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04.01.2015
If you need a simple time sheet solution for your new business, start by downloading a free timesheet template for Excel, OpenOffice or Google Sheets, professionally designed by Dr. How to Use a Timesheet Template in Your Business - Share your experience and give feedback. Note: It is a violation of copyright to share the file publicly, or to add a copy to the Google Docs gallery, but sharing it with an employee is allowed.
Another way to find a timesheet template is by opening Excel and going to File > New and searching for employee timesheet or payroll timesheet. Trauma case management is a model of care where patient care is overseen and coordinated by a nurse with expertise in trauma. Modern inpatient trauma care relies on a multitude of interrelated surgical and medical specialties, diagnostic tests, therapeutic interventions, and allied health services to reduce mortality and morbidity from severe injuries.
The majority of TCM literature arises out of the US, where it has been practiced in various forms for over a decade, however TCM models and definitions of the role vary widely but reiterate the role of coordinator, facilitator and educator. The following discussion describes the experience of the trauma case manager in an Australian Trauma Centre, adapted from the recently published “A day in the life of a trauma case manager” (21).
The TCM begins each day at 0700hrs when the case manager locates any patients who presented to the Emergency Department or were admitted to a ward overnight. The Trauma Case Manager conducts a weekly multidisciplinary meeting, gathering ward nursing staff, allied health services and medical personnel to discuss the clinical pathway, discharge planning and the general care of trauma inpatients. During the eight hour shift the Trauma Case Manager will also respond to trauma Calls in the Emergency Department (ED), providing trauma nursing expertise, education and an extra pair of hands. Ideally, the trauma case manager would work within a dedicated trauma team, although many centres do not have such a service. Another solution to complex related care problems associated with trauma is a dedicated trauma admitting team with case managers as an integral member of the team. With the introduction of managed care in the US the entire health care industry was challenged to “reinvent itself” (1).
Product line management was an early model of care delivery introduced in an effort to have better control of costs and to compete effectively in the changing health care system. This focus on cost and productivity created conflict for the nursing profession, which was more concerned with the quality of patient care. The nursing case management model was pioneered at the New England Medical Centre in Boston in 1987 (5). The “product line” is managed, organised and coordinated by the actual caregivers who are accountable clinically and financially for each patient’s outcomes over the entire episode of illness. It is built on case-type specific protocols, outcomes and resources framed by reimbursement-allotted length of stay.
Quality is prescribed in written detail, managed concurrently, and evaluated collaboratively. The patient and family are actively engaged as members of the multidisciplinary, collaborative, health care team (Zander, 1988).
The Case Management Society of Australia recognises the broad application of Case Management in diverse settings within the health and human services industries in Australia listed in Table 1.


In the Cochrane Library there are only five relevant reviews analysing the impact of case management and are limited to psychiatric services, diabetes mellitus, mental illness and various medical conditions (7).
The multi-injured trauma patient is complex and requires increased coordination and communication to ensure effective care. Or, if you want to keep track of hours worked on specific projects, try the Timecard template.
There are actually 4 separate versions of the time sheet, each on a separate worksheet tab. Keep in mind that an overtime rate is usually only granted for hours worked beyond 40 hours per week.
It could involve printing a copy of the spreadsheet or having the employee export a copy of the completed document and email it to you.
The old online Microsoft template gallery used to have a large collection of timesheets, but the new gallery does not. One of the simple (and free) ways to do that is to use our Payroll Spreadsheet along with one of our time sheets. They make contact with each new patient, meet their family and familiarise themselves with the patients history, mechanism of injury, injuries, treatments, and plan of care. Focusing on a multidisciplinary approach to trauma care the Case Manager liaises with the Trauma Occupational Therapist, Trauma Physiotherapist, Ward Social Worker, Nursing staff and medical teams and services, ensuring early referral to the appropriate teams. This meeting provides a time for communication amid the various care providers with the aim to provide best patient care and decrease length of stay. The case manager generally has an active roll in the resuscitation room, either as a resuscitation nurse or scribe.
With the resultant changes, a health system that focused on cost required care delivery strategies which were cost effective and positively affected patient, caregiver and system outcomes. The term ‘case management’ evokes a sense of understanding that is more elusive than is generally acknowledged…what is, or is not, identified as case management is often determined by the commentator’s own position in the field 7. The TCM role is diverse and rewarding, enabling the case manager to be involved in and make a difference to trauma patient care from resuscitation to rehabilitation. Enhanced trauma program commitment at a level I trauma center: effect on the process and outcome of care. Impact on process of trauma care delivery 1 year after the introduction of a trauma program in a provincial trauma center. Impact of a dedicated trauma service on the quality and cost of care provided to injured patients at an urban teaching hospital. If you're interested in having your employees use printable time sheets, you will find that Vertex42's templates work nicely. They include a weekly and biweekly version, as well as the options of using either decimal values or [h]:mm format for recording hours.
If all you need is a way to keep track of hours, you can just delete the rows that contain the wage and pay information. Or, you could simply log into Google Sheets, look at the completed documents, and record the hours in your payroll spreadsheet.


In addition to storing the employee payroll information, the register will let you record the hours worked by each employee for each pay period. A tick box check list is completed which identifies any outstanding patient care needs, and a set of continuation notes are commenced.
In an attempt to deliver these objectives, strategies such as product line management followed by case management were introduced.
There are several research questions remaining in relation to case management, most importantly, are there clearly specified interventions that are efficacious with a particular population? In addition, the TCM role assists greatly in identifying systemic problems and staff education.
The policy that I use is that after reviewing it, I save a copy (exported to an Excel file that I save on my computer), and then clear out the hours and update the date in the Week Of field. These notes are maintained by the case manager on duty each day, whenever intervention is performed or care changes. Although, it has been demonstrated that nursing case management is more cost effective in a nursing practice environment of moderate uncertainty, such as with a complex trauma patient (9). That is the signal to the employee that the document is ready to be updated for the next pay period. It is significant that case management has been recognised as an effective model of care for mental health and community patients, as they possess similar characteristics to trauma patients. Each of these patient groups is complex, requiring multidisciplinary care and extensive planning of care. As well as demonstrating a trend towards a decrease in hospital resource use and length of stay13. Yet the real benefits of instigating a trauma case management program may only become apparent through implementation and adapting qualitative and quantitative modes of assessment. At large ward nursing staff feel more confident speaking with the TCM regarding patient issues knowing the Case manager will speak with the various medical teams involved. They have expanded this service to include the complete management of emergency surgery patients. This change was welcomed by the trauma faculty, and increased operative cases for the residents and faculty involved. They demonstrated that the integration of emergency surgery patients into the trauma service did not adversely impact trauma patient outcomes, and that the LOS and percent of readmissions fell significantly 26.
Not every institution that provides care for trauma patients may have ready access to or the need for such resources, and the case manager certainly contributes to filling that void.



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