Federal Nurse Staffing Bill Comparison

  1. The legislators may raise the question of another nurse staffing bill nurses are lobbying.
    It is very confusing for legislators to navigate WHY these bills are different. You can assist them!

    Our RN Ratio bills S. 1063/HR 2392 has the mandatory minimum nurse staffing ratios. The American Nurses Association bills S. 2446/HR 5052 share the importance that patient outcomes are directly affected by numbers of RN staff, but that is where the similarities seem to end.

    Bottom line difference is in the ANA bill, no regulatory mandate that the employer to commit to a staffing plan in writing to begin any shift. Look at the Side by Side and you can always read each bill fully to get the flavor of the missing employer commitment to staff even though they agree fully with the research as we do: adequate numbers of nurses and support staff provides the patient with better outcomes.

    Visit nursestakedc for information on the movement #NursesTakeC




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    ~Pam Robbins MSN, RN
    Last edit by tnbutterfly on Apr 21
  2. Poll: Which bills do you support?

    • S. 1063/HR 2392 RN ratios & acuity

      96.43% 27
    • S.2446/HR 5052 Acuity plan only

      3.57% 1
    28 Votes
  3. Visit NursesTakeDC profile page

    About NursesTakeDC

    Joined: Apr '18; Posts: 4; Likes: 16
    from MA , US

    25 Comments

  4. by   ~♪♫ in my ♥~
    ANA is worthless

    #NursesTakeDC
  5. by   pmabraham
    The one has mandated ratio's the other DOES NOT, and furthermore, it doesn't give the actual bedside nurse performing the care a say. We need mandated ratios!
  6. by   chare
  7. by   SpankedInPittsburgh
    Isn't the ANA supposed to be on our side? A giant pile of nothing is what their bill looks like. Without objective testable ratios these bills mean nothing
  8. by   tnbutterfly
    As you can see, there are major differences. This is why it is important to contact your legislators and educate them --- tell them which bill to support. Don't assume they know the differences.
  9. by   ICUman
    Why would anyone support the ANA if they don't look out for their own people and profession. That is very disappointing
  10. by   Naturally Brilliant
    I most certainly will NOT be giving any money or signing up as an ANA member after reading this!
  11. by   klone
    Quote from pmabraham
    The one has mandated ratio's the other DOES NOT, and furthermore, it doesn't give the actual bedside nurse performing the care a say. We need mandated ratios!
    Mandated ratios are meaningless unless you also develop an acuity rating.

    Oregon has new staffing laws that require the hospital create a staffing plan, based on acuity as well as census, preferably using the recommendations of applicable professional organization. I feel very fortunate that women's health already has a very robust and specific staffing recommendation that we can use.
  12. by   pmabraham
    And if the one's at the bedside ACTUALLY doing the work don't have a say in the matter, then acuity staffing is meaningless.
  13. by   maxthecat
    And this is why I do not support the ANA. They do nothing for the nurses at the bedside. In fact they are condescending toward those nurses. But you can bet they want everyone to join so they can rake in the money.

    As a general rule I would say that everyone should be a member of their professional association. BUT when that association ignores the rank and file members and makes decisions for them instead of with them I really can't support it.
  14. by   SC_RNDude
    Quote from pmabraham
    The one has mandated ratio's the other DOES NOT, and furthermore, it doesn't give the actual bedside nurse performing the care a say. We need mandated ratios!
    With mandated ratios, the bedside nurse wouldn't have any say either. They are going to get the max allowed, regardless of the complexity and need of the patients.
  15. by   klone
    Quote from SC_RNDude
    With mandated ratios, the bedside nurse wouldn't have any say either. They are going to get the max allowed, regardless of the complexity and need of the patients.
    Exactly. Which is why it's important to staff based on acuity, not nurse/patient ratios.

    On my unit alone, we could have 6 patients and need 1 nurse, or 6 nurses.

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