Bill would require nurse-to-patient ratios in Michigan hospitals - page 2

The Michigan Nurses Association joined Democratic lawmakers Monday in their push to make Michigan the second state to mandate hospital staffing levels, but hospital officials expressed concern the... Read More

  1. Visit  Chisca} profile page
    5
    Quote from DrivenToDream
    I would love to see this, but it isn't likely to happen. There have been similar bills introduced in every legislature since 2004 and every single one of them bit the dust. The hospital industry in Michigan wields incredible power over our legislators.
    That's why it is important for the nurses in Michigan to use the publics approval of our profession to speak out on why this is a public health issue. Every nurse cast a wide shadow in the number of people they can influence just by voicing their opinion. But first you have to speak out. Slavery had powerful supporters and many were convinced it could never be ended.
    NRSKarenRN, tewdles, Sisyphus, and 2 others like this.
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  3. Visit  ♪♫ in my ♥} profile page
    3
    Quote from flexiseal
    I work in CA and MANY hospitals do NOT follow the state laws about ratios or breaks. More commonly they follow ratio laws but not breaks, especially in southern California. This is my experience after working in 12 hospitals in CA as a traveler.
    Well, if they don't follow the rule about breaks, report them. You get paid DT plus a penalty if they don't provide breaks and no nurse should accept an assignment to 'cover' beyond their ratio limit.

    Sounds like as much an issue with the nursing staff as it does with the hospital management.

    Judging by how many nurses are trying to get *TO* California, all of its warts notwithstanding, your opinion is in the minority.

    Mandated ratios and strong collective action by the nurses is vital. Obviously, if you're an at-will employee, making waves is hard.
    SoldierNurse22, herring_RN, and multi10 like this.
  4. Visit  wanderlust99} profile page
    0
    Quote from ♪♫ in my ♥
    Well, if they don't follow the rule about breaks, report them. You get paid DT plus a penalty if they don't provide breaks and no nurse should accept an assignment to 'cover' beyond their ratio limit.

    Sounds like as much an issue with the nursing staff as it does with the hospital management.

    Judging by how many nurses are trying to get *TO* California, all of its warts notwithstanding, your opinion is in the minority.

    Mandated ratios and strong collective action by the nurses is vital. Obviously, if you're an at-will employee, making waves is hard.
    There is one hospital in particular I would like to report. Do you think writing a letter to state would do anything? This is a non union hospital. And I am a traveler, my contract is now complete.

    I worked in the majority of the units in the hospital, so it was really hospital wide where breaks weren't provided. Some things in particular, in the ICU you were required to break your neighbor, giving you 4 patients. On the floors you took your lunch when you could, and had to carry your phone with you. The charge nurse would usually have patients. You could give your phone to her, depending on who it was, but she would then be responsible for 8 patients. Morning breaks were not provided.
  5. Visit  ♪♫ in my ♥} profile page
    2
    For issues of ratio violations, contact the Dept of Public Health.

    For issues of lunch/break violations, contact the Dept of Labor... and they can't make you accessible during lunch or it doesn't count. That is unpaid time and it's yours free and clear of anything else.

    We do lunch when we can but there is always somebody taking the assignment or else we skip lunch and get paid the time plus the penalty.
    NRSKarenRN and wanderlust99 like this.
  6. Visit  herring_RN} profile page
    1
    You can call or write the district office where the hospital is located.

    District Offices

    The ratio page -- Nurse-to-Patient Ratio




    wanderlust99 likes this.
  7. Visit  ilmbg} profile page
    3
    Wow! I used to work in Michigan. Sometimes 10 postpartum patients! Of course that meant teaching breast feeding moms, changing diapers, etc. the vitals were taken by nursery staff, but then the babies came out to us.
    Go Blue!
  8. Visit  forrester} profile page
    3
    Not to mention the impact on nurse retention and getting nurses who simply refuse to work in these conditions backinto the work force.
    SInce it costs the hospitals around $50,000 to replace an RN, it makes sense that these costs would go down.
    Once, in a discussion with a CEO about the need for sane staffing on my 3 telemetry floors, I brought up the issue of improved patient safety. His response to me was, "That's why we pay insurance."
    What a callous prig. Interesting how when they or one of THEIR loved ones comes in, it's private rooms and private duty nursing. Evidently what's good enough for the goose is not good enough for the golden calf.
    Anne36, redhead_NURSE98!, and Sugarcoma like this.
  9. Visit  forrester} profile page
    2
    If you go to My Florida News website, follow the link to Florida Roundtable, and then scroll thru the podcasts on the Florida Roundtable, you can hear Dr. John Silver (RN) talk about these issues. He is the author of "just a union...of nurses". Boring intro but good discussions. We need more nurses speaking up!
    NRSKarenRN and herring_RN like this.
  10. Visit  ilmbg} profile page
    0
    I worked St Joe's on Woodward in the middle 80's. Post partum....would routinely have 10 mothers-some first day c-sections. Even though the nursery did vitals/assessment, we still spent time teaching/nursing, which in essence gave us twenty patients.
    Don't get me wrong--PP is easily the easiest job ever. But twenty pts is ridiculous! Maybe someone is tired of lawsuits!


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