What do you think a CEO or AHA think about pending legislation? - page 3

Is this a possible CEO or AHA perspective on pending legislation? The nurse recruitment legislation and the legislation to abolish mandatory OT are dream come through for the American Hospital... Read More

  1. by   wildtime88
    Nurse Reinvestment Act (Introduced in the Senate)
    S 1597 IS
    107th CONGRESS
    1st Session
    S. 1597
    To amend the Public Health Service Act to establish programs to alleviate the nursing profession shortage, and for other purposes.
    IN THE SENATE OF THE UNITED STATES
    October 31, 2001
    Mr. KERRY (for himself, Mr. JEFFORDS, Mr. DASCHLE, Mrs. HUTCHISON, Mr. KENNEDY, Mr. HARKIN, Mr. REED, Mrs. MURRAY, Mr. WELLSTONE, Mrs. CLINTON, and Ms. MIKULSKI) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions

    A BILL
    To amend the Public Health Service Act to establish programs to alleviate the nursing profession shortage, and for other purposes.
    Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
    SECTION 1. SHORT TITLE.
    This Act may be cited as the `Nurse Reinvestment Act'.
    SEC. 2. AMENDMENT TO THE PUBLIC HEALTH SERVICE ACT.
    Title VIII of the Public Health Service Act (42 U.S.C. 296 et seq.) is amended--
    (1) in section 846(a)(3), by inserting `in a nursing home, in a hospice, in a home health agency,' after `in a public hospital,'; and
    (2) by adding at the end the following:
    `PART H--INITIATIVES TO COMBAT NURSING SHORTAGES
    `SEC. 851. PUBLIC SERVICE ANNOUNCEMENTS.
    `(a) IN GENERAL- The Secretary shall develop and issue public service announcements that shall advertise and promote the nursing profession, highlight the advantages and rewards of nursing, and encourage individuals from diverse communities and backgrounds to enter the nursing profession.
    `(b) METHOD- The public service announcements described in subsection (a) shall be broadcast in appropriate languages via appropriate media outlets, including on television or radio, in a manner intended to reach as wide and diverse an audience as possible.
    `SEC. 852. STATE AND LOCAL PUBLIC SERVICE ANNOUNCEMENTS.
    `(a) IN GENERAL- The Secretary shall award grants to eligible entities to support State and local advertising campaigns via appropriate media outlets to promote the nursing profession, highlight the advantages and rewards of nursing, and encourage individuals from disadvantaged communities and backgrounds to enter the nursing profession.
    `(b) DEFINITIONS- In this section:
    `(1) ELIGIBLE ENTITY- The term `eligible entity' means a professional State nursing association, State health care provider association, accredited school of nursing, and any other entity that provides similar services or serves a like function.
    `(2) STATE HEALTH CARE PROVIDER ASSOCIATION- The term `State health care provider association' means a professional association of hospitals, nursing homes, home health care agencies, hospices, consortia of said associations, or other such entities deemed eligible by the Secretary.
    `(c) USE OF FUNDS- An eligible entity that receives a grant under subsection (a) shall use funds received through such grant to buy local television and radio time, place advertisements in local newspapers, post information on billboards or on the Internet, or utilize other appropriate media outlets in order to--
    `(1) advertise and promote the nursing profession;
    `(2) promote nursing education programs;
    `(3) inform the public of public assistance regarding such education programs;
    `(4) highlight individuals in the community that are presently practicing nursing in order to recruit new nurses; or
    `(5) provide any other information to recruit individuals to enroll in nursing programs.
    `(d) METHOD- The campaigns described in subsection (a) shall be broadcast in appropriate languages on television or radio, or placed in newspapers as advertisements, posted on billboards or the Internet, or publicized via other appropriate media outlets in a manner intended to reach as wide and diverse an audience as possible.
    `(e) APPLICATION- An eligible entity desiring a grant under subsection (a) shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may reasonably require.
    `SEC. 853. NURSE RECRUITMENT GRANT PROGRAM.
    `(a) PROGRAM AUTHORIZED- The Secretary shall award grants to eligible entities to increase nursing education opportunities.
    `(b) USE OF FUNDS- An eligible entity that receives a grant under subsection (a) shall use funds received from such grant to--
    `(1) support outreach programs at primary, junior, and secondary schools that inform guidance counselors and students of education opportunities regarding nursing;
    `(2) carry out special projects to increase nursing education opportunities for individuals who are from disadvantaged backgrounds (including economically disadvantaged backgrounds and racial and ethnic minorities underrepresented among registered nurses) by providing student scholarships or stipends, pre-entry preparation, or retention activities;
    `(3) provide assistance to diploma, associate degree, and collegiate schools of nursing to support remedial education programs for nursing students who require assistance with math, science, English, and medical terminology; or
    `(4) meet the costs of child care and transportation for individuals who are taking part in a nursing education program at any level.
    `(c) APPLICATION- An eligible entity desiring a grant under subsection (a) shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may reasonably require.
    `SEC. 854. AUTHORIZATION OF APPROPRIATIONS.
    `There is authorized to be appropriated to carry out this part, $20,000,000 for each of the fiscal years 2002 through 2004.
    `PART I--INITIATIVES TO STRENGTHEN THE NURSING WORKFORCE
    `SEC. 861. CAREER LADDER GRANT PROGRAM.
    `(a) PROGRAM AUTHORIZED- The Secretary shall award grants to eligible entities to assist individuals in obtaining education required to enter the nursing profession and advance within such profession.
    `(b) ELIGIBLE ENTITY- The term `eligible entity' means a diploma, associate degree, or collegiate school of nursing.
    `(c) USE OF FUNDS- An eligible entity that receives a grant under subsection (a) shall use funds under such grant to establish student scholarships or stipends for nurse professionals, licensed practical nurses, certified nurse assistants, and home health aides who enroll in entry level nursing programs, advanced practice nursing degree programs, RN/Master's nursing degree programs, doctoral nursing programs, public health nursing programs, nurse educator programs, nurse administrator programs, and training programs focused on specific technology use or disease management.
    `(d) APPLICATION- An eligible entity desiring a grant under subsection (a) shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may reasonably require.
    `SEC. 862. GRANTS FOR CURRICULUM DEVELOPMENT.
    `(a) PROGRAM AUTHORIZED- The Secretary shall award grants to eligible entities to develop and incorporate gerontology curriculum and competencies.
    `(b) ELIGIBLE ENTITY- The term `eligible entity' means a diploma, associate degree, or collegiate school of nursing.
    `(c) USE OF FUNDS- An eligible entity that receives a grant under subsection (a) shall use funds under such grant to develop stand alone courses in geriatric nursing to support concentrations, minors, and majors in the discipline, to hire faculty who are certified in geriatric nursing, to train nursing faculty members in gerontology, to provide continuing education in gerontology for practicing nurses at diploma, associate degree, and baccalaureate schools of nursing.
    `(d) APPLICATION- An eligible entity desiring a grant under subsection (a) shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may reasonably require.
    `SEC. 863. GRANTS FOR PARTNERSHIPS.
    `(a) IN GENERAL- The Secretary shall award grants to eligible entities to enable such entities to form partnerships to carry out the activities described in subsection (d).
    `(b) ELIGIBLE ENTITY- The term `eligible entity' means an accredited school of nursing and a health care facility that forms a partnership to provide the services described in this section.
    `(c) HEALTH CARE FACILITY- The term `health care facility' means a hospital, nursing home, home health care agency, hospice, federally qualified health center, rural health clinic, or public health clinic.
    `(d) USE OF FUNDS- An eligible entity that receives a grant under subsection (a) shall use funds received through such grant to--
    `(1) provide employees of the facility advanced training and education at the school or facility;
    `(2) establish or expand nursing practice arrangements in noninstitutional settings to demonstrate methods to improve access to primary health care in medically underserved communities; and
    `(3) purchase distance learning technology to extend general education and training programs to rural areas, and to extend specialty education and training programs to all areas.
    `(e) APPLICATION- An eligible entity desiring a grant under subsection (a) shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may reasonably require.
    `SEC. 864. AUTHORIZATION OF APPROPRIATIONS.
    `There is authorized to be appropriated to carry out this part, $20,000,000 for each of the fiscal years 2002 through 2004.
    `PART J--NATIONAL NURSING SERVICE CORPS SCHOLARSHIP PROGRAM
    `SEC. 871. NATIONAL NURSING SERVICE CORPS SCHOLARSHIP PROGRAM.
    `(a) PROGRAM AUTHORIZED- The Secretary shall establish a National Nurse Service Corps Scholarship program (referred to in this section as the `program') that provides scholarships to individuals seeking nursing education in exchange for service by such individuals in areas with nursing shortages.
    `(b) PREFERENCE- In awarding scholarships under this section, the Secretary shall give preference to applicants with the greatest financial need, and applicants who agree to serve in health facilities experiencing nursing shortages in medically underserved areas.
    `(c) REQUIREMENTS- To be eligible to participate in the program, an individual must--
    `(1) be accepted for enrollment, or be enrolled, in an accredited school of nursing, to take courses leading to a baccalaureate or associate degree in nursing, or a diploma in nursing;
    `(2) submit an application to participate in the program; and
    `(3) enter into an agreement with the Secretary, at the time of submittal of such application, to--
    `(A) accept payment of a scholarship and remain enrolled in a nursing school;
    `(B) maintain an acceptable level of academic standing; and
    `(C) serve as a nurse for a period of not less than 2 years in an Indian Health Service health center, a Native Hawaiian health center, a public hospital, a migrant health center, a community health center, a rural health clinic, a nursing home, a home health agency, hospice, or a public or nonprofit private health facility
    determined by the Secretary to have a critical shortage of nurses.
    `(d) APPLICATIONS-
    `(1) IN GENERAL- The application forms for the programs shall include--
    `(A) a fair summary of the rights and liabilities of an individual whose application is approved by the Secretary; and
    `(B) information respecting meeting a service obligation and such other information as may be necessary for the individual to understand the program.
    `(2) ACCESSIBILITY- The application form and all other information furnished by the Secretary
    shall be written so that it may be understood by the average individual applying to participate in the program. The Secretary shall make such application forms, and other information available to individuals desiring to participate in the program, on a date sufficiently early to ensure that such individuals have adequate time to carefully review and evaluate such forms and information.
    `(3) DISTRIBUTION- The Secretary shall distribute to nursing schools materials providing information on the program and shall encourage the schools to disseminate the materials to students of the schools.
    `(e) SCHOLARSHIP-
    `(1) IN GENERAL- A scholarship provided to a student for a school year under a written contract under the program shall consist of--
    `(A) payment to, or (in accordance with paragraph (2)) on behalf of the student of--
    `(i) the tuition of the student in such school year; and
    `(ii) all other reasonable educational expenses and support services, including fees, books, and laboratory expenses incurred by the student in such school year; and
    `(B) payment to the student of a stipend of $400 per month (adjusted in accordance with paragraph (3)) for each 12 consecutive months beginning with the first month of the school year.
    `(2) CONTRACT- The Secretary may contract with a nursing school, in which a participant in the program is enrolled, for the payment to the nursing school of the amounts of tuition and other reasonable educational expenses described in paragraph (1)(A).
    `(3) MONTHLY STIPEND- The amount of the monthly stipend, specified in paragraph (1)(B) and as previously adjusted (if at all) in accordance with this paragraph, shall be increased by the Secretary as the Secretary determines to be reasonable.
    `(f) BREACH OF AGREEMENT-
    `(1) IN GENERAL- In the case of an individual who enters into an agreement under this section to provide service as a nurse in consideration for receiving a scholarship, such individual is liable to the Federal Government for the amount of such scholarship, and for interest on such scholarship at the maximum legal prevailing rate, if the individual--
    `(A) fails to maintain an acceptable level of academic standing in the nursing program;
    `(B) is dismissed from the nursing program for disciplinary reasons;
    `(C) voluntarily terminates the nursing program; or
    `(D) fails to provide services in accordance with the program under this section for the period of time applicable under the program.
    `(2) WAIVER OR SUSPENSION OF LIABILITY- The Secretary shall provide for the waiver or suspension of liability under this section if compliance by the individual with the agreement is impossible, or would involve extreme hardship to the individual, or if enforcement of the agreement with respect to the individual would be unconscionable.
    `(3) DATE CERTAIN FOR RECOVERY- Subject to paragraph (2), any amount that the Federal Government is entitled to recover under paragraph (1) shall be paid to the United States not later than the expiration of the 3-year period beginning on the date the United States becomes so entitled.
    `(4) AVAILABILITY- Amounts recovered under paragraph (1) with respect to a program under this section shall be available for the purposes of such program, and shall remain available for such purposes until expended.
    `(g) DEFINITIONS- In this section:
    `(1) COMMUNITY HEALTH CENTER- The term `community health center' has the meaning given such term in section 330(a).
    `(2) RURAL HEALTH CLINIC- The term `rural health clinic' has the meaning given such term in section 1861(aa)(2) of the Social Security Act.
    `(h) AUTHORIZATION OF APPROPRIATIONS- For the purpose of payments under agreements entered into under subsection (a), there are authorized to be appropriated $65,000,000 for each of the fiscal years 2002 through 2004.'.
  2. by   wildtime88
    H.R.1436
    Nurse Reinvestment Act (Introduced in the House)

    --------------------------------------------------------------------------------
    Beginning
    April 4, 2001

    SECTION 1. SHORT TITLE.
    TITLE I--AMENDMENTS TO PUBLIC HEALTH SERVICE ACT
    Subtitle A--Initiatives to Combat Nursing Shortage and Strengthen Nursing Workforce

    SEC. 101. ESTABLISHMENT OF INITIATIVES.
    `PART H--INITIATIVES TO COMBAT NURSING SHORTAGES

    `SEC. 851. PUBLIC SERVICE ANNOUNCEMENTS.
    `SEC. 852. STATE AND LOCAL PUBLIC SERVICE ANNOUNCEMENTS.
    `SEC. 853. NURSE RECRUITMENT GRANT PROGRAM.
    `SEC. 854. RULE OF CONSTRUCTION REGARDING NURSING PROFESSION.
    `SEC. 855. AUTHORIZATION OF APPROPRIATIONS.
    `PART I--INITIATIVES TO STRENGTHEN THE NURSING WORKFORCE

    `SEC. 861. CAREER LADDER GRANT PROGRAM.
    `SEC. 862. GRANTS FOR CURRICULUM DEVELOPMENT.
    `SEC. 863. GRANTS FOR PARTNERSHIPS.
    `SEC. 864. GRANTS FOR HEALTH CAREER ACADEMIES.
    `SEC. 865. FAST-TRACK NURSING FACULTY SCHOLARSHIP AND LOAN REPAYMENT PROGRAMS.
    `SEC. 866. AUTHORIZATION OF APPROPRIATIONS.
    Subtitle B--National Nursing Service Corps Scholarship Program

    SEC. 111. ESTABLISHMENT OF PROGRAM.
    `PART J--NATIONAL NURSING SERVICE CORPS SCHOLARSHIP PROGRAM

    `SEC. 871. NATIONAL NURSING SERVICE CORPS SCHOLARSHIP PROGRAM.
    TITLE II--AMENDMENTS TO SOCIAL SECURITY ACT
    Subtitle A--Amendments to Medicare Program

    SEC. 201. EXPANSION OF NURSING TRAINING EDUCATION PAYMENTS TO QUALIFIED NONHOSPITAL PROVIDERS.
    SEC. 202. REIMBURSEMENT OF THE COSTS OF PROVIDING NURSING TRAINING EDUCATION BY HOSPICE AND HOME HEALTH PROVIDERS.
    `REIMBURSEMENT OF THE COSTS OF PROVIDING NURSING TRAINING EDUCATION BY HOSPICE AND HOME HEALTH PROVIDERS
    Subtitle B--Amendment to Medicaid Program

    SEC. 211. TEMPORARY INCREASE IN FEDERAL MATCHING RATE FOR MEDICAID NURSE AIDE TRAINING AND COMPETENCY EVALUATION PROGRAMS.
  3. by   wildtime88
    S.721
    NEED Act (Introduced in the Senate)

    --------------------------------------------------------------------------------
    Beginning
    April 5, 2001

    SECTION 1. SHORT TITLE.
    SEC. 2. AMENDMENTS TO THE PUBLIC HEALTH SERVICE ACT.
    `PART H--NURSE CORPS SCHOLARSHIP PROGRAM

    `SEC. 851. NURSE CORPS SCHOLARSHIP PROGRAM.
    `PART I--NURSE RECRUITMENT

    `SEC. 855. PUBLIC AWARENESS AND EDUCATION CAMPAIGN.
    `SEC. 856. AREA HEALTH EDUCATION CENTERS PROGRAM.
    `SEC. 857. COMMUNITY NURSE OUTREACH GRANTS.
    `SEC. 858. EDUCATIONAL ASSISTANCE IN NURSING REGARDING INDIVIDUALS FROM DIVERSE OR DISADVANTAGED BACKGROUNDS.
    `PART J--STRENGTHENING THE NURSE WORKFORCE

    `SEC. 861. GRANTS FOR CAREER LADDER PROGRAMS.
    `SEC. 862. GRANTS FOR NURSE TRAINING.
    `SEC. 863. GRANTS FOR INTERNSHIP AND RESIDENCY PROGRAMS.
    `PART K--NURSE FACULTY DEVELOPMENT

    `SEC. 865. FAST-TRACK NURSING FACULTY LOAN PROGRAM.
    `SEC. 866. STIPEND AND SCHOLARSHIP PROGRAM.
    `PART L--NATIONAL COMMISSION ON NURSING CRISIS

    `SEC. 871. NATIONAL COMMISSION ON NURSING CRISIS.
  4. by   wildtime88
    Unfortunately in order to navigate the last to bills you will have to go to them.

    Use to link to see and also verify the information and wording on the bills in question. Do not take my word for it. Go there and read and more importantly think for your self.

    http://thomas.loc.gov/

    Type in the bills individually in the search box.

    S. 1597

    H.R. 1436

    S. 721



    I said before that part of these bills could be used to today without jeopardizing our bargaining position to acquire much needed change. The problem was that they were being pushed and encouraged as a package without anything to address many of our basic problems.

    Also I said the replacement bill might not be needed if the actual problems were solved.

    One thing to remember is there is also legislation to increase the limits on foreign nurses allowed to enter the U.S. the combination of this legislation can take a away the power that nurses have today to effect change at the places where we need it most.

    These have not passed completly yet and still require the president signiture.
  5. by   wildtime88
    Above here are the bills as laid out. Please remember to read past the first 5 or so paragraphs.

    NRSKarenRN, I know the confusion you might have about why nurses who work at the bedside might not want to support legislation that replaces nurses and also that takes the power away from the current nursing shortage since you are a NP.

    You might have yours per say but we want to get ours too.
  6. by   december
    "--$57 million for mid-career training and for grants to improve working conditions for nurses. "

    http://www.baltimoresun.com/news/nat...ld%2Dheadlines

    The bulk of the senate bill goes to improving working conditions. Also, I do not understand why anyone would be against recruitment measures. It is not exclusive of retention measures. Boomers will be swamping the nation with their ill-health in the next decade. Phillipino nurses will not be saturating the market. We'll be needing upwards of more than 1/2 million new nurses. Phillipino nurses emigrating here will be a drop in the bucket. Besides, my desire to continue on in the nursing profession does not go only to monetary compensation. I want enough of an improved nurse-patient ratio so that I will physically be able to continue. I am 53 years old and would like to work another decade!
  7. by   -jt
    <I do not understand why anyone would be against recruitment measures........I want enough of an improved nurse-patient ratio so that I will physically be able to continue. I am 53 years old and would like to work another decade!>


    I agree with you & I wonder why the other part of this lesgislation, The NURSE RETENTION ACT, that specifically addresses this and other working conditions, also written with the nurses of the ANA, & recently introduced to Congress by Senator Hillary Clinton (NY) and Senator Gordon Smith (OR) is being ignored by some people here who are otherwise bent on trashing anything the ANA does - including any legislation the ANA has helped develop to solve the nursing shortage.

    To read some of the "information" posted here, youd think there was nothing being done about retention & working condition but in actuality, much is being done - including some very specific and simultaneous legislations in the works right now to address retention and working conditions - not only at the federal level but also at state levels. You mention that much of the funding is for improving retention initiatives - not only for recruitment. Yes. But for some reason, some people here are not discussing any of this retention/working conditions efforts or legislation - just mistakenly complaining that there is none - while disregarding the new national federal Nurse Retention Act now before Congress for passage into law.

    It would be in their own best interests for nurses to contact their federal legislators and lobby for their support of this legislation to enhance retention of the current nursing workforce & improve present working conditions with the passage of The Nurse Retention Act. Its what nurses are screaming all over the place for but, ironically, nurses arent even talking about this legislation here. Go figure.

    It seems that some nurses would just prefer to keep the nursing crisis going & are resisiting any real attempts to solve it on any level. Nurses actually fighting AGAINST recruitment of a future workforce and at the same time ignoring all efforts to retain the present workforce and improve the working conditions we have today?? All the while screaming their heads off about their horrible working conditions?? Curious.

    Id expect employers to be fighting the efforts because they then would have the perfect excuse to de-skill care - claiming that the delivery model must be changed to one that depends more & more on less costly personnel because there just "are no nurses to be found" - but Id never expect nurses themselves to want to prolong this crisis.

    Something is wrong with the picture when nurses are demanding that the focus be placed on retention and working conditions but then when it is, some nurses do nothing to support that & just sit back & ignore the fact that what they wanted is actually happening.

    ************************************************** **
    Support The Nurse Retention Act - 2001
    Last edit by -jt on Dec 26, '01
  8. by   -jt
    <What has ANA done lately:

    <April 2001:

    <.......Met with the offices of Rep. Maurice Hinchey (D-NY) and Sen. Harry Reid (D-NV) and secured their commitment to introduce legislation requiring health care providers to publically disclose and report the number and mix of nursing staff providing patient care on a shift-by-shift basis as a condition of participation in the Medicare program. The legislation would also require information on the staffing plan used by the facility and the incidence of nursing-sensitive patient outcomes to be reported and posted. The legislation was introduced during National Nurses' Week.
    http://www.nursingworld.org/about/lately/ceoapr01.htm


    <May 2001:
    Worked with colleagues in nursing unions to secure commitments from Senators John Kerry (D-MA, Senate Finance Committee Member) and Ted Kennedy (D-MA, Chairman Senate Health, Education, Labor and Pensions Committee) and Representative Pete Stark (D-CA, Chairman House Ways and Means Subcommittee on Health) to draft and introduce legislation banning the use of mandatory overtime through Medicare. Staff negotiated with the nursing unions and the Members of Congress to ensure that the legislation will provide licensed nurses with the ability to determine, without fear of reprisal, whether or not to accept a request for overtime.
    http://www.nursingworld.org/about/lately/
    <

    Karen,

    The parts I like best about these legislations is that they threaten healthcare employers in their Medicare reimbursement pocket if they fail to comply with recruitment, retention, safe staffing guidelines and bans on Mandatory OT, thus forcing them to make the improvements and changes we need or risk losing funding.

    Loss of government reimbursements is a language they can understand. Talk about "incentives".

    Last edit by -jt on Dec 26, '01
  9. by   WashYaHands
    I want enough of an improved nurse-patient ratio so that I will physically be able to continue. I am 53 years old and would like to work another decade!
    Excellent point, December. Most of the experienced nurses who I have spoken to that have left the bedside cite "too many patients" as the reason. When one feels that they cannot safely manage an assigned patient load, it effects their view of themselves as a nurse who provides excellent care. It cuts to the very core of individual pride in personal standards that becomes more difficult to uphold. More money would be nice, sure, but right now I'd like to be able to go into work just once and not be told that I'll be working short..... everyone has been called and the nursing agencies are tapped out.

    Linda
  10. by   NRSKarenRN
    NRSKarenRN, I know the confusion you might have about why nurses who work at the bedside might not want to support legislation that replaces nurses and also that takes the power away from the current nursing shortage since you are a NP.
    Still providing home care visits on a per diem basis in addition to FT work in intake/utilization review position. Just beginning PT studies for MSN/FNP degree...3 more years to go before NP.

    Know what it's like to have to see 7-8 homecare patients in an 8 hr day, traveling a hundred miles to visit all of them and then go home to do all the da-m paperwork required in home care. Worked in the same hospital for 10 years during two previous shortages with no staff. Was the only night nurse when LPN for a 26 bed medical unit with two aides; with NO pumps, starting bringing in vent patients to our floor and level of reponsibility that license is on the line cause stretched too thin, no one can be pulled nor is agency staff available.

    Edited for spelling.
    Last edit by NRSKarenRN on Dec 26, '01
  11. by   wildtime88
    The only thing I need to say is that time will tell.

    If all this backfires then what? If the other legislation is not seen as a priority because nursing school enrollment is way up and there are many new nurses ready to enter the profession then what?

    Maybe you should check nursing history as far as shortages are concerned.

    Every nursing shortage has resulted in modest improvements. Just as these improvements started to take place there was legislation in one form of another that brought in a mass of new nurses, then the improvement basically slowed to a halt.

    Time will tell.
  12. by   thisnurse
    its only logical that if we work on imporving our working conditions, focusing on retention, then recruitment will fall into place.

    it seems to me that from looking at the past there is a pattern here.
    there is a shortage...wages go up, conditions improve and enrollment in schools goes up. the shortage is gone and in fact the last one gave us a surplus of new nurses. when i graduated in 1996 it was hard for any of us to get a job.
    this in itself caused some of the new nurses to change professions and it dried up the enrollment in the schools. who wants to go to school for a job you cant get?
    so now here we are nearly 2002.
    this shortage seems to be worse than the rest but wild is right, time will tell.

    we just might see the yoyo effect again.

    i am not pro ANA, nor am I anti ANA, although i often wonder if they are actively representing us or their own agendas.

    i have not SEEN much in the way of retention, the focus seems to be on recruitment. in my opinion this is NOT going to help us,its going to help the hospitals.
    the nursing schools will fill up again and there will be a surplus of nurses. the hospitals will tell us that if we dont like the working conditions we can quit (causing another shortage).
    new grads will replace us. when they find out what the working conditions are like, many of them will quit as well. enrollment will decline and the cycle will begin again.


    i dont care about any recruitment bills. i do care about proposed retention legislation. maybe im missing the mark here. please educate me on the pending legislation regarding retention.
    ill be the first one to shout it off the rooftops if its legitimate. but like ive said before, i have no faith in the government helping anyone other than the hospitals.
    please show me i am wrong.
  13. by   NRSKarenRN
    this nurse and colleagues:

    i've highlighted in blue the major initiatives of the nurse reinvestment act in the senate bill which is more comprehensive than the house bill (senate bills usually are).

    in red, i've highlighted under part j initiatives to strengthen the nurse workforce those aspects of the bill that focus on retention, including formation of a commission to make recomendations.

    under sec. 861. developing retention strategies and best practices in nursing staff management.
    funding of 10 million dollars is available to:

    1) improve the quality of the health care facility work environment, including improving communication and collaboration among health care professionals.

    (2) initiate or maintain aggressive nurse retention programs, including other initiatives as deemed appropriate by the nurse retention committee at the health care facility.

    (3) reduce workplace injuries.

    (4) reduce rates of nursing sensitive patient outcomes.

    (5) provide high quality evaluations of the cost-effectiveness and patient-outcomes of best practices, to assist health care facility decision-makers in determining appropriate nurse retention strategies.

    (6) promote continuing nursing education and career development.
    previous shortages focus was mostly on gaining new students/nurses. because of workplace environments today, a broader focus to include workplace issues and retention of current staff is being focused on.


    once this legislation is passed, nurses can push their employers to go after these funds to improve their workplaces and retention of staff.

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