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Presentation of the EU classification system acc. to EN 13501
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Presentation of the EU classification system acc. to EN 13501
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PATIENT CLASSIFICATION SYSTEM
PATIENT CLASSIFICATION SYSTEM Mean Means s of cate catego gori rizi zing ng pre prese sent nt pat patie ient nts s on the basis of certain care needs that can be clinically observed by the nurse.
CATEGORY I. Self-care/Minimal Care Mini Minima mall care care is is given given to pat patie ient nts s who who are are convalescing and who who no longer require intensive, moderate or maximum care.
CATEGORY I. Self-care/Minimal Care Patien Patients ts wh who o requi require re dia diagno gnosti stic c stu studie dies, s, minimal therapy, therapy, less frequent observations, and daily care for minor conditions and who are awaiting elective surgery.
CATEGORY II. Moderate Care Care Care gi give ven n to to pati patien ents ts who are are moderately ill or are recovering from the immediate effects of a serious illness and/or an operation.
CATEGORY II. Moderate Care Pati Patien ents ts requ requir ire e nursi nursing ng supe supervi rvisi sion on or or some assistance related to ambulating and caring for their own hygiene.
CATEGORY III. Maximum Care Given Given to pat patie ient nts s wit with h who who need need cl clos ose e attention throughout the shift, that is complete care for patients who require nursing to initiate, supervise and perform most of their activities or who require frequent and complex medications or treatments.
CATEGORY IV. Intensive Care Given Given to acu acute tely ly ill ill pat patie ient nts s who who have have a high level of nurse dependency, including those requiring intensive therapy and/or intensive nursing care and whose unstable condition requires frequent evaluation with adjustment of therapy therapy..
PERENTAGE PERENT AGE OF PATIENT TIENTS S IN VARIOUS LEVELS OF CARE Types of Types o f Hospital
Minimal Care
Moderate Care
Intensive Care
Highly Specialized Care
Primary Hospital
70
25
5
-
Secondary Hospital
65
30
5
-
30
45
15
10
10
25
45
20
Tertiary Hospital
Special Tertiary Hospital
CATEGORIES OR LEVELS OF CARE OF PATIENTS, NURSING CARE HOURS NEEDED PER PATIENT PER DAY AND RATIO OF PROFESSIONAL TO NON-PROFESSIONALS LEVELS OF CARE
NCH needed per patient per day
Ratio of Professionals to Non-professionals
1.50
55:45
3.0
60:40
4.5
65:35
6.0
70:30
7 or higher
80:20
Level I Self Care or Minimal Care Level II Moderate or Intermediate Level III Total or Intensive Care Level IV Highly Specialized or Critical Care
TOTAL NUMBER OF WORKING W ORKING AND NON-WORKING DAYS AND HOURS OF NURSING PERSONNEL PER YEAR Rights and Privileges Given Each Personnel per Year
Working Hours per week 40 hrs
48 hrs
1.
Vacation Leave
15
15
2.
Sick Leave
15
15
3.
Legal Holidays
10
10
4.
Special Holidays
2
2
5.
Special Pr Privileges
3
3
6.
Off-duties as pe per R. R.A. 5901
104
52
7.
Continuing Education Program
3
3
152
100
213
265
1,704
2,120
Total Non-working Days per Year Total Working Days per Year Total Working W orking Hours per Year
Relievers Needed 1.
Aver Av erag age e Num Numbe berr of of Lea Leave ves s tak taken en ea each ch Ye Year ar ««« 15 a. Vacation Leave «««««««««« 10 b. Sick Leave «««««««««««« 5
2.
Hol olid iday ays s ««««««««««««««««««« 12
3.
Spec Sp ecia iall Pr Priv ivil ileg eges es as pe perr CSC CSC MC #6 #6 s. s. 199 1996« 6««« ««.. 3
4.
Cont Co ntin inui uing ng Ed Educ ucat atio ion n Pro Progr gram am fo forr Pro Profe fess ssio iona nals ls «. «... .. 3
Total Average Leaves «««««««««««««.. 33 **** 33/213 = 0.15 per person **** 33/265 = 0.12 per person
STAFFING FORMULA (by L. Venzon)
Stud Studie ies s show shown n that that the the mor morni ning ng sh shif iftt needs the most number of nursing personnel, that is 45%, the afternoon shift needs about 37% and the night shift only about 18% because more nursing care is given during the morning and afternoon shifts than during the night shift.
The procedure for computing for the number of staff needed in the in-patient areas of the hospital is as follows:
Sample Pr Problem: Find the number of nursing personnel needed for 250 patients in a tertiary hospital.
1. Categorize the number of patients according to the level of care needed by hospital classification a.
Totall num Tota numbe berr of pa pati tien ents ts x pe perce rcent nt at ea each ch le leve vell of of care 250 pts x 0.30 = 75 pts. needing minimal care 250 pts x 0.45 = 112.50 pts. needing moderate care 250 pts x 0.15 = 37.50 pts. needing intensive care 250 pts x 0.01 = 25 pts. Needin Needing g highly special specialized ized care care 250 pts.
2. Find the total number of nursing hours needed by the patients per day at each categorized level a.
Number Numb er of pa pati tien ents ts at at eac each h lev level el av aver erag age e nur nursi sing ng hours needed per day 75 pts
x 1.5 (NCH needed at Level I) = 112 NCH/day
112.5 pts x 3 (NCH needed at Level II)
= 337.60 NCH/day
37.5 pts x 4.5 4.5 (NCH needed at Level III)= 168.75 NCH/day 25 pts
x 6 (NCH needed at Level IV) = 150 NCH/day
2. Find the total number of nursing hours needed by the patients per day at each categorized level b.
Gett th Ge the e sum sum of nu nurs rsin ing g hou hours rs in va vari riou ous s lev level els s 112 NCH/day 337.60 NCH/day 168.75 NCH/day 150 NCH/day
768.75 NCH/day
3. Find the total number of nursing hours needed by patients per year
a.
Totall nu Tota numb mber er of nu nurs rsin ing g ho hour urs s pe perr da day y x 36 365 5 days of the year
768.75 x NCH/day x 365 (days/year) = 280,593.75 NCH/year
4. Find the actual number of working hours rendered by each nursing personnel each year a.
Hours Hour s on on dut duty y per per da day y x ac actu tual al wo work rkin ing g day days s per per year 8 (hrs/day) x 213 (working days/year) = 1,704 (workinghours/year)
5. Find the total number of nursing personnel needed
a.
Divide Divi de th the e tot total al nu numb mber er of of nur nursi sing ng ho hour urs s nee neede ded d by the given number of patients per year by the actual number of working hours rendered per year Totall NCH/y Tota NCH/year ear = 280, 280, 593. 593.75 75 = 165 165 Working hrs/yr
1,704
5. Find the total number of nursing personnel needed
b.
Find th Find the e rel relie ief, f, mu mult ltip iply ly th the e num numbe berr of nu nurs rsin ing g personnel needed by .095 Relief x Total Nursing Personnel = 165 x 0.15 = 25
5. Find the total number of nursing personnel needed
c.
Add nu Add numb mber er of re reliliev ever ers s to to th the e num numbe berr of of ne need eded ed nursing personnel Total Nursing Personnel = 165 + 25 = 190
6. Categorize into professional and nonprofessional
a.
Multip Mult iply ly num numbe berr of nu nurs rsin ing g per perso sonn nnel el acco accord rdin ing g to to ration of professional to non-professio non-professional nal 190 x 0.65 = 124 professional nurses 190 x 0.35 = 66 nursing attendants
7. Distribute by shifts 124 nurses x 0.45 = 56 nurses on AM shift 124 nurses x 0.37 = 46 nurses on PM shift 124 nurses x 0.18 = 22 nurses on Night Shift Total
= 124 nurses
66 nursing attendants x 0.45 = 30 nursing attendants on AM shifts 66 nursing attendants x 0.37 = 24 nursing attendants on PM shifts 66 nursing attendants x 0.18 = 12 nursing attendants on Night shifts Total
