New Jersey Department of Health and Senior Services

DAILY PATIENT CARE STAFFING:

EMERGENCY DEPARTMENT

REPORT FOR
(Date)
NOTICE TO CONSUMER

N.J.S.A. 26:2H-5f through 5h (P.L. 2005, c. 21) requires hospitals to post information about staffing and patient-to-staff ratios for the previous shift. Summary reports on staffing for each hospital will be available on the New Jersey Department of Health website at www.nj.gov/health/healthcarequality.

Name of Hospital

Name of Unit

Unit Type

Emergency Department (ED)
Start Time	Number of

Patients

Registered	Staff Type	Actual Hours Worked	Number of Staff
For the 24-hour period beginning:

A.M.	Registered Professional Nurses	___.___	RNs
Licensed Practical Nurses	___.___	LPNs
Unlicensed Assistive Personnel	___.___	UAPs
Information on the daily, hospital-wide number of respiratory therapists and physical therapists is posted at:

Description of methods used to determine and adjust direct patient care staffing levels:

HCQ-4

AUG 12

HCQ-4, Daily Patient Care Staffing, emergency department

HCQ-4, daily patient care staffing, emergency department, ED, hospital, health care quality, HCQ

ewhite

2007-01-16

NJDHSS