New Jersey Department of Health

DAILY PATIENT CARE STAFFING:

POST-ANESTHESIA CARE UNIT

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

Post Anesthesia Care Unit (PACU)
Start Time	Number of Patients Present at Any Time	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-5

AUG 12

HCQ-5, Daily Patient Care Staffing, PACU,

hcq-5, daily patient care staffing, PACU, post-anesthesia care unit, hospital,

ewhite

2007-01-16

njdoh