Question

1. General Hospital is a small hospital in eastern United States. It is licensed for 65 beds. They have a medical PCU (20 beds), a pediatric PCU (7 beds) a surgical PCU (19 beds), OB/GYN PCU (13 beds) and a trauma PCU (6 beds). In addition, they have 8 newborn beds. At census time (midnight), on July 16, 2011, General Hospital counted 52 A/C patients occupying an inpatient bed and 2 Newborns were occupying bassinets. During the next 24-hour period the following occurred:

• 5 patients were admitted to the surgery PCU.
• 7 patients were admitted to the medical PCU.
• 2 patients were seen in the ER and admitted as inpatients to the trauma PCU.
• 7 patients were seen in the ER and discharged to home.
• 3 patients from the trauma PCU died and were sent to the medical examiner.
• 1 patient died in the ER before being admitted.
• 1 patient was admitted at 9:00am and died at 5:00pm.
• 1 patient was admitted at 3:00am and discharged to home at 6:00pm.
• 7 patients (3 from medical, 1 from surgical, and 3 from trauma) were transferred to other facilities that could provide a greater level of care.
• 10 patients (3 from surgery PCU, 3 from the medical PCU, 3 from OB/GYN PCU and 1 from the trauma PCU) were discharged to home.
• 2 patients (A/C) were transferred from the surgery PCU to the medical PCU.
• 3 babies were live born (admitted) on this day
• Of the 3 babies that were born this day, 1 was born at 1:03 pm but died at 3:30 pm on the same day. (Think NB A/D)
• 1 newborn was discharged to home.

           

(Optional)

You can fill in the grid below using the information in the scenario from question 2 to help you organize the data.

Day

12:01 a.m. Census A/C   NB

Admitted A/C Born

Trans In (INTRA) A/C NB

Total A/C    NB

Discharge A/C    NB

Trans Out (INTRA) A/C NB

11:59 p.m. Census A/C   NB

Admit/ Disch (A/D) A/C NB

Service Days A/C   NB

7/16

52

2

7/17

7/18

1. What is the Inpatient Census for A/C on July 17, 2011 for the total hospital?
2. Would you count the 2 patients who died in the ER in the Inpatient census? Why?
3. What are the Inpatient Service Days for A/C for the entire facility on July 17, 2011?
4. What is the Inpatient Census for NB on July 17, 2011 for the Nursery?
5. What are the Inpatient Service Days for NB on July 17, 2011 for the Nursery?

please show your steps

Answer 1

a. total Inpatient census A/c on july 2011 for the total hospital is 46.

b.yes, because as they were died in our hospital we should calculate under our census, in order to claim death certificate.

c. inpatient service days for entire facility on july 17, 2011 is 57.

d. inpatient census for NB on july 17,2011 for the nursery is 3.

e. inpatient service days for NB ON JULY17,2011 is 4

formula:

Inpatient service days

Total inpatient service day = Total inpatient + Total admission - Total discharges