ST.

JUDE COLLEGE – PHINMA

Dimasalang Cor. Don Quijote Sts. Sampaloc, Manila
GRADUATE SCHOOL
Master of Arts in Nursing

Name: Jeremiah S. Erpelo, RN Nursing Administration Date: March 2, 2019

STAFFING

 It is the 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.
 Purpose: To provide each nursing unit with an appropriate and acceptable number of workers in each category to perform the nursing tasks required.
 Schedule – a timetable showing planned work days and shifts for nursing personnel

Types of Scheduling
 Centralized
 Done by the Chief Nurse.
 He/ She assigns the nursing personnel to the various units of the hospital.

 Decentralized
 The shift and off – duties are arranged by the Nurse Supervisors or Senior nurse of the particular unit.

 Cyclical
 Covers a designated number of weeks as one cycle, which is repeated there on.

Advantages
 It is fair to all
 Saves time
 Enables employees to plan ahead of time
 Scheduled leaves are more stable
 Productivity is improved

The Hospital Nursing Service Administration Manual of the DOH has recommended the following nursing care hours for patients in the various nursing units
of the hospital

Cases/Pt NCH/Pt/day Professional to Non-professional ratio

General Medicine 3.5 60:40
Medical 3.4 60:40
Surgical 3.4 60:40
Obstetrics 3.0 60:40
Pediatrics 4.6 70:30
Pathologic Nursery 2.8 55:45
ER/ICU/RR 6.0 70:30
CCU 6.0 80:20

Patient Care Classification

 Method of grouping patients according to amount and complexity of nursing requirements

Level 1: Minimal For discharge, non- emergency, 1.5 hours per day
Level 2: Moderate Some help with ADL, IV, VS 3 x per shift, 3 hours per day
Level 3: Total / Intensive Completely dependent, VS q30 6 hours per day
Level 4: Critical Continuous observation 6-9 hours or higher per day

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 ST. JUDE COLLEGE – PHINMA
Dimasalang Cor. Don Quijote Sts. Sampaloc, Manila
GRADUATE SCHOOL
Master of Arts in Nursing

PERCENTAGE OF PATIENTS IN VARIOUS LEVELS OF CARE

Level 4:
Type of Hospital Level 1: Minimal Care Level 2: Moderate Care Level 3: Intensive Care
Highly Special Care
Primary 70 25 5 ---
Secondary 65 30 5 ---
Tertiary 30 45 15 10
Special Tertiary 10 25 45 20

TOTAL NUMBER OF WORKING DAYS PER YEAR

40 hours/week 48 hours/week
Working days 213 265
Non – working days 152 100
Working hours 1, 704 2, 120
Relievers needed 0.15 0.12

Staffing Formula
1. Categorize patients according to level of care needed. Multiply the total number of patients by the 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.
 Find the number of patients at each level by the average number of nursing care hours needed per day.
 Get the sum of the nursing care hours needed at the 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 nursing care hours rendered by each nursing personnel per year.
 Multiply the number of hours on duty per day by the actual working days per year.
5. 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 an employee per year.
 Find the number of relievers. Multiply the number of nursing personnel needed by 0.15 (for those working 40 hours per week) or by 0.12 (for those working 48
hours per week).
 Add the number of relievers to the number of nursing personnel need.
6. Categorize the nursing personnel into professionals and non-professionals. Multiply the number of nursing personnel according to the ratio of professionals to
non-professionals
7. Distribute by shifts

Professional to Non-Professional

Type of Hospital Ratio Professional to Non-Professional

Primary 55:45
Secondary 60:40
Tertiary 65:35
Specialized 70:30 or 80:20

Distribution Per Shift

AM – 45%
PM – 37%
Night – 18%

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 ST. JUDE COLLEGE – PHINMA
Dimasalang Cor. Don Quijote Sts. Sampaloc, Manila
GRADUATE SCHOOL
Master of Arts in Nursing
Staffing Formula
1. Categorize patients according to level of care needed. Multiply the total number of patients by the percentage of patients at each level of care (whether minimal,
intermediate, intensive or highly specialized).

A. 100 Bed Capacity (Tertiary)

100 X 0.30 = 30 needing minimal care

100 X 0.45 = 45 needing moderate care
100 X 0.15 = 15 needing intensive care
100 X 0.10 = 10 needing highly specialized care

B. 50 Bed Capacity (Secondary)

50 X 0.65 = 32.5/33 needing minimal care

50 X 0.30 = 15 needing moderate care
50 X 0.05 = 2.5/3 needing intensive care

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

A. 100 Bed Capacity (Tertiary)

30 X 1.50 hours = 45 Nursing Care Hours/Day (minimal)

45 X 3.00 hours = 135 Nursing Care Hours/Day (moderate)
15 X 6.00 hours = 90 Nursing Care Hours/Day (intensive)
10 X 9.00 hours = 90 Nursing Care Hours (highly specialized care)
TOTAL = 360 Nursing Care Hours

B. 50 Bed Capacity (Secondary)

33 X 1.50 hours = 49.5 Nursing Care Hours (minimal)

15 X 3.00 hours = 45 Nursing Care Hours (moderate)
3 X 6.00 hours = 18 Nursing Care Hours (intensive)
TOTAL = 112.5 Nursing Care Hours

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.

A. 100 Bed Capacity (Tertiary)

360 NCH/Day X 365 Days = 131, 400 NCH/Year

B. 50 Bed Capacity (Secondary)

112.5 NCH/Day X 365 Days = 41, 062.50 NCH/Year

4. Find the actual number of nursing care hours rendered by each nursing personnel per year.
 Multiply the number of hours on duty per day by the actual working days per year.

A. 100 Bed Capacity (Tertiary)

a. 40 Hours/Week
i. 8 Hours/Day X 213 (working days/year) = 1,704 working hours/year
b. 48 Hours/Wek
i. 8 Hours/Day X 265 (working days/year) = 2,120 working hours/year

B. 50 Bed Capacity (Secondary)

a. 40 Hours/Week
i. 8 Hours/Day X 213 (working days/year) = 1,704 working hours/year
b. 48 Hours/Wek
i. 8 Hours/Day X 265 (working days/year) = 2,120 working hours/year

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 ST. JUDE COLLEGE – PHINMA
Dimasalang Cor. Don Quijote Sts. Sampaloc, Manila
GRADUATE SCHOOL
Master of Arts in Nursing

5. 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 an employee per year.
 Find the number of relievers. Multiply the number of nursing personnel needed by 0.15 (for those working 40 hours per week) or by 0.12 (for those
working 48 hours per week).
 Add the number of relievers to the number of nursing personnel need.

A. 100 Bed Capacity (Tertiary)

a. 40 Hours/Week

131,400 NCH/Year ÷ 1,704 working hours/year = 77.11/77

Relievers = 77 X 0.15 = 11.55/12

TOTAL Nursing Personnel Needed = 77 + 12 = 89

b. 48 Hours/Week

131,400 NCH/Year ÷ 2,120 working hours/year = 69.98/70

Relievers = 70 X 0.12 = 8.4/8

TOTAL Nursing Personnel Needed = 70 + 8 =78

B. 50 Bed Capacity (Secondary)

a. 40 Hours/Week

131,400 NCH/Year ÷ 1,704 working hours/year = 77.11/77

Relievers = 77 X 0.15 = 11.55/12

TOTAL Nursing Personnel Needed = 77 + 12 = 89

b. 48 Hours/Week

131,400 NCH/Year ÷ 2,120 working hours/year = 69.98/70

Relievers = 70 X 0.12 = 8.4/8

TOTAL Nursing Personnel Needed = 70 + 8 =78

6. Categorize the nursing personnel into professionals and non-professionals. Multiply the number of nursing personnel according to the ratio of professionals to
non-professionals.

A. 100 Bed Capacity (Tertiary)

a. 40 Hours/Week

89 Nursing Care Personnel X 0.65 (Professionals) = 57.85/58 Professional Nurses

89 Nursing Care Personnel X 0.35 (Non-Professionals) = 31.15/31 Non-Professionals

b. 48 Hours/Week

78 Nursing Care Personnel X 0.65 (Professionals) = 50.70/51 Professional Nurses

78 Nursing Care Personnel X 0.35 (Non-Professionals) = 27.3/27 Nursing Attendants

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 ST. JUDE COLLEGE – PHINMA
Dimasalang Cor. Don Quijote Sts. Sampaloc, Manila
GRADUATE SCHOOL
Master of Arts in Nursing

B. 50 Bed Capacity (Secondary)

a. 40 Hours/Week

89 Nursing Care Personnel X 0.60 (Professionals) = 53.4/53 Professional Nurses

89 Nursing Care Personnel X 0.40 (Non-Professionals) = 35.6/36 Nursing Attendants

b. 48 Hours/Week

78 Nursing Care Personnel X 0.60 (Professionals) = 46.8/47 Professional Nurses

78 Nursing Care Personnel X 0.40 (Non-Professionals) = 31.2/31 Nursing Attendants

7. Distribute by shifts

A. 100 Bed Capacity (Tertiary)

a. 40 Hours/Week
i. AM Shift = 58 X 0.45 = 26.1/26 Nurses
ii. AM Shift = 31 X 0.45 = 13.95/14 Nursing Attendants
iii. PM Shift = 58 X 0.37 = 21.46/21 Nurses
iv. PM Shift = 31 X 0.37 = 11.47/11 Nursing Attendants
v. Night Shift = 58 X 0.18 = 10.44/10 Nurses
vi. Night Shift = 31 X 0.18 = 5.58/6 Nursing Attendants
b. 48 Hours/Week
i. AM Shift = 51 X 0.45 = 22.95/23 Nurses
ii. AM Shift = 27 X 0.45 = 12.15/12 Nursing Attendants
iii. PM Shift = 51 X 0.37 = 18.87/19 Nurses
iv. PM Shift = 27 X 0.37 = 9.99/10 Nursing Attendants
v. Night Shift = 51 X 0.18 = 9.18/9 Nurses
vi. Night Shift = 27 X 0.18 = 4.86/5 Nursing Attendants

B. 50 Bed Capacity (Secondary)

a. 40 Hours/Week
i. AM Shift = 53 X 0.45 = 23.85/24 Nurses
ii. AM Shift = 36 X 0.45 = 16.2/16 Nursing Attendants
iii. PM Shift = 53 X 0.37 = 19.61/20 Nurses
iv. PM Shift = 36 X 0.37 = 13.32/13 Nursing Attendants
v. Night Shift = 53 X 0.18 = 9.54/10 Nurses
vi. Night Shift = 36 X 0.18 = 6.48/6 Nursing Attendants
b. 48 Hours/Week
i. AM Shift = 47 X 0.45 = 21.15/21 Nurses
ii. AM Shift = 31 X 0.45 = 13.95/14 Nursing Attendants
iii. PM Shift = 47 X 0.37 = 17.39/17 Nurses
iv. PM Shift = 31 X 0.37 = 11.47/11 Nursing Attendants
v. Night Shift = 47 X 0.18 = 8.46/8 Nurses
vi. Night Shift = 31 X 0.18 = 5.58/6 Nursing Attendants

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