Quality Nursing Care Act of 2004 (Federal, USA) - page 4

FOR IMMEDIATE RELEASE December 11, 2003 Capps Introduces Legislation to Require Safe Nurse-to-Patient Staff Ratios Bill Will Improve Quality of Care in Nation's Hospitals ... Read More

  1. Visit  rstewart profile page
    0
    About this Bill:

    Hospital organizations in California and elsewhere have fought and will continue to fight specific, evidence based nurse-patient ratios with all of their might. And with good reason in my opinion: They are straight forward. It doesn't take a review of patient acuities, numbers of admits, numbers of transfers, discharges etc. only to arrive at a purely subjective conclusion regarding staffing adequacy/safety. Rather, you've either met the minimum standard or you haven't.

    That is the weakness of this bill, a fatal weakness for those of us who desire a safe staffing mandate. Frankly, I see this type of legislation as a way to diffuse and confuse instead of addressing the problem head-on. Sounds good on paper at first glance but on the whole devoid of meaning and toothless.
    Last edit by rstewart on Jun 29, '04
  2. Visit  kathyann profile page
    0
    Other than finding the contents of the bill as you have posted here online, I cannot find any information such as when this will be voted upon.
    Any additional information?
  3. Visit  Dixiedi profile page
    0
    Quote from rstewart
    About this Bill:

    Hospital organizations in California and elsewhere have fought and will continue to fight specific, evidence based nurse-patient ratios with all of their might. And with good reason in my opinion: They are straight forward. It doesn't take a review of patient acuities, numbers of admits, numbers of transfers, discharges etc. only to arrive at a purely subjective conclusion regarding staffing adequacy/safety. Rather, you've either met the minimum standard or you haven't.

    That is the weakness of this bill, a fatal weakness for those of us who desire a safe staffing mandate. Frankly, I see this type of legislation as a way to diffuse and confuse instead of addressing the problem head-on. Sounds good on paper at first glance but on the whole devoid of meaning and toothless.
    I hope that doesn't suprise you.
  4. Visit  pickledpepperRN profile page
    0
    I hate to admit I am not surprised.
    The bill looks good. Not perfect, but as federal law it would be a start.

    BUT there doesn't seem to be an organized plan to work it.

    In California we worked our law. BOY did we work!
    Nurses wrote hundreds of thousands of letters. We took turns sitting in the cafeterias with paper and stamped envelopes. No procrastination, "If you agree then write a letter. Otherwise no more complaining."

    Instead of saying, "There ought to be a law." tens of thousands of us nurses, families, and others (Gray Panthers etc.) signed petitions, attended rallies, lobbies our local elected representatives, and told our stories of why staffing on the edge harms patients. TEN YEARS! Two vetos, fear it would not be signed, pressure and insults from the insurance and hospital industry. So much money was wasted trying to fight safe staffing.

    Too bad there is no organized plan to get a good law at the federal level. I don't think allnurses.com is the venue for this. Remember the Million Nurse March? I was quite excited about that as a way to inform the public. Lord knows the industry wants to cover it all up.

    We can inform here. Most of us know at a deep level of personal experience how distressing it is to know that we didn't gove our best and our patients suferred because we can only be in one place at a time.

    My hope is that just as our first bill in California did not make it out of committee but we didn't give up the bill will be the beginning of true improvements in our hospitals.

    If anyone reading this writes their senators and representatives with suggestions for improving the bill. (I have seen good ideas here) that can be a start.

    Letters to the editor of your local paper using this to describe the dangers at the local hospital(s) may take it off the back burner. You may then be labeled a "troublemaker".
    I wouldn't suggest it in DFW.

    Other ideas?
  5. Visit  pickledpepperRN profile page
    0
    HERE IT IS!

    http://allnurses.com/forums/showthre...2&page=1&pp=10

    The thread I couldn't find yesterday.

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