Hospitals (Page 14)

NOTES ON NURSING

RN Grad Student:  “The $4450 Urgent Care Visit     “This was one patient on one day in one healthcare facility incurring every form of systemic waste Fineberg puts forth in his article and is also illustrated by Stephen Brill’s lengthy account of overcharging, particularly those who are uninsured or underinsured.”

HEALTH CARE

Fairview-Sanford Merger Talks Bring Scrutiny   Fairview Health Services, the Twin Cities’ second-largest hospital and clinic group, is weighing a merger with South Dakota-based Sanford Health in negotiations that have triggered concerns on the part of Minnesota Attorney General Lori Swanson. 
… Read more about: MNA NewsScan, March 27, 2013: AG Swanson sets public hearings on Fairview-Sanford merger  »

NOTES ON NURSING

Study Says NICUs Need Nurses   A surprising number of the nation’s neonatal intensive care units (NICUs) have too few nurses, a new study by researchers from the University of Pennsylvania and the University of Medicine and Dentistry of New Jersey (UMDNJ) has found.

HEALTH CARE

It’s Come to This – A Lottery for Health Care Coverage    Tennessee residents who have high medical bills but would not normally qualify for Medicaid, the government health care program for the poor, can call a state phone line and request an application. But the window is tight — the line shuts down after 2,500 calls, typically within an hour — and the demand is so high that it is difficult to get through.
… Read more about: MNA NewsScan, March 25, 2013: NICU nurses needed; Tennessee’s HC lottery  »

NOTES ON NURSING

Healing the Hospital Hierarchy   Most people in health care understand and accept the need for clinical hierarchies. The problem is that we aren’t usually prepared for them; nor are we given protocols for resolving the inevitable tensions that arise over appropriate care.

LABOR UPDATE

Income Inequality Shapes MN Tax Debate   Even in middle-class, middle-American Minnesota, income inequality is rising. It’s not a new phenomenon.

HEALTH CARE

New Database Reveals Thousands of Hospital Violation Reports    Hospitals make mistakes, sometimes deadly mistakes. A patient may get the wrong medication or even undergo surgery intended for another person.
… Read more about: MNA NewsScan, March 20, 2013: Hospital hierarchy; Error reporting  »

Standards of Care Update

The Standards of Care Act, our bill to establish patient assignments limits, had its third hearing today in the House Health and Human Services Policy committee. The bill passed with amendments, despite serious objections from the hospitals. As amended, the bill has a narrower focus than its original version, but a delivers a victory for patients and nurses by laying a strong foundation for documenting the crisis of patient risk in Minnesota that nurses witness every day. In fact, Committee Chair Rep. Tina Liebling of Rochester offered a strong endorsement of MNA’s concerns when she stated “there is broad agreement that there is a problem.”

By no means, however is the work done.
… Read more about: MNA Legislative Update, March 16, 2013  »

Standards of Care Act Update        

   The Standards of Care Act, MNA’s bill to establish patient assignment limits for nurses passed the Government Operations committee 8-7. The committee passed an amendment to the bill to exempt Critical Access Hospitals (rural hospitals with 25 or fewer beds that meet certain federal criteria) from the legislation. MNA continues to believe that all patients in Minnesota, regardless of their geographic location, are entitled to the same standard of safe nursing care.
  In the House, the bill is now headed for the Health and Human Services Policy Committee. We will alert you when a hearing date is scheduled.
… Read more about: MNA Legislative Update, March 8, 2013  »

NOTES ON NURSING

One Step Further.  Standards of Care Act Passes Another Legislative Committee   Patients and families are closer to having their risks reduced in hospitals, as the House Committee on Government Operations gave its endorsement of the Standards of Care Act today.  The bill requires hospitals to provide staffing according to nationally-established standards.

Nurses Courtney Lucht, Eric Tronnes and Juli Uzlik testifed about the need to have a foundation of standards because hospitals are not providing even the minimum staff they promise.  Tronnes described fruitless meetings with hospital management in Staffing Advisory Committees because “productivity invariably trumps safe nursing care.”

Next step for the bill is likely to be the House committee on Health Policy.
… Read more about: MNA NewsScan, March 6, 2013; Standards of Care Act moves forward; MI nurses propose staffing legislation  »

NOTES ON NURSING

Study:  Management Not in Tune with Quality Improvement   It appears that while hospital management asserts that patient-centred care is important and invests in patient satisfaction and patient experience surveys, our findings suggest that the majority do not have a structured plan for promoting improvement of patient satisfaction and engaging clinicians in the process.

HEALTH CARE

Kids, Seniors Prone to MRSA Infections Depending on Season   Children have a greater risk for infection with methicillin-resistant Staphylococcus aureus (MRSA) in summer while seniors have a greater risk in winter, according to the study published online Feb.
… Read more about: MNA NewsScan, March 4, 2013: Chasm between boardroom and bedside; MRSA quirks  »

Standards of Care Act

MNA’s Standards of Care Act is picking up steam at the Capitol. The bill passed its first committee in the House last week, and is scheduled to be heard next on Wednesday, March 6 at 10:00 am in the House Government Operations Committee in the Basement Hearing Room of the State Office Building. Please contact Geri Katz by email or at 651-414-2855 if you can show your support for the bill and the nurses who will testify.

Stories are pouring in from nurses and patients all over Minnesota, illustrating the human side of unsafe staffing.
… Read more about: MNA Legislative Update, March 1, 2013  »

Video:  CNO of Essentia Sandra “Mac” McCarthy testifying to the House Labor, Regulated Workplace and Industries Committee on the Standards of Care Act, February 21, 2013.

Compare this to what Joe Howard, RN, at Miller-Dwan Burn Unit said:

Chairman Johnson, Members of the Committee. Thank you for this opportunity.  My name is Joe Howard.  I’ve been a Registered Nurse for 11 years, and for the past year and a half, I’ve had the pleasure to work in the Burn Intensive Care Unit at Miller Dwan Medical Center in Duluth. 

As a nurse in the burn unit, you can imagine I have some serious cases. 
… Read more about: What Nursing Supervisors are saying…  »

NOTES ON NURSING

Number of Male Nurses Triples Since 1970 A new study from the United States Census Bureau reports the number of male nurses has more than tripled since the 1970s. Back then, about 2.7 percent of registered nurses were men. The new study, which tracked data through 2011, finds that men now make up 9.6 percent of all employed nurses in the United States – about 330,000 men in total.

Intubation in ICU Linked to PTSD   Mechanical  ventilation may prompt severe hallucinatory or delirious symptoms for patients  in the ICU, who even as long as two years later might experience symptoms  associated with post-traumatic stress disorder.
… Read more about: MNA NewsScan, February 27, 2013: It’s RNing Men; Progress for state health improvement program  »