Term
Major Dimensions of Nursing
Intensity |
|
Definition
�� Severity of illness
�� Client dependency
�� Complexity of nursing care
�� Time |
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Term
Patient Classification Systems
(pcs) |
|
Definition
a method of grouping
patients according to the
complexity of their nursing
care requirements |
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Term
|
Definition
�� Differentiate intensity of care
�� Measure and quantify care to develop a
standard
�� Match nursing resources to patient care requirements
�� Relate time and effort spend on
associated activity
�� Predict nursing care requirements for
individual patients |
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Term
| Patient Classification Systems 4 |
|
Definition
�� Descriptive or Prototype Evaluation
Method
�� Checklist format
�� Time based system or time
standard method (Factor Evaluation
Method)
�� Computerized Real-Time Factor |
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Term
| Prototype Evaluation Method |
|
Definition
average care times for groups
of clients defined by broad categories and typical characteristics
--Category one-Self Care-Category five-Intensive Care |
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Term
|
Definition
| Points ascribed for activity. Tot = level of acuity. MAY NOT REFLECT NURSE WORK. |
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Term
| Factor Evaluation Method - time based |
|
Definition
Critical indicators are used to describe
individual elements of direct care
requirements. --Indicators rated and assigned predetermined weights called Relative Value Units (RVU) Totaled and converted to acuity level |
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|
Term
| Computerized Real-time Factor |
|
Definition
�� Actual times of all direct and indirect nursing care activities are recorded
�� Computer automatically computes acuity
rating and time
�� Medicus-care defined in terms of average hours of care per category
�� Grasp-identifies 40-50 direct care
activities, adjustment factor added for
unlisted activities, add indirect care
�� ARIC-incorporates admission, discharge, transfer information along with classification info |
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|
Term
|
Definition
days X 8 hours
Staff Development
�� Sick Days
�� Vacations Days
�� Non-Patient Care Activities |
|
|
Term
| Calculating non-productive time |
|
Definition
days X 8 hours
2080 – nonproductive hr =productive hours/FTE |
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Term
|
Definition
Required Pt care hours
Productive Hours per FTE = Total FTE’s Needed
82,420/1872 = 44 FTEs |
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Term
|
Definition
| 2080 Full time equivalent |
|
|
Term
|
Definition
| Complexity of care vs. qualifications |
|
|
Term
|
Definition
| You must be over or under the nursing care hours needed by one half of the person's scheduled hours. |
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|
Term
|
Definition
| Tech for measuring productivity |
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|
Term
|
Definition
�� # of pts
�� Acuity
�� intensity
�� Contextual issues
�� experience of staff |
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