<p> Workloads Data Collection Tool Ward / Unit: ______Date:______Please complete on a shift by shift basis.</p><p>Number of specials required: Number of specials provided:</p><p>Incident Times this Manager Report Shift Workload Issue occurred informed form required? o no meal break</p><p> o worked late</p><p> o answered phones</p><p> o allow access</p><p> o collected/unpacked stock</p><p> o cleaned area/beds</p><p>Comment (how does this impact on the delivery of safe patient care):</p><p>Recommendation(s) / possible solutions: ISSUE:</p><p>Date Shift Ward Number of Patients on ward/ your section</p><p>Number of admissions Number of Number of day Transfers to appointments discharges Cases outside the ward. E.G. OT, radiography</p><p>ACUITY OF PATIENTS:</p><p>Number of patients Number of patients Number of patients Number of patients requiring IV ABs requiring IV PCAs requiring IV fluids requiring feeding only</p><p>Number of patients Number of patients Number of patients Number of patients requiring O2 therapy requiring PAC requiring S4 / S8 requiring IV – ‘other’ drugs</p><p>For patients requiring IV – ‘other’, please list (e.g. blood, packed cells):</p><p>Number of dressing Number of dressing Number of post-op patients (i.e. changes (simple) changes (complex) patients who have had surgery today)</p><p>Number of patients with dementia/other (if other, please list)</p><p>STAFF SKILL MIX: Number of Casuals: Agency: New Grads: NUMs: CNSs: RNs: ENs: AiNs: Ward Clerks: Ward Assistants: Students: TENs:</p>