Pennsylvania Lawmakers Consider Nurse-Patient Ratio Legislation - page 3

Pennsylvania Lawmakers Consider Nurse-Patient Ratio Legislation Rest of the story here... Source:... Read More

  1. Visit  ChristineN profile page
    2
    Quote from bsg rnc
    You would think a smaller n/p ratio would be more cost effective.
    Example: Pt turned more often preventing bed sores. Hospital aquired bed sores are no longer reinbursed by Medicare thus hospital foots the bill. One more nurse/shift could prevent this and really make a cost SAVINGS! Duh, what a concept. By heaping it on already strained staff, newer nurses flee the hospital adding to the already known shortage, another duh. In my facility the mantra is
    "bring it in at or under budget or you are fired". Do the administrators watch too much "Apprentice"?
    At my last place of employment managers periodically got bonuses for coming in under budget. The easiest way to under budget was not to replace staff.
    Not_A_Hat_Person and rabbitgirrl like this.
  2. Visit  PeaceonearthRN profile page
    1
    I just wrote to a friend of mine at the state before reading these posts but after reading the article about the legislation. I explained that it's not just ratios but the acuity of the patients.. telemetry .. two getting blood, two post ops.. , two on drips.. with pcu status etc.

    After my wonderful hospital experience, you'd better believe I'd be willing to testify in harrisburg. I hope this gets a lot more press!
    rabbitgirrl likes this.
  3. Visit  rabbitgirrl profile page
    0
    Quote from PeaceonearthRN
    I just wrote to a friend of mine at the state before reading these posts but after reading the article about the legislation. I explained that it's not just ratios but the acuity of the patients.. telemetry .. two getting blood, two post ops.. , two on drips.. with pcu status etc.

    After my wonderful hospital experience, you'd better believe I'd be willing to testify in harrisburg. I hope this gets a lot more press!
    I am glad you will and I hope you do get to testify. I hope there is a whole sea of nurses there, inside and out of the building, whenever this sort of legislation comes up for debate.
  4. Visit  NRSKarenRN profile page
    1
    signup for: nursing lobby day in harrisburg: may 6th, 09
    bend your legislators ears re importance of this legislation....personal storries always helpful.
    PeaceonearthRN likes this.
  5. Visit  PeaceonearthRN profile page
    0
    If I have the day off, I will BE THERE!!

    I have seen enough of hospital abuse; it is TIME for it to end and time for nurses to stop shouldering the load! I am ready for this!
  6. Visit  nana23 profile page
    2
    This is a subject that nurses need to get behind. I am currently working for a "profit" hospital. We were taken over in the past few years, and it has been AWFUL. Staff including Therapists and Doctors are leaving in droves. It is all about the money. Pt. satisfaction is supposed to be number one priority, however pts. are so unhappy. Guess what they did to stop some of the compalints?? We are now a smoking facility(we are psych/rehab). Staff they are able to hire, either dont even stay past orientation, or they hire nurses new to this country. I am having anxiety attacks going to work, so afraid something will happen, and of course nurses are BLAMED not supported if an incident does occur. This affects all nurses in all states, we need to make a stand. I hope we can have a voice in Washington.
    herring_RN and rabbitgirrl like this.
  7. Visit  iluvivt profile page
    2
    IMO acuity based systems will not work.....b/c they can be manipulated by management. ratios work....b/c the lower number of patients will equal less work to do and thus better patient care. The nurse will be able to handle higher acuity patients b/c they will only have x number of patients. It works really well in California and I get to witness its success every day that I work. nurses still work hard...but it is soooo much better than it used to be. our support staff was not really taken away either. what happenned was IMO at least was we deliver much better nursing care and the nurses actually care about the quality of care and are not there to just survive another shift....geez can you imagine that!!!!!
    herring_RN and rabbitgirrl like this.
  8. Visit  Devnation profile page
    0
    Perhaps a nursing ratio is not the answer, it would be nice to hear from more California nurses about how it works for them. However, I had one crazy-busy-full moon type shifts in the urban ED Level I trauma center I was working in where I racked up 11 patients. Yep, that's right ELEVEN. Patient acuity was not taken into account and there was just a simple rotation-style assignment: when you were up for a patient, you got it. Period. Two of them were vented and one of them one needed charcoal/lavage) and another had a severe ankle fracture and was going to the OR. I went to the charge nurse and told her I was drowning and needed help. Her idea of help: moving the two vented patients into the same room when one came back from CT. Then, I had a "mishap" with the NGT that left me, the patient, and the ventilator looking like a minstrel show. By the ended of the shift I was exhausted, frustrated, and covered in charcoal that never came out of my scrubs. I managed to see the above three patients, the others I barely saw. Luckily they were all were minor and nothing went wrong. But it was luck alone. Can anyone say that this was not an extremely dangerous practice?? And do I have to mention this was at a for-profit hospital...?


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