This article describes the development of a patient classification system for pediatric orthopaedic patients within the Shriners Hospitals for Crippled Children. The directors of nursing of 19 hospitals developed this system based upon each patient's individual requirements for nursing care.A computerized system is described, along with a cost-effective method for developing time standards. The classification form is presented along with a graphical way to effectively manage a unit with the recommended staffing. The system is currently in daily operation, ensuring efficient quality nursing care for the patients.