State-Mandated Nurse Staffing Levels Alleviate Workloads, Leading to Lower Patient Mo
- 6Oct 6, '12 by herring_RN GuideAs mandated by State law, the California Department of Health Services requires acute care hospitals to maintain minimum nurse-to-patient staffing ratios. Required ratios vary by unit, ranging from 1:1 in operating rooms to 1:6 on psychiatric units.
The legislation also requires that hospitals maintain a patient acuity classification system to guide additional staffing when necessary, assign certain nursing functions only to licensed registered nurses, determine the competency of and provide appropriate orientation to nurses before assigning them to patient care, and keep records of staffing levels.
To assist with compliance, the legislation made grants available to hospitals and provided funding to college and university nursing programs to increase the pipeline of new nurses.
The legislation has increased nurse staffing levels and created more reasonable workloads for nurses in California hospitals, leading to fewer patient deaths and higher levels of job satisfaction than in other states without mandated staffing ratios. Despite initial concerns from opponents, the skill mix of nurses used by California hospitals has not declined since implementation of the mandated ratios. ...
- 8Oct 7, '12 by TheCommuter, ASN, RN Senior ModeratorTo assist with compliance, the legislation made grants available to hospitals and provided funding to college and university nursing programs to increase the pipeline of new nurses.
Central Valley Business Times
- 7Oct 7, '12 by Esme12, BSN, RN Senior Moderator
- 3Oct 7, '12 by mmc51264there is in eastern NC. There are tons of jobs here. Esp. experienced and, believe it or not, a high demand for LPNs. My class of 31, that graduated in May, from an ADN program, almost all had jobs before they graduated. those that didn't were either going straight on to more school or had other things (marriages, babies, etc)
There are probably 100+ jobs that are within an hour's drive from where I live to apply for. Some are specialty, but most genereal nursing. Oh and they are opening 2 new hospitals AND a mental health facility.
- 7Oct 7, '12 by imintroubleI wish there were mandated ratios where I work. I honestly never know how many pts I'm going to be responsible for when I walk onto the unit.
They staff reasonably, but if somebody calls off, or is pulled to a different unit, we are just expected to adjust.
I've started doing something I've never done as a nurse. When a pt asks me to assist with the bedpan or to the BR, I simply put on the light and tell the pt, the CNA will be with you. The CNA ratio is even worse than the nurses', and I feel awful not helping them. But the only way the ratio will improve is if the PATIENT feels the pinch too. When the pt complains, management listens. Not so much with us.
- 14Oct 7, '12 by chucksterIt's well-known that California is a socialist haven.
Give me a place like PA where hospitals and nursing homes are free to assign as many patients as they want to nurses. Poor patient outcome is a small price to pay for freedom for health care corportations, who, in the words of one candidate for president, are people too.
- 7Oct 7, '12 by gummi bearIf this were implemented in every state, then would this have an effect on the unemployment rate for nurses? I know that some hospitals have hiring freezes, but they are definitely understaffed. They'd rather have dangerous ratios and "save money", than to provide adequate care.