SUGGESTED ADVISORY ON STAFFING OF NURSING PERSONNEL

(FOR ACCREDITATION OF HOSPITALS)

Based on feedbacks received from healthcare organizations /assessors/other

stakeholders regarding clarity on staffing requirements for nursing personnel, the
following is suggested.

S.no Department / Area Nurse:Patient Ratio

1 ICU- Ventilator Beds 1:1 each shift

2 ICU- Non-Ventilator Beds 1:2 each shift
3 High Dependency Unit (HDU) 1:3 each shift
4 Inpatient beds 1:6 each shift
5 Operation Theatre (OT) 2 nurses per table each shift
6 Emergency - Ventilator Beds 1:1 each shift
7 Emergency- Other Beds 1:4 each shift
8 OPD As per workload
9 Various Procedures As per workload
10 Labor table 1 nurse per table each shift
11 Supervisor staff As applicable
12 Infection Control Nurse 1 for 100 beds

The above nurse patient ratio is an advisory and numbers are arrived based on
available guidelines and inputs from various stakeholders.

During assessment the team shall also consider the following and assess the overall
intent of this advisory (to ensure patient safety and clinical care are not compromised)
and not merely at numbers alone before commenting on the adequacy of nurse patient
ratio.

Scope of services of the healthcare organisation

Nature of clinical care being provided (acute care /chronic care /domiciliary/
Rehabilitation)

The above advisory will reviewed periodically based on feedback /inputs from various
stakeholders.