Nursing Care Hours per Patient Day (NCH/PPD) It is a standard measure that quantifies the nursing time

available to each patient by available nursing staff. Some healthcare facilities take all of the time sheets for the past year and obtain an average NCH/PPD across 12 months. They use this to prepare for their personnel budget for the upcoming year.

Factors to be considered in determining NCH/PPD 1. 2. 3. 4. 5. 6. 7. 8. 9. Patient¶s acuity of illness Special treatment and procedures Type of Hospital Ratio of Professional to Non-professional Nursing personnel Turnover of patients and nursing personnel Hospital Policy Budget Available equipment/ materials/ supplies Populations served

Given: Your budgeted nursing care hours are 6 NCH/ PPD. Patient census at midnight is 25 patients Solve: Calculate the NCH/ PPD for today, January 6; at midnight it will be January 7

136 divided by 25 = 5. 1 Nsg Asst. 2 7 AM to 3 PM 3 RNs Nsg Asst.44. 2 1 ward Clerk Distribute Shifts 45% for morning shifts 37% for afternoon shifts 18% for evening shifts Hours Worked 8 hours each 8 hours 8 hours 8 hours each 8 hours 8 hours 8 hours 8 hours each 8 hours 8 hours 8 hours Total number of staff-on-duty each shift x hours each worked in their shift Each shift total then is added together to get the total number of nursing hours worked in all three shifts of 24 hours Last night: 11 PM to 7 AM: 4 staff @ 8 hours each = 32 hours 7 AM to 3 PM: 7 staff @ 8 hours each = 56 hours 3 PM to 11 PM: 6 staff @ 8 hours each = 48 hours 136 hours The nursing hours worked in 24 hours is 136 hours Therefore. 2 1 Ward Clerk 3 PM to 11 PM 2 RNs Nsg Asst.56 NCH/ PPD (unused) 0.56 x 25 (census) = 14 additional hours of nursing care . which is less than your budgeted NCH/PPD of 6.44 = 0.44 NCH/ PPD The NCH/ PPD was 5.56 NCH/ PPD must be converted into man hours 0.Shift Staff on Duty 11 PM (1/5) to 7 2 RNs PM (1/6) Nsg Asst. 1 = 2 Nsg Asst.0 6.0 ± 5. 1 = 2 Nsg Asst.

50 3. Minimal Care Moderate Care Maximum Care Intensive Care NCH/ PPD 1.0 or 7 > Ratio of Nursing Personnel Needed .Patient Classification System The method for grouping patient according to the amount and complexity of their nursing care requirements over a period of time Minimal Care (Category 1) Can take a bath on his own Feed himself Feed himself Feed and perform his activities of daily living Moderate Care (Category 2) Need some assistance in bathing Feeding or ambulating for short periods of time Minimum Care (Category 3) Completely dependent upon the nursing personnel Requires frequent and complex treatments and medication Intensive Care (Category 4) Nursing hours may range from 6-9 Unstable and acutely ill who have high level of dependency Requires frequent evaluation and adjustment in therapy Ratio of NCH / PPD needed in various care PCS A.0 4. D.5 6. B. C.

15 = 37.5 NCH/ day 168.0 Patients (Intensive Care) Problem 2: Find the number of NCH needed by the patients at each level of care per day.5 Patients (Moderate Care) 250 x . 75 patients x 1.0 Patients (Minimal Care) 250 x .01 = 25.5 NCH/ day 337.0 (NCH needed @ level 2) = 37.5 patients x 4.5 (NCH needed @ level 1) = 112. 250 x .5 patients x 3.45 = 112.75 NCH/ day 150 NCH/ day 768.5 (NCH needed @ level 3) = 25 patients x 6 (NCH needed @ level 4) = Total: 112.Type of Hospital Primary Secondary Tertiary Special Tertiary Nurse 55 % 60% 65% 70% Non ± RN 45% 40 % 35% 30% Percent of Patients at Various Levels of Care Per Type of Hospital Type of Hospital Primary Secondary Tertiary Special Tertiary Minimal Care 70 65 30 10 Moderate Care 25 30 45 25 Maximum Care 5 5 15 45 Intensive Care 10 20 To compute for the staff needed in the in-patient units of the hospital: Problem 1: Find the number of nursing personnel needed for 250 in-patients in a tertiary hospital To illustrate: Categorize the patients according to the levels of care needed.75 NCH / day .30 = 75.5 Patients (Maximum Care) 250 x .

165 + 25 = 190 total nursing personnel needed Step 6: Categorize into professionals and non. 280.15 (standard) = 25 relievers c.Problem 3: Find the total number of NCH needed by 250 patients per year 768.75 NCH/ year = 165 NSG personnel 1.704 working hours/ year b.75 NCH/ day x 365 days/ year = 280.professional personnel. the ratio of professional to non- . Since this is a tertiary hospital.75 NCH/ year Problem 4: Find the actual number of working hours rendered by each nursing personnel/ year 8 hours/ day x 213 working days/ year = 1704 working hours/ year Problem 5: Find the total # of nursing personnel needed a.593. 593. 165 x 0.

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