Nursing Staffing for Inpatient Department

Nursing Staffing for Inpatient Department

A. Medical

MO

Gen. Medicine
Gen. surgery
Gynae and obstetrics
Peadiatrician
Anesthesia, Dentistry, ophthalmology, ENT, Skin and VD
Psychiatric, Biochemistry,
Microbiology Chest Disease and TB
Forensic medicine

1 MO/12-15 beds

1 specialist/100 beds+ 1 additional/50 beds
1 specialist/100 beds+ 1 additional/50 beds
1 specialist/100 beds+ 1 additional/40 beds
1 specialist/100 beds+ 1 additional/150 beds
1 specialist/200 beds+ 1 additional/150 beds
1 per hospital above 200 beds
1 per hospital above 200 bed+ 1 for additional 200 bed
1 per 1500 bed

B. Nursing

Nursing personnel

Nursing superintendent
Dy. Nursing superintendent
1 assistant superintendent
Ward sister
Teaching hospital
Non teaching hospital
ICU/CCU
Infection Control Nurse

Staffing Nurse

1/hospital
1 up to 400 beds+ 1 additional/200 beds
1 for 100-150 beds and 3-4 wards
1 for 25-30 beds or per ward
1 nurse for 3 beds
1 nurse for 5 beds
1 nurse for 1 bed (+ 30% on leave reserve)
1 nurse/250 beds

Nurse-patient ratio

The nurse patient ratio depends upon the:

1. Size and layout of ward.
2. Type of cases, acute, chronic, mental, children.
3. Type of hospital-teaching, non teaching or research.
4. No. of important patients (VIPs)
5. Type of equipments
6. Average length of stay of patient.
7. Availability of student nurses.

Nursing hour requirement

1) Critically ill patient needing intensive care
2) Moderately ill patient needing intermediate care
3) Mildly ill patient needing self care
4) Chronic ill patients requiring skilled and prolonged nursing care

1) 8-10 hour
2) 3-5 hour
3) 1-2 hour
4) 30 minutes to 1 hour

1) 1:1
2) 1:3 (Teaching hospital)
1:5 (Non teaching hospital)
3) 1:6 (Teaching hospital)
1:10 (Non teaching hospital)
4) 1:12 (Teaching hospital)
1:18 (Non teaching hospital)

Norms for Gr. D Staff

(1) 30-50
(2) 100
(3) 200
(4) 300
(5) >500

(1) 15-25
(2) 50
(3) 100
(4) 150
(5) 250

(1) 1 Gr. D/2 beds
(2) Do
(3) Do
(4) Do
(5) Do