Calculating Work Hours Per Patient Day

In the researched medical ward the average number of patients per registered nurse was high, and only a third of the overall nursing hours were conducted by nurses with a bachelor's degree. Although, the number of staff did not deviate from that expected in European hospitals , the observed staffing levels could provoke rushed judgments about low quality of care. However, it should be noted that in the observed hospital the management calculates the number of registered nurses and nursing technicians together , ignoring evidence on higher nurse staffing levels being reflected in better patient outcomes .

With the use of two profiles of nursing staff, the productivity levels, number of nurse working hours and nurse–patient ratios appear to be good. But this hospital is employing cheaper nursing technicians instead of registered nurses, and this low-cost approach ignores actual patients care needs, actual unit occupancy rates, and staff competences and, as a consequence, the graduate staff are overloaded. The shift to value-based care is just one of many fundamental changes happening in healthcare today.

Healthcare organizations across the continuum are challenged to increase productivity AND reduce costs while maintaining proper staff levels to meet patient needs and compliance requirements. Hours per patient day is a common industry expression used to trend the total number of direct nursing care hours , compared to the number of patients as the HPPD ratio. Using a the "nursing hours per patient day" is a way to monitor and improve quality of care and service. And in many states, hospitals, clinics, acute care facilities, long-term care and senior living facilities must report the HPPD data to the Department of Public Health.

OSHPD's Hospital Disclosure Report measures employment in terms of productive hours for each of RNs, LPNs, unlicensed aides/orderlies, management and supervision, administrative and clerical, and other labor categories. Most hospitals use their payroll system, not their actual unit-level staffing grid, to complete the survey, and thus the data are subject to errors that might exist in any payroll system. For example, hospitals might not consistently measure hours worked by nurses normally assigned to one unit but "floated" to another. The number of patient days or services provided in each revenue unit is reported, enabling calculation of hours per patient day, hours per patient discharge, and/or hours per service provided. Unit types can be aggregated or examined separately (e.g., HPPD for medical–surgical acute care only). Correlations between the AHA and OSHPD datasets for inpatient days and RN employment were high overall, at least 0.9.

The means of RN and LPN employment were not statistically significantly different, while computed hours per patient day were statistically different in the OSHPD and AHA datasets. Most hospitals provide the staffing data to OSHPD and AHA from payroll systems, which might contain several types of measurement error. First, these systems do not delineate direct patient care from nondirect care in productive staff or hours, and thus overestimate the amount of direct nursing care received by each patient.

For example, a nurse might change the unit to which s/he is assigned, without a change in pay, and this change may not be reflected in the payroll data in a timely fashion. The panel reviewed current staffing ratios of registered nurses, licensed practical nurses, and nursing assistants, and concluded the current levels are inadequate. Seventeen out of the 30 conference participants endorsed a final staffing recommendation that established 4.55 total nursing hours per resident day as a minimum threshold. Noting that nursing management and leadership are central to providing a high quality of care in nursing facilities, the panel also recommended the director of nursing in nursing facilities have a minimum of a bachelor's degree.

Many researchers and health care leaders want to measure nurse staffing according to the workload of each nurse, although "workload" does not have an agreed-upon definition. Most hospitals can easily report the average number of productive nursing hours per patient day ("hours per patient day" or HPPD), because they keep data on nursing hours and patient days. Based on an analysis of 1999 cost report filings, all of Connecticut's nursing facilities licensed as CCNHs exceed the minimum nursing-staff-to-resident-day ratios established under the regulations.

Although the regulations require 694 annual minimum nursing staff hours for CCNHs, all nursing homes licensed under the CCNH category had 754 annual hours or more per bed in direct care staffing. Based upon the data contained in the cost reports, there was an average of 1,435 direct care hours per resident per year; more than double that required under the regulations. We used a hierarchical four-grade nursing care classification system to assess nursing care levels for patients at different acuity levels. This system identifies the staffing levels required to achieve appropriate nursing care, although unfortunately it is not used in practice yet.

When we compared the actual nursing levels, the conventional patient-to-nurse ratio and the nurses needed on the basis of patients' classification, we found severe shortages. Individual patient requirements were not respected, as a 38% shortage of registered nurses was measured. Therefore, nursing staff requirements should be considered as a predictor of the quality of nursing services , and having enough nurses to meet patient needs could be reflected in higher patient satisfaction with nursing care .

This study showed also that patients were more satisfied when the proportion of baccalaureate nurses in the nursing workforce was higher. While these results support the findings of previous studies , there is limited evidence correlating hospital nurse staffing with patient satisfaction in the literature . Research reports positive patient outcomes when staffing levels allow a maximum of six patients to one registered nurse on a medical ward . Similarly, other research finds that more patients per nurse result in higher rate of care left undone . The survey requested that hospitals provide data for a representative medical–surgical unit in the hospital. Survey questions focused on nursing hours worked on that unit, discharges and patient days on the unit, nurse-to-patient ratios, number of vacancies, and average time to recruit a RN to the unit.

Both hours per patient day and the nurse-to-patient ratio were reported directly by unit managers, enabling a direct comparison of these methods of measuring nurse staffing. The program review committee compared the minimum regulatory nursing staff requirements to actual hours of nursing staff reported by facilities in its Medicaid cost reports. There are several caveats attached to the data used for an analysis of the distribution of nursing staff among Connecticut's nursing facilities. First, the number of hours reported for RNs, LPNs, and nurse aides by facilities is self-reported and not audited by DSS. In addition, there are no uniform definitions for reporting on nursing staff hours.

Thus, while some facilities may report paid hours, which include any vacation, sick, and personal time accrued, others might report actual hours worked. Third, nursing staff hours are reported on an annualized basis, but daily, weekly, and monthly nursing staff fluctuations may vary considerably. Finally, data were available for only 226 facilities out of the 253 licensed CCNHs, and estimates are based on an average 95 percent occupancy rate, rather than a facility's actual occupancy.

Table 2 summarizes the critical care and medical–surgical nurse staffing and patient days data reported by CalNOC and OSHPD. OSHPD reports a greater number of RN and LPN hours as well as patient days, and all differences are statistically significant. The greater number of nursing hours reported by OSHPD is consistent with OSHPD's productive hours including non-direct-patient-care hours, which may include RNs in special roles such as clinical specialists or infection control managers. The correlations between RN hours, LPN hours, and patient days are relatively high, ranging from 0.73 to 0.92.

The correlations are higher for critical care than for medical–surgical care. Currently, the Nursing Care Hours per Patient Day formula is the unit of analysis that determines staffing requirements in hospitals. It is a calculable formula that is used as a method of staffing and for budgeting nursing hours . Nursing Care Hours per Patient Day are calculated by multiplying the number of staff delivering direct nursing care by the hours worked during the shift and then dividing that number into the average daily census at a specific designated time.

For the purposes of this study, the midnight census was chosen as the designated time. Nursing Care Hours per Patient Day were studied and the data from both Quarters under review were analyzed and compared. The current minimum total nursing staff hours per resident in a CCNH bed is 694 hours annually. This means each resident can expect to receive 13.31 hours of direct care each week. Figure III-1 shows the minimum number of nurse and nurse aide hours required per- resident-day is 1.9 hours - an average of less than five minutes of care per resident, per hour.

In terms of licensed nursing personnel for a CCNH, the minimum requirement is .64 hours per day. If nurse aides provide all of the non-licensed care that is allowed, they will provide a total of one hour and 16 minutes of care per resident each day. Table III-I describes the minimum nurse and nurse aide staffing requirements for CCNH and RHNS beds in Connecticut. The regulations establish minimum standards for nursing-staff-to-resident ratios during two segments of a 24-hour day and are expressed in terms of staff hours per patient . For example, on average the regulations require each resident receives 84 minutes of total nurse and nurse aide care during the 7 a.m. Observations suggest that registered nurses need to engage in a great variety of tasks, and spend a great deal of time locating the information needed for individual patients.

Calculator Hours Worked Per Day Health education, clinical references, consulting, and coaching were the least frequent activities in the registered nurses' working days. We were not able to observe a fifth of the registered nurses' activities, as these were done outside the medical ward. These activities could thus not be classified in the observations, but were described by the staff as nursing tasks on other medical units, meetings with management, quality teams, and so on. Moreover, the results show that the patients noticed the individual attention they received from registered nurses while they cared for them, and that their explanations helped them feel more at ease. Nurses are known to spend more time with patients than other health professionals, and that enables them to show the caring attitude which is sensitive to patients' reports of quality of nursing care .

Registered nurses have a wide range of nursing knowledge and good communication skills, are alert to changes in the patients' status and have the competencies needed to do all the activities that arise in nursing care. Nursing technicians have fewer competencies, and care for fewer patients than registered nurses – certain tastes are thus not delegated from registered nurses to technicians, but the vice versa. This could mean that patients would benefit if mixed staffing models, like the one observed in this study, would include more nurses with bachelor's degrees. In fact, according to published studies hospital nurses spend from 7.3% to 54.2% of their time on direct patient care, from 0% to 59% on indirect care, and from 14% to 17% on personal time . Patient satisfaction is influenced by factors identified at the patient level along with nurses' kindness and competence with regard to performing technical procedures .

When items in the instrument represent patients' perceptions, there are no criteria against which criterion-related validity could be tested . Some researchers have argued that hours per patient day is the most precise measure of the amount of nursing care provided to patients (Budreau et al. 1999). However, hours per patient day do not accurately measure the impact of admissions, discharges, and transfers on the workload of nurses. Unruh and Fottler have demonstrated that nurse staffing measures that do not adjust for patient turnover underestimate nursing workload and overstate RN staffing levels.

While prospective unit-level databases such as CalNOC often include measures of admissions, discharges, and transfers, administrative databases do not include such measures. The program review committee believes the minimum nursing staff ratio suggested in HCFA's study is based on the most comprehensive and defensible research to date. Furthermore, the establishment of minimum nursing staff standards does not negate the federal and state requirements that nursing facilities provide adequate nursing staff to meet residents' needs. Minimum staffing thresholds merely establish a floor below which a facility cannot drop.

An analysis from the Journal of Emergency Nursing found that a calculation of hours per patient visit was the most frequently used method for determining staffing in the ED. This method requires dividing the number of actual paid hours by the total number of ED visits to calculate the number of staff hours per year. The authors pointed out that this type of system fails to take a few critical factors into consideration, including patient acuity, length of stay, and nursing workload. The authors discussed a tool that may be more accurate for calculating annual needs.

It incorporates key variables of patient volume, patient acuity, nursing interventions and activities, skill mix, and ED length of stay to determine the direct needs in an emergency department. There is also a chart in the article that can show how to use the tool to facilitate the calculation of the number of full-time equivalent nurses needed. The authors say that the tool can be used to determine staffing needs in the ED as well as for monitoring staffing indicators. Inpatient care unit does not include any hospital-based clinic, long-term care facility, or outpatient hospital department. "Staffing hours per patient day" means the number of full-time equivalent nonmanagerial care staff who will ordinarily be assigned to provide direct patient care divided by the expected average number of patients upon which such assignments are based.

"Patient acuity tool" means a system for measuring an individual patient's need for nursing care. Decisions about the adequacy and appropriateness of nurse staffing have long been based on functionally outdated industrial models that focus on work sampling and time-and-motion studies conducted in semi-simulated settings. Even today, the common method of staffing nursing units or identifying the staffing mix in hospitals is by identifying budgeted Nursing Care Hours per Patient Day. A traditional measure of nursing productivity, "nursing hours per patient day has never been satisfactory because 'patient day' as a measure of nursing output takes neither patient acuity nor quality of nursing care into accou nt". .

The 3.5 DHPPD staffing requirement, of which 2.4 hours per patient day must be performed by CNAs, is a minimum requirement for SNFs. SNFs shall employ and schedule additional staff and anticipate individual patient needs for the activities of each shift, to ensure patients receive nursing care based on their needs. The staffing requirement does not ensure that any given patient receives 3.5 or 2.4 DHPPD; it is the total number of actual direct care service hours performed by direct caregivers per patient day divided by the average patient census. Metrics such as hours per patient day and nursing hours per patient day , referred to by Carter as CHPPD, have been used for decades in the US to examine nursing productivity both within and between hospitals.

They are also used to determine staffing levels based on national or regional benchmarks and establish budgets for nursing departments. NHPPD usually refer to qualified nurses in the US, so may include only RNs with degrees or both RNs and those with older diplomas and/or licensed practical nurses. NHPPD are also used in several states in Australia and are usually used to describe qualified nurses only. This is why it is important to understand which staff are included before accepting staffing data.

The CalNOC data are less widely dispersed than the OSHPD data for the matched set of hospitals, suggesting that the CalNOC data might contain less measurement error. Nursing hours were on average higher in the OSHPD data than in CalNOC, likely because OSHPD data include nurse staff time spent on activities other than patient care. As a result, the distribution of nurse staffing per patient day is different between these datasets, with the CalNOC data producing somewhat lower hours per patient day than the OSHPD data. The correlations between estimates of hours per patient day are low, at 0.22 for total nursing hours and 0.32 for RN hours.

Moreover, undivided attentionand explanationwere positively correlated only with the volume of registered nurses' work hours. However, the item things are done without askingwas negatively correlated with the working hours of nursing technicians. The total in this equation provides the nursing hours per patient day, which helps nursing facilities understand what ratio of nurses to patients is best for them. For all licensed facilities nationwide, the average total nursing staff hours per patient day was 4.0 for January 2011 through February 2012, according to the Kaiser Family Foundation,.

When possible, hospital units or types of units were matched within each hospital. Productive nursing hours and direct patient care hours were converted to full-time equivalent employment and to nurse-to-patient ratios to compare nurse staffing as measured by different surveys. It is critical that clinical staff have access to HPPD levels and how they are calculated in a particular institution in order to inform their practice. Evidence-based care must use data and research on measures of productivity, patient satisfaction, quality, and financial accountability.

In the meantime, some hospitals are implementing a number of strategies to account for the staffing level on all units and to address bottlenecks in processing patient admissions, transfers, and discharges. At the heart of these activities is a shared desire to provide the best person-centered, timely, efficient, and effective care. As a nurse leader, you are expected to know what your average daily census is for your department and staff. Flexing your staffing levels to the volume that you have is key to your department being productive.

You may be asking yourself, where does patient safety and quality care come into consideration, instead of just dollars? There are also several evidence-based leadership studies that prove the higher the RN ratio to patient, the lower the adverse outcomes for the patients. The successful nurse leader learns to find the right balance between quality, safety, staff satisfaction, and fiscal responsibility in providing the most effective staffing plan. A relationship between staffing and quality of care in nursing homes is inherently logical. However, the correlation is difficult to demonstrate because of the complexities in defining and measuring quality, the lack of valid nursing staff data, and the differences in residents' acuity levels among facilities. The purpose of the analysis was to determine if facilities that received a high number of deficiencies reported less staff per resident day than those with zero or only one deficiency.

Fortnite Chapter 3 Map Flip

The newest Fortnite map is here, and rather than being a small update between seasons we've got a completely fresh reboot for Chapter 3. There are lots of Fortnite map changes to take in, with much of the island currently being covered in snow, and we're promised that even more changes will be revealed once this frost begins to melt. There are a few returning locations for Fortnite Chapter 3 Season 1 that haven't been seen for a long time, but most of the map is completely new so there's lots for Fortnite players to explore. If you want to get up to speed on the new battleground, then here's a rundown of the biggest Fortnite map changes for the new chapter.

The popular battle royale's newest season is off to a bright start and the return of one of its most popular locations could make the title's newest season one of the most played in its history. The Fortnite-dedicated content creator and well-known news account on Twitter,HYPEX, has teased the future of Chapter 3's map with claims from an insider. While the claims are unconfirmed, the user states that all of the snow is meant to disappear unless Epic Games decides to change the next update. Currently, the game is down and being prepared, and the expectation is either the next chapter of the game will begin tomorrow morning or this Tuesday, December 7. Not only do we still not know when Chapter 3 will begin, we still don't know what the Chapter 3 map will look like, well not in its entirety. Since then, Epic Games has launched fliptheisland.com, which has revealed our first look at the map and is slowly revealing the rest of it.

The Fortnite island completely flipped over after the destruction of the Cube Queen, resulting in a brief downtime/waiting period before players could access the game again. Chapter 3 Season 1 is now live with new characters, a new battle pass, and tons of fresh in-game content. In case you somehow missed it, the world of Fortnite flipped on its head with the recent release of Chapter 3 Season 1.

Quite literally, the island that Fortnite's battle royale plays out on flipped. The new map is largely covered in snow, but it would appear that the snow is thawing and will eventually reveal what's underneath it all. And a new leak offers the best look yet at what the map might look like once all that snow melts. Fortnite fans should note that Chapter 2, along with Season 8 Battle Pass ended on 4 December 2021. From previous downtimes, it is clear that Fortnite will take some time to make necessary changes to its servers and prepare the game for the next chapter.

At the end of Chapter 2, players witnessed the Cube Queen opening an extradimensional portal, allowing alien ships to enter the island. At the end of the Season finale, the Fortnite island flipped and landed on water upside-down. As with every new Chapter in Fortnite, players are presented with a brand new map with unique locations and POI. With Fortnite Chapter 2 live event lurking around the corner, the leaks and rumors about the Fortnite Chapter 3 map are at an all-time high. While Epic would want to save the best for the last, there are a fair few leaks to get players excited about the new map. This article will condense all the Fortnite Chapter 3 map leaks so that you can be ready for what's next.

We have a graphic of the map as it was revealed, complete with snow and location names, embedded below for players looking to put "faces to names" for these locations. As fans can clearly see, nearly 2/3 of the new island is completely covered with snow and ice. Just to add to the drama, the social media team at Epic Games opted to broadcast a live-stream of the black hole for two days.

And then, finally, life found a way – Fortnite Chapter 2 emerged from the darkness and players were able to jump back into their beloved battle royale game. One of the most noticeable changes during chapter 3, at least aesthetically, is that much of the map is now covered in snow. You'll even find bushes with Christmas lights on them that will presumably be around for the duration of season 1. Interestingly, the majority of the island is filled with snow, overshadowing the smaller desert and grassy biomes on the outskirts of the map. Expect various weather types, including tornadoes and even lighting throughout the duration of the chapter. Beyond visual changes, the new chapter 3 map has structural alterations, too.

A social media campaign which flips fans' profile pictures is currently revealing the Chapter 3 map at a decent pace, and stands at 12 percent unveiled at time of writing. The north-west corner has been revealed to be a snowy biome, while a desert sits in the south-east, with a jungle to the north-east. Finally, it seems we can expect the map to change throughout the season. It'll be interesting to see how the map changes over the course of the season, along with how much of an impact that'll have on gameplay. With Fortnite's climactic showdown with the Cube Queen now over, the game has undergone a rather dramatic change in the transition to Chapter 3. Of course, we wouldn't expect anything less when the transition from Chapter 1 to Chapter 2 brought similarly massive change.

This time around, the map has been flipped upside down, giving players a whole new island to explore. The reportedly melting snowis one of a few new changes and features expected to be coming toFortniteChapter 3's brand-new map. Epic Games showed off new weather and environmental effects during the overview trailer of Chapter 3, with the addition of lightning and tornadoes that can pull players into them.

Considered among the battle royale's best Point of Interest and landing spots, Epic introduced Tilted Towers to Fortnite players in 2018 within its first chapter. Tilted Towers went on to be one of the longest-running POIs in Fortnite before the ultimate map change at the start of Chapter 2. Though gone from the title for more than two years, Epic Games has been hinting at the return of Fortnite's Tilted Towersfor some time. At the time of writing, the full map has been revealed, showcasing an island that has nearly 2/3 of the entire surface area covered in snow. Those who aren't partial to wintery weather shouldn't worry, however. According to a news post published on the official Fortnite news page, the island will thaw over the course of the story, revealing a lush, green landscape underneath.

A social media campaign that flips fan profile pictures is currently revealing the Chapter 3 map at a decent pace, and is at 12 percent at the time of writing. The northwest corner has been found to be a snowy biome, while to the southeast is a desert with a jungle to the northeast. Sadly, the Epic Games website doesn't reveal the full season 1 battle pass, but it does hit the high points, showing off all of the skins available through it.

In addition to the skins we listed above, players will be able to unlock the Shanta, Lt. John Llama, Gumbo, and Haven skins. The beginning of a new chapter for Fortnite needs a suitably big reveal, and that's what we got with Fortnite Chapter 3. Not only has the map been flipped, revealing an entirely new map on the other side, but Epic Games has also confirmed that Spider-Man will feature in the first season.

This isn't just a skin, either, as players will be able to use Spider-Man's web-shooters to swing from buildings. Spider-Man's web-shooters can be equipped regardless of the skin you're wearing, so you don't have to dress up as Spider-Man before you can swing around. Some notable locations include The Sanctuary, home to The Seven, and The Daily Bugle, the famous newspaper headquarters in Spider-Man. There are plenty more locations worth visiting, like Greasy Grove or Shift Shafts, so be sure to check out the new chapter to explore and discover new animals and NPCs.

As the snow melts, it's rumored that island secrets may be revealed, too. Fortnite fans will have an entirely new landscape to traverse in Chapter 3. As many already know, Fortnite Island saw a major transformation at the end of Chapter 2. The landmass completely flipped over to reveal a second side with new biomes, locations, characters, weapons, and more. Players may find themselves thrown for a loop once again with the unfamiliar terrain. One big change is that players will have more ways to earn battle pass XP outside of the battle royale mode.

Typically, if you wanted to earn battle pass stars/XP, you were restricted to playing in one of the normal battle royale modes, or the 50 vs. 50 Team Rumble. Presumably, this means you can earn XP in alternate modes like Creative and LTMs. That will be great for players who want to earn higher-level skins, but don't have the interest or skill for intensely competitive multiplayer stuff. One new feature this time around is the implementation of the coveted crown. If you place "highly enough" in a battle royale match, you'll start the next one with a crown on your head, indicating that you're a good player. You'll need to place within the top four in Solos, top two in Duos, and first place in Trios and Squads to earn a crown.

While this is a great way to earn some bragging rights, it's also a target for other players, as the crown shines and makes you stand out. If you win a match while wearing a crown, you earn an exclusive emote. As always, XP is the name of the game, and during chapter 3, you'll now be able to earn experience as part of the creative mode, as well as the standard battle royale. This will give players much more freedom and incentive to play how they want without feeling like they're locked to a specific mode. After weeks of leaks and teases, Fortnite chapter 3 is finally here. Referred to as Fortnite Chapter 3 Flipped, this new update has a substantial amount of changes, not just in terms of gameplay, but also aesthetically and narratively.

With it being a new chapter, there's a lot to dive into, so even if you're a veteran player, there's a lot to learn when you start playing this time around. While the game is fundamentally the same, there's enough here to keep things fresh, especially with the implementation of a fan-favorite Marvel hero. Thankfully, data-miners started looking through the new files as soon as the new update was pushed on console. They've already leaked some challenges and the new weapons and items, but they've also leaked the full Fortnite chapter 3 map with all the named locations. As Apollo completely overturns, we can just about make out a few features on what we can only assume is going to be the next Fortnite island.

For the most part, what we can see appears to be a desert, reminiscent of Chapter 1 Season 5's Paradise Palms. Some of the older rumors about Chapter 3 Season 1 included cowboy and desert themes, so could we be seeing a return to the Wild West as part of Chapter 3, perhaps? Yes, most of the rumors at the moment revolve around a Spiderman themed season, but there's definitely room for both.

In other words, if I don't see a Web-Slinger skin in Fortnite this Season, I'm rage-quitting. The 30-second clip shows another small glimpse into the ever-evolving Fortnite lore. This time, what looks like the Zero Point orb crashes down on Apollo Island with catastrophic consequences, spelling the end of Chapter 2.

The resulting impact from the orb quite literally flips the Island over, finally revealing the all-new Chapter 3 map and engulfing poor Jonesy in waves. Fortnite has hosted its newest live event – typically spectacular in scope, technically ambitious in scale, and hugely important to the game's ongoing history. Today's The End event closed the book forever on its Chapter 2 map – and gave players a glimpse into what's next. In a significant shakeup to battle pass progression, Epic has revealed that Fortnite Creative now supports accolades and, by extension, battle pass XP. Creators will need to include accolades in the maps and modes they make in Creative, but still, that means you don't necessarily need to play battle royale just to level your battle pass.

Soon, my character surfaced and watched as the island slowly tipped up to be completely vertical and then fall the other way. That crushed the Cube Queen, which caused the giant portal with the UFOs to close up. Then the island flipped all the way over revealing a whole new landscape. At a distance, you could see a little bit of the new areas to explore, but a tidal wave quickly swept my player out to sea. After that, the event took an interesting twist, moving the perspective under the surface of the island to a CGI cutscene. Then, a hulking figure known as The Foundation burst in to save the day — and he took off his mask to reveal that he's played by, as suspected, none other than Dwayne Johnson.

Fortnite's big chapter-ending event just ended, and it was a big one. After an all-out war against UFOs, zombies, and the Cube Queen, players were saved in a rescue mission led by Dwayne Johnson. Fortnite released a trailer showing highlights of the new chapter, including new skins, new weather conditions and map locations. Players will be allowed to customize and earn with this chapter's Battle Pass. At the end of Chapter 2, players were left viewing the island they've been playing on completely flipped upside down to reveal an entirely new island.

There seem to be regions with varying conditions (i.e., snow, sand, greenery). It's presumed that the Cube Queen has been defeated — in the Chapter 2 Live Event, players heard her screams as the entire island flipped. And for those who spend time in the game's creative mode, there's now an option to earn battle pass XP in player-made experiences. As with all new Chapters and Seasons inFortnite players are keen to see what changes have been made to the map. Chapter 3 does not disappoint in this area, with both new and old locations making an appearance. New weather features include lightning, tornados, and snowmelt as well as the ever-present storm circle, so the map will constantly be evolving as the season's pass.

There will be a lot to discover, no doubt, and I am looking forward to exploring the brand new map, though with a few old zones returning. We are in yet another new era of Fortnite, and we will have lots of additional coverage about the battle pass and new challenges later today once those are live, so stay tuned for that. "The End" is the name of the live event that will finish off Fortnite Chapter 2 as a whole.

Following that will be Chapter 3 and fans are starting to figure out what to expect with a variety of leaks being shared. Make sure to check out our dedicated Fortnite page for all the latest from Epic Games. We'll be sure to keep the tab updated with all the latest from the battle royale island including weapons locations, free rewards guides, and more.

Fortnite players all over the world then witnessed something truly amazing. The whole Fortnite island flipped over to reveal a new map called "Artemis". For the next few days, Fortnite will be offline and currently the players are floating on a piece of the plank in the Ocean.

Chapter 3 has brought various new additions to the game, including Spider-Man skins, along with new items and challenges in the Winterfest event. However, the servers sometimes go down for maintenance or other reasons. The game's latest season has been all about the cubes, and right when the event loaded up, a mysterious giant blue cube spawned on the map next to all of the players in my lobby. Jumping at the cube bounced players away, but it otherwise, didn't do anything beyond loom ominously.

We also could look at the Cube Queen in the distance, which has been floating in an energy ball over the center of the island for part of the season. Fortnite flipped is a brand new trend that will allow players to uncover the game's brand new map that is all set for Chapter 3's first big season. At 9pm UK time on Saturday 4th December 2021, a live event dubbed The End began in Fortnite. Players were able to join the event in groups of up to 16 players, having waited together in a virtual queue prior to the event beginning.

All the latest gaming news, game reviews and trailers The go-to source for comic book and superhero movie fans. As is customary, the Fortnite Chapter 3 battle pass also features a few original skins for players to earn. It would be weird for Fortnite to not include a battle pass for the inaugural season of Chapter 3, so of course they've got one ready.

The official Polish Fortnite YouTube channel jumped the gun and posted its trailer early, and although it was quickly taken down players had already saved copies. After that, the Foundation/Rock and his pals rescued a number of Fortnite players and led them underground. Shortly after, a flood causes players to be washed up out into the ocean to witness the island flipping and revealing a brand new map. The Cube Queen also presumably was defeated, as she can be seen and heard screaming in defeat as the island capsizes on her. When Chapter 2 arrived, Fortnite became a black hole for a day after a series of dimension-shattering rocket launches sucked everything into oblivion.