Posted: August 30th, 2016

calculate the actual average hours of care required per patient day (HPPD) for the patients in 3 West.

Your hospital unit, 3 West, is a 60-bed general medical-surgical unit. Over the past year, the ADC (Ave. Daily Census) was 54 patients.
Use the following data on 3 West during the last year to perform these calculations and answer these questions.

A. Complete this table to calculate the actual average hours of care required per patient day (HPPD) for the patients in 3 West.
Acuity Mix Average Hours of Care Required Average Daily Census
(ADC) Total Hours of Care Per Day
I 1.4 8
II 3.9 22
III 5.6 16
IV 8.8 8
Totals
Hours per patient day (HPPD)
B. Remember that your established personnel budget for 3 West assumes a HPPD of 5.4. If your calculated HPPD is different, explain the significance of the variance. (If your calculated HPPD is different than 5.4, you must write more than, “We need more/less nurses.”)
What is the Significance of the variance? If you believe you need more staff, what will be your rationale for making this requires? If you have too much staff, what would your proposal be for bringing your staffing into a better balance?
C. What are the implications for the Nurse Manager? As an example, based on your conclusions in Section B, what other observations would you make as you review your total budget and what would you expect to see as a result? (HINT: supply costs; overtime hours, average census of 43 on a 45 bed unit, etc.)