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  1. Kieltyka,, Carrie A. MS
  2. Robertson,, Sandra MS, RN
  3. Behner,, Kathleen G. MBA


A flexible staffing model for the patient service associate (PSA), a type of multiskilled worker, was developed at an academic medical center. The model uses the patient census, admissions, and discharges on a patient care unit to determine how many PSAs are needed during a 24-hour period. The authors discuss the staffing model's effects on labor costs and the quality of PSA work.