a revision of the midnight census
to accurately reflect the needs of patients.
Once we solve midnight census
, nursing care hours per patient day should be next
We are determined to illustrate that nurse staffing is more than staffing ratios, midnight census
, and the bottom line.
Because it receives direct feeds from ADT (Admission, discharge and transfer) systems, the software can easily determine the average contact census for each shift so that staff schedules are built to handle the total patient workload, not just a midnight census
The claim also seeks to replace the midnight census
for nursing hours calculations with a system that accurately reflects patient numbers and provides patient "specialling" in addition to mandated nursing hours or ratios.
Under these conditions, the system of budgeting nursing services by midnight census
Hospitals with fewer than 150 beds had higher operating margins than larger facilities -- Average median daily census - the number of occupied beds in a hospital at midnight census
- increased 25 percent over 1997 levels Findings in the Health of our Nation's Hospitals report were derived from Solucient's ACTION O-I(tm) operational improvement database, representing 900 hospitals across the United States.
may be an outdated way of tracking work load as so many patients have early evening d/c and midnight census
does not reflect work between 7 am-7 pm when most patients come and go.
Microsoft Excel's graphing and charting tool was used to develop a graph for tracking daily midnight census
variations throughout the pay period (see chart at right center of Figure 3).
USE OF MIDNIGHT CENSUS
DATA--the NSWNMA will seek a better system than the current "midnight census
" to calculate the occupancy of a ward or unit.
Since staffing decisions are made on a per-shift basis, calculating HPPD based upon midnight census
provided little decision-making support about variable staffing needs over a 24-hour period.
The problem of the midnight census
as the only count of patient utilization was exposed here.