Published Mar 6, 2010
iisonu
26 Posts
We run a high acuity 42-bed med-surg/tele unit. HPPD has been decreased, and we need help establishing a good staffing matrix. Trying not to reinvent the wheel here! Thanks in advance!
bill4745, RN
874 Posts
What is HPPD?
hours per patient day
tokmom, BSN, RN
4,568 Posts
Not sure if this is what you are looking for, but my hospital said we had too many hours per day. It was 19.0 something hours. They wanted only 16.
We don't know what the numbers meant, but what we see on our floor (A med/surg/PCU/Tele floor is this...We used to have up to 3 pts to take care of. Now we have 5 on a given day. Meds are being missed and pt care isn't as good as it used to be. We don't get breaks or lunches somedays.
To top it off, us full timers are taking call of days. Guess where I"m suppose to be today? At work:mad:. That means the nurses there are probably running their butts off, and I'm at home using up my PTO to make up for a loss of a 12 hr day.:mad:
Thanks tokmom. I truly understand your frustrations, because our nurses are in the same boat. Quality patient care is significantly being affected due to our shortages. However, I have to say, most of our nurses are troopers. We have a pretty good team, and everyone tries their best to support one another. Sure, we have moments when breaks are skipped and patients aren't getting the 100% holistic care they deserve, but at all costs we have each others' back.
Our HPPD is 8.7 for a 42-bed unit. It has been cut to the bare bones based on historical date, due to the fact that we ALWAYS work short, and barely get by with 7 nurses on day shift and a charge (sometimes with a full patient load). We can only PUSH (pray until something happens)! Good that is! Thanks for sharing.