Factors Necessitating or Supporting a Lower Ratio of Patients to CCLSs

• High volume of patient-family teaching needs (eg, surgeries and other medical procedures), especially when combined with high patient turnover rate
• High proportion of patients requiring 1-on-1 interventions (eg, isolation rooms, ventilator-dependent patients, examination/treatment room interventions, critical care units)
• Multiple simultaneous needs (eg, ED during peak hours)
• Frequent time-consuming demands (eg, support during lengthy medical procedures, end-of-life support)
• Significant nonclinical demands, such as supervision of child life students, representing child life on hospital committees, public relations and marketing activities, and other administrative duties