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In addition to salary, managers need to determine the number of staff necessary to accomplish the various tasks performed in the department and the workload for each staff member. If additional care units are added, or the workload increases by 20%, due to a sharp increase in outpatient services, a staffing reevaluation becomes necessary and additional staff may be needed. Also, it may be imperative to reduce staff hours or lay-off staff, should the alternative occur: Determine the annual salary of a full-time employee earning $18 an hour $