The document outlines a staffing and scheduling method for nursing units at Abha International Private Hospital, calculating the required number of nurses using the Telford method and patient classification systems. It details the steps to determine nurse staffing levels based on patient acuity and includes calculations for different shift lengths. Ultimately, it concludes with a total staffing requirement of 22 nurses, divided into three shifts based on the percentage needed for each shift.

1. Mr. Mark Ronnes Reyes, RN, MPA, MAN, PhD
Nursing Educator
Abha International Private Hospital
STAFFING AND
SCHEDULING

2. Purpose:
To provide each nursing unit with
an appropriate and acceptable
number of nurses in each
category to perform the nursing
tasks required.

9. TELFORD METHOD
• Formula:
(No. Nurses needed in 24H x No. of Working Hours/ Day) x
7 days
Total No. of Working Hours per week (48H)

10. USING NURSE-PATIENT CARE RATIO
BY THE CALIFORNIA NURSES ASSOCIATION
Adapted by the AIPH

11. STEP-1
Get the No. of Nurses needed in 24H
Using the California Nurses Association
(Nurse-Patient Care Ratio): 1:5
Unit Bed Strength/Capacity= 23 beds in PW
No. of Nurses needed in 24H:
23/5 x 2 = 9 for 12H
shift
23/5 x 3 = 14 for 8H
shift

12. STEP-2
Multiply the No. of Nurses Needed in 24H by the working
hours per day and multiply again by 7 days (1 week), then
divided by No. of working hours required per week.
(No. Nurses needed in 24H x No. of Working Hours/Day) x 7 days
(14 x 8) x 7 days= 784
Get the Whole Time Equivalent (WTE)
48
=
48 H
16 WTE/ Nurses
Total No. of Working Hours per week (48H)

13. STEP-3
Multiply the No. of Nurses Needed/ WTE by 23%
Get the additional No. of Nurses that will serve as relievers
=
16 x 0.23 4 Additional Nurses
STEP-4
Get the total needed No. of Nurses PW.
16 + 4 = 20 Nurses

15. PATIENT CLASSIFICATION SYSTEM
• It is a method of grouping patients according to
the amount and complexity of their nursing care
requirements and the nursing time and skill they
require.

17. AIPH’s
adapted
Patient Care
Classification
Needed
Care
Hours for
8H shift

18. STEP-1
Get the average
daily census
according to
acuity scale or
patient
classification.
AIPH

19. CLASSIFICATION
BED
STRENGTH
% TOTAL
CATEGORY - I 23 .30 7
CATEGORY - II 23 .45 10
CATEGORY - III 23 .15 4
CATEGORY - IV 23 .10 2
TOTAL= 23
TERTIARY HOSIPTAL- PERCENTAGE OF PATIENT

20. CLASSIFICATION
No. of
Patients
Care hours
needed/ day
TOTAL
CATEGORY - I 7 1.5 10.5
CATEGORY - II 10 4.5 45
CATEGORY - III 4 7.5 30
CATEGORY - IV 2 15 30
TOTAL= 115.5
STEP-2
Get the total Nursing Care Hours/ day

21. STEP-3
Divide Total Nursing Care Hours by 8 Hours or 12 Hours according to duty
hours.
=
116 / 8 15 Nurses for 8H shift
Get the No. of Nurses needed in 24H
116 / 12 = 10 Nurses for 12H shift

22. STEP-4A (8H-SHIFT)
Multiply the No. of Nurses Needed in 24H by the working
hours per day and multiply again by 7 days (1 week), then
divided by No. of working hours required per week.
(No. Nurses needed in 24H x No. of Working Hours) x 7 days
(15 x 8) x 7 days= 840
Get the Whole Time Equivalent (WTE)
48
=
48 H
17.5 WTE/ Nurses

23. STEP-4B (12H-SHIFT)
Multiply the No. of Nurses Needed in 24H by the working
hours per day and multiply again by 7 days (1 week), then
divided by No. of working hours required per week.
(No. Nurses needed in 24H x No. of Working Hours) x 7 days
(10 x 12) x 7 days= 840
Get the Whole Time Equivalent (WTE)
48
=
48 H
17.5 WTE/ Nurses

24. STEP-5
Multiply the No. of Nurses Needed/ WTE by 23%
Get the additional No. of Nurses that will serve as relievers
=
18 x 0.23 4 Additional Nurses
STEP-6
Get the total needed No. of Nurses
18 + 4 = 22 Nurses

25. Divide or distribute your staff into 3 shifts…
Shift
Total No. of
Nurses
Required %
Needed No. of
Nurses
Morning 18 40% 7
Evening 18 35% 6
Night 18 25% 5
Multiply the Total No. of Nurses according to approved required
percentage of nurses each shift.
TOTAL= 18