your information could infringe your privacy, we promise to keep your information confidential and secure by desisting from sharing individual data to third-party users. We value your information since it enables us to communicate with you and provide quality services.

24/7 Customer Support

Consistent and timely communication is crucial in ensuring quality services. Our support agents are available 24 hours a day and 7days a week with the commitment to providing you with the best customer service. In case of any suggestion or clarification, get in touch with us via the life chart option, email, or WhatsApp.

Try it now!

Calculate the price of your order

Total price:

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Services

No need to work on your paper at night. Sleep tight, we will cover your back. We offer all kinds of writing services.


Essay Writing Service

No matter what kind of academic paper you need and how urgent you need it, you are welcome to choose your academic level and the type of your paper at an affordable price. We take care of all your paper needs and give a 24/7 customer care support system.


Admission Essays & Business Writing Help

An admission essay is an essay or other written statement by a candidate, often a potential student enrolling in a college, university, or graduate school. You can be rest assurred that through our service we will write the best admission essay for you.


Editing Support

Our academic writers and editors make the necessary changes to your paper so that it is polished. We also format your document by correctly quoting the sources and creating reference lists in the formats APA, Harvard, MLA, Chicago / Turabian.


Revision Support

If you think your paper could be improved, you can request a review. In this case, your paper will be checked by the writer or assigned to an editor. You can use this option as many times as you see fit. This is free because we want you to be completely satisfied with the service offered.

Open chat
Get in Touch with Our Live Chat Agents via WhatsApp at +1(256)-743-6183. Get Unlimited Access to Answers on Any Queries With Your Paper.