The Hospital Nursing Service Administration Manual of the DOH has patients.

patients. Multiply the total nursing care hours needed per day by the total number
recommended the following nursing care hours for patients in the various of days in a year.
nursing units of the hospital
4. Find the actual number of nursing care hours rendered by each nursing personnel
Cases/Pt NCH/Pt/day Prof to Non-prof per year.
ratio Multiply the number of hours on duty per day by the actual working days per year.
General 3.5 60:40
Medicine 5. Find the total number of nursing personnel needed.
 Divide the total number of nursing care needed per year by the actual number
Medical 3.4 60:40 of working hours rendered by an employee per year.
Surgical 3.4 60:40  Find the number of relievers. Multiply the number of nursing personnel needed
Obstetrics 3.0 60:40 by 0.15 (for those working 40 hours per week) or by 0.12 (for those working 48
hours per week)
Pediatrics 4.6 70:30
Pathologic 2.8 55:45  Add the number of relievers to the number of nursing personnel need.
Nursery
6. Categorize the nursing personnel into professionals and non-professionals.
ER/ICU/RR 6.0 70:30
Multiply the number of nursing personnel according to the ratio of professionals to
CCU 6.0 80:20 non-professionals

Patient Care Classif ication 7. Distribute by shifts

 Method of grouping patients according to amount and complexity
of nursing requirements Professional to Non-Professional

For discharge, non- emergency, Ratio Prof. to Non-Prof

1.5 hours per day Type of Hospital
Level 1: Minimal
Primary 55:45
Secondary 60:40
Some help with ADL, IV, VS 3 x
per shift, 3 hours per day Tertiary 65:35
Level 2: Moderate
Specialized 70:30 or 80:20

Level 3: Total / Intensive Completely dependent, VS q30 Distribution Per Shift

6 hours per day AM – 45%
PM – 37%
Continuous observation 6-9 Night – 18%
Level 4: Critical
hours or higher per day

PERCENTAGE OF PATIENTS IN VARIOUS LEVELS OF CARE

Type of Minimal Moderate Intensive Highly

Hospital Care Care Care Spl. Care
Primary 70 25 5 ---
Secondar 65 30 5 ---
y
Tertiary 30 45 15 10
Special 10 25 45 20
Tertiary

TOTAL NUMBER OF WORKING DAYS PER YEAR

40 hours/week 48 hours/week
Working days 213 265
Non – working 152 100
days
Working hours 1, 704 2, 120
Relievers 0.15 0.12
needed

Staffing Formula
1. Categorize patients according to level of care needed. Multiply the total number of
patients by the percentage of patients at each level of care (whether minimal,
intermediate, intensive or highly specialized)

2. Find the total number of nursing care hours needed by the patients at each
category level.
 Find the number of patients at each level by the average number of nursing
care hours needed per day.
 Get the sum of the nursing care hours needed at the various levels

3. Find the actual number of nursing care hours needed by the given number of