Nursing Notes

February 20, 2010

Florida Nurses Unite Feb. 17 In Tallahassee To Demand Lifesaving Patient Safety Improvements

The old Florida Capitol Building with the new ...

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This article just shows that this subject is not going to go away anytime soon.  I like the way this march was framed.  Instead of addressing nursing needs for ratios, this article approaches from the point of patient safety. Ratios have been shown to improve patient safety measures as well as improve patient outcomes altogether.

Please read this article and let me know what you think about this whole subject.

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17 Feb 2010

What

Hundreds of registered nurses from across Florida will travel to Tallahassee this Feb. 16 and 17 to march, rally, and advocate for the new Florida Hospital Patient Protection Act of 2010, introduced by Rep. Oscar Braynon (D-Miami Gardens) and Sen. Tony Hill (D- Jacksonville). The Patient Protection Act will:

– Guarantee a safe ratio of RNs to patients on every unit in every hospital in Florida. Research has identified unsafe nurse staffing as a key factor for sentinel events in units throughout hospitals.
– Establish whistle-blower protections for RNs who expose unsafe conditions
– Assure RNs the legal guarantee to serve as patient advocates

Who

The RNs are members of NNOC-Florida, a professional association and union for RNs. NNOC-Florida is the state chapter of the National Nurses Organizing Committee (NNOC) and is affiliated with National Nurses United, the new national union of RNs, founded in December 2009 and composed of 150,000 nurses from every state in the country, which has won accolades for its “Send a Nurse” to Haiti program. They will be joined by colleagues from SEIU Healthcare Florida and SEIU 1991, a professional association and union for RNs and healthcare workers, and the Florida Nurses Association.

When

Wednesday, February 17 – 9:00 a.m. march, 10:00 a.m. rally

Where

The rally will be held across from the State Capitol at Kleman Plaza, 306 S Duval Street, Tallahassee. Hundreds of RNs will march there from the Doubletree Tallahassee (101 S. Adams) via Park, Monroe, Jefferson, and Duval streets before ending at Kleman Plaza. Nurses will then go to the Capitol to speak to legislators.

Why

“When patients are denied access to a medically-appropriate level of nursing care, their outcomes suffer. It’s that simple, and it is totally preventable. Many hospitals under-staff their units, denying access to RNs, and undermining patient safety in the name of hospital profits. The Florida Patient Protection Act will extent to my patients the level of care they deserve, and that’s why I’m marching on Tallahassee and demanding the passage of this life-and-death bill,” said Barbra Rivera, an RN from St. Petersburg.

Background on the Florida Hospital Patient Protection Act of 2010

Reflecting the hopes and dreams of nurses and patients–and the best scientific evidence-the Florida Hospital Patient Protection Act of 2010 will improve patient outcomes and draw nurses back to bedside by allowing them to practice their profession safely. The act will:

– Guarantee a safe ratio of RNs to patients on every unit in every hospital in Florida. Research has identified unsafe nurse staffing as the cause of many sentinel events for hospitals patients today.

– Assure RNs the legal guarantee to serve as patient advocates

– Establish real whistle-blower protections for RNs who expose unsafe conditions

The benefits of safe nurse-to-patient ratios for Florida hospitals:

Nurse-to-patient staffing in Florida hospitals is in crisis, with RNs juggling up to nine extremely ill patients at a time.

– Studies show that each additional patient an RN is assigned increases the risk of patient death by seven percent – Agency for Healthcare Research and Quality, May, 2007.

– Increasing the number of full-time RNs on staff per day by one, there were nine percent fewer hospital-related deaths in intensive care units, 16 percent fewer in surgical patients, and six percent fewer in medical patients – Healthcare Risk Management, February 2008.

– 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 attack and PAP tests for cervical cancer – Medical Care, Journal of the American Public Health Association, August 2005.

– There has been a 60 percent increase in state RN applications since a similar law was signed in 1999, suggesting its appeal to RNs – California Board of Registered Nursing

– A study published in the Journal of the American Medical Association in October 2002 linked higher patient loads with a 15 percent increase in nurses’ dissatisfaction with their jobs.

– 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 percent – Cancer Journal of the American Cancer Society.

Safe nurse to patient ratios are working across the country.

“I work in a medical unit where a majority of our patients are diabetic and require lots of teaching and monitoring. Our night-shift RNs used to have nine to 12 patients before the ratios were in effect. We could never keep a core nursing staff on nights. As a result of the ratio law we don’t have more than five patients, which gives us the time we need to do patient teaching and has dramatically improved patient outcomes and nurse retention. Before the ratios, with too many patients to safely care for, many nurses left the profession,” said Mary Bailey, RN, Medical Unit, Long Beach Memorial Hospital.

Source
California Nurses Association


Here’s the link to the original article.

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