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Analysis of Nursing Workload in the Trauma Burn ICU

Introduction The nursing workload in the Trauma Burn Intensive Care Unit (ICU) in The University of Michigan Hospital (UMH) is perceived as overwhelming. The large variation in patients makes staffing the unit a difficult task. The current scheduling system is based solely on the hours per patient day (hppd), which is a budgeting figure that allows for a certain number of nursing hours for every day a patient remains in the hospital. This number does not fluctuate throughout the year and thus does not account for seasonal variations. The fiscal year 2004 (FY04) allots 17.4 hours of care for each 24-hour day a patient remains in the ICU. The number of patients fluctuates following seasonal trends while the number of nurses remains fairly constant.