EXERCISE 17.8

EXERCISE17.8

NursingStaff Scheduling and Staffing

Consideringthe number of staffs and the expected ratio of patients the bestPatient Care Delivery to adapt here is the 8-hour patient deliverymodel. This is would ensure maximum patient attention and guaranteecustomer satisfaction in given the number of patients and the staffavailable for duty.

Thestaffing pattern

Itwould be efficient to adapt a 24-hour pattern with three shifts forthe RNs and the LVNs/LPNs as in the following procedure asrepresented below.

Shift type

Staff

Shift A

0600hours-1400hours

Shift B

1400hours-2200hours

Shift C

2200hours-0600hours

RNs

RN(A)

RN(B)

RN(C)

LPNs/LVNs

LPN/LVN(A)

LPN/LVN(B)

LPN/LVN ( C )

Clerk

2 hours shift

2hours shift

Theabove staffing pattern give maximum patient attention and care byensuring the staff are around throughout the day and at least onestaff member is available for RNs in case of emergency or holidaysfor the full-time RNs. It guarantees staff satisfaction.

Theabove pattern is easier to adapt to the 7 day schedule consideringthe daily divisions whereby the staff members can fit in comfortably,given the part-time member who allow for holidays and rest days inthe following procedure

RNsand LVN/LPN’s Weekly schedule

Day/RNs present for work

Shift A

0600hours-1400hours

Shift B

1400hours-2200hours

Shift C

2200hours-0600hours

Monday

A

B

C

Tuesday

D

A

B

Wednesday

C

D

A

Thursday

B

C

D

Friday

A

B

C

Saturday

D

A

B

Sunday

C

D

A

Explanation

A,B, C and D – Represents a group of RN and LVN/LPN on duty at the sametime. The above schedule does not include the part-time workers whoare meant to come to work in case of an emergency or when thefull-time staff is on holiday.

Thepart-time workers are to assist the full-time working staff in casethe patients census rises which calls for an emergency. This allowsroom for better care to the patients, and a great deal of the staffsatisfaction needs which leads to better service delivery to thepatients.