ugh still so undecided . A hospital is more about nurses. We also need more doctors. When they say not enough staff it's not always nurses. We need more PCAs, more Respiratory therapist, more physical therapist. A patients plan of care is made up of multiple teams not just nurses and each patients plan of care requires different needs. Each hospital unit requires different needs for staffing. This law is only about nurses and it only is being enforced in acute care settings NOT nursing homes and rehabs that are most definitely understaffed - they need more staff as well since a good majority of our population does reside in nursing/rehab centers. Also need for more home care. Some patients go home because their insurance won't pay for rehab, or a nursing home would be private pay so now family members have to come up with a way to mange their care that they may not have the means to do. Or patients who don't have a family, who go home to no one and end up back in the hospital. This bill proposes that it would leave to less readmissions but I teach and preach to my patients until I'm blue in the face about their care. What they do at home, whether it be compliant with meds and diet, have money for medications, have insurance coverage for home health aids or VNA determines whether or not they end up readmitted for a reoccurrence of their CHF, COPD exacerbation, etc. Healthcare as a WHOLE needs to be evaluated not just acute care facilities and mandated ratios.
I cannot even imagine the ERs, what happens if a critical patient comes in and no beds? I heard the ambulance will have to stay with them until a bed opens up, then that will leave 1 less ambulance on the road.
Then hospitals only have 37 days to comply to this? Which is crazy, CA I believe got a few years and they can use/count LPNs