STAFFING REQUIREMENT OF VARIOUS WARDS OF

HOSPITALS AND PREPARE THEIR DUTY ROASTER

INTRODUCTION
Organization is the formal structure of authority calculated to define, distribute and provide for
the co-ordination of the tasks as contribution to the whole. When the aims of the organization
properly design the planning of its institutions and its functional standard, it will have identified
the kind and numbers of personnel it needs.
It is the process that ensures that on organization has qualified staff available at various level of
management to meet the short term and long term requirements. Staffing involves manning the
organization structure through proper and effective selection, appraisal and development of the
personnel to fill the roles assigned to the employers/workforce.
DEFINITION OF STAFFING
According to Mc Forland:
‘Staffing is the function by which managers build an organization through recruitment, selection,
and development of individuals as capable employees’.
According to Theo Haimann:
‘Staffing pertains to recruitment, selection, development and compensation of subordinates.’
OBJECTIVES
1. Provide an all professional nurse staff in critical care units, operating rooms, labor,
delivery unit, emergency room.
2. Provide sufficient staff to permit a 1:1 nurse-patient ratio for each shift in every critical
care unit.
3. Staff the general medical, surgical, Obstetrics and gynecology, pediatric and psychiatric
units to achieve a 2:1 professional –practical nurse ratio.
4. Provide sufficient nursing staff in general medical, surgical, obstetrics, pediatric and
psychiatric units to permit a 1: 5 nurse-patient ratios on a day and after noon shifts a
d1:10 nurse’s patient ratio on the night shift
NORMS:
Norms are standards that guide, control, and regulate individuals and communities. For planning
nursing manpower, we have to follow some norms. The nursing norms are recommended by
various committees, such as; the Nursing Man Power Committee, the High-power Committee,
Dr.
Bajaj Committee, and the staff inspection committee, TNAI and INC. The norms has been
recommended taking into account the workload projected in the wards and the other areas of the
hospital.
All the above committees and the staff inspection unit recommended the norms for optimum
nurse- patient ratio. Such as 1:3 for Non-Teaching Hospital and 1:5 for the Teaching Hospital.
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.
1. Staffing Norms for Nursing Staff and Nursing Supervisors:
Staffing Norms for Nursing Staff And Nursing Supervisors Nursing Superintendent 1:1per
hospital Dy. Nursing Supdt. 1 up to 400 beds Asstt. Nursing Supdt. 1 for every 200 beds Ward
Sisters 1 for 100-150 bed. Staff Nurse 1 nurse for 3 beds Teaching hospital1 nurse for 5 beds
Non- teaching hospital1 nurse for 3 beds for ICU/CCU 1 nurse for 1 beds
2. Staffing Norms for Group-D Employees:
Staffing Norms for Group-D Employees Category manpower per bed ratio Hospital Attendant 1
per 10 beds Sanitation Attendant 1 per 10 beds Security Guard 1 per 15 beds
3. Staffing Norms for Hospital Laboratory Services:
Staffing Norms for Hospital Laboratory Services One laboratory personnel (inclusive of
supervisory staff) should perform about –8000-10000 tests per annum. If considerable
automation has been introduced in the laboratory work, the manpower requirement should be
worked out on the basis of 20000 tests per person per annum. The ratio between supervisory staff
and technical personnel i.e. Lab. Technician and Lab. Assistant should be1:4 The ratio of Lab.
Support staff (Lab. Attendants)
with technical staff should be 1:3
4. Staffing Norms for Blood Bank:
Staffing Norms for Blood Bank One blood bank technician for every 8000-10000investigations
per annum. One technician for every 15000-20000 preparations per annum for component
preparations
5. Staffing Norms for Radio Imaging Department:
Staffing Norms for Radio Imaging Department A radiographer should be able to do12-15 cases
in an hour. For every four radiographers there should be 1 technical assistant. One technical
supervisor is required for 8 radiographers to supervise and execute radiographic work while
maintaining high standard of quality
6. Staffing Norms for ECG Technicians:
Staffing Norms for ECG Technicians There should be one technician and one machine for every
50 ECGs done daily in the OPD. For inpatients, there should be one technician and one machine
for ECGs in each 20-hour shift Workload of cardiology accounts for 40% of total ECG workload
in inpatient area, hence there should be separate ECG technician and machine for cardiology
ward.
7. Staffing Norms for CSSD:
Staffing Norms for CSSD Staffing norms for CSSD for 750-1000 bedded hospital Category of
staff No. of personnel CSSD Supervisor/Manager 1 Superintendent Asstt. Supervisor 1 Tech.
Assistant 4 CSSD [Link] -I/ Sr. CSSD Operators 6. CSSD [Link] -II/ Jr. CSSD
Operators 6 CSSD Attendants 30
8. Staffing Norms for Laundry Personnel:
Staffing Norms for Laundry Personnel Staffing norms for laundry deptt for 750-1000 bedded
hospital Category of staff No. of personnel Laundry Manager/Supervisor 1 Asstt. Laundry
Supervisor 3 Laundry Clerk/LDC 2 Laundry Operator 30 Laundry Attendant 1
Laundry Mechanic 2 One laundry operator for 30 beds. Average laundry load 3-4 kg of soiled
linen per patient. Operation theatre laundry load 7-8 kg of linen per operation
9. Staffing Norms for Dietary Department:
Staffing Norms for Dietary Department Staffing Norms for Dietary Department for 750-1000
bedded hospital Category of staff No. of personnel Chief Dietician 1 Asstt. Dietician 3 Technical
Dietician (Jr. Dietician) 2 Clerk (LDC) 2 Store Keeper 1
Steward/Floor Supervisor 2 Head Cook 4 Cook 16 Cook Aid/Helper 16 Bearer 24
The Nurse-patient Ratio as per INC:
The Nurse-patient Ratio as per INC The norms are based on Hospital
Beds. Chief Nursing Officer :1 per 500 beds
Nursing Superintendent :1 per 400 beds or above
[Link]. :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.
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
For Intensive Care unit (I.C.U.) :1: l or (1:3 for each shift) +30% leave reserve. It is
suggested that for 250 bedded hospital there should be One
Infection Control Nurse (ICN).
THE EXISTING NORM BY INC WITH REGARD TO NURSING STAFF FOR WARDS
AND SPECIAL UNITS:
Staff nurse Sister (each Departmental sister/
shift) assistant nursing
superintendent
Medical ward 1:3 1:25 1 for 3-4 weeks
Surgical ward 1:3 1:25 1 for 3-4 weeks
Orthopedic ward 1:3 1:25 1 for 3-4 weeks
Pediatric ward 1:3 1:25 1 for 3-4 weeks
Gynecology ward 1:3 1:25 1 for 3-4 weeks
Maternity ward including 1:3 1:25 1 for 3-4 weeks
newborns
Psychiatric wards 1:3 1:25 1 for 3-4 weeks
ICU 1:1(24 hours) 1
CCU 1:1(24 hours) 1
Nephrology 1:1(24 hours) 1 1 department sister/assistant
nursing superintendent for 3-
4 units clubbed together
Neurology & neurosurgery 1:1(24 hours) 1
Special wards- eye, ENT etc. 1:1(24 hours) 1
Operation theatre 3 for 24 hours 1 1 department sister/assistant
per table nursing superintendent for 4-
5 operating rooms
Causality and emergency unit 2-3 staff nurses 1 1 department sister/assistant
depending on nursing superintendent
the number of
beds
 Civil hospital, psychiatric ward, Jalandhar. DUTY ROSTER FOR THE MONTH OF APRIL,
Psychiatric unit/ SHORT STAY
DAYS
 2
3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 24 25 26 27 28 29 30
NAMES 3
Mr. E D/ D/ D/
M M M M M M M M M E E O O EL O M M E M M M E M M
Wilson L O O O
Mr.
D/ D/ D/ R N/ D/ D/
Amrind E E E CL CL CL M M N N N N N N N E E E E E E
O O O H O O O
er Singh
Mr.
D/ D/ D/ D/ D/ D/
Arjinde E E E E M M M M M M M M M M M M M M M N N N
O O O O O O
r Singh
Mr.
D/ N/ D/ D/ D/ D/
Rajesh M M M M N N N N N N N E E E E E E E M M M M
O O O O O O
Kumar
Mr.
D/ D/ D/ C D/ D/ D/ N/
Sumit E E E E E E E E E M M M N N N N N N N N
O O O L O O O O
Singh
Mr.
D/ D/ N/ D/ D/ D/
Surende M M N N N N N N N E E E E E E E E E E E E E
O O O O O O
r
Mr.
D/ D/ D/ R N/ D/ D/
Harvind M M M M M M M N N N N N N N E E E E M M M
O O O H O O O
er Singh
Ms.
N/ D/ D/ E D/ C D/ D/
Amande N N N N N N N E E EL EL EL M E E E M M M M
ep O O O L O L O O
Mr.
D/ D/ D/ D/ D/ N/
Mandee M M M M M M M M M M M M M M N N N N N N N E
p Singh O O O O O O
Mr.
N/ EL
Gurpre N N N N E E
et O
Mr.
D/ M M M D/ D/ D/ D/ D/
Jagdeep M M M M E E E E M M M M E M M M M M M
Singh O L L L O O O O O
Mr.
Jagroop OFF
Singh

Ward in-charge HOD Dept. Of

Nursing
Note-
M : Morning E : Evening N : Night
D/O : Day off N/O : Night off ML : Medical leave
EL : Earn leave RH : Restricted holiday W/S : Ward supervisor
BIBLIOGRAPHY
1. Vati Jogindra, Principles and Practice of Nursing Management and Administration, 1st ed.
New Delhi, Jaypee Brothers: 2013, 320- 325.
2. [Link]