200 nurses with the Minnesota Nurses Association union descend on the State Capitol to advocate for patients and the Standards of Care Act, which would protect all those who are hospitalized by establishing standards for staff care.
… Read more about: MNA Day on the Hill 2013 »
NOTES ON NURSING
MNA’S Nurses Day on the Hill 2013 in pictures
Legislators learned a lot about patients at risk in acute care hospitals, and why MNA members support the Governor’s proposed budget and Health Care for All. Revisit MNA’s Blog later today for a video featuring nurse stories.
HEALTH CARE
Boost in Hospice Care By Way of ICU Yes, more people are getting hospice care — but they are getting it for only a few days and often, only after highly aggressive care near the end of life, including multiple hospitalizations and stays in intensive care units.
… Read more about: MNA NewsScan, February 6, 2013: Nurses lobby for patient care; Good-bye Saturday mail »
NOTES ON NURSING
Forced Flu Shots Not the Cure Too many hospitals, whose mantra is profits, not patient safety, favor forced vaccinations while cutting nursing or housekeeping staff, and denying paid sick leave, as most industrialized nations ensure.
Staffing Danger on Wards More than 57% of those asked in the survey described their ward or unit as sometimes or always “dangerously understaffed”. Of those who had witnessed poor care, nearly 30% said they had seen it happen regularly.
LABOR UPDATES
Everybody’s Workin’ for … The Health Care Benefits Three-quarters of retirees said they worked longer than they would have otherwise to maintain access to their health plan.
… Read more about: MNA NewsScan, February 4, 2013: On forced flu shots; Staffing “dangerously low” in Britain too »
by MNA President Linda Hamilton, RN, BSN
After nine years, hospitals are still reporting 314 adverse events that could have been prevented.
Patients are suffering; families are grieving because systems did not adequately protect them from preventable mistakes, such as falls and the development of pressure ulcers.
Beyond the sobering revelations of Wednesday’s 2013 Adverse Health Event report, nurses at the bedside are deeply concerned that other troubling instances are not reported. We catch our breath with every “near miss,” every late medication, every discharge with hasty instruction. We provide a safety net through our continual monitoring, but we see the foundation of that net eroding more each day.
… Read more about: Preventable Adverse Events Are a System Failure »
HEALTH CARE
Docs Weigh In: Workloads are Unsafe (JAMA abstract only) For resident physicians, workload so heavy as to result in physician fatigue is associated with increased medical errors and has led to the implementation of work-hour restrictions.2– 3 For nurses, a recent cross-sectional analysis showed a significant association between patient mortality and low staffing.4 Fourteen states have enacted legislation and/or adopted regulations to address nurse staffing.5
LABOR UPDATES
Ford UAW Workers Receive $8,300 Profit Payout UAW members have not had a wage increase in at least eight years, relying on lump-sum payments and profit sharing for between 20% and 25% of their annual pay, Dziczek said.
… Read more about: MNA NewsScan, January 30, 2013: Docs weigh in-patients are not safe »
NOTES ON NURSING
OpEd: Report Medical Errors and Caregiver Injuries Every 24 hours across the nation there are, on average, 4,658 newly identified hospital-acquired infections, 1,369 patient falls and perhaps as many as 800,000 medication errors. Furthermore, injuries to caregivers are among the highest rates of any occupation, with as many as 950 injuries per day in the United States.
HEALTH CARE
A Hospital Bill Without the Hospital To many people this may be the equivalent of billing for oral surgery after a teeth cleaning. But Lahey Hospital and Medical Center, which owns the dermatology practice, said Reed’s insurer allows the Burlington hospital to charge patients an overhead fee when they are treated by doctors it employs — even when their offices are not located in the hospital but in a medical building 1½ miles away.
… Read more about: MNA NewsScan, January 28, 2013: Medical errors & caregiver injuries need Presidential priority »
NOTES ON NURSING
When Paying It Forward Pays Us Back One such example is the Transitional Care Model (TCM), which provides planning and home follow-up by trained nurses for chronically ill Medicare patients during and after hospitalization. The TCM illustrates a key point. Often, to save money you need to change systems, or add new functions, not just cut things.
Nurse Staffing, Bedsores Remain on Parkland Problem List Parkland Memorial Hospital has completed 94 percent of the quality and patient safety targets necessary for it to continue receiving federal funding, but the institution continues to struggle in the areas of nurse staffing, timely patient discharges and bedsore prevention, according to a report given to the hospital’s Board of Managers Tuesday.
… Read more about: MNA NewsScan, January 23, 2013: When paying it forward pays us back; Prolong CPR »
NOTES ON NURSING
Improving Nurses’ Work Environment Can Help Reduce Readmissions The study, led by Matthew McHugh, PhD , JD, MPH, RN, FAAN, assistant professor at the University of Pennsylvania School of Nursing, found that increased nurse-to-patient staffing ratios and a good work environment for nurses were associated with reduced 30-day readmission rates for Medicare patients with heart failure, myocardial infarction, and pneumonia. Funding for the study came from the Robert Wood Johnson Foundation (RWJF) Nurse Faculty Scholars program.
New Grads Finding Rough Road to Employment Since the recession, health care has been the single biggest sector for job growth, but that doesn’t mean it’s easy to get hired.
… Read more about: MNA NewsScan, January 14, 2013: More Nurses Mean Fewer Readmissions »
Legislative Session Begins
On Tuesday, the 2013 Session of the Minnesota Legislature began. Both the House and Senate have introduced their first key pieces of legislation:
… Read more about: MNA Legislative Update, January 11, 2013 »
HEALTH CARE
Poor Performance Means Less Medicare Reimbursement for Most Minnesota Hospitals Medicare is revamping its payment system for hospitals as part of an effort to make them accountable on quality. The latest change will give bonuses and penalties to hospitals based on how well they performed on quality measures.
Health Care and Pursuit of a Profit Make a Poor Mix A shareholder might even applaud the creativity with which profit-seeking institutions go about seeking profit. But the consequences of this pursuit might not be so great for other stakeholders in the system — patients, for instance.
… Read more about: MNA NewsScan, January 9, 2012: Medicare Penalizes MN hospitals; For profit=poor care »