Standard Operating Procedure for Ensuring Adequate Staffing in Clinical Units during BA/BE Studies
Department | BA-BE Studies |
---|---|
SOP No. | SOP/BA-BE/138/2025 |
Supersedes | SOP/BA-BE/138/2022 |
Page No. | Page 1 of 10 |
Issue Date | 17/04/2025 |
Effective Date | 20/04/2025 |
Review Date | 17/04/2026 |
1. Purpose
To define the procedure for determining, assigning, and verifying adequate staffing levels at clinical units involved in the conduct of BA/BE studies to ensure subject safety, compliance with protocol requirements, and uninterrupted trial operations.
2. Scope
This SOP applies to all staff planning, resourcing, and operations activities at the clinical site, including project managers, medical officers, nurses, pharmacists,
phlebotomists, and support staff during the execution of BA/BE studies.
3. Responsibilities
- Project Manager: Coordinates overall staff planning and ensures alignment with study timelines.
- Clinical Operations Lead: Reviews staffing rosters and deployment plans.
- Human Resource (HR) Department: Provides qualified personnel as per resource request.
- QA Officer: Audits staffing logs and verifies role-based training and GCP compliance.
4. Accountability
The Head of Clinical Operations is accountable for ensuring that the clinical unit is staffed adequately in accordance with ICH-GCP, protocol specifications, and regulatory expectations.
5. Procedure
5.1 Staffing Needs Assessment
- Upon receipt of the approved study protocol and clinical calendar, the Project Manager shall initiate staffing assessment using Annexure-1: Staffing Requirement Worksheet.
- Consider the following:
- Study design (e.g., crossover/fed/fasted)
- Number of subjects per group and period
- Sampling points and critical time intervals
- Dosing days and washout periods
- Weekday vs. weekend workload
- Calculate required Full-Time Equivalents (FTEs) per role (nurse, phlebotomist, physician, etc.).
5.2 Preparation of Staff Roster
- Clinical Operations Lead shall develop the Staff Duty Roster using Annexure-2.
- Rosters must ensure:
- Minimum of 1 physician per 20 subjects on dosing day
- 1 nurse per 10 subjects for pre- and post-dose monitoring
- 1 phlebotomist per 8–10 subjects for intensive sampling windows
- Include shift timings, names, responsibilities, and standby personnel.
5.3 Staff Qualification and Training Verification
- Only personnel trained in GCP, protocol procedures, and their assigned responsibilities shall be deployed.
- Maintain training records in Annexure-3: Study Staff Qualification Log.
- Cross-train team members for overlapping roles (e.g., phlebotomy + nursing support) for flexibility.
5.4 Contingency Planning
- Prepare Annexure-4: Staff Backup Roster in case of sudden absenteeism.
- Ensure availability of on-call physicians and nurses, especially for overnight stays and emergencies.
- Maintain standby staff pool for peak activities like dosing, ECGs, or PK sampling.
5.5 Daily Briefing and Attendance
- Conduct pre-activity briefing at least 1 hour before each dosing or sampling session.
- Use Annexure-5: Staff Attendance Register to document presence and duty start times.
- Communicate role assignments, safety instructions, and contact protocols during briefing.
5.6 Staff Performance Monitoring
- Designate team leads to supervise each function (medical, sample handling, data recording).
- Document any deviations from assigned responsibilities or delays in Annexure-6: Staff Performance Log.
- Report repeated issues to HR and QA for retraining or reassignment decisions.
5.7 Post-Study Staff Debrief and Feedback
- Conduct a post-study review meeting to discuss staff performance, workload challenges, and process gaps.
- Record feedback using Annexure-7: Staff Feedback Form and archive with the trial master file.
6. Abbreviations
- BA/BE: Bioavailability / Bioequivalence
- FTE: Full-Time Equivalent
- GCP: Good Clinical Practice
- QA: Quality Assurance
- HR: Human Resources
7. Documents
- Staffing Requirement Worksheet – Annexure-1
- Staff Duty Roster – Annexure-2
- Study Staff Qualification Log – Annexure-3
- Staff Backup Roster – Annexure-4
- Staff Attendance Register – Annexure-5
- Staff Performance Log – Annexure-6
- Staff Feedback Form – Annexure-7
8. References
- ICH E6(R2) – Good Clinical Practice
- Schedule Y – Drugs and Cosmetics Rules, India
- WHO Handbook for Good Clinical Research Practice
9. SOP Version
Version: 2.0
10. Approval Section
Prepared By | Checked By | Approved By | |
---|---|---|---|
Signature | |||
Date | |||
Name | |||
Designation | |||
Department |
11. Annexures
Annexure-1: Staffing Requirement Worksheet
Role | FTE Needed | Based On |
---|---|---|
Phlebotomist | 4 | 40 subjects × 10 time points |
Annexure-2: Staff Duty Roster
Name | Role | Shift | Contact |
---|---|---|---|
Rajesh Kumar | Nurse | 06:00–14:00 | Ext. 101 |
Annexure-3: Study Staff Qualification Log
Name | Role | GCP Trained | Protocol Trained |
---|---|---|---|
Sunita Reddy | Pharmacist | Yes | Yes |
Annexure-4: Staff Backup Roster
Role | Primary Staff | Backup Staff |
---|---|---|
Medical Officer | Dr. Ajay Sharma | Dr. Neha K. |
Annexure-5: Staff Attendance Register
Date | Name | Role | In-Time | Out-Time | Remarks |
---|---|---|---|---|---|
17/04/2025 | Ravi Mishra | Phlebotomist | 05:55 | 14:10 | On Duty |
Annexure-6: Staff Performance Log
Date | Staff Name | Issue Observed | Action Taken |
---|---|---|---|
16/04/2025 | Priya Sinha | Late arrival | Verbal warning |
Annexure-7: Staff Feedback Form
Name | Role | Feedback | Suggestions |
---|---|---|---|
Akshay Patel | Nurse | Sampling was well managed | Need more breaks during long shifts |
Revision History:
Revision Date | Revision No. | Details | Reason | Approved By |
---|---|---|---|---|
01/01/2022 | 1.0 | Initial SOP release | Site Preparedness SOPs | QA Head |
17/04/2025 | 2.0 | Expanded staffing ratios, annexures, and performance tracking | Audit feedback and operational revision | QA Head |