Table 5. Determining Nursing Hours Using Qualification Tool for Case Study 2.

Table	Organ System	Clinical	Risk Level	Nursing Hours/Week
1	Pulmonary	Frequent respiratory infections and symptoms, aspiration risk		30
Total (Table 1)				30
2		Skilled Nursing Treatments (Table 3)	Low	5
		Medications	Medium	14
		Organ systems/interventions (≥3)	High	5
		Clinical (suctioning three times a day and as needed)	Low	1.5
		Feeding (complex, aspiration risk)	Medium	5
		Mobility (1-2 people for safe transfer/positioning)	High	5
		Cognition	Low	0
Total (Table 2)				35.5
Total recommended (sum of Tables 1 & 2)				65.5
Recommendation: Nursing hours 65.5 hr/week. Hours are reevaluated every 60 days or significant change in medical status.