2nd Element of Organizing STAFFING

Submitted By:
Group 3 Bautista, Alma C. Caparas, Gerardo Jr. M Damaso, Leazel Therese P. Manuzon, Clarence Trinidad, Jose Gellico Pagapulangan, Janice Gonzales, Clarissa S.

Submitted To:
Ms. Christia Sanchez R.N, MSN, RM

Availability and characteristics of the nursing staff including education mix of personnel. 5. supplies. The type. Layout of various nursing units and resources available within the department such as adequate equipment. Professional activities and priorities in nonpatient activities like involvement in professional organizations. number and position. Budget including the amount allotted to salaries. 10. Expected hours of work per annum of each employee. Administrative policies such as rotation. weekends and holiday off duties. 4. Teaching program or the extent of staff involvement in teaching activities. 8. formal educational development. Standards of care desired which should be available and clearly spelled out. The number of patients and severity of their illness-knowledge and ability of nursing personnel are matched with the actual care needs of patients. 6. This is influenced by the 40-hour week law. materials and equipment. Purpose of all staffing activities • Provide each nursing unit with an appropriate and acceptable number of workers in each category to perform the nursing task required. 2. philosophy.2nd Element of Organizing Staffing • Process of determining and providing the acceptable number and mix of nursing personnel to produce a desired level of care to meet the patient’s demand. 11. The population served or the kind of patients served whether pay or charity. 9. supplies and materials. 12. Patterns of work schedule . 3. 7. Factors affecting Staffing: 1. fringe benefits. participation in research and staff development. and objectives of the hospital and the nursing service.

Surgical 4. ☻ Patient care classifications have been developed primarily for medical. pediatrics.5 3. the nurse manager must determine the following: 1.4 3. 4. ER/ICU/RR NCH/Patient/Day 3. To develop a workable patient classification system.6 2. The type and number of care procedures that will be needed by a typical patient in each category. Obstetrics 5. .4 3. surgical. Nursing Care hours per patient per day according to classification of patients by units Cases/Patients 1. Pathologic Nursery 7. General medicine 2.Table 2. The number of categories into which the patients should be divided. Medical 3. Pediatrics 6.8 6. 3. to Non Prof Ratio 60:40 60:40 60:40 60:40 70:30 55:45 70:30 Patient Care Classification System • Method of grouping patients according to the amount and complexity of the nursing care requirements and the nursing time and skill they require. The time needed to perform these procedures that will be required by a typical patient in each category.0 4. 2.0 Prof. Number of Categories: • • May range to 3-4 (most popular) 5-6 ☻ Other factors affecting the classification system would relate to the patient’s capability to meet his physical needs. The characteristics of patients in each category. and obstetrical patients in acute care facilities.

♥ Nursing care hours per patient per day is 6 with a professional to non- professional ratio of 65:35.Classification Categories: Level I.Self Care or Minimal Care ♥ Patient can take a bath on his own ♥ Feed and perform his activities of daily living. may be on continuous oxygen therapy. ♥ Patients who were about to be discharged ♥ Non-Emergency ♥ Newly admitted ♥ Don’t exhibit unusual symptoms/requires little treatment/observation/instruction ♥ Average amount of nursing care hours per day is 1. ♥ Provided complete bath. are fed. ♥ Semi-conscious and exhibiting some psychosocial problems.5 ♥ Ratio of professional to non-professional nursing personnel is 55:45 Level II. IVF or BT. ♥ Have slight emotional needs. with hypo or hypertension and/or cardiac arrhythmia. . ♥ Extreme symptoms of their illness must have subsided or have not yet appeared. ♥ Requiring close observation at least every 30 minutes for impending hemorrhage. and with chest or abdominal tubes. Complete or Intensive Care ♥ Completely dependent upon the nursing personnel. may/may be not unconscious. Level III.Total.Moderate Care or Intermediate Care ♥ Patients need some assistance in bathing. and/or observations and/or instructions. with vital signs ordered up to three times per shift. with marked emotional needs. ♥ Average nursing care hours per patient per day is 3 and the ratio of professional to non-professional personnel is 60:40. periodic treatments. with vital signs more than three times per shift. feeding or ambulating for short periods of time.

2. intensive.50 5:45 3. vital signs every 15-30 minutes. intermediate. Categories or levels of care of patients. Find the total number of nursing care hours needed by patients at each category level.0 7 or higher 70:30 80:20 Staffing Formula Steps: 1. Table 3. hourly per patient per day may range from 6-9 or more. Multiply the total number of patients by the percentage of patients at each level of care (whether minimal.Highly Specialized Critical Care ♥ Need maximum nursing care with a ratio of 80 professionals to 20 nonprofessionals. Categorize the number of patients according to the levels of care needed. and the ratio of professionals to non-professionals also range from 70:30 to 80:20. IV piggy backs. with many medications. or highly specialized). ♥ Need continuous treatment and observation. Levels of Care Level I Self Care or Minimal Care Level II Moderate or Care Level III Total or Intensive Care Level IV Highly Specialized or Critical Care Intermediate NCH Needed/Patient/Day Ratio of Professional to Non-Professionals 1.0 60:40 4.5 65:35 6. nursing care hours needed per patient per day and ratio of professionals to non-professionals. .Level IV.

b. Get the sum of the nursing care hours needed at the various levels. Categorize the nursing personnel into professionals and non-professionals.a. 5. 6. a. Multiply the number of nursing personnel according to the ratio of professionals to non-professionals. c.15 (for those working 40 hours per week) or by 0. Find the actual number of nursing care hours needed by the given number of patients. Add the number of relievers to the number of nursing personnel needed. Find the total number of nursing personnel needed. Divide the total number of nursing care needed per year by the actual number of working hours rendered by the employee per year. 4.12 (for those working 48 hours per week). Find the number of relievers. Multiply the number of hours on duty per day by the actual working days per year. Find the actual number of working hours rendered by each nursing personnel per year. Multiply the number of nursing personnel needed by 0. 3. 7. Multiply the total nursing care hours needed per day by the total number of days in a year. b. Find the number of patients at each level by the average number of nursing care hours needed per day. . Distribute by shifts.

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