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NCH

Transcript of Patient Care Classification System, Staffing Formula, Staffing


Systems, Shift Options and Job Description
Patient Care Classification System, Staffing Formula, Staffing Systems, Shift Options and
Job Description
Patient Care Classification System
Categorizing patients on the basis of certain needs
Done through clinical observation of the nurse
Nurse managers must determine staffing, budgeting, tracking changes in patient care needs
Assessed on every patient on every shift
Level 1
: Self Care or Minimal care – NCH per patient per day 1.50. Ratio of Professional to Non-
Professional is 55:45
Level 2
: Moderate Care or Intermediate Care - NCH per patient per day 3.00. Ratio of Professional to
Non-Professional is 60:40
Level 3
: Intensive Care - NCH per patient per day 6.00. Ratio of Professional to Non-Professional is
65:35
Level 4: Highly Specialized Critical Care - NCH per patient per day 7.00. Ratio of Professional
to Non-Professional is 70:30 to 80:20

Staffing Formula
Level of Care needed
NCH given
Working days and hour per year
40 hours = 213 working DAYS per year; 1704 working HOURS per year
48 hours = 265 working DAYS per year; 2120 working HOURS per year
Relievers (due to the average 33 days per year of absences)
40 hours = 0.15 additional staff
48 hours = 0.12 additional staff
Ratio of Professional to Non Professional
Distribution by Shift
Morning Shift = 45-51%
PM Shift = 34-37%
Night Shift = 15-18%
Case: Find the number of nursing personnel needed for 100 patients in a tertiary hospital.
1. Categorize according to level of care
100 clients x 0.30 = 30 needing minimal care
100 clients x 0.45 = 45 needing moderate care
100 clients x 0.15 = 15 needing intensive care
100 clients x 0.10 = 10 needing highly specialized care
2. NCH per day
30 x 1.50 = 45 NCH/day
45 x 3.00 = 135 NCH/day
15 x 6.00 = 90 NCH/day
10 x 7.00 = 70 NCH/day
Tot= 340 NCH/day
3. NCH per year

340 NCH/day x 365 days = 124,100 NCH/year

4.Working Hours (40 hours or 48 hours)


8 (hrs/day) x 265 (working days/year) = 2,120 working hours/yr

5. Total of Personnel Needed


124,100 NCH/yr ÷ 2,120 working hours/yr = 58.54 or 59

Relievers
59 x 0.12 = 7

Total Nsg. Personnel Needed = 59+ 7 = 66

8. Ratio of Professionals to Non-professionals (Tertiary)


66 x 0.65 = 43 professional nurses
66 x 0.35 = 23 nursing attendants

9. Distribute by Shifts
43 professional nurses x 0.45 = 19 for AM shift

23 nursing attendants x 0.45 = 10 for AM shift

Sample Job Description


http://www.healthcare-staffing.com/pdf/descriptions_nursing/Dialysis_RN_JD.pdf
Staffing Systems
Organize a committee of the nursing staff
Collect data about personnel needed to predict the requirements
Collect data about patients
Review staffing patterns currently used by nursing unit
Involve the committee in the selection of a staffing methodology
Introduce the methodology
Write staffing policies
Develop outcomes and evaluation parameters
Implement the staffing pattern
Evaluate the program

Shift Options
8 hour shift
Staff may have the option of selecting from three shifts, the shift they prefer to work
More nurses are needed in the unit to cover the three shifts
12 hour shift
Several days off, allow safe travelling hours, gives more time in patient care, teaching and staff
education
Gives only 2 patient reports and patients are monitored
Fewer staff positions needed
Burnouts that can lead to errors in providing care

https://prezi.com/z_yk3ayovwpm/patient-care-classification-system-staffing-formula-staffing-
systems-shift-options-and-job-description/

Job Descriptions
A formal listing of work expected of an individual in a position
Written statements that describe their duties, responsibilities, qualification and reporting
relationship of a particular job.
Prevents conflict, frustration and overlapping of duties
Salaries are equated based on the level of responsibilities and skills defined
For determining organizational relationships
To identify training needs, as basis for staffing and for future promotions
Maurice R. Villafranca

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