A dialysis patient classification system for establishing nurse/patient ratios

In Connecticut, dialysis-related patient classification systems have taken on greater significance as state regulations deemphasize traditional nurse/patient ratios. The patient classification system devised for the Rockville General Hospital End Stage Renal Disease Unit is based on a process-oriented system and addresses both the physiologic and psychologic needs of the patient. Use of the system has provided nurses with a more efficient and effective means of matching patient care needs with daily staffing assignments. This article addresses the development of a patient classification system tool and the validity and reliability studies conducted to test the tool.