It is a crying shame that in the Philippines patients don't get the nursing care they need. This country that sends so many wonderful nurses to care for patients all around the world. Know that many of us in California are in the planning stages on trying to improve those horrible conditions.
Originally Posted by suzanne4 Your orientation should be about three months, especially as a nurse trained overseas. Our system is quite different from yours.
I think Suzanne4 is right.
AND when working on the unit you should not be assigned patients. You AND your preceprot should be assigned patients together. Your preceptor will be responsible for the nursing care. As you learn you should assume more responsibility.
Your preceptor must always be present and available. That means NOT also assigned to patients.
The ratio law limits the maximum number of patients that may be assigned. It is different for each unit from 1:1 for acute trauma in the ER to 1:5 in medical-surgical units.
Title 22 licenses hospitals. §70217. Nursing Service Staff states, "No hospital shall assign a licensed nurse to a nursing unit or clinical area unless that hospital determines that the licensed nurse has demonstrated current competence in providing care in that area, and has also received orientation to that hospital's clinical area sufficient to provide competent care to patients in that area. The policies and procedures of the hospital shall contain the hospital's criteria for making this determination.
To read the most important sections go to:
http://ccr.oal.ca.gov/Templates/CCR/Sectem.htm
Type Title 22 in the TITLE box, 70217 in the SECTIOB box, leave Search Terms blank.
Do the same for Section 70215, the nursing process. This is why with few to no exceptions the ratios should be RN only with LVNs and CNA/NAs part of the team used for the MANDATORY staffing up according to the acuity system.
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