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Aluate staffing effectiveness. THIS VHA DIRECTIVE EXPIRES JULY 31, 2015 VHA DIRECTIVE 2010-034 July 19, 2010 d. Staffing decisions require evidence-based professional judgment, critical thinking, and flexibility. Staffing needs are individualized to specific clinical settings and cannot rely solely on ranges and fixed staffing models, staff-to-patient ratios, or prescribed patient formulas. The staffing methodology described in this Directive requires the systematic collection of a minimum s.

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