STAFFING FOR NURSES IN A TERTIARY HOSPITAL WITH 250 BED

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3. appropriate
and acceptable number
improper mixture
high rates of absenteeism
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4. TYPE
PHILOSOPHY
OBJECTIVES
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5. • SCHEDULE
Timetable showing planned work days and
shift.
• SCHEDULING
Assigning work and off days to nursing
personnel to assure adequate patient care.
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6. determines :
o How many people of what specific skills are
needed in a specific department.
determines:
o Who
o By name and skill
o Will do what work and
o When (specific time period)
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7. Criteria for Effective Staffing
• Coverage: The number of nurses assigned to be
on duty should be in relation to the minimum
number of nurses required
• Quality: The total number of patient care should
be planned in such a way that trained nurses are
available for patient care of 24 hours a day.
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8. Contd…
• Stability: Allocation procedure must be consistent
with leave and rotation policy. Each nurse must
know her off, privileged leave etc.
• Flexibility: The allocation policy must provide
flexibility.
• Objectives: There should be fairness in allocation
and scheduling shift duties.
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9. • Number of categories in which patient
should be divided
• Characteristics of patients/category
• Type and number of care procedures
needed by patient category
• Time needed to perform the procedures
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12. 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.
Purpose:
1. Serve in determining the amount of nursing care
required, generally within 24 hours.
2. To determine the category of nursing personnel
who should provide that care.
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13. 1. A patient who requires only minimal amount of
nursing care (an average of 2.8 nursing hours per
24 hours)
2. A patient who requires average amount of nursing
care (an average of 4.3 nursing hours per 24
hours)
3. A patient who requires above average nursing
care (an average of 5.6 nursing hours per 24
hours)
4. A patient who requires maximum nursing care
(an average of 8.6 nursing hours per 24 hours)DEVANGI N SHARMA

14. LEVEL OF CARE TYPE OF CARE NCH/ PPT/DAY RATIO OF PROF
TO NON PROF
LEVEL I SELF CARE OR
MINIMAL CARE
1.50 55:45
LEVEL II MODERATE OR
INTERMEDIATE
CARE
3.0 60:40
LEVEL III TOTAL
INTENSIVE
CARE
4.5 65:35
LEVEL IV HIGHLY
SPECIALIZED
OR CRITICAL
6.0 70:30
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15. • Can take a bath on his own
• Perform ADL
• About to be discharged
• Non- emergency case
• No any unusual symptom
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16. • Needs assistance in bathing, feeding or ambulating for short period of
time
• Extreme symptoms have subsided or yet to appear
• Have slight emotional needs
• With IVF or BT
• Semi- conscious
• Have some psychosocial problem
• Periodic treatment, observation
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17. • Completely dependent on nursing personnel
• On continuous oxygen therapy
• With chest or abdominal tubes
• Requires close observation
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18. • Needs continuous treatment & observation
• Vital signs every 15 minutes
• Input/output chart every hour
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19. CASES/PATIENTS NCH/PT/DAY PROF TO NON PROF
RATIO
General medicine 3.5 60:40
Medical 3.4 60:40
Surgical 3.4 60:40
Obstetrics 3.0 60:40
Pediatrics 4.6 70:30
Pathology nursery 2.8 55:45
ER/ICU/RR 6.0 70:30
CCU 6.0 80:20DEVANGI N SHARMA

20. PERCENTAGE OF PATIENTS IN VARIOUS LEVELS OF CARE
HOSPITAL
TYPE
LEVEL I LEVEL II LEVEL III LEVEL IV
PRIMARY
HOSPITAL
70 25 5 -
SECONDARY
HOSPITAL
65 30 5 -
TERTIARY
HOSPITAL
30 45 15 10
SPECIAL
TERTIARY
HOSPITAL
10 25 45 20
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21. RIGHTS & PRIVILEGES GIVEN
TO EACH PERSONNEL
WORKING HOURS PER WEEK
PER YEAR 40 HOURS 48 HOURS
VACATION LEAVE 15 15
SICK LEAVE 15 15
LEAGAL HOLIDAYS 10 10
SPECIAL HOLIDAYS 02 02
SPECIAL PRIVILAGES 03 03
OFF-DUTIES as per R.A 5901 104 52
CONTUNING EDUCATION
PROGRAMME
3 3
TOTAL NON WORKING DAYS PER
YEAR
152 100
TOTAL WORKING DAYS PER YEAR 213 265
TOTAL WORKING HOURS PER YEAR 1704 2120
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22. Someone who takes the place of another
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23. Computing relievers needed…
1. Divide 33 (the average number of working days an
employee is absent per year) by the number of
working days per year that each employee serves
(whether 213 or 265)
2. This will be 0.15 per person who works 40 hours per
week and 0.12 per person for those working 48 hours
per week
3. Multiply the computed reliever per person by the
computed number of nursing personnel.DEVANGI N SHARMA

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26. The nursing hours needed by per category of patient
in 24 hours assessed as…
CATEGORY OF
PATIENT
MORNING
SHIFT
EVENING
SHIFT
NIGHT
SHIFT
TOTAL
Completely
Dependent
3.27 2.50 1.47 7.24
Partially
Dependent
1.62 0.91 0.55 3.08
Ambulatory 1.20 0.70 0.17 2.07
6.09 4.11 2.10 12.29
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27. How to allocate nurses in each unit of
hospital …
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28. CATEGORY OF
PATIENT
DAILY AVERAGE
TIME PER
PATIENT IN 24
HOURS
TOTAL
PATIENT
CALCULATION
PER CATEGORY
OF PATIENT
TOTAL
Completely
dependent
7.24 20 7. 24 ×20 144.8
Partially
dependent
3.08 25 3.08 × 25 77
Ambulatory
patient
2.07 30 2.07 × 30 62.1
Total work load for 75 patients = 284 hours 283.9
hours
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29. Working hours of 1 nurse per day= 8 Hrs/ day
Total number of Nurses required:
=284/8
= 36 nurses app.
Calculating reliever when the leaves per nurse is
116 days / year.
= 116/365 ×284/8
= 11 nurses
Total nurses required = 36 + 11 = 47 NursesDEVANGI N SHARMA

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31. Categorize the number of patients
according to the level of care needed
Multiply total number of patient by %
of patient at each level of care
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32. • Find the number of patients at each level by
the average number of NCH needed/day
• Get sum of NCH needed at various level
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33. Find the actual number
of nursing care hours needed by the given
number of patients/bed capacity per year
• Total NCH needed/day x Total number of
days in a year
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39. 1. Basavanthappa.B.T.,“ Nursing Administration,'' Jaypee brothers, medical publishers,
New Delhi, first edition, 2000, pp. no.511-523.
2. Ernst.S.Nora & et al, "Nursing home staff development , "A guide for in-service
programs, Springer publishing company, New York, copy rights (c), 1983, pp. no.6-7.
3. Marquis.L.Bessie, ‘’Leadership roles and management functions in nursing’’, Theory
and applications, Lippincott, Philadelphia, Third edition, 2000, pp no.252-256.
4. Barrett.Jean, ‘’Ward management and teaching’’, Konark publications, New Delhi, ninth
reprint edition, 1998, pp. no.346-347.
5. Wise. Yoder ‘Leadership and management in nursing’’, Mosby’s, printed at USA, first
edition, 1995, pp. no.301-309.
6. https://www.scribd.com/doc/25102504/Staffing-in-Nursing-Management
7. https://www.scribd.com/doc/49818065/Staffing-Nursing-managementDEVANGI N SHARMA

40. MOTIVATION determines what you
do
ATTITUDE determines how well you
do
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