COMPUTATION OF STAFFING

y NUMBER OF NURSING CARE HOURS NEEDED PER PATIENT

LEVELS OF CARE
LEVEL 1 MINIMAL CARE

NUMBER OF NURSING CARE HOURS NEEDED PER PATIENT A DAY

LEVEL 2 INTERMEDIATE/MODERATE CARE LEVEL 3 MAXIMUM / TOTAL CARE LEVEL 4 INTENSIVE / HIGHLY SPECIALIZED CARE

1.5 3.0 4.5 6.0

COMPUTATION OF STAFFING
y THE RATIO OF PROFESSIONAL NURSES TO NON-PROFESSIONAL

NURSING PERSONNEL IN VARIOUS LEVELS OF CARE

LEVELS OF CARE
LEVEL 1 MINIMAL CARE

RATIO OF PROFESSIONAL NURSES TO NONPROFESSIONAL PERSONNEL

LEVEL 2 INTERMEDIATE/MODERATE CARE LEVEL 3 MAXIMUM / TOTAL CARE LEVEL 4 INTENSIVE / HIGHLY SPECIALIZED CARE

55 45 60 - 40 65 - 35 70 30 / 80 - 20

TOTAL NO. OF WORKING DAYS, NON-WORKING DAYS AND WORKING HOURS OF NURSING PERSONNEL PER YEAR
RIGHTS/PRIVILEGES GIVEN EACH PERSONNEL WORKING HOURS PER WEEK 40 HOURS 1. Days of vacation leave 2. Days of sick leave 3. Legal holiday 4. Special holiday 5. Continuing education 6. Off duties, RA 5901 TOTAL NON-WORKING DAYS/YEAR TOTAL WORKING DAYS/YEAR TOTAL WORKING HOURS PER YEAR 15 15 10 2 3 104 149 216 1,728 48 HOURS 15 15 10 2 3 52 97 268 2,144

FORMULA FOR COMPUTING THE NUMBER OF STAFF NEEDED IN THE IN-PATIENT AREAS OF THE HOSPITAL
y 1. Categorize the number of patients X percent at each levels of care
needed by hospital classification.
y Total no of patients X percent at each level of care (whether minimal,

moderate, maximum, intensive)

y EXAMPLE :

y y y y

100 patients X .65 = 65 patients needing minimal care 100 patients X .30 = 30 patients needing moderate / intermediate care 100 patients X .05 = 5 patients needing intensive care 100 patients X 0.1 = 10 patients needing highly specialized care

FORMULA FOR COMPUTING THE NUMBER OF STAFF NEEDED IN THE IN-PATIENT AREAS OF THE HOSPITAL
y 2. FIND THE NUMBER OF NURSING CARE HOURS (NCH) NEEDED BY

THE PATIENT PER DAY AT EACH CATEGORIZED LEVEL.

y A. Number of patient at each level X average nursing hours needed per day y B. Get the sum of the nursing hours in the various levels y EXAMPLE:

y y y

LEVEL I = 65 x 1.5 = 97.5 NCH needed by 65 patients LEVEL II = 30 X 3 = 90 NCH needed by 30 patients LEVEL III = 5 X 4.5 = 22.5 NCH needed by 5 patients TOTAL NUMBER OF NURSING HOURS = 210

FORMULA FOR COMPUTING THE NUMBER OF STAFF NEEDED IN THE IN-PATIENT AREAS OF THE HOSPITAL
y 3. FIND THE ACTUAL NUMBER OF NCH NEEDED BY 100 PATIENTS PER

YEAR.
y Total number of nursing hours needed per day X 365 ( total number of

days in a year)
y EXAMPLE :

210 x 365 = 76,650 TOTAL NCH needed per year

FORMULA FOR COMPUTING THE NUMBER OF STAFF NEEDED IN THE IN-PATIENT AREAS OF THE HOSPITAL
y 4. FIND THE ACTUAL NUMBER OF WORKING HOURS RENDERED BY

EACH NURSING PERSONNEL EACH YEAR.

y Hours of duty X actual working days per year y EXAMPLE :

y y

8 x 216 (if working 40 hours a week) = 1,728 working hours per year 8 x 268 (if working 48 hours a week) = 2,144 working hours per year

FORMULA FOR COMPUTING THE NUMBER OF STAFF NEEDED IN THE IN-PATIENT AREAS OF THE HOSPITAL
y 5. FIND THE TOTAL NUMBER OF NURSING PERSONNEL NEEDED.
y A. Divide the total number of nursing hours needed by the given number of

patients per year by the actual number of working hours rendered per year. y B. Find the relief. Multiply the number of nursing personnel needed by .095 y C. Add the number of relievers to the number of nursing personnel needed.
y EXAMPLE A:

76,650 NCH per year / 1,728 (working hours per year for 216 working days at 40 hours per week) = 44 NURSING PERSONNEL NEEDED

FORMULA FOR COMPUTING THE NUMBER OF STAFF NEEDED IN THE IN-PATIENT AREAS OF THE HOSPITAL
y 5. FIND THE TOTAL NUMBER OF NURSING PERSONNEL NEEDED.
y B. Find the relief. Multiply the number of nursing personnel needed by .095

y EXAMPLE B:

44 X .095 = 4.18 or 4 nursing personnel as relievers

NOTE : Total average of absences of an employee is 35 days per year. This includes vacation leave, sick leave and holidays.

35 /365 = .095 relief needed

FORMULA FOR COMPUTING THE NUMBER OF STAFF NEEDED IN THE IN-PATIENT AREAS OF THE HOSPITAL
y 5. FIND THE TOTAL NUMBER OF NURSING PERSONNEL NEEDED.
y C. Add the number of relievers to the number of nursing personnel needed.

y EXAMPLE C:

44 + 4 = TOTAL NURSING PERSONNEL NEEDED

FORMULA FOR COMPUTING THE NUMBER OF STAFF NEEDED IN THE IN-PATIENT AREAS OF THE HOSPITAL
y 6. CATEGORIZE INTO PROFESSIONAL AND NON-PROFESSIONAL.
y A. Multiply the number of nursing personnel according to the ratio of

professional to non-professional personnel.

y EXAMPLE :

y y

44 X .60 (if, Level II care) = 26 NURSES 44 x .40 (if, Level II care) = 17.6 NURSING ATTENDANTS

FORMULA FOR COMPUTING THE NUMBER OF STAFF NEEDED IN THE IN-PATIENT AREAS OF THE HOSPITAL
y 7. DISTRIBUTION BY SHIFT
y 7:OO AM

3:00 PM SHIFT 26 x .45 = 12 NURSES 17 x .45 = 8 NURSING ATTENDANTS 11:00 PM SHIFT 26 x .37 = 10 NURSES 17 x .37 = 6 NURSING ATTENDANTS 7:00 AM SHIFT 26 x .18 = 4 NURSES 17 x .18 = 3 NURSING ATTENDANTS
y y

y 3:00 PM
y y

y 11:00 PM
y y

TOTAL NUMBER OF NURSES = 26 TOTAL NUMBER OF NURSING ATTENDANTS = 17