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    Patient Classification System

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    1511katana
    The document describes a patient classification system that categorizes patients based on their care needs into 4 levels: minimal care, moderate care, intensive care, and highly specialized care. It then provides a formula to calculate the number of nursing personnel needed based on the number and categories of patients. The key steps are: 1) Categorize patients by care level, 2) Calculate total nursing hours needed per day and year based on patient numbers and care levels, 3) Determine actual nursing hours per personnel per year, 4) Divide total nursing hours by available hours to get number of personnel needed, adding relief personnel.

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    Patient Classification System

    Uploaded by

    1511katana
    20K views25 pages
    The document describes a patient classification system that categorizes patients based on their care needs into 4 levels: minimal care, moderate care, intensive care, and highly specialized care. It then provides a formula to calculate the number of nursing personnel needed based on the number and categories of patients. The key steps are: 1) Categorize patients by care level, 2) Calculate total nursing hours needed per day and year based on patient numbers and care levels, 3) Determine actual nursing hours per personnel per year, 4) Divide total nursing hours by available hours to get number of personnel needed, adding relief personnel.

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    The document describes a patient classification system that categorizes patients based on their care needs into 4 levels: minimal care, moderate care, intensive care, and highly specialized care. It then provides a formula to calculate the number of nursing personnel needed based on the number and categories of patients. The key steps are: 1) Categorize patients by care level, 2) Calculate total nursing hours needed per day and year based on patient numbers and care levels, 3) Determine actual nursing hours per personnel per year, 4) Divide total nursing hours by available hours to get number of personnel needed, adding relief personnel.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    20K views25 pages

    Patient Classification System

    Uploaded by

    1511katana
    The document describes a patient classification system that categorizes patients based on their care needs into 4 levels: minimal care, moderate care, intensive care, and highly specialized care. It then provides a formula to calculate the number of nursing personnel needed based on the number and categories of patients. The key steps are: 1) Categorize patients by care level, 2) Calculate total nursing hours needed per day and year based on patient numbers and care levels, 3) Determine actual nursing hours per personnel per year, 4) Divide total nursing hours by available hours to get number of personnel needed, adding relief personnel.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
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    At a glance
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    The key takeaways are that the document describes a patient classification system that categorizes patients into different levels (I to IV) of care based on their needs, and outlines how to calculate nursing staffing requirements based on the number and types of patients.

    The different categories or levels of patient care described are: Level I (Self-care/Minimal Care), Level II (Moderate Care), Level III (Maximum Care), and Level IV (Intensive Care).

    Nursing care hours needed per patient per day and the ratio of professional to non-professional nurses varies based on the level of care. Level I requires the fewest hours (1.5) and has the lowest ratio of professionals to non-professionals (55:45). The hours and ratio increase with higher levels of care.

    PATIENT CLASSIFICATION

    SYSTEM
    PATIENT CLASSIFICATION
    SYSTEM

    • Means of categorizing present patients


    on the basis of certain care needs that
    can be clinically observed by the nurse.
    CATEGORY I. Self-care/Minimal
    Care

    • Minimal care is given to patients who are


    convalescing and who no longer require
    intensive, moderate or maximum care.
    CATEGORY I. Self-care/Minimal
    Care

    • Patients who require diagnostic studies,


    minimal therapy, less frequent
    observations, and daily care for minor
    conditions and who are awaiting elective
    surgery.
    CATEGORY II. Moderate Care

    • Care given to patients who are


    moderately ill or are recovering from the
    immediate effects of a serious illness
    and/or an operation.
    CATEGORY II. Moderate Care

    • Patients require nursing supervision or


    some assistance related to ambulating
    and caring for their own hygiene.
    CATEGORY III. Maximum Care

    • Given to patients with who need close


    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 to acutely ill patients who 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.
    PERENTAGE OF PATIENTS IN VARIOUS LEVELS
    OF CARE
    Types of Minimal Moderate Intensive Highly
    Hospital Care Care Care Specialized
    Care
    Primary Hospital 70 25 5 -

    Secondary 65 30 5 -
    Hospital

    Tertiary Hospital
    30 45 15 10

    Special Tertiary
    Hospital 10 25 45 20
    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 Ratio of Professionals to
    day Non-professionals

    Level I
    Self Care or Minimal Care 1.50 55:45
    Level II
    Moderate or Intermediate 3.0 60:40
    Level III
    Total or Intensive Care 4.5 65:35
    Level IV
    Highly Specialized or 6.0 70:30
    Critical Care
    7 or higher 80:20
    TOTAL NUMBER OF WORKING AND NON-WORKING DAYS
    AND HOURS OF NURSING PERSONNEL PER YEAR
    Rights and Privileges Given Working Hours per week
    Each Personnel per Year 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 Privileges 3 3
    6. Off-duties as per R.A. 104 52
    5901
    7. Continuing Education
    Program 3 3

    Total Non-working Days per 152 100


    Year
    Total Working Days per Year 213 265
    Total Working Hours per 1,704 2,120
    Relievers Needed

    1. Average Number of Leaves taken each Year ……… 15


    a. Vacation Leave ………………………… 10
    b. Sick Leave ……………………………… 5
    2. Holidays ………………………………………………… 12
    3. Special Privileges as per CSC MC #6 s. 1996………. 3
    4. Continuing Education Program for Professionals …... 3

    Total Average Leaves ………………………………….. 33


    **** 33/213 = 0.15 per person
    **** 33/265 = 0.12 per person
    STAFFING FORMULA (by L. Venzon)

    • Studies shown that the morning shift


    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 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. Total number of patients x percent at each level 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. Needing highly specialized care
    250 pts.
    2. Find the total number of nursing hours
    needed by the patients per day at each
    categorized level

    a. Number of patients at each level average nursing


    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 (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. Get the sum of nursing hours in various levels

    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. Total number of nursing hours per day x 365


    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 on duty per day x actual working days 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 the total number of nursing hours needed


    by the given number of patients per year by the
    actual number of working hours rendered per year
    Total NCH/year = 280, 593.75 = 165
    Working hrs/yr 1,704
    5. Find the total number of nursing personnel
    needed

    b. Find the relief, multiply the number of nursing


    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 number of relievers to the number of needed


    nursing personnel
    Total Nursing Personnel = 165 + 25 = 190
    6. Categorize into professional and non-
    professional

    a. Multiply number of nursing personnel according to


    ration of professional to non-professional
    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 = 66 nursing attendants

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