staffing schedule

8/8/2019 Staffing Schedule

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STAFFING

SCHEDULE


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STAFFING

Process of determining and providing the

acceptable number and mix of nursing

personnel to produce a desired level of care to

meet the patients demand.

SCHEDULING

Process of assigning working days and days-offto the nursing personnel so that adequate

patient care is assured.


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Factors to Cosider in Making

Schedules

Different levels of nursing staffs

Adequate coverage for 24 hours, seven days aweek

Staggered vacations and holidays

Weekends

Long stretches of consecutive working days

Evening and night shifts

Floating


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CENTRALIZED SCHEDULING

One person, usually the chief nurse or her designate,assigns the nursing personnel to the various units of thehospital. This includes the shift on duty and off-duty.

Based on master staffing pattern

Advantages: Fairness to employee

Impartial application of policies

Opportunities for cost containment

Disadvantages:

Lack of individualized treatment of employees


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DECENTRALIZED SCHEDULLING

The shift and off-duties are arranged by the SupervisingNurse or Head or Senior Nurse of a particular unit.

Advantages:

Personnel feel that they get more personalized attention

Staffing is easier and less complicated

Form a support system

Develop managerial skills

Disadvantages:

Individualized treatment

Time-consuming

Difficulty in Cost containment


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SELF SCHEDULING

Process by which staff nurses in a unit collectivelydecide and implement the monthly workschedule.

Advantages:

Practice of professional nursing

Save the managerial time Increased cooperative atmosphere

Decreased absenteeism


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ALTERNATING/ ROTATING WORK

SHIFT

Work shift that changes its hours of work atstated intervals. Rotating shifts work around theclock.

Create stress for the staffs Associated with lower job performance and error

proneness

Some nurses use the rotation model of Federal

Aviation Agency (FAA) in their teams of airportpersonnel wherein they plan the schedule a yearin advance. This makes the team member plantheir personal lives with confidence.


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PERMANENT SHIFTS

Relive nurses from stress and health-related problemsassociated with alternating and rotating shifts.

cause the least disruption to circadian rhythms

Better social activities for the nurses Child-care arrangement can be stable

Disadvantage:

Nurses may not develop appreciation for the workloador problem of the other shifts

Most people want day shift

New graduates predominantly staffs evenings andnights


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BLOCK or CYCLICAL SCHEDULING Covers a designated number of weeks called cycle length

and is repeated thereon. It assigns the required number of nursing personnel to each

nursing unit consistent with the units patient carerequirements, the staffs preference, their education,training and experience.

Advantage: Same schedule repeatedly

Sick time reduced

Personnel know schedule in advance

Personnel can schedule social events Staff treated fairly

Disadvantage:

Rigidity


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VARIABLE STAFFING

Method that uses patient needs to determinethe number and mix of staff

A patient classification system is developedand tables are designed to determine thenumber of nursing hours required.

Advantages:

Use census to determine number and mixstaff

Little need to call in unscheduled staff


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8-HOUR SHIFT, 5-DAY WORKWEEK

The 5 day, 40 hour workweek become popular

during the late 1940s.

The shifts are usually 7am to 3:30pm, 3pm-11:30pm, and 11pm-7:30am

Allowing for a half hour lunch break and a half

hour overlap time between shifts to provide

for continuity of care.


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10-HOUR, 4-DAY WORKWEEK

10 hour day, 4day workweek with an every-

other-weekend-off staffing pattern.

The shifts are 7am-5:30pm, 1pm-11:30pm,and 9pm-7:30am

A cyclical schedule allows at least 14 hours off

between shifts and a 4-day weekend every 6

weeks


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10-HOUR DAY plus 5- or 6-HOUR

SHIFT

Time is 7am-5pm, 5pm-10pm, and 9pm-7am.

A 2-week cyclical schedule posts 2 days on,

2days off, 3 on, 2 off, 2 on, and 3off with 2teams working complementary schedules.

Social opportunity is a major benefit


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Plan that includes a 10-hour shift, 7 days a

week, followed by 7 consecutive days off.

There are no rotations of shifts; each teamcontains permanent day, evening, and night

shifts.

The shifts are 6:45am-5:15pm, 12:45pm-

11:15pm, and 9:15pm to 7:45am.


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The 12 hour shift starting at 7 or 7:30am andending at 7 or 7:30pm, has been adopted bysome institution.

The better use of nursing personnel lowerstaffing requirements this consequentlylowers the cost per patient day.

Nurses find they get to know their patientbetter because they have more time to studycharts and can visit patients more frequently.


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Advantages:

Better collaboration

Saves time

Less personal expense

Travel time reduced

Disadvantages:

Overtime pay has been of some concern

Nurses complaint that the extra time they

have for learning and research become boring


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PATIENT

CLASSIFICATIONSYSTEM


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3Basic Styles ofPatient Classification

System

Descriptive Nurse classifies the patient in thecategory that most closely describes the care received.Category 1 may be self care and category 4 completecare.

Checklist Divides descriptions of care routines intoactivity categories, such as eating and bathing

Time of Relative Value Unit Standard - Assign a valueunit (usually a measure of time) to various activities ofpatient care. The activities are usually clusteredaccording to categories, such as diet, bathing, andmobility.


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Classification Categories


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Category 3: Maximum Care

Given to patients who need close attentionthroughout the shift that is, complete care for

patients who require nursing to initiate,

supervise and perform most of their activities.

Category 4: Intensive Care

Given to acutely ill patients who have a highlevel of nurse dependency.

staffing schedule

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