1. Deeken, Debra Jean MSN, RN
  2. Wakefield, Douglas PhD
  3. Kite, Cora ADN, RN
  4. Linebaugh, Jeanette MSN, RN
  5. Mitchell, Blair MHA
  6. Parkinson, Deidre CPC
  7. Misra, Madhukar MD


Ensuring that the level of nurse staffing used to care for patients is appropriate to the setting and service intensity is essential for high-quality and cost-effective care. This article describes the development, validation, and implementation of the clinic technical skills permission list developed specifically to guide nurse staffing decisions in physician clinics of an academic medical center. Results and lessons learned in using this staffing guideline are presented.