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1. Differentiate between the terms inpatient census and daily inpatient census.

The inpatient census indicates the number of patients present in the healthcare facility at a particular point in time. The daily inpatient census includes the number of inpatients present at the census-taking time each day and any inpatients who were both admitted after the previous census-taking time and discharged before the next census-taking time. 2. What is an intrahospital transfer? Intrahospital transfers are patients who are moved from one Patient Care Unit or PCU to another within the facility. 3. Is it possible that the transfers into a patient care unit may not equal the transfers out of the same patient care unit on the same day? Yes. The transfers in and transfers out on an individual PCU may not be equal because it is possible to transfer more patients in than transfer out and vice versa. 4. When must transfers in and transfers out be equal? The total intrahospital transfers in must always equal the intrahospital transfers out. Important for the overall hospital recapitulation. 5. At 11:59 p.m. on January 1, the Community Hospital census was 321. On January 2, 73 patients were admitted, 24 were discharged, and 3 were admitted and died that day. In their ICU unit the census on January 1 was 12. On January 2, 4 patients were admitted, 3 were discharged, and 1 was admitted and later that day died in the ICU. Answer the following questions and round the answers to whole numbers. a. Calculate the inpatient census for January 2. The inpatient census indicates the number of patients present in the healthcare facility at a particular point in time. 321 + 73 24= 321 + 49 = 370 Ans: 370 For ICU, the inpatient census is

12 + 4 -3 = 13 So, in patient census for the entire facility is 370+13 = 383 b. Calculate the hospital daily inpatient census for January 2. Includes the number of inpatients present on the PCU at the census-taking time each day and any inpatients who were both admitted after the previous census-taking time and discharged before the next census-taking time Daily inpatient census for hospital 370 + 3 = 373 Ans: 373 Daily inpatient census for ICU is 13 + 1 = 14 So daily inpatient census for the entire facility including ICU is 373 + 14 = 387 c. Calculate the ICU inpatient service days for January 2. 12 + 4 3 +1 -1 = 13 6. In 20XX, a hospital had 150 beds for adults and children from January 1 through June 30. On July 1, the hospital increased its beds to 200 and the number remained at 200 through December 31. During the first six months, 27,813 patient days of service were provided to the hospitals adults and children. During the last six months, 35,873 days of service were provided. Answer the following questions and round the answers to whole numbers. This is a non-leap year. a.) What was the average daily inpatient census for the first six months: 153, 154, 155, or 156? Ans: 27813 / 181 = 153.66 = 154

b.) What was the average daily inpatient census for the entire year: 173, 174, 175, or 193?

Ans: 63686 / 365 = 174.48 = 174

c.) The same hospital provided 7,890 newborn days of service in its 30-bassinet nursery during the year. What was the average daily newborn census: 20, 21, 22, or 23? Ans: 7890 / 365 = 21.61 = 22 d.) The same hospitals surgery unit has 45 beds. During July, the unit provided 2,002 days of service. What was the average daily inpatient census for the surgery unit in July: 60, 62, 63, or 65? Ans: 2002 / 31 = 64.5 = 65 7) Using the statistics from the following monthly report from the nursing administration of Community Hospital, an acute care facility, calculate the current months (June) average daily inpatient census for each nursing unit and the totals. Note that this facilitys policy is to round to a whole number. Community Hospital Inpatient Statistical Report Average Daily Inpatient Census by Nursing Unit June 20XX Unit A Obstetrical B Pediatric C Medicine/Surgery Inpatient Service Days 520 87 6,176 383 307 603 725 213 9,014 Average Daily Inpatient Census 17 3 206 13 10 20 24 7 300

D Medicine ICU E Surgery ICU F Psychiatry G Rehabilitation H Cardiac Care Unit Total Adult and Children

I Newborn Nursery J Special Care Nursery

475 135 408 1,018

16 5 14 34

K Neonatal ICU Total Nursery