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Topics About 'Staff Ratio'.

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  1. TL;Dr: Nursing needs some help. What do you think will help improve the profession? Nursing as a profession is in definite need of improvement as we go forward into the future. Many additional tasks are thrown at us, sicker patients are assigned to us, and we’re always asked to do more with less and do it faster. There has been a palpable push toward tasks over people, a decidedly different path than historically and from what is taught as nursing in schools. Based on your experience, what would you change or do to improve the profession? I’m going to preempt some answers here and say go beyond better staffing/ratios, higher pay, ancillary staff, unionizing, etc. Think about the profession itself and how you think nursing fits within healthcare as a whole now and five years from now.
  2. I have a question/ informal survey request regarding open heart staffing in a community hospital. I work in a hospital that has one open heart room/ one heart surgeon. We currently have 2 RNs/ 1 scrub tech per case. There is 1 anesthesia tech on day shift who serves the entire 5 room OR. Our new surgeon is keen on reducing the staff to 1 RN/ 1 scrub. But, we don't have the ancillary staff like an academic center that is dripping with personnel and residents. If everything is going well, I can see the possibility of doing the case with 1 RN circulating- but what if all H breaks loose? Sometimes there is NO one to run for blood or help out. And, then there are the turnovers... remember, I said we have ONE open heart room. So, I'm really worried about this. My question is: what are other hospitals doing in terms of staffing ratios in the heart room? Can anyone point me to an article or source that can give stats on cardiac OR staffing ratios in a community hospital? Thank you very much.
  3. ICUEDMursenary

    Reporting a facility for staff ratio issues?

    I've exhausted my google resources. I work at a facility that has been ignoring staffing ratios for the last few months in all the units. Us nurses have been getting ran through a meat grinder the entire time. We've been missing meals and breaks (we work in CA with a union) and now management is threatening punishment for missing meals and breaks when we're out of ratio. The Director of Nursing said "nothing can go wrong in 30 minutes" and encouraged us ICU nurses to go to lunch despite leaving a charge nurse with 3-5 ICU patients. The other night when I had a 1:1 patient, they sent me a 2nd patient regardless of my objection and my 1:1 pulled their central line out. Crisis was averted, but narrowly. Anyway, sorry for all of the ancillary information. I'm wondering if any CA nurses specifically have any experience with reporting an employer for this behavior (to the state?). Reporting a facility to the CA Dept. of Health entails including patient information rather than it being related to a staffing ratio problem. The final straw came when a member of management brought up "time management" problems on the end of staff nurses due to recent overtime and missed meals/breaks. They're actually blaming the staff nurses for time management problems when we're out of ratio or have an encumbered charge with no one to relieve us. Any insight would be appreciated. I'm at my wits end
  4. NursesTakeDC

    Federal Nurse Staffing Bill Comparison

    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 ~Pam Robbins MSN, RN