Activity :STAFFING COMPUTATION :

I.Staffing Computation (30 points). Directions: Analyze the given situation. Categorize weather the
hospital is Primary, Secondary, Tertiary, or Special Tertiary hospital.

Write each steps, your computation and specify your answer. Strictly NO ERASURES. Write your
answer legibly.

Situation:

1. YOU AS A CHIEF NURSE OF FAR EASTERN UNIVERSITY MEDICAL CENTER , A TERTIARY LEVEL
HOSPITAL ,IS PLANNING TO PROVIDE AN ADEQUATE NUMBER OF SKILL MIX PERSONNEL TO
MEET PATIENT CARE NEEDS. IT IS A 600 BED CAPACITY HOSPITAL AND NURSES ARE WORKING
ON 40 HOURS PER WEEK OR 5 DAYS IN A WEEK. COMPUTE FOR THE STAFF NEEDED AT THE IN-
PATIENT UNITS OF YOUR HOSPITAL USING THE DIFFERENT STEPS OF STAFFING PATTERN.(20
PTS)

ANSWER: TERTIARY HOSPITAL

 CATEGORIZE THE PATIENTS ACCORDING TO LEVELS OF CARE NEEDED.

600 pts. × 0.30 = 180 pts. needing minimal care

600 pts. × 0.45 = 270 pts. needed moderate care
600 pts. × 0.15 = 90 pts. needing intensive care
600 pts. × 0.1 = 60 pts. need highly specialized nsg. care
Total∶ 600 nsg care

 FIND THE NUMBER OF NURSING CARE HOURS (NCH) NEEDED BY PATIENTS AT EACH
LEVEL OF CARE PER DAY.

180 pts. × 1.50 (NCH needed at Level 1) = 270 NCH per Day
270 pts. × 3.0 (NCH needed at Level 2) = 810 NCH perDay
90 pts. × 4.5 (NCH needed at Level 3) = 405 NCH per Day
60 pts. × 6.0 (NCH needed at Level 4) = 360 NCH per Day
Total: 1,845 NCH per Day

 FIND THE TOTAL NCH NEEDED BY 600 PATIENTS PER YEAR.

1,845 × 365 (days per yr) = 673, 425 NCH per YEAR

 FIND THE ACTUAL WORKING HOURS RENDERED BY EACH NURSING PERSONNEL PER
YEAR.

8 (hrs per day) × 213 (working days per year) = 1,704 (working hours per year)

 FIND THE TOTAL NUMBER OF NURSING PERSONNEL NEEDED.

Total NCH per year
a) = 673,425 = 395
Working hrs per year 1,704
 b) 𝑟𝑒𝑙𝑖𝑒𝑓 × 𝑡𝑜𝑡𝑎𝑙 𝑛𝑠𝑔. 𝑃𝑒𝑟𝑠𝑜𝑛𝑛𝑒𝑙 = 395 × 0.15 = 59
c) 𝑡𝑜𝑡𝑎𝑙 𝑛𝑢𝑟𝑠𝑖𝑛𝑔 𝑝𝑒𝑟𝑠𝑜𝑛𝑛𝑒𝑙 𝑛𝑒𝑒𝑑𝑒𝑑 = 395 + 59 = 454
 CATEGORIZE TO PROFESSIONAL AND NON-PROFESSIONAL PERSONNEL RATIO OF PROF
TO NON-PROF IN TERTIARY HOSPITAL IS 63:35.

454 × .65 = 295 professional nurses

454 × .35 = 159 𝑛𝑢𝑟𝑠𝑖𝑛𝑔 𝑎𝑡𝑡𝑒𝑛𝑑𝑎𝑛𝑡𝑠

 DISTRIBUTE BY SHIFTS.

295 nurses × .45 = 133 nurses on AM shift

295 nurses × .37 = 109 nurses on PM shift
295 nurses × .18 = 53 nurses on night shift
Total∶ 295 nurses
159 nsg. attendants × .45 = 71 nsg. attendants on AM shift
159 nsg. attendants × .37 = 59 nsg. attendants on PM shift
159 nsg. attendants × .18 = 29 nsg attendants on NOC
𝑇𝑜𝑡𝑎𝑙∶ 159 𝑛𝑢𝑟𝑠𝑖𝑛𝑔 𝑎𝑡𝑡𝑒𝑛𝑑𝑎𝑛𝑡𝑠

2. . ST LUKES MEDICAL CENTER IS A SPECIALTY HOSPITAL WITH 800 BED CAPATICTY HOSPITAL
.CATERING VARIOUS CASES OF CLIENTS .As the NURSING ADMINISTRATOR COMPUTE HOW
MANY NURSES AND NURSING AIDE ARE NEEDED PER SHIFT (20 PTS)

ANSWER: SPECIAL TERTIARY HOSPITAL

 CATEGORIZE THE PATIENTS ACCORDING TO LEVELS OF CARE NEEDED.

800 pts. × 0.1 = 80 pts. needing minimal care

800 pts. × 0.25 = 200 pts. needing moderate care
800 pts. × 0.45 = 360 pts. needed intensive care
800 pts. × 0.2 = 160 pts. need highly specialized nsg care
Total∶ 800 nsg care

 FIND THE NUMBER OF NURSING CARE HOURS (NCH) NEEDED BY PATIENTS AT EACH
LEVEL OF CARE PER DAY.

80 pts. × 1.50 (NCH needed at Level 1) = 120 NCH per Day

200 pts. × 3.0 ( NCH needed at Level 2) = 600 NCH per Day
360 pts. × 4.5 (NCH needed at Level 3) = 1,620 NCH per Day
160 pts. × 6.0 (NCH needed at Level 4) = 960 NCH per day
Total∶ 3,300 NCH per day

 FIND THE TOTAL NCH NEEDED BY 800 PATIENTS PER YEAR.

3,300 × 365 (days per year) = 1,204,500 NCH per Year

 FIND THE ACTUAL WORKING HOURS RENDERED BY EACH NURSING PERSONNEL PER
YEAR.
 8 (hrs per day) × 213 (𝑤𝑜𝑟𝑘𝑖𝑛𝑔 𝑑𝑎𝑦𝑠 𝑝𝑒𝑟 𝑦𝑒𝑎𝑟)
= 1, 704 (𝑤𝑜𝑟𝑘𝑖𝑛𝑔 ℎ𝑜𝑢𝑟𝑠 𝑝𝑒𝑟 𝑦𝑒𝑎𝑟)

 FIND THE TOTAL NUMBER OF NURSING PERSONNEL NEEDED.

𝑇𝑜𝑡𝑎𝑙 𝑁𝐶𝐻 𝑝𝑒𝑟 𝑦𝑒𝑎𝑟
a) 1,204,500 = 707
𝖶𝑜𝑟𝑘𝑖𝑛g ℎ𝑟𝑠 𝑝𝑒𝑟 𝑦𝑒𝑎𝑟 = 1,704
b) 𝑟𝑒𝑙𝑖𝑒𝑓 × 𝑡𝑜𝑡𝑎𝑙 𝑛𝑠𝑔. 𝑃𝑒𝑟𝑠𝑜𝑛𝑛𝑒𝑙 = 707 × 0.15 = 106
c) 𝑡𝑜𝑡𝑎𝑙 𝑛𝑢𝑟𝑠𝑖𝑛𝑔 𝑝𝑒𝑟𝑠𝑜𝑛𝑛𝑒𝑙 𝑛𝑒𝑒𝑑𝑒𝑑 = 707 + 106 = 813
 CATEGORIZE TO PROFESSIONAL AND NON-PROFESSIONAL PERSONNEL RATIO OF PROF
TO NON-PROF IN SPECIAL TERTIARY HOSPITAL IS 70:30.

813 × .70 = 569 professional nurses

813 × .30 = 244 𝑛𝑢𝑟𝑠𝑖𝑛𝑔 𝑎𝑡𝑡𝑒𝑛𝑑𝑎𝑛𝑡𝑠

 DISTRIBUTE BY SHIFTS

569 nurses × .45 = 256 nurses on AM shift

569 nurses × .37 = 211 nurses on PM shift
569 nurses × .18 = 102 nurses on night shift
Total∶ 569 nurses
244 nsg attendants × .45 = 110 nsg. attendants on AM shift
244 nsg attendants × .37 = 90 nsg. attendants on PM shift
244 nsg. attendants × .18 = 44 nsg. attendants on noc
Total∶ 244 nursing attendants

3. ST CAMILLUS DE LELLIS IS A 80 BED CAPACITY SECONDARY HOSPITAL..Compute the number of

nurses and nursing needed to be hired by the institution . How many nurses and nursing is
needed per shiFt (20 PTS)

ANSWER: SECONDARY HOSPITAL

 CATEGORIZE THE PATIENTS ACCORDING TO LEVEL OF CARE NEEDED.

80 pts. × 0.65 = 52 pts. needing minimal care

80 𝑝𝑡𝑠. × 0.3 = 24 𝑝𝑡𝑠. 𝑛𝑒𝑒𝑑𝑖𝑛𝑔 𝑚𝑜𝑑𝑒𝑟𝑎𝑡𝑒 𝑐𝑎𝑟𝑒
80 𝑝𝑡𝑠. × 0.05 = 4 𝑝𝑡𝑠. 𝑛𝑒𝑒𝑑𝑒𝑑 𝑖𝑛𝑡𝑒𝑛𝑠𝑖𝑣𝑒 𝑐𝑎𝑟𝑒
80 𝑝𝑡𝑠. × 0 = 0 𝑝𝑡𝑠. 𝑛𝑒𝑒𝑑 ℎ𝑖𝑔ℎ𝑙𝑦 𝑠𝑝𝑒𝑐𝑖𝑎𝑙𝑖𝑧𝑒𝑑 𝑛𝑠𝑔 𝑐𝑎𝑟𝑒
Total∶ 80 nsg care

 FIND THE NUMBER OF NURSING CARE HOURS (NCH) NEEDED BY PATIENTS AT EACH
LEVEL OF CARE PER DAY.

52 pts. × 1.50 (NCH needed at Level 1) = 78 NCH per Day

24 pts. × 3.0 (NCH needed at Level 2) = 72 NCH per Day
4 pts. × 4.5 (NCH needed at Level 3) = 18 NCH per Day
0 pts. × 6.0 (NCH needed at Level 4) = 0 NCH per Day
Total∶ 168 NCH per Day

 FIND THE TOTAL NCH NEEDED BY 80 PATIENTS PER YEAR.

168 × 365 (days per year) = 61,320 NCH per Year
 FIND THE ACTUAL WORKING HOURS RENDERED BY EACH NURSING PERSONNEL PER
YEAR.

8 (hrs per day) × 213 ( 𝑤𝑜𝑟𝑘𝑖𝑛𝑔 𝑑𝑎𝑦𝑠 𝑝𝑒𝑟 𝑦𝑒𝑎𝑟)

= 1,704 (𝑤𝑜𝑟𝑘𝑖𝑛𝑔 ℎ𝑜𝑢𝑟𝑠 𝑝𝑒𝑟 𝑦𝑒𝑎𝑟)

 FIND THE TOTAL NUMBER OF NURSING PERSONNEL NEEDED.

Total NCH per year
a. = 61,320 = 36
Working hrs per year 1,704
b. relief × total nsg. Personnel = 36 × 0.15 = 5.4
c. 𝑡𝑜𝑡𝑎𝑙 𝑛𝑢𝑟𝑠𝑖𝑛𝑔 𝑝𝑒𝑟𝑠𝑜𝑛𝑛𝑒𝑙 𝑛𝑒𝑒𝑑𝑒𝑑 = 36 + 5.4 = 41
 CATEGORIZE TO PROFESSIONAL AND NON-PROFESSIONAL PERSONNEL RATIO TO PROF
IN SECONDARY HOSPITAL IS 60:40.

41 × .60 = 25 professional nurses

41 × .40 = 16 nursing attendants

 DISTRIBUTE BY SHIFTS.

25 nurses × .45 = 11 nurses on AM shift

25 nurses × .37 = 9 nurses on Pm shift
25 nurses × .18 = 5 nurses on night shift
Total∶ 25 nurses
16 nurses × .45 = 7 nurses on AM shift
16 nurses × .37 = 6 nurses on PM shift
16 nurses × .18 = 3 nurses on night shift
Total∶ 16 nursing attendants