Staffing patterns are not met based on clinical needs Staff nurses are inadequate frequent overtime and

extension of duty HRD and NSD avail services of Care Link Nursing Services to resolve shortage of nurses

recruit, select and appoint nurses to fill in vacant positions Announcement of hiring of new staff nurses (through posting in bulletin boards, internet, and newspaper)

Accept applicants Orientation program for newly hired staff was shortened to immediately deploy new areas of assignment

Performance appraisal was conducted Assessment and improvement was conducted. Scientific evidences and clinical standards were utilized.