Table of contents
Table of contents
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Introduction
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Nursing workforce plan
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Nursing workforce plan
policy-------------------------------------------------------------------4
MECHANISM TO REASSIGN NURSING STAFF-----------------------------------------7
1
Introduction
Nursing workforce plan is a plan that for proper distribution of
nurses in wards to balance nurse to patient ratio. When the nurse
to patient ratio is balanced, the nurse give to the patient good
quality of care and better follow up. Inappropriate work force plan
has been shown to increase staff dissatisfaction, nurse turn over,
increase patient mortality, increases hospital acquired infection
and increases the risk of needle stick injuries.
2
Nursing workforce plan
The hospital should set the nursing work force plan that
describes;
The minimum nursing to patient ratio for each inpatient ward and
considerable nursing service area
Priority areas where the nurses must at all times meet the minimum
ratio requirements. E g; intensive care like , high dependency
units ,.p/operative care units, recovery, emergency department, labor
and delivery .
Procedures for transferring nurses across clinical setting or calling in
extra nurses/midwife from home in order to maintain nurse/midwife to
patient ratio especially in the priority areas .Determining the minimum
nurse’s/midwife staff in each service area has its own challenge; and
the following factors should be considered;
The service area over all condition ;
The intensity of the nursing care needed. e. g the frequency of
nursing interventions such as observations, medication
administration, wound care, stoma bathing etc..
The no. of admissions and discharges
The availability of technology /patient monitors/ etc..
Patient flow
The skill mix of staff
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Hospital setting /infrastructure is list of factors to limit and
assign the nurse
Nursing workforce plan policy
Our hospital nursing staff employment policy must consider these work
force plan (nurse to patient ratio )
Every nurse must accept order by the concerned body when
temporarily assigned to over loaded area.
Rational of nursing workforce plan
The hospital need to have a nursing workforce plan that address nurse
staffing requirements and sets minimum nurse/midwife to patient
ratios in each service area.
The workforce plan enables the hospital to assign and control
nursing/midwife staffs related to patients.
Measurement criteria
In Ethiopia context, standards of patients to nurse ratio is 1:5-6. But our
Hospital has a total of 41 beds among those 12 are Gyn / Obs side ,18 IPD 6
NICU and 3 EOPD the rest are at recovery side and also there are additional
corridor beds which need similar critical intervention .It has also major areas
that needs nursing intervention, these are adult OPD, cold OPD, emergency
OPD, OR, Triage, Liaison Officer, Recovery, Gyn /obs& In patient main
service areas that the nurse should intervene &avail.
In inpatient wards, E/opd , Gyn /obs, recovery and operation room the
appropriate beds and nurse to patient ratio is expressed as follow. Wards in
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our hospital is general ward that covers all types of wards such as
mediclal,surgical and pedi. At ward there are total of 04 nurses and total bed
18 that is under national quota the ratio is 1:5 At duty time 1:9 this so
difficult to manage patients.
NICU WARD
In this ward; there are a 6 total of beds.
The total nurse that should avail is 03.
Nurse to patient ratio 1:2
At duty time the ratio 1;3
OPERATION ROOM
In this room 1 major and 1 minor room is avail.
In recovery ward; there are total of 2 bed.
The total nurse that should avail is 1,but the hospital
is not assign a recovery nurse.
Nurse to patient ratio 1:2
Gyn / Obs- WARD
Total number of beds are 12
Total no of midwives currently 13 out of those Midwife 10 are in
the ward.
Midwives to patient ratio at day time is 1፡2 but at duty time
minimize to 1:4 difficult to manage patients
Emergency opd
Total no. of emergency beds in emergency opd are 3
Total no. of nurses at day time is 3
Nurse to patient ratio 1:1
Nurse to patient ratio at duty time 2:3
5
Service area Nurse to At national
patient ratio in label
hospital
General ward 1:5 1:10
NICU ward 1:3 1:2
OR 2:1
Gyn/ obs ward
1st stage 1፡4
2nd stage 1፡1
PNC 1:5
HIGH risk 1:5
Emergency ward 1:1 1:1(1:3)
Anesthetist 1:1 1:1
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MECHANISMS TO REASSIGN NURSING STAFF
When an extra nurse is needed to ensure minimum nurse to patient ratio the
following issues will happen:
i. When there is an increase patient admission in wards to care
accident or other causes extra nurse will be assigned by
matron
ii. When annual leave is given to nurse other nurses from
another area are assigned up to/she return work place
iii. When there is an occurrence of causality in emergency opd ,
there is telephone communication to get additional nurse
iv. When there is occurrence of epidemic, calling of nurse from
another area should assign by the matron
OPD as a whole
Has total of 12 rooms
Has 3 adult Opds
Has 1 pediatric Opds
Has 1 Injection &dressing room
Has 1 TB-clinic
Has 1 ART room
Has 1 EpI room
Has 1 ANC room
Has 1 central Triage room
Has 1 F/p room
Has 1 VCT ROOM
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Currently liben primary Hospital has a total of 23 nurses, all of them
are BSC nurse and, 13 midwives, among those 11 of them are BSC
midwives and 2 is clinical midwife. If we see patient to
nurse ratio at inpatient ward is 1:5 it is t he national standard
which is 1:5-6.,which is standard to give quality of care in our Hospital.
Nursing-Midwife Management Members
Name Responsibility Sign
1. Biruk Enyew Matron -------
2. Shemlese v/Matron -------
3. Gashaw Antehun IPD Coordinator ---------
4. Maseresha Abegaze Eopd coordinator --------
5. Musa Juhar OPD coordinator --------
6. Emebate Adisu OR Coordinator --------
7. Habtie Demlashe NICU Coordinator --------
8. Abirham Abje MCH Coordinator ----------
