UnknownNo reviewed recent same-quarter demand comparison
Patient days do not describe acuity, boarding, assignment complexity, or conditions on a particular unit.
California Nursing ObservatoryPublic evidence for nurses
Free · IndependentPalomar Medical Center Poway
San Diego County · HCAI 106370977
Evidence statusAudited filingWorkforce: 2024Capacity: 2025
What the available records supportA reviewed 2024 nursing snapshot and 2025 capacity record are available. A defensible recent demand trend is not.
Different reporting years remain separate. This profile does not convert hospital-level filings into a judgment about a unit, shift, or patient-safety condition.
What changed—and what can we actually answer?
The useful answer is sometimes a number. Sometimes it is a clearly marked evidence gap that management should be asked to fill.
63.1%Reported staffed share of licensed beds · 2025
A staffed-bed measure is not a vacancy count and does not identify which units were open.
10.8Hospital-wide RN intensity · 2024
This is not an RN-to-patient ratio, an assignment, or a unit-level workload measure. A newer comparable nursing record is needed to say whether staffing kept pace with later demand.
3.4% → 2.9%2018–2019 baseline → 2024 contract share
Contract reliance was 0.5 percentage points below the hospital’s pre-pandemic baseline. This does not measure vacancies or adequacy.
The answer the record can defend.
The available profile is a reviewed snapshot—not yet a full year-over-year hospital reconstruction.
A nurse can compare lived experience with these hospital-level signals, but the missing unit evidence still matters: assignments, acuity, charge coverage, breaks, vacancies, turnover, floating, and orientation.
Ask management: What changed in patient demand, staffed beds, and permanent RN coverage during the same reporting period?
Evidence trail and boundaries.
Official HCAI facility identity and 236 licensed beds match the reporting-period source record. Audited workforce filing, capacity record, and uniquely matched historical contract baseline are available.
Open official facility source ↗This is Palomar Medical Center Poway, a distinct San Diego County facility. Its workforce, capacity, and historical contract figures must not be combined with Palomar Medical Center Escondido.
2024 productive RN hours, contract labor, and RN intensity come from the hospital financial/workforce reporting layer.
Open HCAI hospital financials ↗The 2025 capacity layer supplies licensed, available, and staffed bed counts but not unit-level operations.
Open California health data ↗What remains unknown
Unit census, acuity, actual assignments, charge-nurse workload, breaks, overtime, vacancies, turnover, educator support, and whether any particular shift was safe.
“What changed in this hospital’s patient demand, staffed capacity, and permanent RN coverage during the same period—and what happened on my unit?”