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Patient Classification System Third Year

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مريم عبد الرحمن
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187 views27 pages

Patient Classification System Third Year

Uploaded by

مريم عبد الرحمن
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPSX, PDF, TXT or read online on Scribd
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Patient Classification

Systems (PCS)

Dr / Rasha Ali
Lecturer of nursing administration
Objectives
 Define what is patients classification systems.
 Identify Who is responsible for PCS
 Identify purpose PCS
 Discuss Factors considered when using patient
classification systems
 Discuss Components of PCS
 Differentiate between types of patient
classification system .
 Identify categories of PCS.
 Illustrate criteria of PCS .
Outline
 introduction
 Definition of patient classification system
 Who is responsible for PCS
 Purpose of PCS
 Factors considered when using patient
classification systems
 Components of PCS
 Types of PCS
 Patient classification system categories
 Criteria of patient classification system
Introduction
 It is the primary consideration to determine
workload requirements, staffing and patient
need objectively.

 PCSs, also known as workload management or


patient acuity tools ,were developed 1960s.
Adomat and Hewison(2004) reported that
although PCSs are helpful to measure patient
acuity ,they are not accurate tools for
determining nurse patient ration.
Definition

 It is a method used to group or


categorize patients according to specific
characteristics that measure severity of
illness in an effort to determine staffing
needs to adequately patient care .
Who is responsible for PCS

 Nurse managers are responsible for PCS using


various patient classification system by
objective and subjective data, they are filling its
prior to each shift.
Purpose of Patient Classification
System
 Provide staffing justification and flexibility.

 Determine the patient needs and matching this


needs with qualified personnel.

 To predict nursing care requirements for patients.

 Help to identify the true cost of care .


Cont.,

 Help to establish cost management and budgeting


strategies , help determine cost of nursing services
and assess properly loses and profits of nurse care.

 Maintenance of care quality and compliance

with regulatory standards .

Render cost effective care by reducing input costs.

Effective staff utilization.


Factors considered when using patient
classification systems
 Patient preference and medical condition.

 Time consuming non clinical facets such as patient turnover

 Complex clinical decision .

 Caregivers varying in knowledge level, experience, clinical


and critical thinking skills.

 Communication skills.

 Age and functional ability.

 Availability of social support.


Components of PCS

 The first component of PCS is a method of


grouping patients or patient categories.

 The second component of PCS is a set of


guidelines describing the way in which patients
will be classified.
,.Cont

 The third component of PCS is the average


amount of time required for care of a patient in
each category.

 The fourth component is finding a method for


calculating required staffing for required nursing
hours.
Types of patient classification system

Is also called methods of categorizing patients

There are two types /methods of PCS evaluation


named ;prototype and factor type

Both types of PCSs are developed from


.critical indicators
 Prototype evaluation system

 Factor evaluation system


Prototype evaluation system

Characteristics of patient of each care element are

listed and the patients classified according to their

resemblance to a typical patient ,it is associated with

.minutes or time
Factor evaluation system
A number of critical care descriptors
are identified against each category
determining level of activities and care for
each patient , is measured by sub-score
(points) ,totaled . Then patients grouped
according to acuity of their needs and
dependency on nurses into 4 or more groups
/Types.
Cont.,

Common care descriptors are hygiene,


nutrition, medication, fluid management,
skin and wound care, respiratory/circulatory
care, elimination, mobility, treatment
procedures, health teaching and daily
activity of living as feeding, grooming,
comfort measures and mobility.
Patient classification
categories
 This is considered subjective alone without criteria
and uses broad descriptive categories to describe
the patient

 Category I : Minimal care -Patient who


need self-care
 Category II : Intermediate care - Partial
care
 Category III : Intensive care - total
care (patient need complete care).

 Category l V: Highly specialized care


patient with end stage illness.
Determining nursing care hour by patient
classification system per patient per day per
level of care
Proto type Factor type
Total hours Number of Hours of Points Category
needed patient care/day

6 3 2 points 18 - 0 Category I: Minimal care

60 10 6 points 36 - 19 Category II:


Intermediate care

77 11 7 37 -60 points Category III: Intensive


care / total care

18 2 9 points + 60 Category IV : Highly


specialized care

hours 161 26 Total


Patient classification
criteria

Criteria or characteristics are


listed for a typical patient in each
of the categories are objective
.describe the patient
Patient classification criteria

Category l V Category III Category l I Category l Area of care

•Cannot feed •Cannot feed •Need


some Feed self Eating -1
self ,have self but help in
difficult able to chew preparing food
swallowing and swallow tray or need
encouragement
.Cont
•Completely •Un able to •Need some Self care .
dependent do much help in 2.Grooming
for self bathing, oral
hygiene ,hair
combing.

•Completely •Inbed, need •Need some •Normal 3- Excretion


dependent bedpan or help in micturation
•Catheter or getting up to alone
urinal placed
bath room or
enema
using urinal.
.Cont
•Criticalill •Acute •Mild •Good General -4
• Comatosed symptoms ,m symptoms •fordiagnostic health
edical or More than procedure.
surgical one mild •simple
problem illness. treatment or
surgery as
D&C,biobsy.
•Minor fracture
,. Cont
•Bed redden •Can not turn •Need some • Self Comfort-5
with out help in sufficient
help. adjusting
position or
bed eg.tubes
,. Cont
•Procedure •Medication •Simple • Simple Monitoring-6
requiring two more than enema for supervised,
nurses. twice daily evacuation dressing.
•vital signs •IVs, •Vital signs /4 •Test

more than every •suctioning ,t hours. procedure


two hours. ube feeding preparation,
care •vital signs
•vital signs /3 once per shift,
hours. •Not requiring

medication
.Cont
Always raised, Completely Partially raised - 7- Patient
patient raised safety
restrains

•IV with •Two •Diabetic ,cardia •Simple no 8-Medication


frequent close medication c ,hypo or more than
observation control hypertensive once /shift
•Need to drugs not need pre
•O2 therapy monitor more •Anticoagulant
,evaluation
than every 4 drugs ,prn
hours. medication
more than once
Thank You

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