why can't nurses get safe staffing laws passed - page 5

Why does it seem that nurses here in the USA cannot get safe staffing laws passed. Only California has been able to do this... Read More

  1. by   ldrnicuguy
    Quote from Neats
    I am a Management RN who has worked as management before becoming an RN. I care about patient safety but am able to look at the whole picture and have information available to me that line staff more than likely do not. I have worked in union and non-union environments.
    Developing a staffing model is an art if you will. Most people think only "bean counters" decide how much staff we get.
    When I do develop a staffing model I get input from staff. I have provided schedules (no names on it) and times we need higher coverage than others. I have also provided an empty schedule (no times with the caveat of some must have criteria i.e. there must be coverage 24/7)...this one I get my best results and a very creative schedule that with some tweaking success for staff.

    I agree with what is written here and patient safety but I really do not think a class action lawsuit is the answer. What I think is the ANA, and any other health profession association band together and submit a Problem, Solution and discussion formation to our Nation leadership. Invite your local congress senator, mayor, governor to your facility for the day at a time when they are feeding, passing medication, putting in bed for a afternoon rest... you know the busy times. I know from being in Long Term Care to have staffing ratios and the reimbursement that goes with it would make a difference in so many lives however I would want this to be made in a thoughtful way because be careful what you wish for once we get government input then our administrative costs', documentation, and everything else we do is so much more than what we bargained for to begin with. I want to see staff busy not overloaded in an unsafe way, I do not want to see staff sitting around because there is nothing to do.
    It's clear you still have the full-on management mindset that hours and/or "busyness" has a direct link to productivity and quality. While I understand that some specialty areas have different workflows and processes, the notion that one sitting down is not being productive is ludicrous. Busy is a rarely a sign of anything good. Actually, if you feel your staff is sitting too much, take the opportunity to lead them for the future. Find out how they want to grow and let them use that time do it. Idle minds are worse than idle hands.

    I'll save my ANA disagreements for another thread.
  2. by   Daisy Joyce
    I have to disagree that having staff moving around all the time is a good metric for staffing.
    Patients don't stay the same. They have good days and bad days. Maybe one day they have several loose incontinent stool that need extra cleaning. Maybe they get sick and need extra care. Maybe there are family members on the floor who need emotional support. Maybe there are admissions. Maybe there are discharges. Maybe there are deaths.
    Having some down time for staff means that there is a built-in cushion of time, for when it all hits the fan. And it will.

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