New Jersey Department of Health

DAILY PATIENT CARE STAFFING-

OTHER LICENSED HEALTH CARE PROFESSIONALS: HOSPITAL-WIDE

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

Start Time	Staff Type	Actual Hours Worked	Number of Staff
For the 24-hour

period beginning:

A.M.	Respiratory Care Practitioner	___.___
Physical Therapist	___.___
Description of methods used to determine and adjust direct patient care staffing levels:

HCQ-6

AUG 12

HCQ-6, Daily Patient Care Staffing, Other Health Care Professionals, hospital wide

HCQ-6, patient care staffing, staffing, hospital, other, health care professional, health care quality, HCQ

ewhite

2007-01-16

NJDOH