SYSTEM
FOR STAFFING
Jazzyl Keth Tongab
Marvilyn Paltiyan
CASE METHOD
STAFF NURSE
PATIENT
CASE METHOD
– ADVANTAGES – DISADVANTAGES
– CONSISTENCY OF CARE – NURSE MAY NOT HAVE
FOR 1 WHOLE SHIFT SAME PATIENT THE NEXT
DAY OF DUTY
– MORE OPPORTUNITY TO
OBSERVE AND MONITOR
PATIENT’S CONDITION
FUNCTIONAL NURSING
NURSING
MEDICATION TREATMENT HOUSE KEEPING
ASSISTANT
PATIENT
FUNCTIONAL NURSING
ADVANTAGES DISADVANTAGES
– WORK DONE FASTER HOLISTIC CARE NOT
ACHIEVED
FRAGMENTATION OF
NURSING CARE
– WORKERS WORKS FASTER
NURSE-PATIENT
RELATIONSHIP IS NOT FULLY
– DEVELOPED SKILL IN DEVELOPED
CERTAIN PARTICULAR EVALUATION OF NURSING
TASK CARE IS POOR
TEAM NURSING
TEAM LEADER
NURSING STAFF
PATINTS/CLIENTS
TEAM NURSING
ADVANTAGES DISADVANTAGES
– WORK SHARED WITH – UNPERSONALIZED,
FRAGMENTED PATIENT
OTHERS
CARE
– COMPLEX
COMMUNICATION
– ACCOUNTABILITY AND
RESPONSIBILTY SHARED
WITH OTHERS CAUSE
CONFUSION
PRIMARY NURSING
PRIMARY NURSE
RESPONSIBLE FOR THE CARE OF THE PATIENT x 24 HOURS
THROUGH OUT HOSPITALIZATION
ASSOCIATE NURSE
CARE FOR THE PATIENTS USING THE CARE PLAN DEVELOPED
BY THE PN WHEN PN IS OFF DUTY
PRIMARY NURSING
PRIMARY NURSE
PATIENT
ADVANTAGES DISADVANTAGES
DEVELOPED TRUSTING – HIGH COST HIGHER RN
RELATIONSHIP BETWEEN RN SKILL
& PATIENT AND FAMILY
HOLISTIC/CONTINUITY OF
CARE – OVERLAPPING OF STAFF
FUNCTION
MODULAR OR DISTRICT
NURSING
– ADVANTAGES
INVOLVES:
CRITICAL PATH S
▪ VISUALIZE OUTCOMES WITHIN A TIME FRAME
VARIATION ANALYSIS
▪ NOTES POSITIVE OR NEGATIVE CHANGES FROM CRITICAL PATH
▪ CAUSE & CORRECTIVE ACTION TAKEN
INTERSHIFT REPORTS
CASE MANAGEMENT
– CASE CONSULTATION
– INDICATED WHEN CLIENT’S CONDITION DIFFERS FROM CRITICAL
PATH AS NOTED IN THE INTERSHIFT REPORT
– INCLUDE
– INTERDISCIPLINARY TEAMS
********************** PURPOSES
**
– QUANTIFY THE QUALITY – FOR STAFFING
OF NURSING CARE BY – PROGRAM COSTING AND
MATCHING PATIENTS’ FORMULATING BUDGET
NEEDS TO NUMBER AND – TRACK CHANGES IN
KIND OF NURSING PATIENT CARE METHODS
PERSONNEL USING TIME – DETERMINE VALUES FOR
AS THE UNIT OF PRODUCTIVITY EQUATION
MEASURE – DETERMINE QUALITY
PATIENT CLASSIFICATION
SYSTEM
CHARACTERISTIC OF PATIENTS/CATEGORY
PRIMARY 70 25 5 -
SECONDARY 65 30 5 -
TERTIARY 30 45 15 10
SPECIAL TERTIARY 10 25 45 20
COMPUTING FOR NUMBER OF
NURSING PERSONNEL
NEEDED
– Ensure that there is sufficient staff to:
– Cover all shifts
– Off duties
– Holidays
– Leaves
– Absences
– Time for staff development
COMPUTING FOR NUMBER OF
NURSING PERSONNEL
NEEDED
7. Distribute by shift
124 nurses x .45 = 56 nurses on AM shift
124 nurses x .37 = 46 nurses on PM shift
124 nurses x .18 = 22 nurses on night shift
STAFFING FORMULA