40519854-Patient-Classification-System

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 Hospital

Minimal Care

Moderate Care

Intensive Care

Highly Specialized

Care

Primary Hospital

Secondary Hospital

Tertiary Hospital

Special Tertiary Hospital

70

65

30

10

25

30

45

25

5

5

15

45

-

-

10

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 day

Ratio of Professionals to Non-professionals

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

1.50

3.0

4.5

6.0

7 or higher

55:45

60:40

65:35

70:30

80:20

TOTAL NUMBER OF WORKING 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

2. Sick Leave

3. Legal Holidays

4. Special Holidays

5. Special Privileges

6. Off-duties as per R.A. 5901

7. Continuing Education Program

Total Non-working Days per Year

Total Working Days per Year

Total Working Hours per Year

15

15

10

2

3

104

3

152

213

1,704

15

15

10

2

3

52

3

100

265

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