Month: Year: 7am-7pm. Ratio. Patient census at beginning of shift (total # of patients)

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1 Year: /25 22/2 22/2 22/2 2/9 25/25 25/2 2/ /2 2/ 27/28 2/2 25/27 28/27 /5 / /29 2/2 8/8 20/22 26/26 29/29 29/25 26/25 8/8 /7 2/2 2/2 /2 29/27 28/26 6 Antepartum Postpartum Mother/baby-dyads RN N/A Total # of staff pm-7am: 20/9 8/8 2/2 22/2 2/9 2/2 27/26 0/ 28/27 28/27 22/2 2/2 22/2 0/29 28/29 0/0 2/2 8/5 8/8 22/22 28/28 2/27 2/2 9/8 / 7/9 27/27 29/29 26/27 25/25 2/22 6 Antepartum Postpartum RN NA Total # of staff Shift: 6 Antepartum 6 Postpartum Available Staff RN NA Total # of staff

2 Year: L&D OR/ Pre-op L&D PACU Mother/baby-dyads RN ACT CST Total # of staff pm-7am: L&D OR/Pre-op L&D PACU RN ACT CST 2 2 Total # of staff Shift: 6 Antepartum 6 Postpartum Available Staff RN NA Total # of staff

3 Year: Mar Antepartum 6 Postpartum Mother/baby-dyads RN ACT Total # of staff pm-7am: Antepartum 6 Postpartum RN ACT Total # of staff

4 Year: Antepartum Postpartum Mother/baby-dyads RN Clinical Techs Total # of staff pm-7am: Antepartum Postpartum RN Clinical Techs Total # of staff Shift: 6 Antepartum 6 Postpartum Available Staff RN NA Total # of staff

5 Center Name: Winnie Palmer Hospital/Orlando Health Fiscal Year Month Year: am-pm or 2 CENSUS NICU III RN # of assisted ventilated RT pm-pm 2 CENSUS NICU III RN # of assisted ventilated RT pm-7am or 7pm-7am 2 CENSUS NICU III RN # of assisted ventilated RT Level III Unit must include one member of the nursing staff for every two such infants. A ratio of one certified respiratory care technician in the care of neonates for every four infants receiving assisted ventilation

6 Center name: Winnie Palmer Hospital/Orlando Health - NICU Level II - Fiscal Year Month/ Year: am-pm CENSUS NICU II RN pm-pm CENSUS NICU II RN pm-7am or 7pm-7am CENSUS NICU II RN Level II Unit must include one member of the nursing staff for every four such infants.

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