Registered Nurse Safe Staffing

Since the IOM report in 1996, more research has been done showing better client outcomes with more favorable staffing of registered nurses (Cho, Ketefian, Barkauskas, & Smith, 2003, pp. 71-79). Therefore, S. 991: Registered Nurse Safe Staffing Act of 2003, 108th Congress: 2003-2004 was introduced in the Senate. This bill was to amend part D (Miscellaneous) of title XVIII (Medicare) of the Social Security Act (SSA) to:

The Joint Commission focuses on certain goals each year. For patient safety and positive outcomes, hospitals are required to follow certain standards. National Patient Safety Goals were established in 2002 to help identify areas of concern with patient safety. This group is made up by a panel of experts including nurses, doctors, pharmacists and many other healthcare professionals. They advise the Joint Commission on how to address these different patient safety issues. Two goals to be discussed are improving the accuracy of patient identification and medication safety. To improve patient

Every health professional has a legal obligation to patients. Nurses as part of the health care team share an important role in the quality and safe delivery of patient care. They have the major responsibility for the development, implementation and continuous practice of policies and procedures of an organisation. It is therefore essential that every organization offer unwavering encouragement and resources to support their staff to perform their duty of care in every patient. On the other hand, high incidences of risk in the health care settings have created great concerns for healthcare organizations. Not only they have effects on patients, but also they project threat to the socioeconomic status. For this reason, it is expected that all health care professionals will engage with all elements of risk management to ensure quality and safe patient delivery. This paper will critically discuss three (3) episodes of care from the case study Health Care Complaints Commission [HCCC] v Jarrett [2013] Nursing and Midwifery Professional Standards Committee of New South Wales [NSWNMPSC] 3 in relation to Registered Nurse’s [RN] role as a leader in the health care team, application of clinical risk management [CRM] in health care domains, accountability in relation to clinical governance [CG], quality improvement and change management practices and the importance of continuing professional development in preparation for transition to the role of RN.

I am writing to you in regard to safe patient ratio bill titled Safe Nurse Staffing for Patient Safety and Quality Care Act. My name is Angelina David and I am a registered nurse and practicing in the surgical intensive care unit. I am also enrolled in the Adult nurse practitioner program to further advance my knowledge in nursing. One thing I have learned is that as nurses no matter what the level of care or which facility you are practicing; patients’ safety is our number one priority. Patients’ safety and their quality of care have improved over the year. However, oftentimes nurses are still placed into a situation where it is unsafe to practice because they are required to care for more patients than it is safe.

Keeping patients safe is essential in today’s health care system, but patient safety events that violate that safety are increasing each year. It was only recently, that the focus on patient safety was reinforced by a report prepared by Institute of medicine (IOM) entitled ” To err is human, building a safer health system”(Wakefield & Iliffe,2002).This report found that approx-imately 44,000 to 98,000 deaths occur each year due to medical errors and that the majority was preventable. Deaths due to medical errors exceed deaths due to many other causes such as like HIV infections, breast cancer and even traffic accidents (Wakefield & Iliffe, 2002). After this IOM reports, President Clinton established quality interagency

Patient safety is of major concern in healthcare settings due to the preventable nature of events that sometimes lead to serious injury, and even death, for patients. This was catapulted to the forefront of healthcare delivery in 1999 when the Institute of Medicine wrote a scathing report; To Err is Human: Building a Safer Health System, that highlighted "the lack of safety for patients in healthcare organizations" (Ulrich and Kear 2014). The National Patient Safety

Purpose: The purpose of this speech is to inform my audience about the importance of safe nurse staffing that can help improve patient satisfaction, decrease patient complications, reduce nurse fatigue, improve nurse retention, decrease patient mortality, and reduce medical and medication error.

Mandating safe staffing levels for registered nurses in acute care settings has been an important topic of discussion for many years. As the demand for registered nurses continues to rise, so does the clinical demands on the nurses currently working. If there are no specific policies in place that mandate safe and appropriate nurse-to-patient ratios for all acute care facilities, registered nurses (RNs) may be required to take on even more patients than the already high numbers currently given to many of them. Inadequate RN staffing has the potential to cause increases in adverse patient events (American Nurses Association (ANA), The registered nurse safe staffing act, 2015) as well as an increase in nurse injury (Musick, Trotto, & Morrison,

I am writing to ask you to cosponsor the Registered Nurse Safe Staffing Act (S. 1132). This act would require hospitals to utilize the direct care nurses' experience to work in concert with management to establish staffing plans unique to each unit. This approach recognizes that fixed mandated nurse to patient ratios, although easier to understand, do not acknowledge the complexities involved in delivering safe, quality care.

As the Joint Commission aims to nationally improve health care systems through health care organizations collaborations, it publishes recommended patient safety goals. As stated by the Joint Commission, “the first obligation of health care is to “do no harm””. The Joint Commission’s 2015 National Patient Safety Goals for hospitals include : Identify patients correctly; Improve staff communication; Use

Pamela F. Cipriano, President of American Nurses Association was in disbelief to see how she has tried to enforce the Nightingale pledge of keeping patients free from harm was failed because medical errors are the third leading cause of death in the United States. As of now ANA has conducted yearlong campaign named “Safety 360 It Starts with You” in order to reduce and take measurable advances to protect the welfare of nurses and workers. It is one of campaign that the ANA comes with that is in support to both the nurses and patients. However, in the real-world nurses are stress and fatigue due to patient ratio. In my workplace, which is a state hospital, they have full time nurses on call where nurses work more than 70 hours a week. The nurses

I found your paper informative since it is the topic of my health policy paper for this course. I know all too well how it is to work in unsafe staffing environments. Doing some research I came across an association that is working toward establishing safe staffing laws. The National Nurses United (2015), the largest union and professional association of registered nurses in U.S. history, has a nationwide campaign in support of safe staffing for RNs and patients. They currently have two national safe patient ratio bills including one in Senate (S. 864) and one in the House (HR 1602).

I completely agree with RN Safe staffing issue. In the hospital I work at, we experience nurse shortages all the time. We are also pulled from our home unit to another unit that you may have never worked in, but they need a nurse or an aide. When you are hired you are oriented to the other units, but it could be six months or longer before you work on that unit again which to me is unsafe. We have nurses from the OB/GYN unit who know nothing about a person being on a heart monitor, working in our unit because their unit has a low census and our unit is full and we need another RN. So is this considered an unsafe work environment or is it considered safe because the patient/nurse ratios match what the staffing matrix says or is patient

Does one ever think about the words “required” or “extended work shifts”? To countless nurses these terminologies or jargons mean mandatory overtime. In today’s healthcare, “required” overtime has sky rocketed, attributable to, the nursing shortages throughout the United States. Studies have revealed that working “extended work shifts or additional shifts” have a negative impact on both patient and nurse safety. The purpose of this paper is to inform and advocate for the Registered Nurse Safe Staffing Act. This author will discuss the key points, provide a critique of empirical evidence, and demonstrate the importance and impact of this Act to the nursing profession.

The Joint Commission has set forth standards for health care organizations to reduce the number of risks and amend the quality of care and the safety of the patient. Risk management and quality management focus on these attributes of the organization and the patient. Risks are impossible to avoid since it linked to everyday living and the workforce. Risk management must take the initiative to distinguish and oversee these risks. Due to the lack of consistency in the quality of care, health care organizations aim to reduce the negative outcomes of the patient safety through quality management methods. Internal and external factors may pose a risk that can have an impact on the organization and the consequence of the patient care and safety.