MOLINA, MARY ISOBELLE D.

Nursing Administration II

STAFFING
The Department of Health Hospital
Nursing Service Administration Manual
defined Staffing as the process of
determining and assigning the right
personnel to the right job. It involves
manpower planning to have the right
person in the right place.

Population served
Staffing is the process of balancing the
quantity of staff available with the
quantity and mix of staff needed by the
organization.
1. PATIENT
CARE
CLASSIFICATION SYSTEM

It is a means of categorizing patients

on the basis of certain needs that can
be clinically observed by the nurse. It
was introduced as a basis for staff
planning when it was recognized that
1. FACTORS IN DETERMINING
patients
differing
THE
Categories or Nursing
Ratio of
needs
for
care
is a
STAFFING
Levels of
Care
Profession
result
of
their
NEEDS:
Care of
Hours
als to Non
varying
Patients
Needed Profession
dependency needs
Patients
acuity
per
als
and
not
their
of illness level
Patient
diagnosis.
of care, degree
per Day
of
Level I Self
1.50
55:45
It is essential to
independence,
Care/ Minimal
staffing
nursing
Care
unit of hospitals. It
Level II
3.0
60:40
quantifies
the
Moderate/
quality of care.
Intermediate
Feeding self
Care
with little or
Level III Total/
4.5
63:35
no
Intensive Care
assistance
Level IV
6.0
70:30 or
versus
Highly
80:20
requires total
Specialized/
assistance
Critical Care

Ambulatory
communicability,
rehabilitation
versus Bed bound.
needs

Receiving oral meds versus

Special treatment and Procedures
Intravenous meds
Type of Hospital
Requiring special wound care or
Ratio
of
Professional
to
Nonisolation
Professional Nursing Personnel
Turnover of Patients and Nursing
Categories or Levels of Care of
Personnel
Patients
Hospital Policies
Budget
Percentage of Nursing Care Hours
Available
equipment/materials/supplies

Computing For
the Number of
Nursing
Personnel
Needed

TYPE
OF
HOSPIT
AL

Minim
al
Care
70

To determine the
relievers needed,
Critic
divide
33(the
al
Care
average number
5
of
days
an
employee
is
5
absent per year)
by the number of
15
10
working days per
year that each
45
20
employee serves
(whether 213 or
265). There will be 0.15 additional
staff needed per personnel for those
who work 40 hours per week and 0.12
per person for those working 48 hours
per week.

LEVELS OF CARE
Moderat Intensi
e Care
ve Care

Level
1
The number of
Level
65
working
hours
2
and off-duties in
Level
30
this country is
3
largely
Level
10
4
dependent on a
Forty Hour per Week Law otherwise
known as R.A 5901. This law specifies
that personnel working in agencies
with a population of 1 million and in
hospital with a hundred bed capacity
and over are entitled to work forty
hours per week. On the other hand,
nursing personnel who worked in
agencies with a population of less than
1 million will have to render a Forty
Eight working hours a week, therefore
only getting one day off a week.
The latest is the granting of three day
special
privilege
to
government
employees by the Civil Service
Commission as per Memorandum
Circular No. 6, Series of 1996, which
may be spent for birthdays, weddings,
anniversaries, funerals, relocation,
enrollment,
graduation
leave,
hospitalization and accident leaves.

25
30
45
25

Multiply the computed reliever per

person by the computed number of
nursing personnel. This will give the
total number of relievers needed.
Distribution of shifts
In the Philippines, the distribution
usually is 45% for the morning shift,
37% for the afternoon shift and 18%
for the night shift.
The Staffing Formula
Formula for computing the number of
staff needed in the In-Patient Areas of
the Hospital.

Step 1. Categorize the number of

patients according to the levels of care
Multiply the total number of
Average Number of Leaves taken each needed.
Year
patients by the percentages of patients
Vacation Leave
at each level of care (whether minimal,
Sick Leave
moderate, intensive or highly
Legal Holidays & Special Holidays
specialized).
Special Privileges (Leave, SPL, per CSC
MC

Relievers

#6 s. 1996)
Example: Find the Number of Nursing
Continuing Education Program (Optional)
Personnel needed for 300 patients in a
TOTAL
Tertiary Hospital.
Each personnel gets only an average
of 33 days per year.

300 pts x 0.30 = 90 pts needing min

care

300 pts x 0.45 = 135 pts needing mod

care
300 pts x 0.15 = 45 pts needing
intensive care
300 pts x 0.10 = 30 pts needing
critical care
TOTAL
= 300
patients
Step 2. Find the Total Number of
Nursing Care Hour (NCH) needed by
patients at each level of care per day.
90 pts x 1.5 NCH Level I = 135
NCH/day
135 pts x 3.0 NCH Level II = 405
NCH/day
45 pts x 4.5 NCH Level III = 202.5 or
203NCH/day
30 pts x 6.0 NCH Level IV = 180
NCH/day
TOTAL
= 923
NCH/day
Step 3. Find the Actual NCH 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.
923 NCH/day x 365 days/yr =
336,895 NCH/yr
Step 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/yr) =

1,704
working hours
per year
Step 5. Find the Total Number of
Personnel needed. Divide the total

number of nursing care hours needed

per year by the actual number of
working hours rendered by an
employee per year.
TOTAL NCH/yr
336,895 NCH/year
------------------- = ------------------ =
197.71 or 198
Working hrs/yr 1,704 working hours
per year
Find the Number of relievers.
Multiply the number of nursing
personnel needed by o.15 (For
those working 40 hrs a week) or by
0.12 (For those working 48 hrs a
week).
RELIEVERS NEEDED:
Total Number of leaves
33
------------------------------- = --------- = 0.15
Number of working days
213
198 x 0.15 = 29.7 or 30
Add the number of relievers to the
number of nursing personnel
needed.

TOTAL # of personnel needed = 198 +

30 = 228
Step 6. Categorize the Nursing
personnel to Professionals and NonProfessionals. Ratio of Professionals
and Non-Professionals in a tertiary
hospital = 65:35.

228 x 0.65 = 148.2 or 148

professional personnel
228 x 0.35 = 79.8 or 80 non-prof
personnel
Step 7. Distribute by shifts.

148 x 0.45 = 66.6 or 67 Nurses for

7-3 shift
148 X 0.37 = 54.76 or 55 nurses for
3-11 shift
148 X 0.18 = 26.64 or 26 nurses for
11-7 shift
TOTAL
nurses

= 148

80 x 0.45 = 36 Nursing Attendants

for 7-3 shift
80 X 0.37 = 29.6 or 30 N. A. for 311 shift

80 X 0.18 =14.4 or 14 N.A for 11-11

shift
TOTAL
Attendants

= 80 Nursing

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