Nursing STAFF REQUIRMENT Calculation - S

Hints for calculating human
resource planning
Gugsa Nemera (PhD)
Nursing L&managment 1
Calculating Staff Nursing Hours
Concepts
1. Nursing care hours per patient day(NHPPD)
2. Nursing care hours
3. Patient days
4. Productive hour
5. Occupancy
6. ALOS
NHPPD( standard nursing time)
• The number of nursing care hours relative to the

patient workload per patient per day
• Ranges from 3-7.5 hours depending on unit type

(general ward,…….. on day surgery , HDU, ICU )
• The average amount of time used by nurses to

provide care for a pt in a ward .
Nursing care hour
• The number of productive hours worked by nursing
staff assigned to the unit who have direct patient
care responsibilities for greater than 50% of their shift.
Total nursing hours
• The total amount of time used by nurses to provide
care for pts per day in a ward

o TNH =Number of Beds x Occupancy Rate x Standard Nursing Time
OR
o TNH= ADC*NHPPD
Productive Hours:
• Actual direct hours worked, not budgeted or
scheduled hours
• Excludes vacation, sick time, orientation, education
leave, or committee time.
Direct Patient Care Responsibilities
• Patient-centered nursing activities by unit-
based staff in the presence of the patient
o Medication administration
o Nursing treatments
o Nursing rounds
o Admission, transfer, discharge activities
o Patient teaching
o Patient communication
o Coordination of patient care
o Documentation
o Treatment planning
Patient Days
• Number of patients who were occupying a bed as

of midnight.
• The day the patient is admitted is a patient day
• A ‘patient day equivalent’ is equal to ONE inpatient

bed day
• One patient occupying one bed equals one day
• ==one overnight stay by one patient) or three outpatient visits

or three emergency visits or three emergency maternity
attendances or two deliveries==
Average Daily Census (ADC)
The census report describes on a daily basis the number of
patients who were occupying a bed as of midnight. One
patient occupying one bed equals one day
The ADC reflects the average number of patients per day.
ADC = # of Pt. Days in a given time period

# of days in a given time period
EXAMPLE: if a census report for a 4 week (30 days) time period

shows the number of patient days is 450, then the ADC would
equal 15 .
450 Patient Days = 15 ADC

30 Days
Total patient days of care
• Sum of each daily inpatient census for the time
period examined.
• For instance, if the time period examined was a
week, and the daily inpatient census was as follows:
Day 1=30, Day 2=28, Day 3=26, Day 4=35, Day 5=35, Day 6=25,
Day 7=25, then the total inpatient days of care for
that week would be 30 + 28 + 26 + 35 + 35 + 25 + 25
or 204 total inpatient days.
Occupancy
• The ratio of the ADC compared to the number
of beds available:
Occupancy = ADC in time period
# of available beds in time period
EXAMPLE: If you have a 20 bed unit and your

ADC is 15, your occupancy rate is 75%
Exercise
• If # BED= 20 and patient days = 250days in30 day
time
• What is
1. ADC?
2. BOR?
Average Length of Stay (ALOS)
• Length of stay equals the number of days a
patient is hospitalized from admission through
discharge.
ALOS = # of pt. days in a given time period

# of discharges in same time period
Considerations
Every effort should be made to strive for the
lowest length of stay possible.
Determine the ADC, BOR, ALOS for the following
units:
25 bed unit with 662 patient days and 92 discharges in

a month
18 bed unit with 1285 patient days and 102 discharges

in a quarter
21 bed unit with 6900 patient days and 1408 discharges

in a quarter
Determine the ALOS for the following units:
• 25 bed unit with 662 patient days and 92

discharges in a month
o 662 days/92 discharges = 7.2

discharges in a quarter

discharges in a quarter
Calculating Staff Nursing Hours/day
Formula
TNH =Number of Beds x Occupancy Rate x Standard Nursing Time
OR
• TNH= ADC*NHPPD
Case 1
Internal Medicine Unit: 30 beds
• Level of Care: Intermediate
• Occupancy Rate: 80%
• Standard Nursing Time: 3 hours
• Total Nursing Hours / Day: 30 x 0.80 x 3 = 72 hrs
Calculating Staff
Distribution of Nursing Time by Professional Level
Nursing Hours Needed/ Day = 72 hours
Case 1
Unit: Internal Medicine
• Distribution of Nursing time : 70% Nurses/midwifes and 30%
Nursing/midwifes Assistants
• Nurses/midwifes Hours Needed= 0.70 x 72hours = 50.4 hours/day
• Nursing/midwifes Assistants Hours Needed = 0.30 x 72 = 21,6 hours/day
Calculating Staff: Distribution of Hours / Shift
Case 1
Internal Medicine Unit Intermediate Care
• Distribution of Activity
Morning After Night:

50% 30% noon 20%
Nurse Assistants Nurses /Midwifes
Morning: 21.6 x 0.50= 10.8 hr Morning: 50.4 x 0.50= 25.2 hr
Afternoon: 21.6 x 0.30= 6.48 hr Afternoon: 50.4 x 0.30= 15.12 hr
Night: 21.6 x 0.20 = 4.32 hr Night: 50.4 x 0.20 =10.10 hr
Calculating Staff
• Number of Positions/ Professional Category /Shift
Case 1 : Internal Medicine. Intermediate Care
Shift Morning Evening Night

Shift length in hour 7 7 10
Proportion 50% 30% 20%
N/M assistant
Required hours 10.8 hr 6.48 hr 4.32 hr
Position required 1.54 0.92 0.43
N/M
Required hours 25.2hr 15.12 10.1
Position required 3.6 2.16 1.1
Total position 5.14 3.08 1.44
Average daily position =
Calculating Staff by Positions
Number of Positions by Shift and Day of the Week

• Case 2
Nurses/ midwives
Monday to Friday Saturday, Sunday and
Holidays
Morning : 4 Morning : 3
Afternoon : 3 Afternoon : 2
Night : 1 Night : 1
Total Nursing Positions for the week = 54
Calculating Nursing/Midwifes Staff by Positions
FORMULA = Sum of Positions of the whole week x

Correction factor
63 x 1.45 = 13.05 nurses /midwifes
7
MORNIN AFTER. NIGHT Total
G
MONDAY 5 3 1 9
TUESDAY 5 3 1 9
WEDNESD 5 3 1 9
A
THURSDAY 5 3 1 9
FRIDAY 5 3 1 9
SATURDAY 5 3 1 9
SUNDAY 5 3 1 9
35 21 7 63

Nursing STAFF REQUIRMENT Calculation - S

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Hints for calculating human

Gugsa Nemera (PhD)

• The number of nursing care hours relative to the

• Ranges from 3-7.5 hours depending on unit type

• The average amount of time used by nurses to

Total nursing hours

• The total amount of time used by nurses to provide

care for pts per day in a ward

• Actual direct hours worked, not budgeted or

• Excludes vacation, sick time, orientation, education

leave, or committee time.

• Number of patients who were occupying a bed as

• The day the patient is admitted is a patient day

• A ‘patient day equivalent’ is equal to ONE inpatient

• ==one overnight stay by one patient) or three outpatient visits

The ADC reflects the average number of patients per day.

ADC = # of Pt. Days in a given time period

EXAMPLE: if a census report for a 4 week (30 days) time period

450 Patient Days = 15 ADC

EXAMPLE: If you have a 20 bed unit and your

ALOS = # of pt. days in a given time period

25 bed unit with 662 patient days and 92 discharges in

18 bed unit with 1285 patient days and 102 discharges

21 bed unit with 6900 patient days and 1408 discharges

• 25 bed unit with 662 patient days and 92

• 18 bed unit with 1285 patient days and 102

• 21 bed unit with 6900 patient days and 1408

Nursing Hours Needed/ Day = 72 hours

Unit: Internal Medicine

• Distribution of Nursing time : 70% Nurses/midwifes and 30%

• Nurses/midwifes Hours Needed= 0.70 x 72hours = 50.4 hours/day

• Nursing/midwifes Assistants Hours Needed = 0.30 x 72 = 21,6 hours/day

Internal Medicine Unit Intermediate Care

Morning After Night:

Nurse Assistants Nurses /Midwifes

Morning: 21.6 x 0.50= 10.8 hr Morning: 50.4 x 0.50= 25.2 hr

Afternoon: 21.6 x 0.30= 6.48 hr Afternoon: 50.4 x 0.30= 15.12 hr

Night: 21.6 x 0.20 = 4.32 hr Night: 50.4 x 0.20 =10.10 hr

Shift Morning Evening Night

Number of Positions by Shift and Day of the Week

Total Nursing Positions for the week = 54

FORMULA = Sum of Positions of the whole week x

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