DETERMINE THE NURSING PERSONNEL NEEDED FOR A 300 BED SPECIALIZED

TERTIARY HOSPITAL

WITH 48hours/week – 2144 working hours per year

SOLVE:
1. Categorize patients according to levels of care
2. Find the number of nursing care hours (NCH) needed by patients at each level of care
per day.

2. Find the total NCH needed by patients per year (365days)

3. Find the total number of nursing personnel needed
Total NCH/year         
Working hrs/year              

No. of Relievers needed= No. of personnel x 0.095

Total Nursing personnel needed =

  
Note: The average yearly absence of an employee total 35days. Dividing 35days by 365days is
0.095. This includes mandatory leaves and other absences.
4. Categorize to professional and non-professional personnel.  
5. Distribute Nurses and Nursing Attendants by shifts:
 
1. Morning or day shift = 45- 51%
Afternoon shift         = 34-37%
Night Shift               = 15- 18%
Percentage of patients in Various levels of Care
Type of Hospital Minimal Moderate care Intensive Highly Spl.
Care Care Care
Primary hospital 70 25 5 -
Secondary hospital 65 30 5 -
Tertiary hospital 30 45 15 10
Special tertiary 10 25 45 20
hospital

2.
300 x .30 = 90 patients needing minimal care
300 x .45 =135 patients needing moderate care
300 x.15 = 45patients needing special care
300 x.10=30 need highly specialized nursing care
Total: 300 patients
3.
 90 patients x 1.5= 135(NCH needed at Level 1) =135 NCH/day
135 patients x 3= 405 (NCH needed at Level II) =405 NCH/day
45patients x 4.5= 202.5(NCH needed at Level III) =202.5 NCH/day
30 patients x 6= 180 (NCH needed at level IV)180 = NCH/day

Total:922.5 NCH/Day

4. 922.5 NCH/Day x 365 days/ years =336, 712.5 NCH/Year

5. 48hours/week – 2144 working hours per year

6.336, 712.5NCH/ year =157

2144 hours/year
157x 0.095 = 14
157 + 6 =163 – needed personnel
7. 73 x .70= 51-professional nurses
73 x .30= 21-nursing attendants
8. Distribute by shifts: 
Nurses: 

a) 51 x .45= 22 am shift
b) 51 x .37= 18 pm shift
c) 51x .18= 9-night shift

Total: 49 nurses

Nursing attendants
a) 21 x .45= 9 am shift
b) 21 x .37= 7 pm shift
c) 21 x.18 = 3-night shift

Total: 19 nursing attendants