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Nursing care facilities may pay overtime over 40 hours each 7 day week, or, under an 8 and 80agreement with employees, pay overtime over 8 hours a day and 80 hours every 14 days.
Budget-based staffing. Commonly, the number of nursing hours per patient day (HPPD) or nursing hours divided by total patient days is used to determine staffing levels based on national or regional benchmarks. On a medical unit, total patient days reflects the average number of patients for a 24-hour period.