Bakersfield College

HIM 105

CHAPTER 3

1)Which of the following applies to a unit of service received by one inpatient in one 24-hour period?

2. Inpatient discharges include    deaths, transfers to other healthcare facilities, possible
3. Metro Hospital has a 30-bassinet nursery. They have a total of 729 newborn service days for the month of May. What is the average daily census for May? Round to the nearest whole number.
4. An intrahospital transfer occurs when         .
5. The inpatient census must always be performed at midnight.
6. General Hospital is a small hospital in the eastern United States. It is licensed for 65 beds. They have a medical PCU (20 beds), a pediatric PCU (7 beds) a surgical PCU (19 beds), OB/GYN PCU (13 beds) and a trauma PCU (6 beds). In addition they have eight newborn beds. At census time (midnight), on July 16, 2011, General Hospital counted 52 A/C patients occupying an inpatient bed and two newborns were occupying bassinets. During the next 24-hour period the following occurred:
   1. 1. 5 patients were admitted to the surgery PCU.
      2. 7 patients were admitted to the medical PCU.
      3. 2 patients were seen in the ER and admitted as inpatients to the trauma PCU.
      4. 7 patients were seen in the ER and discharged to home.
      5. 3 patients from the trauma PCU died and were sent to the medical examiner.
      6. 1 patient died in the ER before being admitted.
      7. 1 patient was admitted at 9:00am and died at 5:00pm.
      8. 1 patient was admitted at 3:00am and discharged to home at 6:00pm.
      9. 7 patients (3 from medical, 1 from surgical, and 3 from trauma) were transferred to other facilities that could provide a greater level of care.
      10. 10 patients (3 from surgery PCU, 3 from the medical PCU, 3 from OB/GYN PCU and 1 from the trauma PCU) were discharged to home.
      11. 2 patients (A/C) were transferred from the surgery PCU to the medical PCU.
      12. 3 babies were live born (admitted) on this day
      13. Of the 3 babies that were born this day, 1 was born at 1:03 pm but died at 3:30 pm on the same day. (Think NB A/D)
      14. 1 newborn was discharged to home.

7. What is the Inpatient Census for A/C on July 17, 2011 for the total hospital?

8. General Hospital is a small hospital in the eastern United States. It is licensed for 65 beds. They have a medical PCU (20 beds), a pediatric PCU (7 beds) a surgical PCU (19 beds), OB/GYN PCU (13 beds) and a trauma PCU (6 beds). In addition they have eight newborn beds. At census time (midnight), on July 16, 2011, General Hospital counted 52 A/C patients occupying an inpatient bed and two newborns

were occupying bassinets. During the next 24-hour period the following occurred:

1. 1. 1. 5 patients were admitted to the surgery PCU.
      2. 7 patients were admitted to the medical PCU.
      3. 2 patients were seen in the ER and admitted as inpatients to the trauma PCU.
      4. 7 patients were seen in the ER and discharged to home.
      5. 3 patients from the trauma PCU died and were sent to the medical examiner.
      6. 1 patient died in the ER before being admitted.
      7. 1 patient was admitted at 9:00am and died at 5:00pm.
      8. 1 patient was admitted at 3:00am and discharged to home at 6:00pm.
      9. 7 patients (3 from medical, 1 from surgical, and 3 from trauma) were transferred to other facilities that could provide a greater level of care.
      10. 10 patients (3 from surgery PCU, 3 from the medical PCU, 3 from OB/GYN PCU and 1 from the trauma PCU) were discharged to home.
      11. 2 patients (A/C) were transferred from the surgery PCU to the medical PCU.
      12. 3 babies were live born (admitted) on this day
      13. Of the 3 babies that were born this day, 1 was born at 1:03 pm but died at 3:30 pm on the same day. (Think NB A/D)
      14. 1 newborn was discharged to home.

Would you count the two patients who died in the ER in the inpatient census?

1. 2. General Hospital is a small hospital in the eastern United States. It is licensed for 65 beds. They have a medical PCU (20 beds), a pediatric PCU (7 beds) a surgical PCU (19 beds), OB/GYN PCU (13 beds) and a trauma PCU (6 beds). In addition they have eight newborn beds. At census time (midnight), on July 16, 2011, General Hospital counted 52 A/C patients occupying an inpatient bed and two newborns were occupying bassinets. During the next 24-hour period the following occurred:
      1. 5 patients were admitted to the surgery PCU.
      2. 7 patients were admitted to the medical PCU.
      3. 2 patients were seen in the ER and admitted as inpatients to the trauma PCU.
      4. 7 patients were seen in the ER and discharged to home.
      5. 3 patients from the trauma PCU died and were sent to the medical examiner.
      6. 1 patient died in the ER before being admitted.
      7. 1 patient was admitted at 9:00am and died at 5:00pm.
      8. 1 patient was admitted at 3:00am and discharged to home at 6:00pm.
      9. 7 patients (3 from medical, 1 from surgical, and 3 from trauma) were transferred to other facilities that could provide a greater level of care.
      10. 10 patients (3 from surgery PCU, 3 from the medical PCU, 3 from OB/GYN PCU and 1 from the trauma PCU) were discharged to home.
      11. 2 patients (A/C) were transferred from the surgery PCU to the medical PCU.
      12. 3 babies were live born (admitted) on this day
      13. Of the 3 babies that were born this day, 1 was born at 1:03 pm but died at 3:30 pm on the same day. (Think NB A/D)
      14. 1 newborn was discharged to home.

9. What are the Inpatient Service Days for A/C for the entire facility on July 17, 2011?

10. General Hospital is a small hospital in the eastern United States. It is licensed for 65 beds. They have a medical PCU (20 beds), a pediatric PCU (7 beds) a surgical PCU (19 beds), OB/GYN PCU (13 beds) and a trauma PCU (6 beds). In addition they have eight newborn beds. At census time (midnight), on July 16, 2011, General Hospital counted 52 A/C patients occupying an inpatient bed and two newborns were occupying bassinets. During the next 24-hour period the following occurred:
    1. 1. 5 patients were admitted to the surgery PCU.
       2. 7 patients were admitted to the medical PCU.
       3. 2 patients were seen in the ER and admitted as inpatients to the trauma PCU.
       4. 7 patients were seen in the ER and discharged to home.
       5. 3 patients from the trauma PCU died and were sent to the medical examiner.
       6. 1 patient died in the ER before being admitted.
       7. 1 patient was admitted at 9:00am and died at 5:00pm.
       8. 1 patient was admitted at 3:00am and discharged to home at 6:00pm.
       9. 7 patients (3 from medical, 1 from surgical, and 3 from trauma) were transferred to other facilities that could provide a greater level of care.
       10. 10 patients (3 from surgery PCU, 3 from the medical PCU, 3 from OB/GYN PCU and 1 from the trauma PCU) were discharged to home.
       11. 2 patients (A/C) were transferred from the surgery PCU to the medical PCU.
       12. 3 babies were live born (admitted) on this day
       13. Of the 3 babies that were born this day, 1 was born at 1:03 pm but died at 3:30 pm on the same day. (Think NB A/D)
       14. 1 newborn was discharged to home.

11. What is the Inpatient Census for NB on July 17, 2011 for the nursery?

12. General Hospital is a small hospital in the eastern United States. It is licensed for 65 beds. They have a medical PCU (20 beds), a pediatric PCU (7 beds) a surgical PCU (19 beds), OB/GYN PCU (13 beds) and a trauma PCU (6 beds). In addition they have eight newborn beds. At census time (midnight), on July 16, 2011, General Hospital counted 52 A/C patients occupying an inpatient bed and two newborns were occupying bassinets. During the next 24-hour period the following occurred:
    1. 1. 5 patients were admitted to the surgery PCU.
       2. 7 patients were admitted to the medical PCU.
       3. 2 patients were seen in the ER and admitted as inpatients to the trauma PCU.
       4. 7 patients were seen in the ER and discharged to home.
       5. 3 patients from the trauma PCU died and were sent to the medical examiner.
       6. 1 patient died in the ER before being admitted.
       7. 1 patient was admitted at 9:00am and died at 5:00pm.
       8. 1 patient was admitted at 3:00am and discharged to home at 6:00pm.
       9. 7 patients (3 from medical, 1 from surgical, and 3 from trauma) were transferred to other facilities that could provide a greater level of care.
       10. 10 patients (3 from surgery PCU, 3 from the medical PCU, 3 from OB/GYN PCU and 1 from the trauma PCU) were discharged to home.
       11. 2 patients (A/C) were transferred from the surgery PCU to the medical PCU.
       12. 3 babies were live born (admitted) on this day

1. 1. 13. Of the 3 babies that were born this day, 1 was born at 1:03 pm but died at 3:30 pm on the same day. (Think NB A/D)
      14. 1 newborn was discharged to home.

13. What are the Inpatient Service Days for NB on July 17, 2011 for the nursery?

14. General Hospital is a small hospital in the eastern United States. It is licensed for 65 beds. They have a medical PCU (20 beds), a pediatric PCU (7 beds) a surgical PCU (19 beds), OB/GYN PCU (13 beds) and a trauma PCU (6 beds). In addition they have eight newborn beds. At census time (midnight), on July 16, 2011, General Hospital counted 52 A/C patients occupying an inpatient bed and two newborns were occupying bassinets. During the next 24-hour period the following occurred:
    1. 1. 5 patients were admitted to the surgery PCU.
       2. 7 patients were admitted to the medical PCU.
       3. 2 patients were seen in the ER and admitted as inpatients to the trauma PCU.
       4. 7 patients were seen in the ER and discharged to home.
       5. 3 patients from the trauma PCU died and were sent to the medical examiner.
       6. 1 patient died in the ER before being admitted.
       7. 1 patient was admitted at 9:00am and died at 5:00pm.
       8. 1 patient was admitted at 3:00am and discharged to home at 6:00pm.
       9. 7 patients (3 from medical, 1 from surgical, and 3 from trauma) were transferred to other facilities that could provide a greater level of care.
       10. 10 patients (3 from surgery PCU, 3 from the medical PCU, 3 from OB/GYN PCU and 1 from the trauma PCU) were discharged to home.
       11. 2 patients (A/C) were transferred from the surgery PCU to the medical PCU.
       12. 3 babies were live born (admitted) on this day
       13. Of the 3 babies that were born this day, 1 was born at 1:03 pm but died at 3:30 pm on the same day. (Think NB A/D)
       14. 1 newborn was discharged to home.

15. Fill in the grid below using the information in the above scenario.

16. In 20XX (a leap year) Community Hospital had 150 licensed beds for adults and children from January 1st through June 30th. From July 1st through December 31st, licensed beds increased to 175. During the first half of the year there were 23,114 inpatient service days. During the second half of the year there were 25,576 inpatient service days.
17. In 20XX (a leap year) Community Hospital had 150 licensed beds for adults and children from January 1st through June 30th. From July 1st through December 31st, licensed beds increased to 175. During the first half of the year there were 23,114 inpatient service days. During the second half of the year there were 25,576 inpatient service days.
18. In 20XX (a leap year) Community Hospital had 150 licensed beds for adults and children from January 1st through June 30th. From July 1st through December 31st, licensed beds increased to 175. During the first half of the year there were