Relievers Needs – Compute for relievers needed, the following should be considered:

1) Average number of leaves taken each year (15)

a. Vacation Leave (10)
b. Sick Leave (5)
2) Holidays (12)
3) Special Privileges as per CSC MC #6s. 1996 (3)
4) Continuing Education Program for Professionals (3)

Total Averages Leaves = 33

- To determine the relievers needed, divide 33 (the average number of days an employee is absent per year) by the
number of working days each employee serves (whether 213 or 265).
- 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.
- Multiply the computed reliever per person by the computed number of nursing personnel. This will give the total
number of relievers needed.

Distribution By Shifts

• Morning shift (6-2) – Needs 45-51% of nursing personnel

• Afternoon shift (2-10) - 34-37%
• Night Shift (10-6) - 15-18%

- In the Philippines the distribution usually followed is 45 percent for the morning shift, 37 percent for the afternoon
shift, and 18 percent for the night shifts.

Staffing Computation Formula

- Staffing Computation, the hospital should ensure that there is sufficient staff to cover all shift, off-duties, holidays
leaves, absences, and time for staff development programs.
- The Forty-Hour week Law (Republic Act 5901), provides that employees working in hospitals with 100 bed capacity
and up will work only 40 hours a week.
To compute the staff needed in the In-Patient unit of the hospital the following steps are considered:

1) Categorize the number of patients according to the levels of care needed. Multiply the total number of patients
according to the level of percentage of patients at each level of care. (whether minimal, intermediate, intensive,
or highly specialized)

2) Find the total number of Nursing care hours needed by the patients at each category level.
a. Find the number of patients at each level by the average number of nursing care hours needed per day.
b. Get the sum of the nursing care hours needed at various levels.

3) Find the actual number of nursing care hours needed by the given number of patients. 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. Multiply the number of
hours on duty per day by the actual working days per year.
8 (hrs/day) x 213 (working days/year) = 1,704 (working hours/year)
5) Find the total number of nursing personnel needed.
a. Divide the total number of nursing care needed per year by the actual number of working hours rendered
by an employee per year.
b. Find the number of relievers. Multiply the number of nursing personnel needed by 0.15 (for those working
48hours per week)
c. Add the number of relievers to the number of nursing personnel needed.
6) Categorize the nursing personnel into professionals and non-professionals. Multiply the number of nursing
personnel according to the ratio of professionals to nonprofessionals.
7) Distribute by shift.
• Morning shift (6-2) – Needs 45-51% of nursing personnel.
• Afternoon shift (2-10) - 34-37%
• Night Shift (10-6) - 15-18%