Nurses rally at Texas Capitol building - page 7
Nurses rally at Texas Capitol building They devote their lives to helping patients, now they're asking for the state's help. Tuesday, dozens of nurses from across the state rallied at the State... Read More
Apr 13, '07Occupation: FNP Specialty: 23 year(s) of experience in ICU, ER, HH, NICU, now FNP ; From: US ; Joined: Mar '02; Posts: 1,818; Likes: 129Unless you live in Texas please mind your own business.
We are entitled to our own opinions, you yours and me mine - thanks but ABSOLUTELY no thanks.
I consider UNIONS to be exactly what you define a progressive as NOT.
Apr 13, '07Joined: Mar '99; Posts: 13,361; Likes: 1,376SAFE STAFFING SAVES LIVES
As the Institute of Medicine's 2003 study put it, research now documents "what physicians, patients, other health care providers and nurses themselves have long known: how well we are cared for by nurses affects our health, and sometimes can be a matter of life or death."
■ If all hospitals increased RN staffing to match the top 25% best staffed hospitals, more than 6,700 in-hospital patient deaths, and, overall 60,000 adverse outcomes could be avoided. The findings do not include the ancillary
value to families of reduced morbidity, such as decreased pain and suffering and days lost from work, and huge economic savings for the hospitals-Health Affairs, January/February 2006
■ Cancer surgery patients are safer in hospitals with better RN-to-patient ratios. A study of 1,300 Texas patients undergoing a common surgery for bladder cancer documented a cut in patient mortality rates of more than 50%.Hospitals with low volume on cancer procedures can match standards of high volume urban medical centers just by increasing their RN ratios-Cancer, Journal of the American Cancer Society, September 2005
■ Cutting RN-to-patient ratios to 1:4 nationally could save as many as 72,000 lives annually, and is less costly than many other basic safety interventions common in hospitals, including clot-busting medications for heart attacks
and PAP tests for cervical cancer-Medical Care, Journal of the American Public Health Association, August 2005
■ Chances of a hospital patient surviving cardiac arrest are lower during the night shift because staffing is usually lower at night, even though cardiac arrest occurs at all times of day or night-according to a report on 17,991
cardiac cases from 250 hospitals-Annual meeting, American Heart Association, November 2003
■ The Institutes of Medicine of the National Academy of Sciences reports that "nurse staffing levels affect patient outcomes and safety." Insufficient monitoring of patients, caused by poor working conditions and the assignment
of too few RNs, increases the likelihood of patient deaths and injuries-IOM, November 4, 2003
■ Inadequate staffing precipitated one-fourth of all sentinel events-unexpected occurrences that led to patient deaths, injuries, or permanent loss of function-reported to JCAHO, the Joint Commission on Accreditation of Hospital Organizations, from 1997 to 2002-JCAHO, August 7, 2002
■ Improved RN-to-patient ratios reduce rates of pneumonia, urinary infections, shock, cardiac arrest, gastrointestinal bleeding, and other adverse outcomes-New England Journal of Medicine, May 30, 2002
■ Up to 20,000 patient deaths each year can be linked to preventable patient deaths. For each additional patient assigned to an RN the likelihood of death within 30 days increased by seven percent. Four additional patients
increased the risk of death by 31%-Journal of the American Medical Association (JAMA), October 22, 2002
■ Poorer hospital nurse staffing is associated with higher rates of urinary tract infections, post-operative infections, pneumonia, pressure ulcers and increased lengths of stay, while better nurse staffing is linked to improved patient outcomes, according to the Agency for Healthcare Research and Quality-AHRQ report, 2001
■ Nurses intercept 86% of all medication errors made by physicians, pharmacists, and others prior to the provision of those medications to patients-JAMA, 1995
May 9, '07Occupation: Nurse Manager Specialty: 22 year(s) of experience in Critical Care ; Joined: May '07; Posts: 7; Likes: 1I support ratio laws because I am tired of being assigned 3 ICU patients in South Texas. On Telemetry it's 8 pts, on Medical it's 10-12.
It's about patient safety.
May 11, '07Joined: Mar '99; Posts: 13,361; Likes: 1,376May 8, 2007, 10:04PM
More nurses, patient safetyCopyright 2007 Houston Chronicle
There is no doubt that hospital-acquired infections pose a serious health risk, and that these infections are often passed on by "the hands of those who would heal" [see the May 3 Chronicle editorial "Staff infection / Publishing infection rates could motivate hospitals to improve efforts to reduce a serious health risk"]. Having been a nurse for 35 years, I know this is true....
... To answer the editorial's question, "Who could be bugged by a bill such as this?" we should ask the 5,000 bedside nurses in Texas who have petitioned for the passage of a bill that has not yet reached the Texas House floor, HB 1707. This bill would require hospitals to limit the number of patients under the care of each registered nurse, relative to the level of care required...
... The cost of adding more RNs would be covered by decreasing expenses resulting from hospital-acquired infections, accidents such as patient falls and medication errors. According to the August 2005 Journal of the American Public Health Association, cutting RN-to-patient ratios "could save as many as 72,000 lives annually." Publishing data on hospital-acquired infections may inform the public, but it will not protect them. Only by improving the RN-to-patient ratios can hospitals directly impact the rate of hospital-acquired infections and promote patient safety, as well.
May 17, '07Joined: Mar '99; Posts: 13,361; Likes: 1,376
[FONT="Arial"]An Ounce of DissensionTexas nurses are getting organized, with help from a veteran California labor activist
by KATHLEEN SHARP
On a gray March day, 250 rambunctious nurses wearing rose-colored smocks and waving blue picket signs marched up Congress Avenue. They ascended the Capitol steps in sneakers, clogs, and high heels, determined to cajole legislators into supporting a bill that would cut the number of patients a nurse can be required to care for at one time. Recounting gruesome tales of how skeleton staffs cause misery and pain for patients, the nurses argued that Texas hospitals force them to oversee more sick and dying people than they can handle.
"Safe ratios save as many as 72,000 lives a year," said Beverly Leonard, a critical-care nurse from Austin. Registered nurse Nancy Davis agreed "I've worked all around the country. But the problems here in Texas are horrendous."...
...Bedside nurses have an intimate view of the business, says Colleen Miller, a second-generation nurse who's worked at for-profit and nonprofit facilities. She's watched patient care deteriorate in Texas. "I saw how everyone, the doctors, nurses, and staff, was tense and angry with each other," she says. "I'd go to the hospital CEO and explain that the problem was understaffing." The executive, she says, would shrug and say: "We had to cut the budget." Miller can't understand why executives were cutting staff positions when more--and sicker--people were streaming into acute care facilities. "At first, I had no idea what it meant," she says.
What it meant is that health care over the past two decades has became big business....
Sep 29, '07Joined: Aug '06; Posts: 15; Likes: 7Quote from purplemaniaSure would be nice if nurses would read their nurse practice act before making remarks to the press. Texas already has a whistle-blower act. Texas already has a patient:nurse ratio. Texas already has a Safe Harbor Act. Texas was the first to have a bill requiring hospitals to have lifting equipment and other back-saving devices. Texas has Ready Texas Nurses - a contact list of nurses all over the state to call in emergency. This was initiated during Hurricane Rita and more than 3,000 nurses responded. Texans don't like unions, however. BTW, the annual Nurses on Capitol Hill is an invite from Congress for us to meet legislators.
Purplemania...would you please tell me where to find the patient:nurse ratio in the nurse practice act? I have also looked thru joint commission and the dept of health for such ratios and cannot find any such written ratios.
Oct 2, '07Specialty: 28 year(s) of experience in Med/surg,Tele,PACU,ER,ICU,LTAC,HH,Neuro ; Joined: Sep '07; Posts: 463; Likes: 177Safe Harbor is used by Hospitals to force you to take unsafe assignments. When you try to use it there are reports of termination and reprisals.
Oct 4, '07Joined: Mar '99; Posts: 13,361; Likes: 1,376TEXAS: University Hospital Nurses Crises
Watch this video from a TV news report:
The National Nurses Organizing Committee continues movement-building across the country, most recently throughout the state of Texas.
Last week NNOC testified before a concerned citizens' panel of Dallas-Fort Worth, chaired by State Rep. Roberto Alonzo. The panel heard from numerous witnesses, debated, and finally returned a unanimous recommendation for safe nurse-to-patient staffing ratios in hospitals and strong whistle-blower protection for nurses.
This week, nurses at University Hospital in the Bexar County Hospital District caught the attention of San Antonio patients and media by announcing the formation of a Patient Care Advisory Committee, as their first step as NNOC union members, and calling on their hospital to implement staffing ratios and other patient safety protections