Attachment 13 IHSC Medical Minimum Staffing Levels.pdf

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Emergency Detention and Related Services Strategic Sourcing Vehicle
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70CDCR25R00000005
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This document is a staffing requirements matrix for Immigration and Health Service Corps (IHSC) medical facilities, detailing minimum staffing levels based on facility bed capacity from 250 to 3,250 beds. The spreadsheet provides staffing ratios and required personnel numbers for various medical positions including Health Services Administrator, Administrative Assistant, Physician, Midlevel Provider, Mental Health Provider, Dentist, Dental Assistant, Pharmacist, Pharmacy Technician, Medical Records Technician, Radiology Technician, and Nurses. The matrix follows National Detention Standards and includes a relief factor, with a note that the calculations are based solely on available bed space and do not account for gender, security levels, medical/mental health complexities, medical housing, or rapid throughput. The staffing requirements incrementally increase as facility bed capacity grows, with a minimum of one administrator per facility regardless of size and specific ratios for each medical role.

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1/31/2017 IHSC Minimum Staffing Requirements by Facility Size*1 per National Detention Standards

*Minimum staffing includes relief factors

Position Ratio Facility Beds 250 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 3250

HSA/AHSA N/A 1 1 1 1 1 1 1 1 1 1 1 1 1

AA 1:750-1500 0 0 1 1 1 1 2 2 2 2 2 2 3

MD 1:1500 0.25 0.5 0.5 0.75 0.75 1 1 1.5 1.5 1.75 1.75 2 2

MLP 1:500 1 1 2 2 2 3 3 3 4 4 4 5 5

MHP 1:750 0.75 1 1 2 2 2.5 2.5 3 3 3.5 3.5 4 4

DDS 1:1500 0 0 0 0 0 1 1 1 1 1 1 2 2

DT 1:1500 0 0 0 0 0 1 1 1 1 1 1 2 2

Psychiatrist 1:1500 0.25 0.5 0.5 0.75 0.75 1 1 1.5 1.5 1.75 1.75 2 2

RDH 1:1750 0 0 0 0 0 0 1 1 1 1 1 1 1

Pharm*2 1:1500 1 1 1 1 1 1 2 2 2 2 2 2 3 Pharm Tech 1:1500 1 1 1 1 1 1 2 2 2 2 2 2 3

MRT 1:750 1 1 1 2 2 2 3 3 3 4 4 4 5

RT*3 1:750-2000 0.5 0.5 1 1 1 1 1 1 2 2 2 2 2

Nurse *4 4 6 8 10 12 14 16 18 20 22 24 26 28

10.75 13.50 18.00 22.50 24.50 30.50 37.50 41.00 45.00 49.00 51.00 57.00 63.00

HSA/AHSA -Health Services Administrator/ Assistant Health Services Administrator (Minimum of 1 administrator/facility regardless of facility size) AA - Administrative Assistant MD -Physician MLP - Midlevel Provider (Physicians Assistant, Nurse Practitioner) MHP- Mental Health Provider (Psychologist, Licensed Clinical Social Worker) DDS -Dentist DT -Dental Assistant RDH -Registered Dental Hygienist Pharm-Pharmacist *2 For locations that have pharmacist on site and are not using Diamond Pharmacuticals or Scriptcare Pharm Tech - Pharmacy Technician MRT - Medical Records Technician RT- Radiology Technician *3 For locations that have in house radiology to perform TB clearance Nurse - Registered Nurse , Licensed Vocational Nurse, Licensed Practical Nurse *4 Minimum of 4 nurses, then increasing at a ratio of 1:125

Number of staff required by position

The available bed space is the only element used for this spreadsheet. It does not factor in: gender, security levels, medical/ mental health complexities, medical housing or rapid throughput.

Total Staff

Sheet1

File details come from the government source that posted it. Updated .