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Nursing staffs to acuity.
Security still staffs to square footage.

GuardisOne sets security staffing from what happens inside your hospital, by post and by shift, using data you already keep.

Get your baselineTry it on a hospital ↓

Same building.
Two answers.

1. Pick a hospital size

2. How much happens inside?

Square footage says–
Acuity says–

Non-posted officers (FTE), same building

 

Square footage can’t see a behavioral health unit, an overnight ED or a year of assaults. Acuity can.

What you get

What drives the number

  • Behavioral security responses180
  • Recordable workplace violence22
  • Emergency encounters84k
  • Public entrances9
  • Trauma levelI

Each assessment names its drivers.

Every shift

14Posted
9Non-posted
1Supervisor
23On shift

Sample 420-bed hospital: 94 FTE in all.

It keeps up

  • MarHire 2
  • MayHold
  • AugHire 1
  • OctReduce 1

Add new data and the plan updates, with the reason.

The written report

  • Joint Commission worksite analysis§2–4
  • California §1257.7 plan§3–4
  • OSHA recordable violence✓
  • Board and CFO request§1

Ready for the survey and the budget meeting.

Hospital security in the news

12 stories, November 2024 to May 2026

  1. NBC ConnecticutNovember 2024Armed guards coming to some healthcare facilities after workers report dangers
  2. ABC13January 2025Nurse suffers broken leg after patient allegedly attacked her in NC emergency room
  3. OR ManagerApril 2025Health systems boost security spending as workplace violence escalates
  4. AxiosJune 2025Workplace violence costs hospitals more than $18B: report
  5. Spectrum News 1June 2025Ohio nurses push for safer workplaces
  6. 6abc PhiladelphiaJuly 2025Temple Hospital nurses, staffers demand more security measures
  7. J. J. KellerSeptember 2025OSHA sidelines its health care workplace violence proposed rule
  8. ABC11October 2025‘The stress is still there’: Workplace violence top of mind for nurses in the Triangle
  9. Campus SafetyDecember 2025Fatal stabbing at San Francisco General followed years of calls for increased security
  10. Mission LocalDecember 2025As violence rose, S.F. health workers say safety proposals were ignored
  11. Missouri IndependentFebruary 2026Missouri nurses are done normalizing violence
  12. Spectrum NewsMay 2026Rising violence against healthcare workers is changing New York hospitals and contributing to staffing crisis

5×

as likely as other workers to be hurt by violence on the job. That’s healthcare.

U.S. Bureau of Labor Statistics

Regulators want the work shown

  1. In forceCalifornia §1257.7Annual assessment and a security plan that covers staffing.
  2. Jan 2022The Joint CommissionAnnual workplace-violence worksite analysis.
  3. 2025Oregon SB 537A healthcare workplace-violence rule.
  4. Dec 2026Cal/OSHA, SB 553A workplace-violence standard for California.

$61,110

to replace one bedside nurse. Workplace violence is one of the reasons they leave.

NSI 2025 Retention Report

Find out what your hospital actually needs.

Fixed fee per facility. Delivered in 30 days. No software, no patient data.

Get your baselineTalk to us
Acuity-based staffingGet your baseline

Nursing staffs to acuity.
Security still staffs to square footage.

GuardisOne sets security staffing from what actually happens in your hospital: assaults, behavioral health calls, emergency volume, trauma level. You get a headcount by post and by shift, and a report that shows how it was reached.

Done remotely in 30 days. No software, no patient data.

Get your baselineHow it works
Staffing modelSame building, two ways
Square-footage answer–non-posted officers (FTE)
Acuity answer–non-posted officers (FTE)

Calculating…

Trauma levelLevel II

An illustrative estimate from a few typical figures. A full assessment uses your own data and your current posts.

  • The Joint Commission
  • OSHA 29 CFR 1904
  • Cal/OSHA
  • CMS
  • IAHSS

Inputs defined to the standards your hospital already reports against.

Two hospitals the same size can have very different nights. Square footage can’t see a behavioral health unit, an overnight emergency department or a year of assaults. Acuity can.

FIG 0.1

Staffed to acuity

The number follows what happens inside the building: violence, behavioral health calls, emergency volume.

FIG 0.2

Updated as you go

New figures in, a revised plan out, with the reason for each change.

FIG 0.3

Easy to check

Each officer traces back to a figure a surveyor can look up.

Every officer, traced to a cause.

The assessment names what drives the number at your hospital, so the headcount explains itself in a budget meeting or a survey.
How it works

What drives coverageSample 420-bed hospital
DriverFigureEffect
Behavioral security responses180Raises coverage
OSHA-recordable workplace violence22Raises coverage
Emergency department encounters84,000Raises coverage
Public entrances9Raises coverage
Trauma designationLevel IRaises coverage
Violence and threatsWorkplace violence, behavioral responses, threats, lockdowns
Patient acuityEmergency volume, behavioral health, trauma level, births
Volume and campusPatient days, visitors, entrances, secured units

From headcount to the shift.

Your fixed posts, plus the non-posted officers your acuity calls for to patrol, respond and escort, laid out shift by shift with supervision.

Staffing planSample 420-bed hospital
Recommended staffing
94FTE
Posted officers59
Non-posted officers35
Beds per non-posted FTE12
Every shift
14Posted
9Non-posted
1Supervisor
23Officers on shift
Square-footage answer, non-posted33
Acuity answer, non-posted35

A baseline that keeps up.

Add new figures and the recommendation updates: hire, hold or reduce, with the reason written beside it.

Non-posted FTE, last 12 monthsIllustrative year, acuity answer moves 31 to 38
Mar: hire 2Behavioral responses up 38% on the year.
May: holdVolume steady. No change recommended.
Aug: hire 1Recordable workplace violence rose sharply.
Oct: reduce 1ED encounters fell after an urgent care opened nearby.

Ready for the survey and the budget meeting.

Each assessment comes with a written report that shows the math, mapped to the requirements you already answer to.

Security staffing assessmentReport excerpt

Executive summary

Riverside Regional Medical Center

Riverside Regional carries a medium overall risk, driven by behavioral security responses and recordable workplace violence. Square footage alone would set non-posted staffing at 33 FTE. Its acuity calls for 35, on top of 59 FTE for its posted officers.

Joint Commission annual worksite analysis
Sections 2 to 4
California security assessment and plan, §1257.7
Sections 3 and 4
OSHA 29 CFR 1904 recordable violence
Input 03
Board and CFO staffing request
Section 1

Hospital security in the news

12 stories, November 2024 to May 2026

  1. NBC ConnecticutNovember 2024Armed guards coming to some healthcare facilities after workers report dangers
  2. ABC13January 2025Nurse suffers broken leg after patient allegedly attacked her in NC emergency room
  3. OR ManagerApril 2025Health systems boost security spending as workplace violence escalates
  4. AxiosJune 2025Workplace violence costs hospitals more than $18B: report
  5. Spectrum News 1June 2025Ohio nurses push for safer workplaces
  6. 6abc PhiladelphiaJuly 2025Temple Hospital nurses, staffers demand more security measures
  7. J. J. KellerSeptember 2025OSHA sidelines its health care workplace violence proposed rule
  8. ABC11October 2025‘The stress is still there’: Workplace violence top of mind for nurses in the Triangle
  9. Campus SafetyDecember 2025Fatal stabbing at San Francisco General followed years of calls for increased security
  10. Mission LocalDecember 2025As violence rose, S.F. health workers say safety proposals were ignored
  11. Missouri IndependentFebruary 2026Missouri nurses are done normalizing violence
  12. Spectrum NewsMay 2026Rising violence against healthcare workers is changing New York hospitals and contributing to staffing crisis

Healthcare workers are five times as likely as other workers to be hurt by violence on the job. Square-footage staffing doesn’t account for that.

U.S. Bureau of Labor Statistics

Security staffing is being asked to show its work.

Accreditors and state regulators are moving workplace-violence programs toward documented, evidence-based decisions. Staffing is where that lands.

In force

California H&S Code §1257.7

Annual security assessment, and a security plan built from it that covers staffing.

Source

January 2022

The Joint Commission

Annual workplace-violence worksite analysis, incident tracking and leadership oversight.

Source

2025

Oregon SB 537

A healthcare workplace-violence rule moves through Oregon OSHA.

Source

By December 2026

Cal/OSHA, SB 553

A workplace-violence prevention standard must be adopted for California employers.

Source
73%

of nonfatal workplace-violence injuries in the US happen to healthcare workers.

U.S. Bureau of Labor Statistics
$61,110

to replace one bedside RN. Workplace violence is one of the reasons nurses leave.

NSI 2025 Retention Report

Find out what your hospital actually needs.

One fixed fee per facility. Your baseline in 30 days, from data you already keep.

Get your baselineTalk to us