Quote from mccnrs2b
Can someone elaborate on this topic for a complete novice? What HPPD and how do you come up with a figure of productive time for each patient.
Thanks in advance.
Actually, HPPD stands for h
What this means is the amount of hours permitted or allowed for a nurse to spend with a patient per day (24 hour period). Generally speaking, the HPPD is set by your unit's budget. A nurse manager and the staff nurses are required to work within the confines of these numbers as they render care for the patients. Here is a senario that might help you understand it ....
An HPPD is calculated by the census. So if your unit has a census of 25 patients, then that number is multipled by the unit's HPPD.
Census of 25 multipled by the HPPD of 7.00 equals = 175 hours. The 7.00 is the number that is given to you by upper management and the number that most nurse managers fight over with the CNO to increase.
This means that the nurse manager has 175 hours of nursing time to work with in relationship to staffing the unit. So, If I have 175 hours to work with .... all of my unit's staffing hours must come from this number .... for example:
Assuming a nurse to patient ratio of 1:6 on days and 1:7 on nights and that we are a general medical-surgical unit ... we would staff as follows for this 24 hour period:
Days Shift Staffing Hours
Nurse Managers Hours - 5.73
Charge Nurse 12 hours
(The CRN would take 2 patients)
4 Nurses all 12 hours
2 CNA - 1 for 12 hrs and 1 for 8 hrs
1 Secretary - 12 hours
Total Hours for Days = 92
Night Shift Staffing Hours
Charge Nurse 12 hours
(The CRN would take 5 patients)
3 Nurses all 12 hours
1 CNA for 12 hours
1 Secretary for 12 hours
Total Hours for Nights = 72
ay for this 24 hour period would be: 170
Sometimes, patient acuity is so high that the nurses can not handle 6 patients on days .... the nurse manager needs to be flexible to staff up if needed to accomodate the needs of the patients. This means that you might go over your allowable hours for the day. However, I usually staff by the pay period .... so, if I am off one day, I try to make it up the other days, if possible .... and always with the help of the nurses.
Hope this helps a little.