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Workload Assessment Tool
Date
Unit: ICU
Assessment/Planning/Collaboration
Basic Patient Care Activities
Monitor and Evaluate
Nursing Interventions
Other Interventions
Bed 1
Bed 2
Bed 3
Bed 4
Bed 5
Bed 6
Bed 7
Bed 8
Admit 1
Admit 2
Admit 3
Admit 4
Nurses on Shift:
Shift:
Day
Night
Admission Assessment
Shift Assessment
Update Assessment
Interdisciplinary Rounds (day shift only)
Shift Report
Team / Family Meetings Time (Calculate as fraction of hours multiplied by 10)
Feeds Self with Partial Assistance
Feeding with Full Assistance
Tube Feeding (Continuous/ Intermittent)
Toilet with Assistance
Incontinent Care (1-3)
Incontinent Care (4+)
Bath with Partial Assistance
Bath with Complete Assistance
Mouth Care
Eye Care
Turn and Position 1-3 times (1-2 nurses)
Turn and Position 4+ times (1-2 nurses)
Prone Positioning
Up In Chair With 1 Person Assist
Up In Chair With 2+ Person Assist
Mechanical Lift
Monitoring of Patient 12x /shift
Monitoring of Patient 6x /shift
Monitoring of Patient 3x /shift
Hemodynamic Pressure/ Cardiac Output 5x /shift
Hemodynamic Pressure/ Cardiac Output 3x /shift
Neuro Signs 12x /shift
Neuro Signs 6x /shift
Neurovascular Signs 12x /shift
Neurovascular Signs 6x /shift
Care of Patient with ICP Monitoring/ Ventricular Drain
Care of Patient with IABP
Chest Tube Care
Care of Patient on Ventilator (Invasive/Non-invasive)
ET Tube Care
Cardiac/Respiratory Arrest Time (Calculate as fraction of hours multiplied by 20)
Medications (PO, NG/OG, PR UNG, SQ, IM, IV) 1-3
Medications (PO, NG/OG, PR UNG, SQ, IM, IV) 4-6
Medications (PO, NG/OG, PR UNG, SQ, IM, IV) 7-12
Medications (PO, NG/OG, PR UNG, SQ, IM, IV) 12+
Titration of Vasoactive Medication 1
Titration of Vasoactive Medication 2-3
Titration of Vasoactive Medication 4+
Continuous IV Stable Infusion 1-3
Continuous IV Stable Infusion 4+
Transfusion of Blood Products 1-2
Transfusion of Blood Products 3+
IV Insertion 1-2
IV Insertion 3+
Tubing / Dressing Change / IV Site Care 1-2
Tubing / Dressing Change / IV Site Care 3+
Simple Wound Dressing 1-2
Simple Wound Dressing 3+
Complex Wound Dressing Time (Calculate as fraction of hours multiplied by 10)
Burn Care Time (Calculate as fraction of hours multiplied by 15)
Infusion Irrigations (Bladder, Pleural, Mediastinal)
Aspiration of Drains 1-2
Aspiration of Drains 3+
Chest Tube Removal by Nurse
Tracheostomy Care 1-2
Tracheostomy Care 3+
Suctioning 1-3
Suctioning 4-6
Suctioning 7+
Assist With Procedures x15 Minutes
Assist With Procedures x30 Minutes
Assist With Procedures x60+ Minutes
Blood Collection 1-3
Blood Collection 4-6
Blood Collection 7+
Teaching / Emotional Support x15 Minutes
Teaching / Emotional Support x30 Minutes
Teaching / Emotional Support x60+ Minutes
Transportation of Patient (Within and Outside Facility) Time (Calculate as fraction of hours multiplied by 10)
CRRT Initial Set Up
CRRT Change Set x1
CRRT Change Set x2+
CRRT Temporary Disconnect
CRRT Monitoring 12x /shift
CRRT Monitoring 6x /shift
Unplanned Activities Time (Calculate as fraction of hours multiplied by 10)
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