Nurse - Patient Ratios and outcomes - page 2

I am presently doing research for a paper I am writing as a student at the University of Buffalo. Any ancedotal information that anyone is willing to share concerning the affect of nursing shortages... Read More

  1. by   Gigi Dues
    So disheartening to read the numerous responses. I thought that situations like that were only happening in my city! I was ready to start looking for another job, but it looks like I should stay put!
    I'm in a phase 1 PACU at a 300 bed hospital. We are down to only 4 RN's first shift. Closing of SICU beds happens frequently due to lack of critical care nurses. The ICU 'holds' stay in PACU sometimes over 24 hrs. It is an awful situation for staff, patient, & family. Trying to find coverage for ourselves is very difficult, but we try to avoid working 18 or more hours in a row.
    Has anyone been in this situation & found resolution? Please let me know. You can e-mail me at gdues@aol.com Thanks!
  2. by   canoehead
    The problem is that if we are short staffed no one has the heart to eliminate care to patients, we just work harder and faster and skip breaks. Administration gets the job done for less money, of course they keep taking away staff to see how little they can get away with.

    Next time you are down a nurse and don't get a replacement just take care of the patients, but when it's time to go home don't stay late to do the charting. The insurance won't reimburse without paperwork, and your board won't take away your license for refusing to stay over your scheduled shift. They will take it though if you screw up during a shift from hell.

    Give the hospital financial penalties when they try to save money by short staffing, and you take away the reason to short staff.
  3. by   Charles S. Smith, RN, MS
    Originally posted by JETomasini:
    I am presently doing research for a paper I am writing as a student at the University of Buffalo. Any ancedotal information that anyone is willing to share concerning the affect of nursing shortages and patient outcomes would be greatly appreciated. I am specifically interested in nosocomial infections, dermal ulcers, injuries, medication errors as well as any changes in the injury rate to the staff as well. Thanks
    Linda Aiken has published widely on the issue of patient outcomes and nurse staffing. You might also try Barbara Mark's work. She has a funded study nearing stages of completion specifically addressing your interests.

    regards
    chas
  4. by   SUBQ
    GREAT TOPIC:

    Yes, nursing shortages greatly impact patient outcome.

    Here is a few of the things that can and do happen as a result of nurses working short--staffed:

    Medication Errors

    Assessment Errors

    Transcription Errors

    Documentation Errors

    Procedure Errors

    Now, ad all of this up and you'll get the picture on how this can potentionally effect patient outcome.

    The problem w/ this system is universal:

    $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

    THE ALMIGHTY DOLLAR!!!!!!!!!!!!!!

    In a effort to make more $$$, the business managers of the hospitals try to cut cost any way that they can.

    And guess who is hit 1st w/ the cut-backs?

    Yep, nursing!

    These people do not understand nor comprehend the pressure that they put on nurses and their license as well as the compromise in patient care and safety.

    I just quit my job d/t an unsafe patient load. I stopped by the business office to turn in my name badge and the person that I spoke w/ basically said: "so, you're gonna leave just like that?" No 2 weeks notice or anything. I said yes. I don't have 2 weeks to compromise patient safety. I'm not gonna risk my license, nor compromise my patients safety. Therefore, I QUIT!
  5. by   pickledpepperRN
    Try looking for the Institute of Medicine site utilizing a search engine. Go the the report "To Err is Human"
    or try www.nap.edu/html/to_err_is_human
    or www.4.nationalacadamies.org

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