Staffing
Staffing
Staffing
DEFINITION
Staffing is selection ,training ,motivating, and retaining of a personnel in the organization. Staffing is the systematic approach to the problems of selecting, training ,motivating and retaining professional and non-professional personnel in any organization.
Nurse administrators believe that the health teaching and rehabilitation needs of chronically ill patients are so complex that direct care for chronically ill patients should be provided by professional and technical nurses
Stafffing formulas
No.needed Days of week No.of days/workweek No of people required 1 X 7 5 1.4 2 X 7 5 2.8 3 X 7 5 4.2 4 X 7 5 5.6 It does not include vacations , holidays abseentism or staff development time
Stafffing formulas
Vacation coverage No. of vacations days per year x No of full-time people at that skill level = Total vacation days by skill level
Total vacation days by skill level total days worked per person per year = no of full- time people needed for vacation relief coverage
Stafffing formulas
Holidays coverage No. of personnel x no of holidays = No. of holidays needing coverage No of holidays needing coverage No of days worked per y ear per person = No of personnel required for holidays coverage per year
Stafffing formulas
Staff development coverage No of hrs recommended for staff development per year per person x no of staff = No of hrs per year for development needing relief coverage No. of staff development hrs needing coverage Hrs worked/day total days worked /person = Full- time personnel required for staff development coverage
The Staff Inspection Unit (S.I.U.) is the unit which has recommended the nursing norms in the year 1991-92. As per this S.I.U. norm the present nurse-patient ratio is based and practiced in all central government hospitals.
Recommendations of S.I.U
The norms for providing staff nurses and nursing sisters in Government hospital is given in this report. 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 work which the staff nurse will continue to perform even after she is promoted to the existing scale of nursing sister.
Recommendations of S.I.U
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 3.6. staff nurses fixed by the government in settlement with the Delhi nurse union in may 1990.
Recommendations of S.I.U
The assistant nursing superintendent are recommended in the ratio of 1 ANS to every 4.5 nursing sisters. The ANS will perform the duty presently performed by nursing sisters and perform duty in shift also. The posts of Deputy Nursing Superintendent may continue at the level of 1 DNS per every 7.5 ANS
Recommendations of S.I.U
There will be a post of Nursing Superintendent for every hospital having 250 or 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 10% leave reserve (maternity leave, earned leave, and days off as nurses are entitled for 8 days off per month and 3 National Holidays per year when doing 3 shift duties).
1:2 1:1(Nothing mentioned about the shifts) 1:l per table 1:l per table
1 2 2 1 1 1 1 1 1 2 1 1
The Nurse-patient Ratio as per the norms of TNAI and INC (1985)
Chief Nursing Officer :1 per 500 beds
Nursing Superintendent :1 per 400 beds or above D.NS. : 1 per 300 beds and 1 additional for every 200 beds A.N.S. :1 for 100-150 beds or 3-4 wards
Ward Sister :1 for 25-30 beds or one ward. 30% leave reserve
The Nurse-patient Ratio as per the norms of TNAI and INC (1985)
Staff Nurse :1 for 3 beds in Teaching Hospital in general ward& 1 for 5 beds in Non-teaching Hospital +30% Leave reserve Extra Nursing staff to be provided for departmental research function. For OPD and Emergency :1 staff nurse for 100 patients (1 : 100 ) + 30% leave reserve
The Nurse-patient Ratio as per the norms of TNAI and INC (1985)
For Intensive Care unit: (I.C.U.)- 1:l or (1:3 for each shift ) +30% leave reserve. It is suggested that for 250 beded hospital there should be One Infection Control Nurse (ICN). For specialised depertments, such as Operation Theatre, Labour Room, etc. 1:25 +30% leave reserve. norms are not based on Nursing Hours or Patient's Needs here.
Set up by the Government of India in July 1987, under the chairmanship of Dr Jyothi former vice-chancellor of SNDT Women University, Mrs Rajkumari Sood, Nursing Advisor to Union Government as the membersecretary and CPB Kurup, Principal, Government College of Nursing, Bangalore and the then President, TNAI also one of the prominent members of this committee.
To look into the training of all categories and levels of nursing, midwifery personnel to meet the nursing manpower needs at all levels of health services and education.
To examine the need for organized nursing services at the national, state, district and local levels with particular reference to the need for planning service with the overall care system of the country at the respective levels.
To look into all other aspects, the Committee will hold consultations with the State governments.
To examine the need for organized nursing services at the national, state, district and local levels with particular reference to the need for planning service with the overall care system of the country at the respective levels.
To look into all other aspects, the Committee will hold consultations with the State governments.
Recommendations of this group are Appointment of ANM/LHV/HS/PHC, 1 ANM for 2500 population (2 per sub center), 1 ANM for 1500 population in hilly areas, 1 health supervisor for 7500 population (for 3 ANMs), 1 public health nurse for 1 PHC (30,000 population and 4 health supervisor), 2 district PHN officers in each district. Simplification of recording system. Adequate provision of supplies, drugs, etc, is made. Gazetted rank for the post of PHN and above grade. Specific standing orders be made available to ANM/LHV/HS.