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NABH Staff Ratio

Nurse staffing norms in India need to be updated as they are behind international standards. While a single ratio cannot be used for all units, the document recommends the following nurse-to-patient ratios based on Indian resources and best international practices: 1:6 for general wards, 1:4 for super specialty wards, 1:3 for high dependency units, 1:1 for ICUs and post-op recovery (ventilated patients), 1:2 for ICUs and post-op recovery (non-ventilated patients). Additional staffing guidelines are provided for emergency departments, labor and delivery, pediatrics, operating rooms, outpatient clinics and more specialized units. Further studies are still needed to determine standards for

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Retteri KUMARAN
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2K views

NABH Staff Ratio

Nurse staffing norms in India need to be updated as they are behind international standards. While a single ratio cannot be used for all units, the document recommends the following nurse-to-patient ratios based on Indian resources and best international practices: 1:6 for general wards, 1:4 for super specialty wards, 1:3 for high dependency units, 1:1 for ICUs and post-op recovery (ventilated patients), 1:2 for ICUs and post-op recovery (non-ventilated patients). Additional staffing guidelines are provided for emergency departments, labor and delivery, pediatrics, operating rooms, outpatient clinics and more specialized units. Further studies are still needed to determine standards for

Uploaded by

Retteri KUMARAN
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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 Nurse staffing norms in India are not updated since a long and they

are far behind from international norms and estimated ratios in


some of the research studies conducted in India. However,
recommendations given by NABH are most recent and realist,
practical and feasible to use in India
 A single norm for all the wards and hospitals cannot be used for a
fair estimation of nursing human resource needs. While estimating
nurse-to-patient ratio estimation different factors such as unit
workload, patients’ dependency, skill mix, available proportion of
nurses’ productive and non-productive activities, and variations in
time and nursing care activities during the shift should be
considered
 Considering Indian resources, best international norms and Indian
research evidence, we recommend following nurse-to-patient ratio
in each shift for Indian hospitals.

General wards: 1:6; Super speciality wards: 1:4; high dependency units:
1:3; ICUs and Post-op recovery rooms: 1:1 (ventilator beds) and 1:2
(non-ventilator beds); Emergency and Trauma: 1:1 (ventilator beds) and
1:2 (non-ventilator beds); Labor room: 02 nurse per labor table;
antenatal/postnatal ward: 1:4; Pediatric ward:- 1:5; neonatal ICU 1:1;
acute respiratory/burns unit: 1:2; palliative care unit: 1:4; major OT: 02
nurses for each table; minor OT: 1:1; Chemotherapy/Daycare Unit: 1:3;
OPD procedure rooms: 1:1 and OPDs: 1:50 patients; Infection control
nurse: 01 for every 100 beds; and 10–15 nurses for the work of diabetes
nurse educator, wound care nurse, stoma nurse, dialysis nurse, organ
transplant coordinator nurse, Peripherally inserted central venous
catheter (PICC) line care nurse and nurse research assistants. Further,
there must be 45% additional nurses for the leave reserve and in-charge
nurses must have the flexibility to distribute nurses as per workload in
each shift. Further extensive studies are needed to provide staffing
standards for nurses, based on the available workload of tertiary care
hospitals.

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