About productive hours per patient day?

cdrn1 · Oct 18, 2003

On our med/surg unit we are alotted 6 hours per patient. I just attended an IONE conference and in a discussion about magnet hospitals, the average was around 10.

nursemaa · Oct 22, 2003

I manage a 30 bed medical telemetry unit; our hppd are 7.7

caregiver11 · Nov 10, 2003

On a 32 bed med/sug tele unit the hppd are 7.0. In contrast on a 40 bed PCU unit the hppd are 8.2

traumamom2002 · Dec 4, 2003

I came from a community hospital in CA where our 30 bed Med/Surg Unit was 7.3 hppd. I am now in Wy where my 55 bed unit averages about 12.0 and I am shooting for 10.0 Quorum wants us to be at 8.0 I am not sure we'll get there.

HTH

nicudirector · Dec 11, 2003

Does anyone know hppd in the NICU area? How can we locate national benchmarks?

AnneDNP · Oct 2, 2004

Could anyone help me find information regarding Lane Benchmarking? I hear it a lot in regards to HPPD and productivity of nurses, but have not been able to find anything on the web about it. Thanks

RNPATL, DNP, RN · Oct 31, 2004

I run a 40 bed unit (med-surg) and my productive hours are 7.80 ... these hours are good, but they include my hours, education as well as new graduate training. So, if you take away all these expenses each payperiod .... I am probably actually running a productive hours base of 6.8 or less and it is hard to meet patient needs with that!

SarasotaRN2b · Oct 31, 2004

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.

RNPATL, DNP, RN · Oct 31, 2004

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 hours per patient day.

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

Total Hours Per Patient Day for this 24 hour period would be: 170 (rounded)

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.

SarasotaRN2b · Oct 31, 2004

That really helped a lot. May I ask what kind of background that you have...the steps you took to become a manager?

Actually, HPPD stands for hours per patient day.
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
Total Hours Per Patient Day for this 24 hour period would be: 170 (rounded)
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.

AnneDNP · Oct 31, 2004

My understanding is that HPPD only include direct patient care givers. Managers and secretary should not count. They should be part of the "administrative" cost. Do others count non-direct care givers?