PATIENT CARE NEEDS

 Level 1 – Self-care or nominal care (1.5 hours)

 Level 2 – Intermediate / moderate /partial care (3 hours)
 Level 3 – Total or intensive care (4.5 hours)
 Level 4 – Critical care (6 hours)

PERCENTAGE OF PATIENTS AT VARIOUS LEVELS OF CARE PER TYPE OF HOSPITAL

Type of Hospital Minimal Moderate Intensive Highly specialized care

1. Primary 70 25 5
2. Secondary 65 30 5
3. Tertiary 30 45 15 10
4. Special Tertiary 10 25 45 20

CATEGORIES / LEVEL OF CARE OF PATIENTS, NURSING CARE HOURS NEEDED FOR PATIENT
PER DAY AND RATION OF PROFESSIONAL AND NON-PROFESSIONAL

Level of Care NCH needed per patient per Ratio of professional and
day non-professional
Level 1 1.50 55:45
(Self-care / minimal care)
Level 2 3.0 60:40
(moderate / intermediate)
Level 3 4.5 65:35
(total or intensive)
Level 4 6.0 70:30
(highly specialized)

TOTAL NUMBER OF WORKING HOURS PER WEEK AND A YEAR

40 hours = 216 / week = 1728 hours / year

48 hours = 268 / week = 2144 hours / year
8 hours / day x 216 working days = 1728 hours / year

DISTRIBUTION OF SHIFTS

Shift Staff Percentage

7am-3pm 45%
3pm-11pm 37%
11pm-7am 18%
Total: 100%
(RA5901) 40 HOUR WEEK LAW

 Hospital with more than 100 bed capacity – 40 hours/week

 Population at least higher than 1,000,000 – 40 hours/week (2 days off)
 If less than 100 bed capacity and less than 1,000,000 – 48 hours/week (1 day off)

STAFFING FORMULA

1. Categorize the number of patient by percent of patients in each level of care (whether
minimal, moderate, intermediate, intensive or highly specialized care)
2. Find total number of nursing care hours needed by the patient at each category level
a. Number of patients at each level by average number of nurse’s hours
b. Get sum of nurse’s hours needed at various levels
3. Find the actual number of nursing care hours needed by these given number of
patients
a. Multiply the total nursing care hours needed per day by the total number of
days in a year
4. Find the actual number of working hours rendered by each nursing personnel per year
a. Multiply number of hours on duty per day by the actual number of working days
per year
5. Find the total number of nursing personnel needed
a. Divide the total # of nursing care hours needed per year by the actual number
of working hours rendered by an employee per year
b. Find the number of reliever – multiply the number of nursing personnel needed
per day by 0.15 (FOR 40 HOURS / WEEK) or 0.12 (FOR 48 HOURS / WEEK)
c. Add the number of reliever to the number of nursing personnel needed
6. Categorize into professional and non-professionals
a. Multiply the number of nursing personnel according to the number of
professional to non-professionals
b. Distribute by shifts
i. Professionals
ii. Non-professionals