Workloads Data Collection Tool

Workloads Data Collection Tool Ward / Unit: ______Date:______Please complete on a shift by shift basis.

Number of specials required: Number of specials provided:

Incident Times this Manager Report Shift Workload Issue occurred informed form required? o no meal break

o worked late

o answered phones

o allow access

o collected/unpacked stock

o cleaned area/beds

Comment (how does this impact on the delivery of safe patient care):

Recommendation(s) / possible solutions: ISSUE:

Date Shift Ward Number of Patients on ward/ your section

Number of admissions Number of Number of day Transfers to appointments discharges Cases outside the ward. E.G. OT, radiography

ACUITY OF PATIENTS:

Number of patients Number of patients Number of patients Number of patients requiring IV ABs requiring IV PCAs requiring IV fluids requiring feeding only

Number of patients Number of patients Number of patients Number of patients requiring O2 therapy requiring PAC requiring S4 / S8 requiring IV – ‘other’ drugs

For patients requiring IV – ‘other’, please list (e.g. blood, packed cells):

Number of dressing Number of dressing Number of post-op patients (i.e. changes (simple) changes (complex) patients who have had surgery today)

Number of patients with dementia/other (if other, please list)

STAFF SKILL MIX: Number of Casuals: Agency: New Grads: NUMs: CNSs: RNs: ENs: AiNs: Ward Clerks: Ward Assistants: Students: TENs: