Re: Rehab nursing hours per patient day
I am also looking for answers to this question and a few others. We are persuing a model unit process to define the best staff mix to serve our patient population please look for my full post to respond to my questionaire.
On this question here are some answers I have found on the rehab nurse list server.
List serve answers for rehab
Our unit is budgeted for 8.5 hppd. This includes RN's-LPN's-CNA's-HUC. We are licensed for 50 beds but operate a 28 bed facility. For patient cnesus of 15-19, I staff with one RN, two LPN's, and 3 CNA's for day and eve shift-for the night shift it is staffed with one RN- one LPN and two CNA's. The nurses do a lot of foot work in our facility because we have long halls and all equipment is portable (oxygen hock up and suction) so the nurses have to walk to the end of the hall to the store room to gather equipment for the patients. They are constantly up and down the halls to answer call lights. JoAnn We are a 28 Bed - Level I Trauma Acute Care Rehab Our Case Mix Index is 1.22 for the year Top three RIC Stroke 21% Ortho 19% Brain 14% HPPD is 9.0 and this includes all nursing staff, nurse manager and unit sects. This does not include a SW. I am afraid my information is not going to be any help. Our HPPD are 8.16. This includes myself, the PAI Coordinator and our Social Worker - all full-time employees. I have a twenty bed unit but our ADC has been 11 after the CMS changes. The staffing for a census of 10 includes the above mentioned employees plus 1 RN, 1LPN on 7-3 & 11-7 with an extra either LPN or CNA/PCT on the 3-11 shift. Nurse Manager[COLOR=black
We are budgeted 8.0 HPPD for Direct patient care givers which includes theRNs and CNAs only on our In-hospital Acute Rehab Unit which is a 8 bed unit.Susan Kauffman, RN, MSNNursing Director of SNU, Rehab and PsychHutchinsonHospitalHutchinson, KS Our HPPD is about 9. It includes NM, RN, CNA, and US. Our RN's usually take between 4-6 patients, on rare occasion 7. We use CNA's or PCT's, which are CNA's who have finished their first year of clinicals in nursing school. We have "therapy aids" who assist the therapists but also occasionally assist the CNA's, if they are on the floor and not to busy, with transfers, etc. They are under therapy budget. We also use them occasionally after their shift, if we are short CNA's and they want to work overtime. They are helpful, as they know the patients and are skilled at transfers. Hope that answers your question. We run 8.07 HPPD. This includes RNs, PCTs and Unit sec (16 hrs a day). RNs comprise 64% of the HPPD. Hello all !! I am defending the staffing budget for our two inpatient acute rehab units on Monday and need some support from other facilities. Dodd Hall 3 is a 31 bed Brain and Spinal cord unit with a HPPD of 7.8 -- staffing on the unit is 52% RN, 41% LPN/ Nursing assistant and 7 % clerical. On Dodd 4 we have 29 bed Stroke and Gen Rehab unit -- with a HPPD of 7.4-- staffing mix is 58% RN, 33% LPN/Nursing Assistant & 8% clerical. In terms of staffing to patient ratio we strive for a 1:5 RN and 1:6 with LPN & Nursing assistants. On both units we care for many pts with high medical needs -- although we do not have telemetry nor any ventilator pts ....we do CAPD, LVAD's , wound vacs etc. I would appreciate your honest feedback along with staffing numbers -- especially if your units sound similar to ours. We are currently preparing budgets for next year, and have run into a snag with our Hours per patient day. We are currently staffed for 8.2 HPPD, and administration is proposing we go to 5.2 HPPD, citing numbers from HIDI. I am very concerned with this drastic of a decrease, as our patient acuity has increased significantly over the past year. What are you all using as a standard? Thank you in advance! I have two types of units, SNF and PMR. For the SNF unit we caluclated the ADC as 15 pts and HPPD 5.13 which includes, for example, on days: 1 unit manager, 2RN, 1LPN and 1 CNA. For the PMR unit ADC 22, HPPD 6.05, 1 unit manager, 4 RN, 2 LPN 2 CNA. Evening and nights staffing numbers change. Call me if you have further questions. 
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