In Massachusetts, all hospitals that operate intensive care units are required to report their quarterly ICU-registered nurse-to-patient staffing ratios to the Massachusetts Department of Public Health, effective with the first quarter of 2016 (January to March). HPC Regulation 95 CMR 8.00 to Implement the ICU Nurse Staffing Law was signed into law by then Governor Patrick on June 30, 2014.
Hospitals with ICUs must report the following information quarterly:
• Type of ICU
• Average daily patient census
• Average daily nurse census
• Average daily staff nurse-to-patient ratio
The law provides in part that “in all intensive care units the patient assignment for the registered nurse shall be 1:1 or 1:2 depending on the stability of the patient as assessed by the acuity tool and by the staff nurses in the unit, including the nurse manager or the nurse manager’s designee when needed to resolve a disagreement.” The law became effective on September 28, 2014.
Cooley Dickinson Hospital’s ICU Staffing
|Reporting Period||Name of ICU||Type of ICU||Average Daily Patient Census||Average Daily Nurse Census||Average Daily Staff Nurse-to-Patient Ratio|
|Jan-March 2016 (Q1/2016)||Critical Care Unit||General Med/Surg||5||4||1 Nurse to 1.3 ICU Patients|
|Apr – Jun 2016 (Q2/2016)||Critical Care Unit||General Med/Surg||5.8||4.5||1 Nurse to 1.3 ICU Patients|