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Staffing in nursing administration and management

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MGM SCHOOL/COLLEGE OF NURSING
MGM SCHOOL/COLLEGE OF NURSING

Staffing in nursing administration and management

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Staffing Presented By: Mrs. Precilla B Thoppil Associate Professor
Definition Staffing is a selection, training, motivating and retaining of a personnel in the organization Staffing is a process of planning, employing and developing Human Resources at different levels of an organization
Philosophy of staffing in Nursing The nurse administrator believes that: The knowledge and skill of the staff can adequately fulfill the needs of the patient and thereby ensure both job satisfaction and quality care. Only professional trained nurses can provide a high quality of patient care and handle critically ill patients by providing both technical and intrapersonal skills. A professional nurse can not only treat chronically ill patients, but also provide health education and rehabilitative care, which is more complex. By determining patient needs and doing assignments, job quantification and analysis can be done.
All sorts of nursing-related plans, e.g master rotation plan, duty roster should be done only by nursing heads. A staffing plan should be delegated to each unit-level head nurse so that the activities of each ward and details of each shift are planned well.
Norms of staffing Norms are standards that guide, control and regulate individuals and communities. For planning nursing manpower we have to follow some norms. The nursing norms are recommended by various committees m such as; the nursing man power committee, the high-power committee, Dr. Baja committee and the staff inspection committee, TNAI and INC. The norms has been recommended taking into account the workload projected in the wards and the other areas of the hospital.
Recommendations of S.I.U (Staff Inspection Unit) The norm has been recommended taking into account the workload projected in the wards and the other areas of the hospital. The posts of nursing sisters and staff nurses have been clubbed together for calculating the staff entitlement for performing nursing care Out of the entitlement worked out on the basis of the norms, 30% posts may be sanctioned as nursing sister. This would further improve the existing ratio of 1 nursing sister to 3.5 staff nurses fixed by the government in settlement with the Delhi nurse union in May 1990. The assistant nursing superintendent are recommended in the ratio of 1 ANS to every 4 nursing sisters. The ANS will perform the duty presently performed by nursing sisters and perform duty in shift also. The post of Deputy Nursing Superintendent may continue at the level of 1 DNS per every 7.5 ANS
There will be a post of Nursing Superintendent for every hospital having 250 beds. There will be a post of 1 Chief Nursing Officer for every hospital having 500 or more beds. It is recommended that 45% posts added for the area of 365 days working including 30% leave reserve.
The Nurse-Patient Ratio as per the norms of TNAI and INC 1. Chief Nursing Officer : 1 per 500 beds 2. Nursing Superintendent: 1 per 400 beds or above 3. D.N.S : 1 per 300 beds and 1 additional for every 200 beds 4. A.N.S : 1 for 100-150 beds or w-4 wards 5. Ward sister : 1 for 25-30 beds or one ward. 30% leave reserve 6. Staff Nurse: 1 for 3 beds in Teaching hospital in general ward & 1 for 5 beds in Non-teaching hospital + 30% leave reserve. 7. Extra nursing staff to be provided for departmental research function. 8. For OPD and Emergency: 1 staff nurse for 100 patients (1:100) + 30% leave reserve 9. For Intensive Care Unit : (ICU) 1:1 or (1:3 for each unit) + 30% leave reserve. 10. It is suggested that for 250 bedded hospital there should be one infection control nurse (ICN)
The Nurse-Patient Ratio as per the S.I.U Norms 1. General Ward 1:6 2. Special Ward (Pediatrics, burns, neuro surgery, cardio thoracic, neuro medicine, nursing home, spinal injury, emergency wards ttached to causality) 1:4 3. Nursery 1:2 4. I .C.U 1:1 5. Labour Room 1:1 per table
6. O.T Major 1:2 per table Minor 1:1 per table 7. Casualty a. Casualty main attendance Upto 100 patients per day thereafter b. For every additional attendance of 35 patients c. Gynae/Obstetrics attendance d. D. Thereafter every additional attendance of 15 patients 3 staff nurses for 24 hours, 1:1 per shift. 1:35 3 staff nurses for 24 hours, 1:1/shift 1:15 8. Injection room OPD Attendance Upto 100 patients per day 1 staff nurse 120-220 patients: 2 staff nurses 221-320 patients: 3 staff nurses 321-420 patients: 4 staff nurses

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Staffing in nursing administration and management

  • 1. Staffing Presented By: Mrs. Precilla B Thoppil Associate Professor
  • 2. Definition Staffing is a selection, training, motivating and retaining of a personnel in the organization Staffing is a process of planning, employing and developing Human Resources at different levels of an organization
  • 3. Philosophy of staffing in Nursing The nurse administrator believes that: The knowledge and skill of the staff can adequately fulfill the needs of the patient and thereby ensure both job satisfaction and quality care. Only professional trained nurses can provide a high quality of patient care and handle critically ill patients by providing both technical and intrapersonal skills. A professional nurse can not only treat chronically ill patients, but also provide health education and rehabilitative care, which is more complex. By determining patient needs and doing assignments, job quantification and analysis can be done.
  • 4. All sorts of nursing-related plans, e.g master rotation plan, duty roster should be done only by nursing heads. A staffing plan should be delegated to each unit-level head nurse so that the activities of each ward and details of each shift are planned well.
  • 5. Norms of staffing Norms are standards that guide, control and regulate individuals and communities. For planning nursing manpower we have to follow some norms. The nursing norms are recommended by various committees m such as; the nursing man power committee, the high-power committee, Dr. Baja committee and the staff inspection committee, TNAI and INC. The norms has been recommended taking into account the workload projected in the wards and the other areas of the hospital.
  • 6. Recommendations of S.I.U (Staff Inspection Unit) The norm has been recommended taking into account the workload projected in the wards and the other areas of the hospital. The posts of nursing sisters and staff nurses have been clubbed together for calculating the staff entitlement for performing nursing care Out of the entitlement worked out on the basis of the norms, 30% posts may be sanctioned as nursing sister. This would further improve the existing ratio of 1 nursing sister to 3.5 staff nurses fixed by the government in settlement with the Delhi nurse union in May 1990. The assistant nursing superintendent are recommended in the ratio of 1 ANS to every 4 nursing sisters. The ANS will perform the duty presently performed by nursing sisters and perform duty in shift also. The post of Deputy Nursing Superintendent may continue at the level of 1 DNS per every 7.5 ANS
  • 7. There will be a post of Nursing Superintendent for every hospital having 250 beds. There will be a post of 1 Chief Nursing Officer for every hospital having 500 or more beds. It is recommended that 45% posts added for the area of 365 days working including 30% leave reserve.
  • 8. The Nurse-Patient Ratio as per the norms of TNAI and INC 1. Chief Nursing Officer : 1 per 500 beds 2. Nursing Superintendent: 1 per 400 beds or above 3. D.N.S : 1 per 300 beds and 1 additional for every 200 beds 4. A.N.S : 1 for 100-150 beds or w-4 wards 5. Ward sister : 1 for 25-30 beds or one ward. 30% leave reserve 6. Staff Nurse: 1 for 3 beds in Teaching hospital in general ward & 1 for 5 beds in Non-teaching hospital + 30% leave reserve. 7. Extra nursing staff to be provided for departmental research function. 8. For OPD and Emergency: 1 staff nurse for 100 patients (1:100) + 30% leave reserve 9. For Intensive Care Unit : (ICU) 1:1 or (1:3 for each unit) + 30% leave reserve. 10. It is suggested that for 250 bedded hospital there should be one infection control nurse (ICN)
  • 9. The Nurse-Patient Ratio as per the S.I.U Norms 1. General Ward 1:6 2. Special Ward (Pediatrics, burns, neuro surgery, cardio thoracic, neuro medicine, nursing home, spinal injury, emergency wards ttached to causality) 1:4 3. Nursery 1:2 4. I .C.U 1:1 5. Labour Room 1:1 per table
  • 10. 6. O.T Major 1:2 per table Minor 1:1 per table 7. Casualty a. Casualty main attendance Upto 100 patients per day thereafter b. For every additional attendance of 35 patients c. Gynae/Obstetrics attendance d. D. Thereafter every additional attendance of 15 patients 3 staff nurses for 24 hours, 1:1 per shift. 1:35 3 staff nurses for 24 hours, 1:1/shift 1:15 8. Injection room OPD Attendance Upto 100 patients per day 1 staff nurse 120-220 patients: 2 staff nurses 221-320 patients: 3 staff nurses 321-420 patients: 4 staff nurses