Meeeellll.doc

SITUATION:

MANZANAREZ GENERAL HOSPITAL is planning for its inauguration, it will be a 250bed state-of the art medical facility. Part of the nursing service’s long-term plan is to have a well disciplined and competent nurse, so part of its strategy is putting focus on the staff’s task-oriented performance by employing close supervision. To do this, included in its tactical plan is to narrow down span of control and increase the number of managers. The Director of Nursing Service wants to emphasize her authority and wants to highlight the solid lines in the organizational chart, so all personnel would be guided on who reports to who.

QUESTIONS: A.

What do you think is the ideal organizational structure and pattern suited for Manzanares General Hospital? (support your answers) - Flat or Decentralized Structured because it give staffs to developed their own skills and have their own initiative to do things on their own. Functional organization shows that it gives staffs responsibilities to their own organization and finish their work on time without delays .

B. What type of staffing do you think is needed for recruitment & hiring of Nursing Personnel? - There are two types of staffing but in Manzanares General Hospital, Decentralize staffing are suitable because it allows the manager to do decision that know what are the do’s and don’t’s in their area. C.

What modality do you think is suited for this hospital?

- Functional nursing are suitable in Mnazanare General Hospital ince it I taskoriented it promotes time and learned things that they can master and function highly on their own are that can give highest level of care.

D.

Compute for the staffing of Manzanares Gen.

1.

CATEGORIZE PATIENT ACCDG. TO LEVEL OF CARE PATIENT TYPE OF HOPITAL X = TOTAL CLASSIFICATION LOC Minimal care 250 X 30% =75 Moderate care 250 X 45% = 113 Intensive care 250 X 15% = 38 Highly specialized nursing 250 X 10% = 25 care

2.

FIND THE NURSING CARE HOURS (NCH) NEEDED PATIENT BED CAPACITY X = TOTAL CLASSIFICATION NCH/PT./DAY Minimal care 75 X 1.5 = 113 Moderate care 113 X 3 = 339 Intensive care 38 X 4.5 = 171 Highly specialized nursing 25 X 6 = 150 care TOTAL: = 773

3.

FIND NCH PER YEAR TOTAL NCH/DAY X DAY/ YEAR= NCH PER YEAR - 773 X 365/1= 282,145 NCH/YEAR

4. FIND ACTUAL WORKING HOURS NEEDED BY EACH NURSING PERSONNEL / YEAR HRS/DAY X WORKING DAY / YEAR = WORKING HOURS/YEAR - 8 HOURS/ 1 DAY X 213 TOTAL WORKING DAYS/YEAR = 1,704 WORKING HOURS/YEAR 5.

FIND THE TOTAL NUMBER OF NURSING PERSONNEL NEEDED a.

TOTAL NCH/ YEAR ÷ WORKING HRS / YEAR = 00* RELIEVERS

- 282,145 NCH/YEAR / 1,704 HOURS/YEAR= 165.58 OR 166 RELIEVERS b.

*RELIEF x CONSTANT % = NSG PERSONNEL X 15% OR 10% = 00*

(CONSTANT: 15% FOR 40 HRS/WK & 10% FOR 48 HRS/WK) -166 X 15%= 24.9 NURSING PERSONNEL X 15% = 3.74 -166 X 10%= 16.6 NURSING PERSONNEL X 10% = 1.66

c.

RELIEVERS + NSG PERSONNEL= TOTAL NSG PERSONNEL NEEDED

00* + 00* = 00* TOTAL PERSONNEL NEEDED - 166 RELIEVERS + 25 NURSING PERSONNEL = 191 TOTAL NURSING PERSONNEL NEED 6.

DETERMINE PROFESSIONAL FROM NON-PROFESSIONAL PERSONNEL

*TOTAL PERSONNEL X PROF/NONPROF RATIO = TOTAL PROF OR NONPROF PERSONNEL - 191 TOTAL PERSONNEL X 65:35= 124:66 7.

DISTRIBUTE PER SHIFT

SHIFT AM (45%) PM (37%) NOC (18%) TOTAL:

PRO 56 46 22 124

NON PRO 30 24 12 66