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.
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
may be an outdated way of tracking work load as so many patients have early evening d/c and midnight census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.